Canadian C-Spine Rule
Determines need for cervical spine imaging after blunt trauma. Validated in alert, stable patients. More specific than NEXUS.
Score interpretation
→ No radiography needed; safe to clinically clear c-spine
→ Obtain CT c-spine (preferred) or plain x-rays; maintain immobilisation
Interpretation bands for the Canadian C-Spine. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Featured in these MRCEM clinical pathways
The Canadian C-Spine is covered in detail — with RCEM/NICE evidence base, indications and pitfalls — in the following exam-focused pathways on our sister siteReviseMRCEM.
MRCEM Primary / Intermediate / OSCE candidates: each pathway includes exam-style questions, RCEM/NICE citations, and FAQ summaries.
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.