WebNov 3, 2024 · The Ottawa ankle rules are a clinical decision-making strategy for determining which patients require radiographic imaging for ankle and midfoot injuries. Proper application has high (97.5%) sensitivity and reduces the need for radiographs by ~35% 1,2,4 . There are two components, assessing for ankle and midfoot fractures. WebOct 31, 2024 · Motor vehicle collisions were the most common mechanism of injury (55.1%), followed by falls (23.9%). There were 11 clinically important injuries. The paramedics classified these injuries with a sensitivity of 90.9% (95% CI, 58.7 to 99.8) and specificity of 66.5% (95% CI, 65.1 to 68.0). There was no adverse event or resulting spinal cord injury.
Clinical decision rules - Ottawa Hospital Research Institute
WebFeb 1, 2024 · The modified Canadian C-spine rule was validated in a multicenter study involving 1,949 patients in 7 regions across Canada, ... Canada, with a single paramedic service. The Ottawa Paramedic Service employs primary and advanced care paramedics to provide emergency medical services to an area encompassing 2,796 km 2 and a … http://www.wikiradiography.net/page/Ottawa_Rules raymond bertram
Calculated Decisions - EB Medicine
WebJun 1, 2024 · We therefore developed the Canadian C-Spine Rule (CCR) for alert and stable trauma patients. This decision rule helps ED physicians and triage nurses to safely and selectively remove immobilization, without x-rays and missed injury. We successfully taught Ottawa paramedics to use the CCR in the field in a single-center study. WebClement),UniversityofOttawa,Ottawa,Ontario;De-partment of Emergency Medicine, Queen’s Univer-sity, Kingston, Ontario (Dr Brison); Division of ... Conclusion We have derived the Canadian C-Spine Rule, a highly sensitive deci-sion rule for use of C-spine radiography in alert and stable trauma patients. If pro- WebThe Canadian C-Spine Rule was derived in a prospective cohort study involving 8924 patients.17 The overall goal of this study was to derive a clinical decision rule that is highly sensitive for detecting acute cervical spine (C-spine) injuries and that will allow physicians to be more ef-ficient in their use of C-spine radiography in alert, stable raymond besnard