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This editorial reminds us that the only evidenced based screening criteria we have for C-spine clearance in those over age 65 after trauma is the Canadian C-Spine Rule (2002). This rule recommends imaging for all patients over age 65. No large, well done study indicates physical exam or other means can be used to clear C-Spines in those over age 65.
References
Rodriguez R, Greenberg S. Is older age an appropriate criterion alone for ordering cervical spine CT after trauma. Acad Emerg Med. 2024; 00: 1-2. doi:10.1111/acem.15001