Clinical decision-support only — does not replace attending supervision or institutional policy
Canadian C-Spine Rule
Use only for alert, stable patients age 16 or older with blunt head/neck trauma where cervical spine injury is a concern.
Do not use CCR if any apply
Step 1 — High risk: any mandates imaging
Step 2 — Low risk: any allows rotation assessment
If high-risk factor present, image. If no high-risk factors and no low-risk factors, image. If low-risk factor present, assess active 45 degree rotation left and right; inability to rotate requires imaging.
Canadian C-Spine Rule Result
IMAGING REQUIRED — No low-risk factors present
Cannot proceed to rotation test.
These calculators support clinical decision-making and education. They do not replace physician judgment, institutional protocols, or attending guidance.
Clinical decision-support only — does not replace attending supervision or institutional policy