• Cervical Spine Evaluation and Clearance in the Intoxicated Patient: A Prospective Western Trauma Association Multi-Institutional Trial and Survey (December 2017)

    Matthew J. Martin, MD Lisa D. Bush, PA-C Kenji Inaba, MD Saskya Byerly, MD Martin Schreiber, MD Kimberly A. Peck, MD Galinos Barmparas, MD Jay Menaker, MD Joshua P. Hazelton, MD Raul Coimbra, MD, PhD Martin D. Zielinski, MD Carlos V.R. Brown, MD Chad G. Ball, MD, MSC Jill R. Cherry-Bukowiec, MD, MS Clay Cothren Burlew, MD Julie Dunn, MD, MS Christian Todd Minshall, MD Matthew M. Carrick, MD Gina M. Berg, PhD, MBA Demetrios Demetriades, MD, PhD William B. Long, MD
    CME 1 CME Credit(s)

    Learning Objectives:

    The primary objectives were to characterize the accuracy and reliability of CT for identifying clinically significant cervical spine injuries in intoxicated patients, to evaluate cervical spine clearance practices and immobilization times in this cohort, and to perform a multi- institution survey of practices and opinions regarding spine clearance in the intoxicated patient.

    Impact Statement:

    There is currently little prospective data on optimal cervical spine clearance practices for intoxicated trauma patients, a lack of consensus definition of "obtunded", and conflicting reports of the accuracy and safety of spine clearance based on CT scan results. This article provides prospective data from a large multi-center sample of trauma patients undergoing CT scan of the cervical spine, as well as survey results regarding expert opinions, definitions, and preferred management strategies for intoxicated patients requiring cervical spine clearance.

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    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Surgeons and the American Association for the Surgery of Trauma. The American College of Surgeons is accredited by the ACCME to provide continuing medical education (CME) for physicians.

    AMA PRA Category 1 Credits™

    The American College of Surgeons designates this journal-based activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1 credit meets the requirements for Self-Assessment.

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