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<p>Injuries to the cervical spine are a&#xa0;diagnostic challenge as, although they are rare in relation to the overall population, they should not be overlooked under any circumstances. This article presents the diagnostic procedure in the emergency department, starting with the patient’s medical history and subsequently clinical and neurological examinations. As a&#xa0;result, the clinical decision tools national emergency X‑radiography utilization study (NEXUS) criteria and the Canadian C‑spine rule (CCR) are discussed. Finally, the current literature is reviewed considering the diagnostic examination options, taking the clinically relevant key questions into account.</p>

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Welche Diagnostik ist nach einem HWS-Trauma in der Notaufnahme indiziert?

  • 期刊论文

  • 发表日期：

    2025年1月6日

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  • Oliver Riesenbeck,
  • Michael J. Raschke

摘要

Injuries to the cervical spine are a diagnostic challenge as, although they are rare in relation to the overall population, they should not be overlooked under any circumstances. This article presents the diagnostic procedure in the emergency department, starting with the patient’s medical history and subsequently clinical and neurological examinations. As a result, the clinical decision tools national emergency X‑radiography utilization study (NEXUS) criteria and the Canadian C‑spine rule (CCR) are discussed. Finally, the current literature is reviewed considering the diagnostic examination options, taking the clinically relevant key questions into account.