Decision support: Canadian C-Spine Rule

The Canadian C-Spine (cervical-spine) Rule (CCR) and the National Emergency X-Radiography Utilization Study (NEXUS) Low-Risk Criteria (NLC) are decision rules to guide the use of cervical-spine radiography in patients with trauma. According to this study in the New Engl J Med the CCR is superior to the NLC with respect to sensitivity and specificity for cervical-spine injury for alert patients with trauma who are in stable condition, and its use would result in reduced rates of radiography.

Let’s make an app of that, shall we? This is how it looks on iPad in NeuroMind 2:

First selection criteria (click for full size version)

If necessary, additional questions will be asked:

Additional questions (click for full size version)

Tap the info-button in the right upper corner for more detailed information and definitions of used terms. The info-button is only available if more information is present.

More info is available (click for full size version)

And of course, an advise is presented as soon as the requested input has been provided:

Advise based on user input (click for full size version)

More images are available from the gallery below…