• The Canadian cervical spine rule applies to trauma patients who are alert (Glasgow Coma Scale of 15) and stable.
• It has been shown to be safe and reliable, missing only one unstable injury in a series of over 16,000 cases
  • Simple rear-end motor vehicle collision (excludes being pushed into oncoming traffic, being hit by a bus or a large truck, a rollover, and being hit by a high-speed vehicle).
  • Able to sit rather than lie down in the emergency department.
  • Ambulatory at any time.
  • Delayed (not immediate) onset of neck pain.
  • Absence of midline cervical spine tenderness.

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