A 54 year old driver was involved in a rear shunt RTC at approx 40 mph. The primary survey has revealed no immediate life threatening injuries and all observations are normal.

At present the patient is triple immobilised on the trolley and reporting neck pain.


Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

  1. What are the Nexus low risk criteria?

  2. What are the high risk criteria from the Canadian C-spine rules?

  3. What are the indications for CT of the C-spine?

  4. If all imaging is normal (including a CT) but there is still pain what is the next step?

  5. Everything comes back normal and you diagnose whiplash, what advice would you give before discharge?

  6. What is SCIWORA?