Age >65
Dangerous mechanism (fall>3ft/5 stairs, high speed MVC (>60mph)/rollover/ejection, bicycle crash, RV, axial load injury)
Parasthesias in extremities
Simple rear end MVC
Delayed onset of pain
Sitting position in ED
Ambulatory at any time
Absence of midline C-spine tenderness
Rotates neck 45 degrees to left and right
C-spine can be cleared clinically if above criteria met
Canadian cervical spine rule
NEXUS cervical spine rule
Cervical spine x-ray interpretation
Cervical spine clearance
MR CLEAN
Digital block
Neck diagnoses
Nerve Block: Occipital