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A 28-year-old man presents to the Emergency Department following a low-speed rear-end motor vehicle collision.
He was ambulatory at scene, alert (GCS 15), and denies paraesthesia or limb weakness.
On arrival, his neck is mildly tender posteriorly, with no step deformity.
Vitals: HR 92 bpm, BP 128/78 mmHg, RR 18/min, Temp 36.9 °C, SpO₂ 99 % RA.
While assessing the need for cervical spine imaging, you recall key epidemiological data regarding C-spine injury in blunt trauma to guide your decision-making.
Which of the following statements is most accurate?

A. The overall incidence of C-spine injury in blunt trauma is less than 1 %

B. Approximately 10–20 % of patients with serious head injuries will also sustain a C-spine injury

C. Up to 25 % of C-spine fractures are unstable

D. The rate of missed C-spine injury in ED is approximately 5 %

E. In serious motor vehicle accidents, the incidence of C-spine injury is 1 in 30 cases

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References

https://www.nice.org.uk/guidance/ng232/documents/accessible-version-3

Score

1-

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