Acute cervical spine trauma in adults

Advise patients who are considered appropriate for discharge after assessment (i.e., patients who have either no indications for a CT scan [as identified by the Canadian C-spine rule] or a normal CT scan, if they are able to rotate their neck 45 degrees to both left and right and do not have severe neck pain) to immediately return to the accident and emergency department if they develop any new neurological symptoms or signs.​[13]National Institute for Health and Care Excellence. Spinal injury: assessment and initial management. Feb 2016 [internet publication]. https://www.nice.org.uk/guidance/ng41 ​