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Patients with learning disabilities should be considered at high risk of cervical spine injury
  1. Carol Byrne,
  2. Graham D Johnson,
  3. Andrew J Tabner,
  4. Susie M Hewitt
  1. Emergency Department, Royal Derby Hospital, Derby, UK
  1. Correspondence to Dr Andrew J Tabner, Emergency Department, Royal Derby Hospital, Derby DE22 3NE, UK; andrew.tabner{at}nhs.net

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Dear Editor,

The use of decision tools, such as the Canadian C-spine rule, to identify patients who do not require imaging after trauma is widespread.1 The C–spine rule has been found to be sensitive for cervical spine injury.2 However, these tools do not consider patients who may have difficulty describing pain or have sensory …

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