TY - JOUR T1 - Patients with learning disabilities should be considered at high risk of cervical spine injury JF - Emergency Medicine Journal JO - Emerg Med J SP - 54 LP - 54 DO - 10.1136/emermed-2018-208117 VL - 36 IS - 1 AU - Carol Byrne AU - Graham D Johnson AU - Andrew J Tabner AU - Susie M Hewitt Y1 - 2019/01/01 UR - http://emj.bmj.com/content/36/1/54.abstract N2 - 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 … ER -