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Record W2411946404 · doi:10.7326/acpjc-2004-141-1-024

The Canadian C-Spine Rule more accurately identified cervical-spine injury in trauma than the NEXUS Low-Risk Criteria

2004· article· en· W2411946404 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueACP Journal Club · 2004
Typearticle
Languageen
FieldMedicine
TopicSpinal Fractures and Fixation Techniques
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineCervical spineNexus (standard)Cervical spine injuryBlunt traumaSurgery

Abstract

fetched live from OpenAlex

DiagnosisJuly 1, 2004The Canadian C-Spine Rule more accurately identified cervical-spine injury in trauma than the NEXUS Low-Risk CriteriaPeter Wyer, MDPeter Wyer, MDNew York Presbyterian Hospital, New York, New York, USA (P.W.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/ACPJC-2004-141-1-024 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookTwitterLinkedInRedditEmail Source CitationStiell IG, Clement CM, McKnight RD, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med. 2003;349:2510-8. https://pubmed.ncbi.nlm.nih.gov/14695411Clinical Impact RatingsEmergency Med: GIM/FP/GP: Hospitalists: Neurology: References1 Stiell IG, Wells GA, Vandemheen KL, et al.. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA. 2001;286:1841-8. [PMID: 11597285] Google Scholar2 Lerner EB, Moscati R. Duration of patient immobilization in the ED. Am J Emerg Med. 2000;18:28-30. [PMID: 10674527] Google Scholar3 Hoffman JR, Mower WR, Wolfson AB, Todd KH, Zucker MI. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group. N Engl J Med. 2000;343:94-9. [PMID: 10891516] Google Scholar Author, Article, and Disclosure InformationAffiliations: New York Presbyterian Hospital, New York, New York, USA (P.W.) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails July 1, 2004Volume 141, Issue 1Page: 24KeywordsAlgorithmsComaDiagnostic radiologyHead injuryHospitalistsNeurologyParalysisSpecificityVital signs ePublished: 9 March 2020 Issue Published: July 1, 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.876
Threshold uncertainty score0.968

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.026
GPT teacher head0.345
Teacher spread0.319 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it