{"uid":"cap_Y1JnZIuoUVT12ab-Orn12","slug":"pecarn-pediatric-c-spine-risk-stratifier-leonard-2024-1bda0f0d","name":"PECARN Pediatric C-Spine Risk Stratifier (Leonard 2024)","description":"PECARN pediatric C-spine (Leonard 2024). No age split. High (consider CT) if GCS 3-8 or AVPU U; abnormal airway, breathing, or circulation; or focal neurologic deficit. Else intermediate (consider x-rays) if neck pain; AMS GCS 9-14; substantial head or torso injury; or midline neck tenderness. Else low (consider clinical clearance). High-risk beats intermediate. Not NEXUS, Canadian C-spine, PECARN head, or PECARN IAI. Not a medical device. magent does not examine the patient.","url":"https://api.magentlab.com/api/calc/pecarn_cspine","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["gcs_3_to_8_or_avpu_u","abnormal_airway_breathing_or_circulation","focal_neurologic_deficit","neck_pain","altered_mental_status_gcs_9_to_14","substantial_head_injury","substantial_torso_injury","midline_neck_tenderness"],"properties":{"neck_pain":{"type":"boolean","description":"Self-reported neck pain as assigned by the caller (Leonard 2024 CART non-negligible / intermediate). true or false. Consider x-rays when any intermediate factor is true and no high-risk factor is true. magent does not take a pain score."},"gcs_3_to_8_or_avpu_u":{"type":"boolean","description":"GCS 3-8 or AVPU = U as assigned by the caller (Leonard 2024 high-risk; paper: factors associated with >10% CSI). true or false. High-risk; consider CT when any high-risk factor is true. This is not the intermediate GCS 9-14 / AVPU V or P / other AMS flag. magent does not take a GCS integer or AVPU letter."},"midline_neck_tenderness":{"type":"boolean","description":"Midline neck tenderness as assigned by the caller (Leonard 2024 CART non-negligible / intermediate). true or false. magent does not palpate the neck."},"substantial_head_injury":{"type":"boolean","description":"Substantial head injury as assigned by the caller (Leonard 2024 CART non-negligible / intermediate). Paper: injuries warranting inpatient observation or surgical intervention (example: skull fracture). true or false. Caller assigns the boolean; magent does not interpret imaging."},"focal_neurologic_deficit":{"type":"boolean","description":"Focal neurologic deficit (paresthesia, numbness, or weakness) as assigned by the caller (Leonard 2024 high-risk). true or false. High-risk; consider CT when any high-risk factor is true. magent does not examine the patient."},"substantial_torso_injury":{"type":"boolean","description":"Substantial torso injury as assigned by the caller (Leonard 2024 CART non-negligible / intermediate). Paper: injuries warranting inpatient observation or surgical intervention (examples: pneumothorax; solid-organ injury; T/L/S spine fracture; pelvic fracture). true or false. Caller assigns the boolean; magent does not interpret imaging."},"altered_mental_status_gcs_9_to_14":{"type":"boolean","description":"Altered mental status as GCS 9-14, AVPU V or P, or other AMS (not the high-risk U / GCS 3-8 flag) as assigned by the caller (Leonard 2024 CART non-negligible / intermediate). true or false. magent does not take a GCS integer or AVPU letter."},"abnormal_airway_breathing_or_circulation":{"type":"boolean","description":"Abnormal airway, breathing, or circulation as assigned by the caller (Leonard 2024 high-risk). true or false. High-risk; consider CT when any high-risk factor is true. magent does not examine airway, breathing, or circulation."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_s4k63aDrZqBN7peoL9onC","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Stratifies pediatric cervical spine injury risk into high, intermediate, or low categories based on Leonard 2024 CART decision tree, guiding CT, x-ray, or clinical clearance decisions.","exampleAgentPrompt":"I have a pediatric trauma patient with neck pain and midline tenderness but no GCS depression, no airway issues, no focal deficits, no AMS, no substantial head or torso injury — run the PECARN C-spine Leonard 2024 rule and tell me what imaging is recommended.","exampleUseCases":[{"title":"Post-MVA child with neck complaints","prompt":"A 7-year-old came in after a car accident, she's alert with GCS 15, complaining of neck pain and has midline tenderness on exam, no airway or breathing problems, no neuro deficits, no significant head or torso injury — what does the PECARN C-spine tool say about imaging?"},{"title":"Obtunded pediatric trauma patient","prompt":"I have a 4-year-old boy after a fall from height — GCS is 6, airway is compromised, no focal neuro deficits noted yet — run the Leonard 2024 PECARN C-spine calculator and tell me the risk tier and imaging recommendation."},{"title":"Child with AMS but no other high-risk features","prompt":"My patient is a 10-year-old with GCS of 11 after a bicycle crash, no abnormal airway or circulation, no focal neuro deficit, no neck pain or tenderness, no substantial head or torso injury — what's the PECARN C-spine risk level?"}],"resultDescription":"Returns a risk tier (high, intermediate, or low) with the corresponding imaging recommendation: CT for high-risk, x-rays for intermediate-risk, or clinical clearance for low-risk. Includes the decision logic indicating which input flags drove the classification, consistent with the Leonard 2024 CART algorithm.","failureModes":["Missing required boolean parameters returns a validation error","All parameters must be explicitly provided as true/false — null or missing fields are not inferred","Intermediate risk is only returned when no high-risk factor is present; misclassification of inputs by caller can yield incorrect tier","Endpoint does not validate clinical plausibility of contradictory inputs"],"whenToPreferThis":"Use this endpoint when you need a structured, rule-based pediatric C-spine imaging decision aligned with the Leonard 2024 CART algorithm without an age split. Prefer over NEXUS or Canadian C-Spine Rule when dealing exclusively with pediatric patients. Choose over PECARN head or PECARN IAI tools when the clinical question is cervical spine injury, not intracranial or intra-abdominal injury.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T19:04:35.996Z","isFirstParty":false}