View source for NEXUS Chest CT Rule

==Background==
*8 United States level 1 trauma centers enrolled patients for derivation and validation of a decision instrument to aid in the decision to perform a chest CT in patients with blunt trauma.<ref>Rodriguez, RM et al. Derivation and validation of two decision instruments for selective chest CT in blunt trauma: a multicenter prospective observational study (NEXUS Chest CT). PLoS Med. 2015 Oct 6;12(10):e1001883.[http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001883 full text]</ref>
*The rule has two sub-rules, one for detection of major injuries, and one for detection of all injuries (major and minor injuries) in hemodynamically stable, non-intubated patients

==CT Major Injury Rule==
''May not need a CT if all criteria are absent''
#Abnormal CXR
#Distracting injury
#Chest wall tenderness
#Sternum tenderness
#Thoracic spine tenderness
#Scapula tenderness
==CT All Injuries Rule==
''May not need a CT if all criteria are absent''
#Abnormal CXR
#Distracting injury
#Chest wall tenderness
#Sternum tenderness
#Thoracic spine tenderness
#Scapula tenderness
#Rapid deceleration mechanism
==Sensitivity==
===CT-Major Injury Rule===
*99 sensitive for major injuries
*90% sensitive for minor injuries

===CT-All Injury Rule===
*99% sensitive for major injuries
*95% sensitive for minor injuries.
==See Also==
*[[NEXUS cervical spine rule]]
*[[Thoracic trauma]]

==External Links==

==References==
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