NEXUS Chest CT Rule - Revision history

Rossdonaldson1: /* Background */

2016-05-11T13:00:27Z

Background

← Older revision		Revision as of 13:00, 11 May 2016
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	*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>		*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		*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


	{{Nexus chest CT in trauma major rule}}		{{Nexus chest CT in trauma major rule}}

Rossdonaldson1: /* References */

2016-05-11T13:00:16Z

References

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	==References==		==References==
	<references/>		<references/>

			[[Category:Trauma]]
			[[Category:Pulmonary]]

Rossdonaldson1 at 12:40, 11 May 2016

2016-05-11T12:40:21Z

← Older revision		Revision as of 12:40, 11 May 2016
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	{{Nexus chest CT in trauma minor rule}}		{{Nexus chest CT in trauma minor rule}}

	~~==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==		==See Also==

Rossdonaldson1 at 12:38, 11 May 2016

2016-05-11T12:38:43Z

← Older revision		Revision as of 12:38, 11 May 2016
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	{{Nexus chest CT in trauma minor rule}}		{{Nexus chest CT in trauma minor rule}}
	~~==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==		==Sensitivity==
	===CT-Major Injury Rule===		===CT-Major Injury Rule===
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	*99% sensitive for major injuries		*99% sensitive for major injuries
	*95% sensitive for minor injuries.		*95% sensitive for minor injuries.

	==See Also==		==See Also==
	*[[NEXUS cervical spine rule]]		*[[NEXUS cervical spine rule]]

Rossdonaldson1 at 12:33, 11 May 2016

2016-05-11T12:33:09Z

← Older revision		Revision as of 12:33, 11 May 2016
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	*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		*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''~~		{{Nexus chest CT in trauma major rule}}
	~~#Abnormal CXR~~
	~~#Distracting injury~~		{{Nexus chest CT in trauma minor rule}}
	~~#Chest wall tenderness~~
	~~#Sternum tenderness~~
	~~#Thoracic spine tenderness~~
	~~#Scapula tenderness~~
	==CT All Injuries Rule==		==CT All Injuries Rule==
	''May not need a CT if all criteria are absent''		''May not need a CT if all criteria are absent''

Rossdonaldson1: /* See Also */

2016-05-11T12:30:58Z

Rossdonaldson1: /* Background */

2016-05-11T12:29:03Z

Background

← Older revision		Revision as of 12:29, 11 May 2016
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	==Background==		==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 ~~bluet~~ 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>		*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		*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==		==CT Major Injury Rule==
	''May not need a CT if all criteria are absent''		''May not need a CT if all criteria are absent''

Ostermayer: Created page with "==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..."

2016-02-22T16:38:38Z

Created page with "==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..."

New page

==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 bluet 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]]
==External Links==

==References==
<references/>

← Older revision		Revision as of 12:30, 11 May 2016
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	==See Also==		==See Also==
	*[[NEXUS cervical spine rule]]		*[[NEXUS cervical spine rule]]
			*[[Thoracic trauma]]

	==External Links==		==External Links==

	==References==		==References==
	<references/>		<references/>