NEXUS cervical spine rule: Difference between revisions
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*[[C-Spine X-Ray]] | *[[C-Spine X-Ray]] | ||
*[[C-Spine (EAST)]] | *[[C-Spine (EAST)]] | ||
*[[Cervical spine clearance]] | |||
==References== | ==References== | ||
Revision as of 03:37, 3 September 2015
Background
- Inclusion criteria is blunt neck trauma
- 99.6% sensitive for a clinically important injury (only 12.9% Sp)
- Only 8.6% of patients were elderly in the initial study; use caution in applying to elderly
- Nexus does not risk stratify based on age like CCR
- Small studies show elderly pts with c-spine fractures do not often have midline tenderness
Workup
NEXUS Cervical Spine Rule
Radiography is not necessary if the patient satisfies ALL of the following low risk criteria:
- No midline cervical tenderness
- No focal neuro deficits
- Normal alertness
- No intoxication
- No painful distracting injury
C-spine imaging should be considered unless the patient meets all of the above low risk criteria[1] [2]
Mneumonic - NSAID:
- Neuro deficit
- Spinal midline tenderness in C-spine
- Alertness
- Intoxication
- Distracting injury
See Also
- EBQ:NEXUS
- Blunt neck trauma
- Canadian cervical spine rule
- C-Spine X-Ray
- C-Spine (EAST)
- Cervical spine clearance
References
Cervical Spine Injury, EB Medicine April, 2009