NEXUS cervical spine rule: Difference between revisions
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==See Also== | ==See Also== | ||
*[[EBQ:NEXUS]] | *[[EBQ:NEXUS]] | ||
*[[Cervical spine clearance]] | |||
*[[Canadian cervical spine rule]] | |||
*[[EBQ:Canadian C-spine Rule Study]] | |||
*[[Blunt neck trauma]] | *[[Blunt neck trauma]] | ||
*[[C-Spine X-Ray]] | *[[C-Spine X-Ray]] | ||
==References== | ==References== | ||
Revision as of 00:05, 4 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
- Cervical spine clearance
- Canadian cervical spine rule
- EBQ:Canadian C-spine Rule Study
- Blunt neck trauma
- C-Spine X-Ray
References
Cervical Spine Injury, EB Medicine April, 2009