NEXUS cervical spine rule: Difference between revisions
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*Inclusion criteria is blunt trauma to the cervical spine | *Inclusion criteria is blunt trauma to the cervical spine | ||
*99.6% sensitive for a clinically important injury (only 12.9% Sp) | *99.6% sensitive for a clinically important injury (only 12.9% Sp) | ||
*Only 8.6% of patients were elderly in the initial study | *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 | **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 | **Small studies show elderly pts with c-spine fractures do not often have midline tenderness | ||
Revision as of 17:03, 13 October 2011
Background
- Inclusion criteria is blunt trauma to the cervical spine
- 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
Rule
Radiography is Unnecessary if pts satisfy ALL 5 of the following low risk criteria:
- No midline cervical tenderness
- No focal neuro deficits
- Normal alertness
- No intoxication
- No painful distracting injury
See Also
Source
Cervical Spine Injury, EB Medicine April, 2009