NEXUS cervical spine rule: Difference between revisions
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#No painful distracting injury | #No painful distracting injury | ||
Mneumonic - NSAID: | Mneumonic - ''NSAID'': | ||
# | #'''N'''euro deficit | ||
# | #'''S'''pinal midline tenderness in C-spine | ||
# | #'''A'''lertness | ||
# | #'''I'''ntoxication | ||
# | #'''D'''istracting injury | ||
==See Also== | ==See Also== | ||
Revision as of 13:01, 3 August 2014
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 of the following low risk criteria:
- No midline cervical tenderness
- No focal neuro deficits
- Normal alertness
- No intoxication
- No painful distracting injury
Mneumonic - NSAID:
- Neuro deficit
- Spinal midline tenderness in C-spine
- Alertness
- Intoxication
- Distracting injury
See Also
Source
Cervical Spine Injury, EB Medicine April, 2009