NEXUS cervical spine rule: Difference between revisions
m (Rossdonaldson1 moved page C-Spine (NEXUS) to NEXUS cervical spine rule) |
|||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Inclusion criteria is blunt trauma | *Inclusion criteria is [[blunt neck trauma]] | ||
*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; use caution in applying to elderly | *Only 8.6% of patients were elderly in the initial study; use caution in applying to elderly | ||
Revision as of 08:26, 27 January 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
Source
Cervical Spine Injury, EB Medicine April, 2009