NEXUS Chest CT Rule: Difference between revisions
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==See Also== | ==See Also== | ||
*[[NEXUS cervical spine rule]] | *[[NEXUS cervical spine rule]] | ||
*[[Thoracic trauma]] | |||
==External Links== | ==External Links== | ||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 12:30, 11 May 2016
Background
- 8 United States level 1 trauma centers enrolled patients for derivation and validation of a decision instrument to aid in the decision to perform a chest CT in patients with blunt trauma.[1]
- The rule has two sub-rules, one for detection of major injuries, and one for detection of all injuries (major and minor injuries) in hemodynamically stable, non-intubated patients
CT Major Injury Rule
May not need a CT if all criteria are absent
- Abnormal CXR
- Distracting injury
- Chest wall tenderness
- Sternum tenderness
- Thoracic spine tenderness
- Scapula tenderness
CT All Injuries Rule
May not need a CT if all criteria are absent
- Abnormal CXR
- Distracting injury
- Chest wall tenderness
- Sternum tenderness
- Thoracic spine tenderness
- Scapula tenderness
- Rapid deceleration mechanism
Sensitivity
CT-Major Injury Rule
- 99 sensitive for major injuries
- 90% sensitive for minor injuries
CT-All Injury Rule
- 99% sensitive for major injuries
- 95% sensitive for minor injuries.