NEXUS Chest CT Rule: Difference between revisions
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*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 | *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 | ||
{{Nexus chest CT in trauma major rule}} | |||
{{Nexus chest CT in trauma minor rule}} | |||
==See Also== | ==See Also== | ||
*[[NEXUS cervical spine rule]] | *[[NEXUS cervical spine rule]] | ||
*[[Thoracic trauma]] | |||
==External Links== | ==External Links== | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Trauma]] | |||
[[Category:Pulmonary]] | |||
Latest revision as of 13:00, 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
Nexus chest CT in trauma rule (major injury)
CT if any one of the following:
- Abnormal CXR
- Distracting injury
- Tenderness of:
- Chest wall
- Sternum
- Thoracic spine
- Scapula
Sensitivity
- 99% for major injuries
- 90% for minor injuries
Nexus chest CT in trauma rule (minor injury)
CT if any one of the following:
- Abnormal CXR
- Distracting injury
- Tenderness of:
- Chest wall
- Sternum
- Thoracic spine
- Scapula
- Rapid deceleration mechanism
Sensitivity
- 99% for major injuries
- 95% for minor injuries