Template:C-spine NEXUS: Difference between revisions

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===[[NEXUS cervical spine rule|NEXUS Cervical Spine Rule]]===
===[[NEXUS cervical spine rule|NEXUS Cervical Spine Rule]]===
Radiography is Unnecessary if pts satisfy ALL of the following low risk criteria:
Radiography is not necessary if the patient satisfies '''AL'''L of the following low risk criteria:
*No midline cervical tenderness
*No midline cervical tenderness
*No focal neuro deficits
*No focal neuro deficits
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*No painful distracting injury
*No painful distracting injury


'''C-spine imaging indicated unless pt meets all the above'''<ref> 27. Hoffman JR, et al. Low-risk criteria for cervical-spine radiography in blunt trauma: a prospective study. Ann Emerg Med 1992;21:1454-60. </ref> <ref>Mahadevan, et al. Interrater reliability of cervical spine injury criteria inpatients with blunt trauma. Ann Emerg Med1998;31:197-201 </ref>
'''C-spine imaging should be considered unless the patient meets all of the above low risk criteria'''<ref> 27. Hoffman JR, et al. Low-risk criteria for cervical-spine radiography in blunt trauma: a prospective study. Ann Emerg Med 1992;21:1454-60. </ref> <ref>Mahadevan, et al. Interrater reliability of cervical spine injury criteria inpatients with blunt trauma. Ann Emerg Med1998;31:197-201 </ref>

Revision as of 10:49, 4 January 2017

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]

  1. 27. Hoffman JR, et al. Low-risk criteria for cervical-spine radiography in blunt trauma: a prospective study. Ann Emerg Med 1992;21:1454-60.
  2. Mahadevan, et al. Interrater reliability of cervical spine injury criteria inpatients with blunt trauma. Ann Emerg Med1998;31:197-201