NEXUS cervical spine rule

Revision as of 08:17, 27 January 2015 by Rossdonaldson1 (talk | contribs) (Rossdonaldson1 moved page C-Spine (NEXUS) to NEXUS cervical spine rule)

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

Workup

Template:C-spine NEXUS

Mneumonic - NSAID:

  1. Neuro deficit
  2. Spinal midline tenderness in C-spine
  3. Alertness
  4. Intoxication
  5. Distracting injury

See Also

Source

Cervical Spine Injury, EB Medicine April, 2009

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