Interactive NEXUS Criteria calculator for cervical spine imaging. Requires the calculator gadget.
Usage: {{NEXUS Calculator}}
NEXUS Criteria for C-Spine Imaging
| Criteria (ALL must be absent to clear)
|
Absent
|
Present
|
| Posterior midline cervical tenderness
|
1
|
|
| Focal neurologic deficit
|
1
|
|
| Altered level of alertness
|
1
|
|
| Intoxication
|
1
|
|
| Distracting painful injury
|
1
|
|
| Criteria Present
|
/ 5
|
| Interpretation
|
| 0
|
C-spine can be cleared clinically — All 5 criteria absent. No imaging needed. Sensitivity 99.6% for clinically significant injury.
|
| ≥1
|
Cannot clear clinically — C-spine imaging indicated.
|
| References
|
- Hoffman JR, Mower WR, Wolfson AB, et al. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma (NEXUS). N Engl J Med. 2000;343(2):94-99. PMID 10891516.
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