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===NEXUS===
===NEXUS===
The Nexus Low Risk Criteria
*No posterior midline cervical spine tenderness
*No evidence of intoxication
*A normal level of alertness
*No focal neurological deficits
*No painful distracting injuries


''C-spine imaging indicated unless pt meets all the above''


===Canadian C-spine===
===Canadian C-spine===

Revisión del 02:54 3 sep 2015

Background

  • US and Canada with more than 13 million trauma pts per year at risk for C-spine injury
  • Most blunt trauma patients will be placed in a cervical collar by EMS to protect the C-spine
  • C-spine can be clinically cleared by trained personnel

Clinical Features

Decision Rules

NEXUS

The Nexus Low Risk Criteria

  • No posterior midline cervical spine tenderness
  • No evidence of intoxication
  • A normal level of alertness
  • No focal neurological deficits
  • No painful distracting injuries

C-spine imaging indicated unless pt meets all the above

Canadian C-spine

Workup

Management

Disposition

See Also

External Links

References