NEXUS C-Spine Criteria

Determine whether cervical spine imaging can be safely avoided

NEXUS C-Spine Criteria

Determine whether cervical spine imaging can be safely avoided

NEXUS C-Spine Criteria

Determine whether cervical spine imaging can be safely avoided

NEXUS C-Spine Criteria

Determine whether cervical spine imaging can be safely avoided

1.Midline Neck Tenderness?
2.Sensory or Motor Deficits?
3.Altered Mental Status?
4.Evidence of Intoxication?
5.Painful Distracting Injuries?
Created by on 07/00/2016

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About this Calculator

For use in blunt trauma patients. Validated in a large multi-centered trial that included over 34,000 patients. Sensitivity was reported at 99.6% with a specificity of 12.9%. The rule was validated in all age ranges over 1 year, however the small numbers in the study suggest caution may be required in children under 18 years.

A comparison study between the NEXUS Criteria and the Canadian C-Spine Rule suggested that the NEXUS criteria are less sensitive (90.7 vs. 95-99%), though there remains some controversy over the results and methodology.

References

Stiell et al.

The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma.

New England Journal of Medicine 2003 December 25, 349 (26): 2510-8

The NEXUS C-Spine Criteria calculator is created by QxMD.

1. Midline Neck Tenderness?

More Information

Midline posterior bony cervical spine tenderness is present if the patient complains of pain on palpation of the posterior midline neck from the nuchal ridge to the prominence of the first thoracic vertebra, or if the patient evinces pain with direct palpation of any cervical spinous process.

Created by on 07/00/2016

By using this site you acknowledge that you have read, understand, and agree to be bound by our terms of use and privacy policy. All content and tools are for educational use only, are not meant to be a substitute for professional advice and should not be used for medical diagnosis and/or medical treatment.

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