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Nexus C Spine Rule
Aug 12, 2013
•
Mark Morgan
categories:
Musculoskeletal & Rheumatology
NEXUS C-Spine Rule
Summary: Evaluate for need of C-spine Xray. This applies the NEXUS C-Spine Rule to determine whether Xray is recommended.
yes
NO
<-- Absence of tenderness at the posterior midline of the C-spine
yes
NO
<-- Absence of a focal neurological deficit
yes
NO
<-- Normal level of alertness
yes
NO
<-- No evidence of intoxication
yes
NO
<-- Absence of clinical apparent pain that might distract the patient from the pain of a C-spine injury
Recommendation -->
Recommendation
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score>0?'NEXUS C-Spine Rule recommends obtaining X-ray':'NEXUS C-Spine Rule supports not obtaining X-ray'
display/hide references
reference:
#1
Ebell (2006) Am Fam Phys 73:1787-1788
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