Category: Trauma
Posted: 12/24/2023 by Robert Flint, MD
(Updated: 10/9/2024)
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NEXUS criteria for blunt chest trauma patients who are over 14 years old, not intubated:
>60 years old
rapid deceleration defined as fall > 6 meters or motor vehicle crash >64 km/hour
chest pain
intoxication
abnormal alertness or mental status
distracting painful injury
tenderness to chest wall palpation
If abnormal chest X-Ray proceed to chest CT. Negative predictive value of 99.9% excluding major injury.