NEXUS assessment of cervical injuries?
- midline cervical tenderness
- altered mental status
- focal neurologic deficit
- evidence of drug or alcohol intoxication, and
- presence of other injury considered painful enough to distract from neck pain.
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RACGP - Cervical spine – assessment following trauma predictive value not reported. Under the NEXUS criteria, for patients presenting for general practice or hospital emergency department (ED) review following trauma, cervical spine injury cannot be excluded if any of the criteria are present. <span>These include:
midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain.
If none of these criteria is present, the patient is considered to be at low risk of cervical spine injury and does not require cervical spine imaging. If any one of the criteria is pres
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