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    Patent Pending

    NEXUS Chest Decision Instrument for Blunt Chest Trauma

    Determines which patients require chest imaging after blunt trauma.
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    BEFORE USE

    Applies to patients ≥15 years old with blunt trauma within the past 24 hours in the ED.

    When to Use
    Pearls/Pitfalls
    Why Use

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    Evidence
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    Advice

    • Adequate pain control is always important in patients with trauma.
    • Consider initial evaluation with chest x-ray in stable patients with isolated chest trauma.
    • CT will obviously find many more injuries than x-ray, regardless of their true clinical significance.
    • CT may be more useful in patients with multiple injuries or those who are sicker.