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NEXUS Chest Decision Instrument for Blunt Chest Trauma

Determines which patients require chest imaging after blunt trauma.

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

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.