Emergency Notes

Source: HQMedEd

Nexus works if > 9 years

Most common complaint is a sensory deficit

8 screening factors: (Leonard 2010, annals of emergency medicine) 98% Sn, 26% Sp if have 1

• Altered mental status
• Focal neuro findings/symptoms
• Complaints of neck pain
• Torticollis
• Substantial injury to torso
• Diving injury
• High risk mva:head on, rollover, ejection, death, >55mph
• Predisposing conditions (downs, Marfans, oi,ehlers danlos)

• Low risk mechanism
• No distracting injuries
• Able to verbalize/cooperate with exam
• No altered mental status
• No neck pain, tenderness, limitation to movement
• No neuro deficit (including paresthesia)

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