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Professional Technical IVT

NEXUS criteria

Also written as: NEXUS — National Emergency X-Radiography Utilization Study

Clinical decision rules for determining when cervical spine imaging is necessary in trauma patients.

Full Definition

A validated set of five clinical criteria used to identify trauma patients who do not require cervical spine radiography: no posterior midline cervical tenderness, no focal neurological deficit, normal alertness, no intoxication, and no painful distracting injury. Developed by the National Emergency X-Radiography Utilization Study, these criteria help clinicians safely clear the cervical spine without imaging when all criteria are met.

Usage

Usage note: Always capitalize NEXUS as it represents the study name, not just the concept.

In Context

  • "The patient met all five NEXUS criteria, allowing clinical clearance of the cervical spine." — emergency department note
  • "NEXUS criteria should be applied systematically to avoid unnecessary radiation exposure." — protocol documentation

Also known as

NEXUS rules NEXUS protocol

Don't confuse with

Canadian C-spine rule

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