Neck and head rules

NEXUS – Cspine- NSAID

Neuro Defeicit
Spinal Tenderness
Altered LOC
Intoxication
Distracting Injury
(If any of these get film/CT)

 

Canadian Cspine rule – MAP SLAB

-No High
Mechanism Dangerous
 Age >65
Parasthesia in the extremities
+Yes low
Sitting
 Late onset of pain
Ambulating on scene
Back end collision(simple)
+Rotates neck to than 450

(If meets all then no fim/ct)

NEXUS II – Head CT Rule– HOSE CAN

Hematoma above clavicle
Old >65
Skull Fx suspected or found
Emesis >2
Coagulopathy
Altered LOC or odd behavior
Neuro Deficits
(If any of these get film/CT)

 

Canadian Head CT Rule – ABCDEFG

Age >65
Basilar skull fx suspected
Caused by dangerous mechanism
Deficit of memory >30min
Emesis *2
Fracture open or depressed
GCS <15 at 2 hrs
(If any of these get film/CT)
Thank you to Kathy Staats for the idea for this.