Emergency Medicine

NEXUS C-Spine Criteria

Whether cervical-spine imaging can be avoided.

Education and reference only. Not a substitute for clinical judgement, local policy or product labelling. Always verify before clinical use. Values are calculated in your browser and never stored.

When to use

Use in blunt trauma to decide whether cervical-spine imaging can be avoided. If ALL criteria are absent (score 0), imaging is not required.

Why use

It safely reduces unnecessary c-spine imaging.

Evidence & references

Hoffman JR et al. Validity of a set of clinical criteria to rule out injury to the cervical spine (NEXUS). NEJM. 2000.

About the creator

Hoffman JR et al.

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