NEXUS study . In the Journal of Trauma in 2005 and 2011, studies aimed to narrow the definition of "distracting injury". Although both are studies at different sites, both conclude the same"Distracting injury" is a frequent cited reason for imaging the cervical spine in blunt trauma patients, per the
Wait, let's rethink this. Does this mean that you should get cervical spine imaging for ALL blunt trauma patients with ANY chest wall tenderness?! NO. That's just crazy. You should still factor in the mechanism of injury, severity of pain, and your clinical gestalt.
So for me, these "distracting injury" studies are helpful such that
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