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Trauma Imaging - Dr. Gibbs

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  • GCS = 15: 5-6% [+} CT, <1%  surgery
  • Both the New Orleans and Canadian Head CT Rules are highly SENSITIVE for important TBI... the later is more SPECIFIC.
  • C-Spine Injuries: 1% children, 2% adults, 4% elderly.
  • NEXUS Clinical Decision Rule is effective in the elderly.
  • NEXUS does not have enough data for children < 8 years of age.
  • NEXUS Chest criteria is here! Use it!
  • No Clinical Decision Rule for Abdominal injury.
  • CT Abd best for Solid organs, but can miss Diaphragm & bowel injuries


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