Jess sort of implied that the distracting injury in NEXUS was the injury itself. For instance, a hip fracture is distracting. Jerry always seemed to indicate it was the patient's response to the injury that was the distractor. For instance, a hang nail may be distracting if the patient's response to it makes them unevaluatable. If that were true then it is not the injury itself but the clinicians judgement that the injury is distracting (they are unable to properly evaluate the patient) that is the determining factor. I have cleared people with significant fractures that allowed me to assess their necks to a degree that I was sure it wasn't injured. Could we have Jerry Hoffman chime in about the distractors? Jim Webley
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James A. W. - June 14, 2019 2:09 PM
Jess sort of implied that the distracting injury in NEXUS was the injury itself. For instance, a hip fracture is distracting. Jerry always seemed to indicate it was the patient's response to the injury that was the distractor. For instance, a hang nail may be distracting if the patient's response to it makes them unevaluatable. If that were true then it is not the injury itself but the clinicians judgement that the injury is distracting (they are unable to properly evaluate the patient) that is the determining factor. I have cleared people with significant fractures that allowed me to assess their necks to a degree that I was sure it wasn't injured. Could we have Jerry Hoffman chime in about the distractors?
Jim Webley