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LIN Session - NEXUS Chest CT

Michelle Lin, MD and Robert Rodriguez, MD
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EM:RAP 2016 February Written Summary 648 KB - PDF

First it was NEXUS for clearing the C-spine, then came head injury. Now it’s time for chest trauma. Is there finally a decision instrument that can guide appropriate chest imaging?

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Aaron A. -

Anyone still commenting on this one? This decision instrument seems overly broad--we have long foregone chest CT with a minor mechanism and normal chest x-ray regardless of thoracic, sternal, or chest wall 'tenderness' since that's pretty common. We have not had a rash of serious missed injuries. That's assuming the patient is not sick with a low overall injury severity score and such. Anyone else?

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A Fib Gets The Royal Treatment Full episode audio for MD edition 253:30 min - 353 MB - M4AEMRAP 2016 February Canadian Edition Canadian 21:15 min - 24 MB - MP3EMRAP 2016 February Aussie Edition Australian 33:57 min - 39 MB - MP3EMRAP 2016 Fevrier Résumé en Francais Français 58:50 min - 67 MB - MP3EMRAP 2016 Febrero Resumen Español Español 69:08 min - 52 MB - MP3EMRAP 2016 February German Edition Deutsche 70:01 min - 80 MB - MP3EM:RAP 2016 February Written Summary 648 KB - PDFEM:RAP 2016 February MP3s 299 MB - ZIPEM:RAP 2016 February Board Review Answers 181 KB - PDFEM:RAP 2016 February Board Review Questions 174 KB - PDF

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