- Age > 60 years old or ≤ 14 years old
- Rapid deceleration injury
- Chest pain
- Intoxication
- Abnormal mental status or alertness
- Distracting painful injury
- Tenderness to chest wall on palpation
If none of the above, chest radiography is not necessary.
- Prospective multicenter cohort of 9905 patients
- Sensitivity: 98.8%
- Specificity: 13.3%
- Negative predictive value: 98.5%
Rodriguez RM et al. NEXUS chest: validation of a decision instrument for selective chest imaging in blunt trauma. JAMA Surg. 2013. 148(10):940-6.