Clinical decision-support only โ€” does not replace attending supervision or institutional policy

NEXUS Chest CT

For blunt trauma patients in whom CT chest is being considered. If any criterion is positive, major or minor thoracic injury cannot be excluded by this instrument.
Clinically major thoracic injuries
All thoracic injuries
Use with standard trauma evaluation and resuscitation. A positive criterion does not by itself mandate CT, but it means thoracic injury cannot be ruled out by the NEXUS Chest CT instrument.
NEXUS Chest CT Result
LOW RISK โ€” CT chest can usually be avoided
All NEXUS Chest CT criteria are absent. Use with standard blunt-trauma evaluation, resuscitation, and clinician judgment.
These calculators support clinical decision-making and education. They do not replace physician judgment, institutional protocols, or attending guidance.
Clinical decision-support only โ€” does not replace attending supervision or institutional policy