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NEXUS criteria for blunt chest trauma patients who are over 14 years old, not intubated:
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>60 years old
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rapid deceleration defined as fall > 6 meters or motor vehicle crash >64 km/hour
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chest pain
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intoxication
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abnormal alertness or mental status
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distracting painful injury
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tenderness to chest wall palpation
If abnormal chest X-Ray proceed to chest CT. Negative predictive value of 99.9% excluding major injury.