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Let’s go back and remember what this is about: our goal was never to get rid of negative c-spine films, our goal was to get rid of an extra percentage of those. How did you define cervical spine tenderness - that the patient has to have midline tenderness to palpation (and show wincing on their face) or did any report of midline tenderness to palpation/pain count? The notion that tenderness is quantifiable on a score without trusting the patient is crazy.
NEXUS MEANING TRIAL
However the trial was performed by the creators of the CCR at hospitals that were involved in the initial CCR validation study.
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1.7% of those studied had clinically significant c-spine injuries (CSI).