Emergency Neurological Life Support: Traumatic Spine Injury

Traumatic spine injuries (TSIs) carry significantly high risks of morbidity, mortality, and exorbitant health care costs from associated medical needs following injury. For these reasons, TSI was chosen as an ENLS protocol. This article offers a comprehensive review on the management of spinal colum...

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Bibliographic Details
Published in:Neurocritical care 2017-09, Vol.27 (Suppl 1), p.170-180
Main Authors: Stein, Deborah M., Knight, William A.
Format: Article
Language:English
Subjects:
Algorithms
Canada
Critical Care Medicine
Emergency medical care
Emergency Medical Services - methods
Emergency Medical Services - standards
Fractures
Humans
Intensive
Internal Medicine
Life Support Care - methods
Life Support Care - standards
Medicine
Medicine & Public Health
Neck
Neurology
Neurology - methods
Neurology - standards
Older people
Paralysis
Patients
Physical restraints
Practice Guidelines as Topic - standards
Pressure ulcers
Radiation
Spinal cord injuries
Spinal Cord Injuries - diagnosis
Spinal Cord Injuries - therapy
Spinal Injuries - diagnosis
Spinal Injuries - therapy
Sports injuries
Trauma
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Summary:Traumatic spine injuries (TSIs) carry significantly high risks of morbidity, mortality, and exorbitant health care costs from associated medical needs following injury. For these reasons, TSI was chosen as an ENLS protocol. This article offers a comprehensive review on the management of spinal column injuries using the best available evidence. Though the review focuses primarily on cervical spinal column injuries, thoracolumbar injuries are briefly discussed as well. The initial emergency department (ED) clinical evaluation of possible spinal fractures and cord injuries, along with the definitive early management of confirmed injuries, are also covered.
ISSN:1541-6933
1556-0961
DOI:10.1007/s12028-017-0462-z