Emergency Department Evaluation and Treatment of Cervical Spine Injuries - 18/04/15
![](/templates/common/images/mail.png)
![](/templates/common/images/mail.png)
Résumé |
Most spinal cord injuries involve the cervical spine, highlighting the importance of recognition and proper management by emergency physicians. Initial cervical spine injury management should follow the ABCDE (airway, breathing, circulation, disability, exposure) procedure detailed by Advanced Trauma Life Support. NEXUS (National Emergency X-Radiography Utilization Study) criteria and Canadian C-spine Rule are clinical decision-making tools providing guidelines of when to obtain imaging. Computed tomography scans are the preferred initial imaging modality. Consider administering intravenous methylprednisolone after discussion with the neurosurgical consultant in patients who present with spinal cord injuries within 8 hours.
Le texte complet de cet article est disponible en PDF.Keywords : Emergency department, Cervical spine, Spinal cord, Neurologic injury, Cooling, Corticosteroid use
Plan
Disclosure: None. |
Vol 33 - N° 2
P. 241-282 - mai 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?