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. 2017 Sep;27(Suppl 1):170-180.
doi: 10.1007/s12028-017-0462-z.

Emergency Neurological Life Support: Traumatic Spine Injury

Deborah M Stein  1 , William A Knight 4th  2
Affiliations

Emergency Neurological Life Support: Traumatic Spine Injury

Deborah M Stein et al. Neurocrit Care. 2017 Sep.

Abstract

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.

Keywords: Canadian c-spine rules; NEXUS; Neurogenic shock; Spinal cord injury; Traumatic spine injury.

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