Emergency Department Evaluation and Treatment of Cervical Spine Injuries

被引：24

作者：

Kanwar, Rajdeep ^{[1
]}

Delasobera, Bronson E. ^{[2
]}

Hudson, Korin ^{[3
]}

Frohna, William ^{[1
]}

机构：

[1] MedStar Georgetown Univ, MedStar Washington Hosp Ctr, Dept Emergency Med, Washington Hosp Ctr Emergency Med Residency, Washington, DC 20010 USA

[2] MedStar Washington Hosp Ctr, Dept Emergency Med, Washington, DC 20010 USA

[3] MedStar Georgetown Univ Hosp, Dept Emergency Med, Washington, DC 20007 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2015年 / 33卷 / 02期

关键词：

Emergency department; Cervical spine; Spinal cord; Neurologic injury; Cooling; Corticosteroid use; TRAUMATIC ATLANTOOCCIPITAL DISLOCATION; CORD-INJURY; BLUNT TRAUMA; TRACHEAL INTUBATION; FOOTBALL EQUIPMENT; AIRWAY MANAGEMENT; HELICAL CT; GUIDELINES; FRACTURE; RADIOGRAPHY;

D O I：

10.1016/j.emc.2014.12.002

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：241 / +

页数：43

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