Normal view MARC view ISBD view

Emergency department evaluation and treatment of cervical spine injuries. [Review]

Available online from MWHC library: 1996 - present

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. Copyright � 2015 Elsevier Inc. All rights reserved.


English

ISSN: 0733-8627

Subjects--Topical Terms:
*Cervical Vertebrae/in [Injuries]
*Emergency Service, Hospital
*Neck Injuries
*Spinal Injuries
Airway Management/mt [Methods]
Cervical Vertebrae/ah [Anatomy & Histology]
Cervical Vertebrae/ra [Radiography]
Diagnostic Imaging/mt [Methods]
Humans
Immobilization
Magnetic Resonance Imaging
Neck Injuries/di [Diagnosis]
Neck Injuries/th [Therapy]
Spinal Injuries/di [Diagnosis]
Spinal Injuries/th [Therapy]
Spine/ah [Anatomy & Histology]
Tomography, X-Ray Computed

Subjects--Geographic Terms:
MedStar Washington Hospital Center

Index Terms--Occupation:
Emergency Medicine

Index Terms--Function:
Journal Article
Review