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

MedStar author(s):

Citation: Emergency Medicine Clinics of North America. 33(2):241-82, 2015 May.PMID: 25892721Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *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 ComputedLocal holdings: Available online from MWHC library: 1996 - presentISSN:

0733-8627

Name of journal: Emergency medicine clinics of North AmericaAbstract: 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.All authors: Delasobera BE, Frohna W, Hudson K, Kanwar RDigital Object Identifier:

http://dx.doi.org/10.1016/j.emc.2014.12.002

Date added to catalog: 2016-01-13

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article		Available		25892721

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.

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