SMACC 2014 PK spinal cord injury

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My entry for the SMACC 2014 PK Competition. Screencast available here http://emergencymedicineireland.com/2014/03/pk-talk-smacc-2014/

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SMACC 2014 PK spinal cord injury

  1. 1. Spinal Cord Injury Management Controversies in #1 APKSMACCTalk
  2. 2. #2
  3. 3. ASIA Scale #3
  4. 4. Spinal Shock Neurogenic Shock from acute spinal cord injury loss of reflexes and flaccid paralysis transient (days to months) no specific treatment haemodynamic phenomenon due to sympathetic denervation and unopposed vagal activity fluids/pressors #4
  5. 5. http://www.learnicu.org/Docs/Guidelines/CSCMAcuteManagementSpinal.pdf#5 http://journals.lww.com/neurosurgery/toc/2013/03002
  6. 6. ImageCredit:http://radiopaedia.org/ cases/ankylosing-spondylitis-with- pseudoarthrosis ImageCredit:HunchbackofNotre Dame,1923,PublicDomain #5
  7. 7. Occiput Back ? #7
  8. 8. #8
  9. 9. #9
  10. 10. Image Credit DOI: 10.4103/0970-9185.117053#10
  11. 11. 1 2 3 ImageCredit:https://en.wikipedia.org/ wiki/Brain_herniation Cerebral Perfusion Pressure #11 Spinal Cord Perfusion
  12. 12. #12
  13. 13. ImageCredit:http://radiopaedia.org/ images/633886 #13
  14. 14. Episode 1: A New Hope? The NASCIS Trilogy #14
  15. 15. Episode 2: The steroids strike back #15 Standard of Care
  16. 16. Episode 3: Return of the steroids (oh please can we stop the Star Wars theme now?...) #16
  17. 17. 2002 & 2012... Oh no it’s worse than the Phantom Menace... #17
  18. 18. Image Credit: Seth Anderson on Flickr, https://secure.flickr.com/photos/ swanksalot/ Text Credit: Chris Nickson on LITFL, http://lifeinthefastlane.com/education/ ccc/trauma-literature-summaries/#18
  19. 19. PMID 23417182 #19 image credit: http://antisteroid.wordpress.com
  20. 20. Kudos to Oli Flower and ICN Podcast #3 http://www.intensivecarenetwork.com/index.php/icn- activities/icn-podcasts/144-podcast-3-the-acute- management-of-spinal-cord-injury #20 Thanks for watching

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