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emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
emergency management; Spinal cord Injury
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emergency management; Spinal cord Injury

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  • 1. SPINAL CORD INJURY: EMERGENCY MANAGEMENT By: Joanna Kristal Remollino, Staff Nurse
  • 2. SPINAL CORD INJURY A TRAUMA INCOMPLETE / COMPLETE TETRAPLEGIA VS PARAPLEGIA CLASSIFIED using ASIA Impairment scale (A, B, C, D and E)
  • 3. Causes
  • 4. OBJECTIVE Tp prevent further trauma To observe symptoms of progressive neurologic deficits To improve breathing pattern and airway clearance To improve mobility To improve sensory and perceptual awareness To relieve urinary retention To improve bowel function absence of complications Promote comfort
  • 5. POLICY 1. Assessment of patient with spinal cord injury patent airway location and severity of cord damage neurologic level of injury vital signs 2. Injuries to the spinal column transient concussion Contusion Laceration Compression of cord substance Complete transection of the cord
  • 6. 3. Unconscious patient that is a victim of accident must be considered to have a spinal injury 4. Unconscious trauma patient and with possible SCI must be immobilized 5. Signs and symptoms Cervical Thoracic Lumbosacral Other syndromes of incomplete cord injury -central cord syndrome, anterior cord syndrome, Brown- Sequard syndrome, Posterior Cord syndrome
  • 7. Materials and Equipments
  • 8. Diagnostics Xray MRI CT SCAN
  • 9. management S uspicious Mechanism P AIN I ntoxication of any kind that may contribute to the injury N umbness A ny distracting/ painful injury that suggest massive trauma L evel of consciousness R U L E
  • 10. PROCEDURE OBTAIN HISTORY OF THE ACCIDENT ASSESS TO DETERMINE THE DEGREE OF AUTONOMIC DYSFUNCTION MAINTAIN AIRWAY, PREPARE FOR INTUBATION ADMINISTER OXYGEN IMMOBILIZE THE HEAD AND NECK CHECK / MONITOR FOR VITAL SIGNS PROVIDE IV ACCESS PLACE ON FIRM BED UNTIL STABLE MEASURE I/O EXPEDITE ADMISSION OR REFERRAL
  • 11. Casualty lifting

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