1. Spinal Cord injury

2. S C I > is damage or trauma to the spinal cord that results in a loss or impaired function causing reduced mobility or feeling and resulting in a change, either temporary or permanent, in its normal motor, sensory, or autonomic function..

3. Most Common Causes Motor Vehicle Accidents Violence Falls Sports Injuries

4. Pathophysiology Damages to the Spinal Cord ranges from: Transection of Cord

6. The vertebral column provides structural support for the trunk and surrounds and protects the spinal cord. The vertebral column also provides attachment points for the muscles of the back and ribs. The vertebral disks serve as shock absorbers during activities such as walking, running, and jumping. They also allow the spine to flex and extend.

10. Diagnostic Tests X-ray - for lateral cervical spine

11. CT Scanner - performed initially

12. MRI -if a ligamentous injury suspected even absence of bony injury

13. Electrocardiographic Machine – for cord injury bradycardia and asystole

15. control the patient’s head to prevent flexion, extension, or rotation

16. slide the victim carefully into a board when transferring to avoid any twisting movement

17. maintain the extremities in an extended position

19. Regeneration Therapy - transplanting of fetal tissue into the injured spinal cord in hopes of regenerating the damaged tissue

20. Pharmacologic Therapy Methylprednisolone - improve motor and sensory outcomes at 6 weeks, 6 months, and 1 year if given within 8 hours of injury

21. Respiratory Therapy

22. Skeletal Fracture Reduction and Traction Cones Caliper Cervical or neck Traction Tractions Gardner-Wells Tong

24. injury involves a wound that penetrates the cord

25. there are bony fragments in the spinal canal

26. patient’s neurologic status is deteriorating

28. improved mobility

29. improved sensory and perceptual awareness

30. maintenance of skin integrity

31. relief of urinary retention

32. improved bowel function

33. promotion of comfort

35. Improving Mobility

36. Promoting Adaptation to Sensory and Perceptual Alterations

37. Maintain Skin Integrity

38. Maintaining Urinary Elimination

39. Improving Bowel Function

40. Providing Comfort Measures

41. Monitoring and Managing Potential Complications