SCI EMERGENT MEDICAL MANAGEMENT

Question 1

Patients with a cervical spinal injury present with

Answer 1

bradyarrhythmia or vasodialtion and low BP due to neurogenic shock

Question 2

Methylprednisolone

Answer 2

Can reduce secondary injury to the spinal cord.

can improve neurological recovery and function one year post SC injury if initiated within 8 hours of injury

Question 3

Modest Systemic Hypothermia

Answer 3

Increased ambulatory rates with MSH

Question 4

Fracture Management: Conservative

Answer 4

it is used for alignment, stability and further damage.

Halo vest to treat cervical spine injury

halo ring to stabilize cervical fractures that will require surgical intervention.

Question 5

Fracture Management: Surgical

Answer 5

Unstable fractures that cant be realigned or reduced.
Use of screws/plates can improve the rate of bone healing and reduce dependence on immobilization or external devices retraction.

Question 6

Orthotics

Answer 6

Halo vest - most effective

Philadephia collar - targets restrictions to flexion/extension in mid to lower c-spine

TSLO - thoracic lumbar sacral orthosis: stabilizes parts of the thoracic or lumbar spine