منابع مشابه
Clearing the cervical spine in unconscious polytrauma victims, balancing risks and effective screening.
Cervical spine injury occurs in 5-10% of cases of blunt polytrauma. A missed or delayed diagnosis of cervical spine injury may be associated with permanent neurological sequelae. However, there is no consensus about the ideal evaluation and management of the potentially injured cervical spine and, despite the publication of numerous clinical guidelines, this issue remains controversial. In addi...
متن کاملClearing the cervical spine in the blunt trauma patient.
The goal of cervical spine clearance is to establish that injuries are not present. Patients are classified into four groups: asymptomatic, temporarily nonassessable secondary to distracting injuries or intoxication, symptomatic, and obtunded. Level I evidence supports that the asymptomatic patient can be cleared on clinical grounds and does not require imaging. The temporarily nonassessable pa...
متن کاملClearing the cervical spine of adult victims of trauma.
The focus of this paper is on the clearance of the cervical spine in those patients who are seriously injured or have the potential to be seriously injured. Specifically excluded from this paper are children. "Whiplash" injury is covered at the end of this paper. Injuries to the cervical spine occur in 2% to 12% ofblunt trauma victims,'" 10% to 20% of patients with serious head injury,5 6 and o...
متن کاملClearing the cervical spine of paediatric trauma patients.
OBJECTIVES To review the evidence available for clearance of the cervical spine in children under 16 years of age after trauma, and to provide guidance to enable this to be practised safely. METHODS A comprehensive literature review was carried out, and combined with a review of standard texts and liaison with experts. RESULTS 241 papers were identified, of which 71 papers were thought poss...
متن کاملClearing Cervical Spine Injuries: MRI, Dynamic X-rays, CT
In the past, practice guidelines based on clinical experience have led to better detection rates of injury and hence improved patient care. The development of evaluation protocols based on best evidence medicine and the increased access to advanced imaging studies (especially CT) has paralleled the improvement in patient care.1 In general, CT has become a frontline tool in the evaluation of blu...
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ژورنال
عنوان ژورنال: Anaesthesia
سال: 2004
ISSN: 0003-2409,1365-2044
DOI: 10.1111/j.1365-2044.2004.03946.x