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Emergency management of the traumatized cervical spine 

Emergency management of the traumatized cervical spine
Emergency management of the traumatized cervical spine

Jens R. Chapman

and Richard J. Bransford

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date: 16 May 2022

Unconscious patients should have CT scan of neck

Emergency MRI if possible in spinal cord injury

Avoid flexion/extension views if possible

In spinal shock avoid over transfusion and consider epinephrine; high dose steroids probably not indicated

Reduce dislocation acutely (MRI before in intact patients if possible)

Do not put distraction injury into traction

Urgent surgery for traumatic disc hernaition, expanding epidural haematoma, depressed lamina fracture or complex facet fractures with dislocation.

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