Cervical and thoracolumbar spine injury evaluation, transport, and surgery in the deployed setting

Chris J. Neal, Randall R. McCafferty, Brett Freedman, Melvin D. Helgeson, Dennis Rivet, David E. Gwinn, Michael K. Rosner

Research output: Contribution to journalArticle

Abstract

This Cervical and Thoracolumbar Spine Injury Evaluation, Transport, and Surgery Clinical Practice Guideline (CPG) is designed to provide guidance to the deployed provider when they are treating a combat casualty who has sustained a spine or spinal cord injury. The CPG objective for the treatment and the movement of these patients is to maintain spinal stability through transport, perform decompression when urgently needed, achieve definitive stabilization when appropriate, avoid secondary injury, and prevent deterioration of the patient's neurological condition. Thorough and accurate documentation of the patient's neurological examination is crucial to ensure appropriate management decisions are made as the patient transits through the evacuation system. The use of this CPG should be in conjunction with good clinical judgment.

Original languageEnglish (US)
Pages (from-to)83-91
Number of pages9
JournalMilitary medicine
Volume183
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Fingerprint

Spine
Practice Guidelines
Wounds and Injuries
Neurologic Examination
Decompression
Spinal Cord Injuries
Documentation
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Neal, C. J., McCafferty, R. R., Freedman, B., Helgeson, M. D., Rivet, D., Gwinn, D. E., & Rosner, M. K. (2018). Cervical and thoracolumbar spine injury evaluation, transport, and surgery in the deployed setting. Military medicine, 183, 83-91. https://doi.org/10.1093/milmed/usy096

Cervical and thoracolumbar spine injury evaluation, transport, and surgery in the deployed setting. / Neal, Chris J.; McCafferty, Randall R.; Freedman, Brett; Helgeson, Melvin D.; Rivet, Dennis; Gwinn, David E.; Rosner, Michael K.

In: Military medicine, Vol. 183, 01.01.2018, p. 83-91.

Research output: Contribution to journalArticle

Neal, Chris J. ; McCafferty, Randall R. ; Freedman, Brett ; Helgeson, Melvin D. ; Rivet, Dennis ; Gwinn, David E. ; Rosner, Michael K. / Cervical and thoracolumbar spine injury evaluation, transport, and surgery in the deployed setting. In: Military medicine. 2018 ; Vol. 183. pp. 83-91.
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