Transportation of patients with acute traumatic cervical spine injuries

Nicholas Theodore, Bizhan Aarabi, Sanjay S. Dhall, Daniel E. Gelb, R. John Hurlbert, Curtis J. Rozzelle, Timothy C. Ryken, Beverly C. Walters, Mark N. Hadley

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

The patient with an acute cervical spinal injury or SCI should be expeditiously and carefully transported from the site of injury to the nearest capable definitive care medical facility. The mode of transportation chosen should be based on the patient's clinical circumstances, distance from target facility, and geography to be traveled and should be the most rapid means available. Immobilization of patients with acute cervical spinal cord and/or spinal column injuries is recommended. Cervical SCIs have a high incidence of airway compromise and pulmonary dysfunction; therefore, respiratory support measures should be available during transport. Several studies cited suggest improved morbidity and mortality of spinal cord-injured patients after the advent of sophisticated transport systems to dedicated SCI treatment centers. These studies all provide Class III medical evidence on this issue.

Original languageEnglish (US)
Pages (from-to)35-39
Number of pages5
JournalNeurosurgery
Volume72
Issue numberSUPPL.2
DOIs
StatePublished - Mar 1 2013
Externally publishedYes

Keywords

  • Definitive SCI care facility
  • Early expeditious transfer
  • Transport after SCI

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Theodore, N., Aarabi, B., Dhall, S. S., Gelb, D. E., Hurlbert, R. J., Rozzelle, C. J., Ryken, T. C., Walters, B. C., & Hadley, M. N. (2013). Transportation of patients with acute traumatic cervical spine injuries. Neurosurgery, 72(SUPPL.2), 35-39. https://doi.org/10.1227/NEU.0b013e318276edc5