Severe deterioration of spine

    • [DOCX File]LOS ANGELES COUNTY EMS AGENCY

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      In DAWS the extent of cord compression can vary with flexion, extension and linear traction (distraction) of the cervical spine. However, because of the risk of neurologic deterioration from cervical manipulation during general anesthesia, only linear traction myelography or linear traction MRI views continue to be routinely used. Figure 3.

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    • [DOC File]Diagnosis, Treatment and Prognosis of disc associated ...

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      Severe maxillofacial fractures Inadequate respiratory effort. Tachypnea. Hypoxia. Hypercarbia. ... Assume a cervical spine injury in any patient with multisystem trauma, especially with an altered level of consciousness or a blunt injury above the clavicle ... intubation with MV could lead to deterioration. The procedure itself may produce a ...

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    • [DOC File]ATLS (Advanced Trauma Life Support) Teaching Protocol

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      The medical focus of this debrief is intra-abdominal and severe intracranial injuries. Below are possible discussion points for the junior or senior level regarding the pediatric polytrauma patient. Start by asking one of the learners to summarize the case and describe what they thought was the patient’s main issue.

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    • [DOC File]Spine Miller’s Board Review

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      Immobilize the spine of all patients with a potential spinal injury. ... All quadriplegic patients are only to be transferred to TSDU due to high risk of respiratory deterioration and availability of respiratory therapist. ... If severe, intractable pain, may increase opioid dose – the goal, however, is to achieve control with lowest possible ...

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    • Degenerative joint disease in the vertebral column in the cat:

      -Direct 2nd rescuer to stabilize the cervical spine. Trauma patients have the potential for a spinal injury. Determine the level of SMR required. ... Serial vital signs should be taken and monitored for trends and for signs and symptoms of deterioration. ... It causes severe pain and prehospital treatment does not change. It is a diagnostic ...

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    • [DOC File]Anterior Decompression and/or Fusion of the Spine

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      The injuries resulted in serious back injuries. As a result, respondent underwent four major surgeries, which took place in 2000, 2001, 2002, and June 2011. By 2009, respondent was working on a full-time schedule. But in 2011, respondent developed significant medical issues. It was determined that he had severe deterioration of the spine.

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    • Spinal Degenerative Disease | The Spine Institute | Neurological Sur…

      Deterioration of pre-existing medical problems, e.g. heart disease and stroke . Loosening or breakage of internal fixation device . Failure of bone union . Problems with iliac crest bone graft donor site such as wound infection, haematoma or persistent ache . Recurrence or deterioration of the original spine condition . 3. Risks Specific to ...

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    • [DOC File]Acute Spinal Cord Injury (Quadriplegia/Tetraplegia)

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      The lumbar spine was less commonly affected but the lesions were more severe than in the other regions. In the cervical region no signs of spondylosis deformans were found. Bennet et al found that any vertebra could be affected, although L7 and S1 were most commonly affected.3 Morgan et al say that lesions were found at any level of the spine ...

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    • [DOCX File]EM-Sim

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      consider craniectomy for severe TBI and medically refractory ICP in the setting of abusive trauma. craniectomy may be appropriate under the following conditions: diffuse edema present by CT. within 48h of injury. no episodes of ICP > 40 mm Hg before surgery. GCS > 3 at some point prior to surgery. secondary clinical deterioration. evolving ...

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    • [DOCX File]California

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      Severe unremitting LBP. Low grade fever, WBC. MRI w/ gado. Needs needle bx (tx even if negative) IV antibx. Rarely surgery (usu autofusion) use of microscope increases infx from 0.7% to 1.4%. overall postoperative infx risk higher in trauma pt. pt w/ complete neuro def are at higher risk for infx. Metastatic Spine Dz. Spine most common skeletal ...

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