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Operational Medicine 2001
Emergency War Surgery
Second United States Revision of The Emergency War Surgery NATO Handbook
United States Department of Defense

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Emergency War Surgery NATO Handbook: Part IV: Regional Wounds and Injuries: Chapter XXXIII: Wounds and Injuries of the Spinal Column and Cord

Classification

United States Department of Defense


Four discriminators must be considered in the classification of spinal cord injuries: (1) the Type of injury (open or closed); (2) the Extent of the injury (complete versus incomplete); (3) the Location of the injury (cervical, thoracic, lumbar or sacral); and (4) the Degree of bony and ligamentous disruption (stable versus unstable).

To insure optimal preservation of neurological function during extrication and evacuation of the victim, several questions must be considered during the initial assessment. Might there be a spinal cord or column injury present? Does any neurological function persist below the level of the anatomical injury? What is the neurological level of the injury? Is it changing? Is the vertebral injury mechanically stable or unstable? If these questions cannot be answered and a spinal injury is suspected, the patient must be managed as if one existed.

 

 


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Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
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Washington, D.C
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Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

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This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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