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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Operational Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
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