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Of spine injuries, only 0.01% [7] are unstable and require intervention (either surgery or a spinal orthosis). [8] Some authors argue that use of spinal precautions is controversial because benefit is unclear and there are significant drawbacks including pressure ulcers, increased pain, and delayed transport times.
The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
Excluding a cervical spinal injury requires clinical judgement and training. Under the NEXUS guidelines, when an acute blunt force injury is present, a cervical spine is deemed to not need radiological imaging if all the following criteria are met: There is no posterior midline cervical tenderness; There is no evidence of intoxication
Other interventions vary depending on the location and extent of the injury, from bed rest to surgery. In many cases, spinal cord injuries require long-term physical and occupational therapy, especially if it interferes with activities of daily living. In the United States, about 12,000 people annually survive a spinal cord injury. [2]
The first planned spinal anaesthesia for surgery on a human was administered by August Bier (1861–1949) on 16 August 1898, in Kiel, when he injected 3 ml of 0.5% cocaine solution into a 34-year-old labourer. [14] After using it on six patients, he and his assistant each injected cocaine into the other's spine. They recommended it for ...
Following temperature guidelines is key to making sure your turkey is safe to serve. The U.S. Department of Agriculture (USDA) recommends cooking turkey to an internal temperature of 165°F in the ...
The prospect of a national abortion ban was talk of the 2024 presidential race, especially as Harris and other Democrats went after Trump by arguing that he would in fact sign a federal limit.
A spinal board is primarily indicated for judicious use to transport people who may have had a spinal injury, usually due to the mechanism of injury, and the attending team are not able to rule out a spinal injury. [11] The person should be transferred from the board to a hospital bed as soon as possible. [11]
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