Medical Management of SCI

#1 Priority in Emergency Management

STABILIZE and IMMOBILIZE the spine → prevent further injury

How to immobilize the spine?

Apply CERVICAL COLLAR

What should you assess during the physical and neurological exam?

Reflexes

Priority ASSESSMENT for spinal injury

RESPIRATORY FUNCTION

• Airway patency & breathing

• May require ventilatory support

Cardiovascular

• HYPOtension & BRADYcardia d/t deficit in SNS

Vital sign Changes that may indicate spinal shock

Hypotension and bradycardia

Treatment for the loss of motor function

IV fluids

Vasopressors

Positive Inotropes

Types of Spinal Realignment with traction

Halo traction

Gardner-Wells Tongs

Focus on management for SCI

Early surgical intervention (if indicated)

IMMOBILIZATION

Hemodynamic and respiratory support

• prevent secondary injury

Care for Halo traction

• Clean with cotton applicator with NS

• Assess for pressure points

• Monitor for Infection

• Ensure the device Fits (1 finger under jacket)