Thinking Beyond ATLS Protocol: Clearing the C-Spine
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 1
Abstract
ATLS guidelines are considered standard for clearing the C-spine all over the world in any trauma patient. As per the guidelines, in patients with dangerous mechanism of injury, CT C-spine is considered as gold standard to clear C-spine in patients with absent initial permanent or transient neurological abnormalities. We are presenting a case of a 62 years old male who suffered from a RTA with dangerous mechanism of injury. Despite clearance of C-spine as per ATLS protocol , patient eventually landed up in quadriplegia; thus raising the question in mind that whether ATLS protocol is enough or we need to think beyond it for decreasing morbidity in such cases.
Authors and Affiliations
Nitish Dhand
Keywords
Related Articles
- EP ID EP551853
- DOI 10.21088/ijem.2395.311X.4118.10
- Views 133
- Downloads 0
A Study of Fever with Thrombocytopenia and Its Complications
Background: Fever with thrombocytopenia is one of the commonest medical problem encountered in India. Management of complications associated with it is the most challenging task for emergency physician which includes ble...
Serum Magnesium Level in Type 2 Diabetes Mellitus and its Relationship with Glycemic Control and Diabetic Complications
Introduction: Diabetes is frequently associated with Mg deficit. The most but not all diabetic subjects have low magnesium (Mg). Hypomagnesaemia has been reported to occur in 25-38% of patients with Type 2 DM especially...
Study of Acute Myocardial Infarction in Post Menopausal Women with Special Reference to Dyslipidemia
Introduction: Coronary artery disease is a leading cause of mortality among postmenopausal women in our country. It has been recognized that women are protected from CAD prior to the menopause. Statistics have showed tha...
A Study of Pulmonary Manifestations in Rheumatoid Arthritis and Its Correlation with Disease Activity
Introduction: Pulmonary involvement is the one of the most common extraarticular manifestations of rheumatoid arthritis which contributes significantly to morbidity and mortality of patients with rheumatoid arthritis. Th...
Myotonic Dystrophy: A Rare Autosomal Dominant Disorder
Myotonic Muscular Dystrophy is inherited form of an autosomal disease which may include cataract, low I.Q., and heart conduction problems. In men their may be early balding and an inability to have children and gastric t...