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

One and Half Syndrome in Acute Pontine Infarct: A Rare Entity

Oneandahalf syndrome is a clinical disorder characterized by an ipsilateral conjugate horizontal gaze palsy and an ipsilateral internuclear ophthalmoplegia. The main causes of this rare syndrome are stroke and multiple s...

Validation of Emergency Severity Index and its Association with Patients' Vital Signs at Triage: A Prospective Observational Study

Background: To reduce bias in triage validity studies, one should focus on measures that can be obtained directly at triage. Objectives: To study the validity of Emergency Severity Index, Associations of the Emergency Se...

Sitagliptin Associated Acute Pancreatitis

Dipeptidyl peptidase IV (DPP-IV) inhibitors such as sitagliptin prolong the duration of active incretin hormones such as glucagon-like peptide 1 (GLP-1) in the bloodstream and thereby enhances control of type 2 diabetes....

A Study of Systolic and Diastolic Dysfunction in Normotensive Asymptomatic Patients with Type 2 Diabetes Mellitus

Various genetic and environmental factors influence the etiology and prognosis of diabetes. Important differences in the types and frequency of Diabetes mellitus and its complications have been reported between countries...

Anticoagulant-Related Hemorrhagic Complication: A Rare Presentation

An anticoagulant is a drug (blood thinner) that treats, prevents, and reduces the risk of blood clots-breaking off and traveling to vital organs of the body, which can lead to life threatening situations. Anticoagulants...

Download PDF file
  • EP ID EP551853
  • DOI 10.21088/ijem.2395.311X.4118.10
  • Views 107
  • Downloads 0

How To Cite

Nitish Dhand (2018). Thinking Beyond ATLS Protocol: Clearing the C-Spine. Indian Journal of Emergency Medicine, 4(1), 53-55. https://europub.co.uk/articles/-A-551853