Early acute management in adults with spinal cord injury: a clinical practice guideline for health-care providers. Who should read it?

摘要: This issue features the newest Clinical Practice Guideline by Consortium for Spinal Cord Medicine. The tenth in this series published Paralyzed Veterans of America (PVA), “Early Acute Management Adults with Injury: A Health-Care Providers,” focuses on caring patients during first crucial 72 hours after spinal cord injury (SCI). During time, diagnosis SCI is being established an individual who may have multiple serious and possibly life-threatening injuries. While priority to render emergency care save person's life, basic principles acute must be observed if major complications are avoided. Actions taken short window opportunity determine success both short- long-term outcomes. Because even small errors can lead rehabilitation-halting or fatal complications, recommendations guideline reflect “best practice” clinical experience research evidence. The Medicine was develop promote evidence-based guidelines aimed at improving standard enhancing health people SCI. consortium received administrative financial support from America. over last several years been well accepted team influenced management secondary such as neurogenic bladder, pressure ulcers, respiratory insufficiency, importance preserving upper limb function (1–4). We encourage readers JSCM their colleagues front line trauma Emergency Intensive Care Units utilize new further ensure optimal traumatic SCI. The expert panel that developed comprised nominees Consortium's constituent organizations including time Society Critical Each member a clinician expertise various aspects treating patient SCI, particularly setting. contained were drawn graded citations reflecting rapidly evolving body literature diverse areas critical care, physical therapy, anesthesiology, psychosocial disciplines. some these unfortunately sparse, includes extensive suggestions future research, which will hopefully inspire innovative research. The organized topics, arranged across continuum organization regional system, through early diagnostic evaluation, definitive (such anesthetic management) rehabilitation. include treatment less common related entities hysterical paralysis decompression sickness offers approaches families injury. This comprehensive should read all professionals In interest broad rapid dissemination, also downloaded no cost PVA's web site (www.pva.org); printed copies available shipping only. participates PubMed Central, full-text online. On behalf Consortium, we request your help information reaches surgeons, physicians, traumatologists, intensivists trainees whom you work. Optimal essential achieving outcomes desire our patients.