Báo cáo y học: " Risks associated with magnetic resonance imaging and cervical collar in comatose, blunt trauma patients with negative comprehensive cervical spine computed tomography and no apparent spinal deficit"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Risks associated with magnetic resonance imaging and cervical collar in comatose, blunt trauma patients with negative comprehensive cervical spine computed tomography and no apparent spinal deficit. | Available online http content 1 2 4 R89 Research Risks associated with magnetic resonance imaging and cervical collar in comatose blunt trauma patients with negative comprehensive cervical spine computed tomography and no apparent spinal deficit C Michael Dunham1 Brian P Brocker2 B David Collier3 and David J Gemmel4 Open Access 1Trauma Critical Services St. Elizabeth Health Center Level I Trauma Center Belmont Avenue Youngstown Ohio 44501 USA 2Neurosurgery St. Elizabeth Health Center Level I Trauma Center Belmont Avenue Youngstown Ohio 44501 USA 3Radiology St. Elizabeth Health Center Level I Trauma Center Belmont Avenue Youngstown Ohio 44501 USA 4Medical Research St. Elizabeth Health Center Level I Trauma Center Belmont Avenue Youngstown Ohio 44501 USA Corresponding author C Michael Dunham Received 23 Apr 2008 Revisions requested 27 May 2008 Revisions received 24 Jun 2008 Accepted 14 Jul 2008 Published 14 Jul 2008 Critical Care 2008 12 R89 doi cc6957 This article is online at http content 12 4 R89 2008 Dunham et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction In blunt trauma comatose patients Glasgow Coma Scale score 3 to 8 with a negative comprehensive cervical spine CS computed tomography assessment and no apparent spinal deficit CS clearance strategies magnetic resonance imaging MRI and prolonged cervical collar use are controversial. Methods We conducted a literature review to delineate risks for coma CS instability prolonged cervical collar use and CS MRI. Results Based on our search of the literature the numbers of functional survivor patients among those who had sustained blunt trauma were as follows 350 per 1 000 comatose unstable

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