RT Book, Section
A1 Leonard, Julie Catherine
A1 Leonard, Jeffrey Russell
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155168594
T1 Cervical Spine Injury
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155168594
RD 2024/10/04
AB Suspect  cervical  spine  injury  in  any  child  who  has  suffered  traumatic  respiratory  arrest  and  perform  rapid  sequence  orotracheal  intubation  with  in-line  cervical  spine  stabilization.Young  children  sustain  more  upper  cervical  spine  injuries  compared  to  older  children  and  adults  due  to  anatomic  differences.Spinal  cord  injury  without  radiographic  abnormality  (SCIWORA)  is  more  common  in  teenagers  than  younger  children.In  the  setting  of  a  normal  MRI,  most  children  with  SCIWORA  have  normal  neurological  outcome.CT  scan  is  more  sensitive  for  bony  injury  and  MRI  for  soft-tissue  injury.Use  of  a  cervical  collar  and  long  board  to  restrict  the  motion  of  the  spine  should  be  limited  to  children  with  risk  factors  for  cervical  spine  injury.