Shepherd Center: A Catastrophic Care Hospital. The Jane Woodruff Pavilion
|
|
- Eugene Jackson
- 5 years ago
- Views:
Transcription
1 Shepherd Center: A Catastrophic Care Hospital The Jane Woodruff Pavilion
2 Acute Management of SCI & Prevention of Secondary Complications Joycelyn Craig, BSN, RN, CRRN SCI Nurse Education Manager
3 FACTS & STATISTICS Model SCI Care System Data, Archives of Physical and Medical Rehabilitation, January 2008 PREVALENCE in US 227, ,938 living with SCI 12,000 annually AGE 24% are between the ages of % are between the ages of % are older than 60 GENDER 77.8% are males
4 Model Systems National SCI database NSCI Statistical Center Independent and collaborative research Resources to individuals with SCI, family and caregivers, health care professionals and the general public
5 SPINAL CORD INJURY An injury to the spinal cord at any level between the foramen magnum and the cauda equina, from any cause.
6 CERVICAL: 7 Bones-8 Nerves
7 C1 C2 C3 C4 C5 C6 C7 C8 Neck Shoulder Shrug, Neck, Diaphragm Shoulder Muscles Front Arm Muscles Wrist Muscles, Shoulder Muscles Lower Arms, Fingers Cervical Nerves
8 THORACIC: 12 Bones-12 Nerves
9 Thoracic Nerves T1 Hand T2 thru T6 T7 thru T12 Middle part of the body (trunk), chest and stomach area Coughing and laughing muscles
10 LUMBAR: 5 Bones-5 Nerves
11 Lumbar L1 Hips L2 L3 Knees L4 L5 Top of Foot and Ankle
12 SACRAL: 1 Bone-5 Nerves
13 Sacral S1 S2 S3 Legs Feet S4 Bowel & Bladder S5 Sex Organs
14 CLASSIFICATION of SCI ASIA A E most widely accepted neurologic basis
15 ASIA CLASSIFICATIONS ASIA A = no motor or sensory function is preserved in the sacral segments S4-S5. ASIA B = sensory but not motor function is preserved below the neurological level and includes the sacral segments S4-S5 ASIA C = motor is preserved below the neurological level, and most of the key muscles below the neuro level have a muscle grade < 3. ASIA D = motor function is preserved below the neurological level, and at least half of key muscles below the neurological level have a muscle grade =or > 3. ASIA E = NORMAL motor and sensory testing.
16 CLASSIFICATION of SCI Complete SCI = no motor or sensory function below the LOI. Incomplete SCI = any sensation present and/or any motor function below the LOI.
17 INCOMPLETE SYNDROMES Brown-Sequard Central Cord Anterior Cord Posterior Cord Conus Medullaris Cauda Equina Mixed (combination of 2 of above)
18 INCOMPLETE SYNDROMES Brown Sequard: damage to one side of cord ipsilateral paralysis, loss proprioception contralateral loss of pain and temperature
19 INCOMPLETE SYNDROMES Central cord: damage to central part of cord greater weakness in arms verses legs sacral sensation
20 INCOMPLETE SYNDROMES POSTERIOR CORD Lesion within posterior 1/3 of cord Sensory and motor function intact Loss of proprioception ANTERIOR CORD Lesion within anterior 2/3 of cord Paralysis with loss of pain and temperature Proprioception intact
21 MECHANISM OF INJURY The CNS, of which the spinal cord is a part, is extremely fragile. Even slight pressure on the spinal cord from the primary injury or from the secondary injury in the form of swelling or infection or bruising, can result in permanent and severe neurologic injury.
22 Spinal Cord
23 Nursing Prevention of Secondary Injury Spinal stabilization Proactive Prevention of Medical Complications
24 FIRST ---Immobilize THEN-Assess & Test
25 High Dose Solumedrol Protocol Within 3 hours of the injury: Solumedrol 30 mg/kg IV as a bolus dose over minutes, then 5.4 mg/kg/hr for hours. Within 8 hours of the injury: Solumedrol 30 mg/kg IV as a bolus dose over minutes, then 5.4 mg/kg/hr for hours. Monitor blood glucose
26 Spinal Stabilization Goals: Prevent further damage to the spinal cord. Provide means for early mobilization.
27 Cervical Traction: Gardner-Wells Tongs Proper alignment until surgery. Constant traction force at all times. Ensure that weights hang freely. Pin-site care with soap and water every shift. Log rolls
28 Halo Vest A device that is used for unstable cervical injuries that are in alignment. Skin care. Patient safety.
29 Cervical Fusion and Wiring Anterior and/or Posterior Fusion Hard collar to be worn at all times post-op, for 6 weeks. Skin.
30 Harrington Rods For thoracic-lumbar injuries. Embedded in the neural arch to provide a distraction force. TLSO post operatively for 4-6 weeks. Skin.
31 Rehab Priorities 1st 72 Hours Spinal Shock Respiratory Intervention Skin Protection Bowel Function Bladder Health Early Mobilization
32 Spinal Shock Occurs minutes post traumatic SCI Can last a few hours to several weeks Flaccid paralysis Absence of all spinal reflexes below the level of injury. Loss of pain, touch, temperature, and pressure. Loss of bowel & bladder function.
33 Spinal Shock Bowel- Initiate suppository and manual evacuation within hours. Daily bowel program. Skin care. Bladder- Foley. Perineal skin care.
34 SKIN Bed Padding & Positioning Shearing Spasms Bony prominences Visualize new areas Head-to-toe assessments Pressure relief Turns Weight Shifts
35 EVERY Patient Deserves Their Turn! Evaluate to increase 30 min/week Skin checks at least twice per shift Keep pressure off affected areas
36 Padding and Positioning Protect the skin Prevent contractures Prevent painful shoulders Decrease respiratory complications
37 Autonomic Nervous System ANS Dysfunction ANS disruption makes the parasympathetic system dominant.
38 ANS Dysfunction Bradycardia Hypotension Pneumonia/ Atelactasis DVT Stress Ulcers/ GI Bleed Poikilothermism Autonomic Dysreflexia Bowel Bladder Skin
39 ANS Dysfunction Bradycardia Already decreased due to parasympathetic dominance--the absence of the inhibiting effects of the sympathetic system Often due to vagus nerve stimulation Can be extreme: Pre-medicate prior to suctioning Pacemaker
40 ANS Dysfunction Hypotension Parasympathetic dominance resulting in vasodilation. Vasoconstrictive therapy: Dopamine Neosynephrine Florinef Midodrine
41 Pneumonia/Atelectasis ANS Dysfunction Leading cause of death in SCI population. PS mucus production increases; bronchial constriction Result of immobilization, artificial ventilation, and general anesthesia. Interventions: Aggressive pulmonary toiletry Bronchodilator therapy
42 DVT/PE ANS Dysfunction Result of increased platelet aggregation and common post-op complication Intervention: Continuous Assessment Early Detection Prophylactic anticoagulants
43 ANS Dysfunction GI PS-increased gastric secretions, motility, digestion Gastroduodenal ulcers; GI bleeding Disruption of CNS, stress response, abdominal trauma Interventions: Initiate proper delivery of nutrition Prophylactic meds
44 Poikilothermism ANS Dysfunction Interruption of sympathetic pathways to hypothalamus. Loss of sympathetic response below level of injury resulting in the inability to shiver or perspire. Warming or cooling blankets.
45 Temperature control NO vasoconstriction, piloerection or heat loss through sweating below level of injury Do not over cool or over heat.
46 ANS Dysfunction Autonomic Dysreflexia Life-threatening. Inappropriate reflex action, occurring with injury levels T6 and above. Noxious stimuli: distended bladder, full rectal vault, skin issue, infection, ingrown toenail.
47 ANS Dysfunction Autonomic Dysreflexia S & Sx Pounding headache BP > 15mm Hg over baseline Sweating Blotchy/skin redness above LOI Nasal congestion
48 ANS Dysfunction Autonomic Dysreflexia Interventions: Elevate HOB to 90 degrees Remove constrictions: binder, TED hose, etc. Assess foley for drainage problems Bowel program with nupercaine Skin issues
49 ANS Dysfunction Autonomic Dysreflexia Monitor time Monitor BP Treat BP-procardia Notify MD Continue to search for cause Monitor BP
50 BOWEL ANS Dysfunction Stool continues to be produced; not evacuated. Suppository and rectal clearing. Monitor results. Consider contrast materials used. Skin at risk.
51 ANS Dysfunction BLADDER Neurogenic Bladder management Prevent overdistention, ureterovisical reflux. Skin at risk.
52 ANS Dysfunction SKIN Turns, no less than every 2 hours. Visualize new areas with every turn. Head-to-toe assessments.
53 Other Issues to Address Impaired physical mobility Altered nutrition Sexual dysfunction Risk or injury r/t sensory deficits Altered family processes Risk for ineffective individual coping Body image disturbance Grief, guilt, depression
54 Family Involvement Directly related to degree of successful discharge and life planning. Teach family & caregivers all aspects of care.
55 Help me be ready for rehab Prevent skin issues Prevent respiratory complications Reduce secondary complications Anticipate discharge Involve the family Educate & Explain Establish B & B regime
56 Questions?
1. Spinal cord injury mild flexion-extension whiplash ~ complete transection with permanent quadriplegia
Wk 5. Management of Clients with Neurologic Trauma 1. Spinal cord injury mild flexion-extension whiplash ~ complete transection with permanent quadriplegia most common in cervical, lower thoracic-upper
More information3/3/2016. International Standards for the Neurologic Classification of Spinal Cord Injury (ISNCSCI)
International Standards for the Neurologic Classification of Spinal Cord Injury (ISNCSCI) American Spinal Injury Association International Spinal Cord Society Presented by Adam Stein, MD Chairman and Professor
More informationSir William Asher ANATOMY
SPINAL CORD INJURY BASICS RELATED TO LIFE CARE PLANNING Lesson 1 Sir William Asher Picture the pathetic patient lying long abed, the urine leaking from his distended bladder, the lime draining from his
More informationMULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
EPC Ch 24 Quiz w-key Name MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) Which of the following best explains the presentation and prognosis of
More informationWhat is a spinal cord injury?
Spinal Cord Injury What is a spinal cord injury? A spinal cord injury (SCI) is when the spinal cord is damaged Such damage causes 2 things: - loss or change of movement (paralysis) - loss or change of
More informationSpinal Cord Injury Transection Injury, Spinal Shock, and Hermiated Disc. Copyright 2014, 2011, 2006 by Saunders, an imprint of Elsevier, Inc.
Spinal Cord Injury Transection Injury, Spinal Shock, and Hermiated Disc 1 Spinal Cord Injury Results from fracture and/or dislocation of vertebrae // Compresses, stretches, or tears spinal cord Cervical
More informationSlide 1. Slide 2. Slide 3. Introduction CHAPTER 10:CLIENTS WITH SPINAL CORD INJURY PART I. Introduction - page 252(pathophysiology)
Slide 1 CHAPTER 10:CLIENTS WITH SPINAL CORD INJURY PART I PT 151 Slide 2 Introduction - page 252(pathophysiology) Traumatic SCI occurs when an external force, such as fracture of the vertebrae or penetration
More information11. Spinal cord injury
11. Spinal cord injury Introduction Always think spinal (vertebral) and/or spinal cord injury (SCI) in children with trauma. Remember SCIWORA cord injury may be present without abnormalities on routine
More informationSPINAL CORD INJURY-GSW
SPINAL CORD INJURY-GSW Wayne Cheng, MD Bones and Spine 1 EPIDEMIOLOGY-mechanism Most common cause of traumatic cord inj.: #1 MVA (45%) #2 Fall (22%) #3 Violence (16%) #4 Sports (13%) After 1990, Gsw now
More informationThe Anatomy and Physiology of Spinal Cord Injury
The Anatomy and Physiology of Spinal Cord Injury A Resource for Health Service Providers WA State Spinal Injury Unit Version 1 November 2013 Review Date November 2016 This document has been developed to
More informationSpinal Cord Injuries: The Basics. Kadre Sneddon POS Rounds October 1, 2003
Spinal Cord Injuries: The Basics Kadre Sneddon POS Rounds October 1, 2003 Anatomy Dorsal columntouch, vibration Corticospinal tract- UMN Anterior horn-lmn Spinothalamic tractpain, temperature (contralateral)
More informationCARDIOVASCULAR CARDIOVASCULAR CHANGES. Heart rate & blood pressure are controlled
SPINAL CORD INJURY Possible Complications from Spinal Cord Injury Lesson 2 CARDIOVASCULAR Hypo/Hypertension Deep Vein Thrombus 10 80%, 1/3 PE Autonomic Dysreflexia, T6 &> Sleep Apnea, 25% even at IBW CAD,
More informationAcute spinal cord injury
Acute spinal cord injury Thakul Oearsakul Songklanagarind hospital Hat Yai Songkhla Introduction New SCI 10000-12000 cases Approximately 4.0-5.3 per 100000 population Common causes of traumatic SCI :Motor
More informationChapter 24 Spinal Trauma Introduction to Spinal Injuries (1 of 2) Annually 15,000 permanent spinal cord injuries Commonly men years old
1 2 3 4 5 6 7 Chapter 24 Spinal Trauma Introduction to Spinal Injuries (1 of 2) Annually 15,000 permanent spinal cord injuries Commonly men 16-30 years old Mechanism of Injury: Vehicle crashes: 48% : 21%
More informationSPINAL CORD INJURIES DR. F. DE V. THERON MUELMED/PAH HOSPITAL SPINAL UNIT 2012
SPINAL CORD INJURIES DR. F. DE V. THERON MUELMED/PAH HOSPITAL SPINAL UNIT 2012 INTRODUCTION Mortal condition recognised since antiquity First described in the Edwin Smith papyrus 2500BC An ailment not
More informationParaplegia: Exercise and Health Considerations. By: Juli and Trina
Paraplegia: Exercise and Health Considerations By: Juli and Trina What is paraplegia? Paraplegia is impairment of motor and/or sensory function to the lower extremities, and sometimes the lower trunk Complete
More informationChapter 32. Objectives. Objectives 01/09/2013. Spinal Column and Spinal Cord Trauma
Chapter 32 Spinal Column and Spinal Cord Trauma Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1.
More informationAutonomic Dysreflexia
Autonomic Dysreflexia A Resource for Health Service Providers WA State Spinal Injury Unit Version 1 October 2013 Review date October 2016 This document has been developed to provide health service providers
More informationAmerican Board of Physical Medicine & Rehabilitation. Part I Curriculum & Weights
American Board of Physical Medicine & Rehabilitation Part I Curriculum & Weights Neurologic Disorders 30% Stroke Spinal Cord Injury Traumatic Brain Injury Neuropathies a) Mononeuropathies b) Polyneuropathies
More informationCommon fracture & dislocation of the cervical spine. Theerachai Apivatthakakul Department of Orthopaedic Chiangmai University
Common fracture & dislocation of the cervical spine Theerachai Apivatthakakul Department of Orthopaedic Chiangmai University Objective Anatomy Mechanism and type of injury PE.and radiographic evaluation
More informationNEURO - Unit 2. The Patient with Neurological Trauma
NEURO - Unit 2 The Patient with Neurological Trauma Student Learning Goals Differentiate among common head traumas and explain: concussion, contusion, epidural hematoma, subdural hematoma, intracerebral
More informationPulmonary Rehabilitation in Acute Spinal Cord Injury. Jatuporn Jatutawanit Physical therapist, Physical therapy unit, Prince of songkla university
Pulmonary Rehabilitation in Acute Spinal Cord Injury Jatuporn Jatutawanit Physical therapist, Physical therapy unit, Prince of songkla university Causes of spinal cord injury Traumatic injury Motor vehicle
More informationChapter 32. Injuries to the Spine by Pearson Education, Inc. Upper Saddle River, New Jersey
Chapter Injuries to the Spine Topics Anatomy and physiology of the spine Spinal injuries Guidelines for immobilization Special considerations Enrichment Introduction Injuries to the spine are among the
More informationRESPIRATORY COMPLICATIONS AFTER SCI
SHEPHERD.ORG RESPIRATORY COMPLICATIONS AFTER SCI NORMA I RIVERA, RRT, RCP RESPIRATORY EDUCATOR SHEPHERD CENTER 2020 Peachtree Road, NW, Atlanta, GA 30309-1465 404-352-2020 DISCLOSURE STATEMENT I have no
More informationSurgery. Conus medullaris and Cauda Equina Syndromes. Anatomy. See online here
Surgery Conus medullaris and Cauda Equina Syndromes See online here Conus medullaris and cauda equina syndromes are spinal cord injuries that involve injury to the lumbosacral segment of the spinal cord.
More informationSpinal injury. Structure of the spine
Spinal injury Structure of the spine Some understanding of the structure of the spine (spinal column) and the spinal cord is important as it helps your Neurosurgeon explain about the part of the spine
More informationOverview. Overview. Chapter 30. Injuries to the Head and Spine 9/11/2012. Review of the Nervous and Skeletal Systems. Devices for Immobilization
Chapter 30 Injuries to the Head and Spine Slide 1 Overview Review of the Nervous and Skeletal Systems The Nervous System The Skeletal System Devices for Immobilization Cervical Spine Short Backboards Long
More informationSpinal Cord Injury. North American Spine Society Public Education Series
Spinal Cord Injury North American Spine Society Public Education Series What Is a Spinal Cord Injury? A spinal cord injury is a condition that results from damage or trauma to the nerve tissue of the spine.
More informationTraumatic Spinal Cord Injury. 39 th CANP Annual Educational Conference March 18 th, :00pm-6:15pm Carl Wherry, ACNP-bc Amanda Severson, ACNP-bc
Traumatic Spinal Cord Injury 39 th CANP Annual Educational Conference March 18 th, 2016 5:00pm-6:15pm Carl Wherry, ACNP-bc Amanda Severson, ACNP-bc Disclosures No conflicts of interest to disclose. Introduction
More informationIntroduction to Emergency Medical Care 1
Introduction to Emergency Medical Care 1 OBJECTIVES 31.1 Define key terms introduced in this chapter. Slides 13 15, 17, 19, 28 31.2 Describe the components and function of the nervous system and the anatomy
More informationInjuries to the Head and Spine From Bradys Emergency Care 10 th Edition
Injuries to the Head and Spine From Bradys Emergency Care 10 th Edition 1. When performing the four-rescuer log roll, which responder pulls the board into position? A.) Head B.) Waist C.) Knee D.) Shoulder
More informationOptimizing Functional Outcomes for Patients with Spinal Cord and Other Neurological Injuries
Optimizing Functional Outcomes for Patients with Spinal Cord and Other Neurological Injuries Amanda Dailey, PT, DPT, NCS Stephanie Burns, OTR/L Objectives 1. Understand the roles of physical and occupational
More informationInjuries to the Head and Spine
Injuries to the Head and Spine Anatomy Review Skull Protects the brain Made up of several bones with seam like sutures Regions of the scalp-frontal, occipital, parietal, temporal Bones of face Orbits Mandible
More informationDeveloping spinal cord compression care guidelines at WPH
Developing spinal cord compression care guidelines at WPH Spinal cord compression team: Sue Banks, Jean Buchanan, Bernie Foran, Suzanne Hodson, Jane Mason, Rebecca Mills, Jan Siddall, Rebecca Walsh, Clare
More informationBrain and spinal nerve. By: shirin Kashfi
Brain and spinal nerve By: shirin Kashfi Nervous system: central nervous system (CNS) peripheral nervous system (PNS) Brain (cranial) nerves Spinal nerves Ganglions (dorsal root ganglions, sympathetic
More informationParasymPathetic Nervous system. Done by : Zaid Al-Ghnaneem
ParasymPathetic Nervous system Done by : Zaid Al-Ghnaneem In this lecture we are going to discuss Parasympathetic, in the last lecture we took sympathetic and one of the objectives of last lecture was
More informationAcute to Rehab Spinal Cord Injuries Anna Brown CNC, Certificate SCI Nursing, Grad Dip Rehabilitation Studies, La Trobe
Acute to Rehab Spinal Cord Injuries Anna Brown CNC, Certificate SCI Nursing, Grad Dip Rehabilitation Studies, La Trobe Victorian Spinal Cord Service Austin Health SCI Acute to Rehab Let the rollercoaster
More informationElimination Patterns: Bladder
Elimination Patterns: Bladder CRRN Review Material Christa Carter, RN, BSN, CRRN Objectives Identify different types of neurogenic bladder Identify different types of incontinence Identify at least three
More information25 Things To Know. Spine
25 Things To Know Spine Combines Strong bones Flexible connectors Ligaments & tendons Large muscles Sensitive nerves Multi-Layer White Matter Pia Matter = thin, waterproof Arachnoid membrane (web) Dura
More informationSummary. Neuro-urodynamics. The bladder cycle. and voiding. 14/12/2015. Neural control of the LUT Initial assessment Urodynamics
Neuro-urodynamics Summary Neural control of the LUT Initial assessment Urodynamics Marcus Drake, Bristol Urological Institute SAFETY FIRST; renal failure, dysreflexia, latex allergy SYMPTOMS SECOND; storage,
More informationPNS and ANS Flashcards
1. Name several SOMATIC SENSES Light touch (being touched by a feather), heat, cold, vibration, pressure, pain are SOMATIC SENSES. 2. What are proprioceptors; and how is proprioception tested? PROPRIOCEPTORS
More informationManagement of Spinal Cord Injury outside of a specialist Spinal Injuries Centre The Derby Experience
Management of Spinal Cord Injury outside of a specialist Spinal Injuries Centre The Derby Experience Sharon Budd Trauma Nurse Derby Hospitals NHS Foundation Trust Learning Outcomes To understand the role
More informationSCIWORA Rozlyn McTeer BSN, RN, CEN Pediatric Trauma Coordinator Trauma Services OBJECTIVES DEFINITION 11/8/2017. Identify SCIWORA.
SCIWORA Rozlyn McTeer BSN, RN, CEN Pediatric Trauma Coordinator Trauma Services Identify SCIWORA. OBJECTIVES Identify the population at risk. To identify anatomic and physiologic reasons for SCIWORA. To
More informationMedical Complications after SCI Sara Kate Frye MS OTR/L ATP
Topic List Medical Complications after SCI Sara Kate Frye MS OTR/L ATP Upper Extremity Health Heterotopic Ossification Autonomic Dysfunction Bladder Care Bowel Care Skin Care Sexual Function Wheelchair
More informationSpinal Cord Anatomy. Key Points. What is the spine? Areas of the spine: Spinal Cord Anatomy
Spinal Cord Anatomy Authors: SCIRE Community Team Reviewed by: Riley Louie, PT Last updated: Sept 21, 2017 This page provides an overview of the structures of the spinal cord and how the spinal cord works.
More informationShenandoah Co. Fire & Rescue. Injuries to. and Spine. December EMS Training Bill Streett Training Section Chief
Shenandoah Co. Fire & Rescue Injuries to the Head and Spine December EMS Training Bill Streett Training Section Chief C.E. Card Information BLS Providers 2 Cards / Provider Category 1 Course # Blank Topic#
More informationNew Zealand Spinal Cord Injury Registry. First Annual Report August 2016 to July 2017
New Zealand Spinal Cord Injury Registry First Annual Report August 216 to July 217 2 The New Zealand Spinal Cord Injury Registry (NZSCIR) would like to acknowledge the spinal service clinicians and coordinators
More informationSCI EXAM & FUNCTIONAL PROGNOSIS
SCI EXAM & FUNCTIONAL PROGNOSIS MARCH 20, 2015 JUAN L ASANZA, MD STAFF PHYSICIAN VA PUGET SOUND HEALTH CARE SYSTEM SPINAL CORD INJURY UNIVERSITY OF WASHINGTON PHYSICAL MEDICINE & REHABILITATION OBJECTIVES
More informationHuman Nervous System:
OLLI Brain: Making Sense of Our World: Lecture 3 Human Nervous System: The Motor & Sensory Divisions Copyright 2004 Pearson Education, Inc., publishing as Benjamin Cummings Organization of the Nervous
More informationLower Spinal Cord Injury Management Protocol (for SCI without neurogenic shock, T6 and below)
Lower Spinal Cord Injury Management Protocol (for SCI without neurogenic shock, T6 and below) Neuro Spinal immobilization and log roll orders Additional imaging as needed Brace per spine recommendations
More informationChapter 8 8/23/2016. Body Mechanics and Patient Mobility. Introduction to Body Mechanics and Patient Mobility
Chapter 8 Body Mechanics and Patient Mobility All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Introduction to Body Mechanics and Patient Mobility
More informationCLASS-X EPISTODE-6 STATE SYLLABUS NERVOUS SYSTEM
CLASS-X EPISTODE-6 STATE SYLLABUS NERVOUS SYSTEM In the last episode we have seen the structures and function of the components of central nervous system. In this episode we shall examine the peripheral
More informationSPINAL IMMOBILIZATION
Spinal Immobilization Decision Assessment Recent studies have shown an increase in mortality for patients with isolated penetrating trauma who are spinally immobilized. Therefore spinal immobilization
More informationCommon Complaints in Spinal Cord Injury Population in Primary Care setting and Emergency Room
Common Complaints in Spinal Cord Injury Population in Primary Care setting and Emergency Room Min Jee Kim, DO Spinal Cord Injury/Disorder Center, VA Palo Alto, Palo Alto, CA mkimpmr@gmail.com Disclosure
More informationSpine Trauma- Part B
Spine Trauma- Part B Cervical Spine Injuries Atlanto- Occipital Dislocation Hyperextension and distraction mechanism Down s syndrome, RA more susceptible Asymmetric lateral masses on odontoid view Widened
More informationHuman Anatomy. Spinal Cord and Spinal Nerves
Human Anatomy Spinal Cord and Spinal Nerves 1 The Spinal Cord Link between the brain and the body. Exhibits some functional independence from the brain. The spinal cord and spinal nerves serve two functions:
More informationAcute Care of Spinal Cord Injury. Meghan Smith, RN, PA-C
Acute Care of Spinal Cord Injury Meghan Smith, RN, PA-C Physician Assistant, Neuro Surgical, Trauma Services, Intermountain Medical Center, Intermountain Healthcare; Salt Lake City, Utah Objectives: Discuss
More informationNorth West London Trauma Network Spinal Pathway and Protocols
North West London Trauma Network Spinal Pathway and Protocols 1. Spinal Clearance in the Trauma Patient Inclusions: All trauma patients who are not alert and orientated, unable to cooperate (including
More informationSPINAL CORD MEDICINE EDUCATIONAL MATERIALS FOR PATIENT AND FAMILY BOWEL MANAGEMENT FOLLOWING SPINAL CORD INJURY/IMPAIRMENT FRAZIER REHAB INSTITUTE
SPINAL CORD MEDICINE EDUCATIONAL MATERIALS FOR PATIENT AND FAMILY BOWEL MANAGEMENT FOLLOWING SPINAL CORD INJURY/IMPAIRMENT FRAZIER REHAB INSTITUTE DISCLAIMER The information contained herein is intended
More informationPost-Anesthesia Care In the ICU
Post-Anesthesia Care In the ICU The following is based on current research and regional standards of care. At completion you will be able to identify Basic equipment needed at the bedside. Aldrete scoring
More informationSpinal Cord Injury. Plan of Action. Terminology. Division of Labor. Complex Organized Nervous System
Plan of Action Spinal Cord Injury Denice Wax BSN RN MSCN CRRN VAMC SCI/D Nurse Educator 1. Spinal Cord Injury: Bits and Bytes 2. Anatomy and Physiology 3.Classification and Nomenclature 4.Nursing Implications
More informationSkin and Temperature Management following Spinal Cord Injury. North West Regional Spinal Injuries Centre Southport & Ormskirk NHS Trust
Skin and Temperature Management following Spinal Cord Injury Functions of the skin The skin is the largest organ of the integumentary system The skin is the interface with the environment and plays an
More informationBiological Psych Nerves & Spine. Spine Combines Strong bones Flexible connectors (ligaments & tendons) Large muscles Sensitive nerves
Biological Psych Nerves & Spine Spine Combines Strong bones Flexible connectors (ligaments & tendons) Large muscles Sensitive nerves Multi-Layer White Matter Pia Matter = thin, waterproof Arachnoid membrane
More informationWounds and Injuries of the Spinal Column and Cord
Wounds and Injuries of the Spinal Column and Cord Chapter 20 Wounds and Injuries of the Spinal Column and Cord Introduction Combat injuries of the spinal column, with or without associated spinal cord
More informationThe Management of the Patient with an Acute Spinal Cord Injury D. J. Brown
The Management of the Patient 1 Associate Prof. Director Victorian Spinal Cord Service Austin Health Melbourne, Victoria, Australia 2 3 Continuity of care A prevention C triage / transfer U emergency /
More informationChapter 30 - Musculoskeletal_Trauma
Introduction to Emergency Medical Care 1 OBJECTIVES 30.1 Define key terms introduced in this chapter. Slides 11 12, 19 20, 22 23, 37 30.2 Describe the anatomy of elements of the musculoskeletal system.
More informationSPINE EVALUATION AND CLEARANCE Basic Principles
SPINE EVALUATION AND CLEARANCE Basic Principles General 1. Entire spine is immobilized during primary survey. 2. Radiographic clearance of the spine is not required before emergent surgical procedures.
More informationRegional Anesthesia. Fatiş Altındaş Dept. of Anesthesiology
Regional Anesthesia Fatiş Altındaş Dept. of Anesthesiology Regional anesthesia - Definition Renders a specific area of the body, e.g. foot, arm, lower extremities insensating to stimulus of surgery or
More informationProtect Your Skin. It s one of the most important things you can do!
Protect Your Skin It s one of the most important things you can do! What is the skin? It s the largest organ in the body It protects you from the outside world It houses your sensory nerve endings It senses
More informationVAriation. Orthotics and Me (?surgeons) Greg Etherington Spine Surgeon. Orthopaedic & Neurosurgery backgrounds. Subspeciality training
Orthotics and Me (?surgeons) Greg Etherington Spine Surgeon Orthopaedic & Neurosurgery backgrounds Subspeciality training spine, upper limb, trauma, pelvis. What do you do in spine? Lumbar Cervical Trauma
More informationChapter 16 Moving and Positioning Patients
Chapter 16 Moving and Positioning Patients Terminology Related to Movement Contractures Shortening and tightening of muscles due to disuse Dorsiflexion Bending of the foot in an upward direction Plantar
More informationMalignant Spinal cord Compression. Dr. Thiru Thirukkumaran Palliative Care Services - Northwest Tasmania
Malignant Spinal cord Compression Dr. Thiru Thirukkumaran Palliative Care Services - Northwest Tasmania Background Statistics of SCC -1 Incidence of SCC Vertebral body metastases 85 % Para-vertebral (Lymphoma)
More informationNeuropsychiatry Block
Neuropsychiatry Block Physiology of the Autonomic Nervous System By Laiche Djouhri, PhD Dept. of Physiology Email: ldjouhri@ksu.edu.sa Ext:71044 References The Autonomic Nervous System and the Adrenal
More informationSlide 1. Slide 2 Disclosure. Slide 3 Objectives. Functional Mobility and Activities of Daily Living: Assessing and Treating Patients in Rehabilitation
Slide 1 Functional Mobility and Activities of Daily Living: Assessing and Treating Patients in Rehabilitation Terry Carolan, MSPT, NCS Slide 2 Disclosure Terry Carolan has no industry disclosures to make
More informationthe back book Your Guide to a Healthy Back
the back book Your Guide to a Healthy Back anatomy Your spine s job is to: Support your upper body and neck Increase flexibility of your spine Protect your spinal cord There are 6 primary components of
More informationNorthwest Community EMS System Continuing Education Class Credit Questions for October 2014 Spine Motion Restriction (Didactic)
Northwest Community EMS System Continuing Education Class Credit Questions for October 2014 Spine Motion Restriction (Didactic) Name (PRINT): Date submitted: Affiliation: Rating: [ ] Complete [ ] Incomplete
More informationAutonomic Nervous System
Autonomic Nervous System Keri Muma Bio 6 Organization of the Nervous System Efferent Division Somatic Nervous System Voluntary control Effector = skeletal muscles Muscles must be excited by a motor neuron
More informationDeveloping spinal cord compression care guidelines at WPH
Developing spinal cord compression care guidelines at WPH Spinal cord compression team: Sue Banks, Jean Buchanan, Dr Bernie Foran, Suzanne Hodson, Liz Kirkham, Rebecca Mills, Jan Siddall, Rebecca Walsh,
More informationAutonomic Nervous System
Autonomic Nervous System Autonomic nervous system organization Sympathetic Nervous System division of the autonomic nervous system that arouses the body, mobilizing its energy in stressful situations
More informationAutonomic Dysreflexia
Autonomic Dysreflexia Autonomic dysreflexia (AD) is a potentially life threatening condition that can be considered a medical emergency. It mainly affects people with injuries at T-6 or higher. Although
More informationA Structural Service Plan: Towards Better and Safer Spine Surgeries. Department of Orthopaedics & Traumatology Tuen Mun Hospital
A Structural Service Plan: Towards Better and Safer Spine Surgeries Department of Orthopaedics & Traumatology Tuen Mun Hospital Cheung KK Wong CY Chan Andrew Tse Alfred Chow YY Department of Orthopaedics
More informationSpinal Trauma. Dr T G Kruger
Spinal Trauma Dr T G Kruger Epidemiology Spine injury in 6% of trauma patients Multiple levels involved in 20% of cases 80% of spinal cord injury patients have concurrent other system injuries 41% have
More informationChapter 13: The Spinal Cord and Spinal Nerves
Chapter 13: The Spinal Cord and Spinal Nerves Spinal Cord Anatomy Protective structures: Vertebral column and the meninges protect the spinal cord and provide physical stability. a. Dura mater, b. Arachnoid,
More informationSelective Spine Assessment & Spinal Motion Restriction
Selective Spine Assessment & Spinal Motion Restriction Supersedes: 02-09-15 Effective: 10-20-15 Spinal cord injury may be the result of direct blunt and/or penetrating trauma, compression forces (axial
More informationNeurogenic Bowel: What You Should Know. A Guide for People with Spinal Cord Injury
Neurogenic Bowel: What You Should Know A Guide for People with Spinal Cord Injury Why Is This Information Important? Before SCI, you didn t have to think about bowel movements After SCI, you may need more
More informationDo Now pg What is the fight or flight response? 2. Give an example of when this response would kick in.
Do Now pg 81 1. What is the fight or flight response? 2. Give an example of when this response would kick in. Autonomic Nervous System The portion of the PNS that functions independently (autonomously)
More informationChapter 14 The Autonomic Nervous System Chapter Outline
Chapter 14 The Autonomic Nervous System Chapter Outline Module 14.1 Overview of the Autonomic Nervous System (Figures 14.1 14.3) A. The autonomic nervous system (ANS) is the involuntary arm of the peripheral
More informationThe Autonomic Nervous System Outline of class lecture for Physiology
The Autonomic Nervous System Outline of class lecture for Physiology 1 After studying the endocrine system you should be able to: 1. Describe the organization of the nervous system. 2. Compare and contrast
More informationTHE GOOFY ANATOMIST QUIZZES
THE GOOFY ANATOMIST QUIZZES 5. NERVES Q1. Which of the following classifications of the nervous systems is correct? A. The autonomic nervous system is composed of the brain, cranial nerves and spinal nerves.
More informationChapter 13. The Spinal Cord & Spinal Nerves. Spinal Cord. Spinal Cord Protection. Meninges. Together with brain forms the CNS Functions
Spinal Cord Chapter 13 The Spinal Cord & Spinal Nerves Together with brain forms the CNS Functions spinal cord reflexes integration (summation of inhibitory and excitatory) nerve impulses highway for upward
More informationContemporary Management of Spinal Cord Injury
Contemporary Management of Spinal Cord Injury Ali Salim, MD Professor of Surgery Chief, Division of Trauma, Burns, Surgical Critical Care, and Emergency General Surgery Disclosures I have nothing to disclose
More informationSpinal cord. We have extension of the pia mater below L1-L2 called filum terminale
Spinal cord Part of the CNS extend from foramen magnum to the level of L1-L2 (it is shorter than the vertebral column) it is covered by spinal meninges. It is cylindrical in shape. It s lower end become
More informationAdolescent Idiopathic Scoliosis
Adolescent Idiopathic Scoliosis Adolescent idiopathic scoliosis is characterized by a lateral bending and twisting of the spine. It is the most common spinal deformity affecting adolescents 10 to 16 years
More informationHomeostasis. Achievement Criteria. Excellence Criteria. Demonstrate understanding of how an animal maintains a stable internal environment 10/02/2016
Homeostasis Demonstrate understanding of how an animal maintains a stable internal environment Biology 3.4 AS91604 Achievement Criteria Explain the purpose of the homeostatic mechanism Be able to explain
More informationObjectives. Emergency Department: Rapid Fire Diagnosis 10/4/16. Why emergency medicine is unique. Approach to the emergent patient
Emergency Department: Rapid Fire Diagnosis Julie Beard DO St. Luke s Hospital Emergency Department October 4 th, 2016 Objectives Why emergency medicine is unique Approach to the emergent patient Discuss
More informationRADICULOPATHY AN INTRODUCTION TO
AN INTRODUCTION TO RADICULOPATHY This booklet provides general information on radiculopathy. It is not meant to replace any personal conversations that you might wish to have with your physician or other
More informationThoracic and Lumbar Spine Fractures and Dislocations: Assessment and Classification
Thoracic and Lumbar Spine Fractures and Dislocations: Assessment and Classification Mark L Prasarn MD University of Texas Dept of Orthopaedic Surgery Houston, Texas Updated 7/2016 Anatomy of the Spine
More informationSpinal Cord Organization. January 12, 2011
Spinal Cord Organization January 12, 2011 Spinal Cord 31 segments terminates at L1-L2 special components - conus medullaris - cauda equina no input from the face Spinal Cord, Roots & Nerves Dorsal root
More informationA Syndrome (Pattern) Approach to Low Back Pain. History
A Syndrome (Pattern) Approach to Low Back Pain Hamilton Hall MD FRCSC Professor, Department of Surgery, University of Toronto Medical Director, CBI Health Group Executive Director, Canadian Spine Society
More informationCONSULTATION ADMITTANCE FORM
CONSULTATION ADMITTANCE FORM Last Name: First Name: Address: City Postal Code: Home Phone: Work Phone: Age: Birth date (dd/mm/yr): Sex: M / F Height Weight Occupation: Alberta Health Care #: PLEASE CHECK
More information