Focused Review Course: Spinal Cord Injury-Neurological Classification & Acute Management

Video Transcription

Video Summary

The International Standards for Neurologic Classification of Spinal Cord Injury have been developed by the American Spinal Injury Association and the International Spinal Cord Society. The classification includes sensory and motor exams to determine the level and completeness of the injury. The sensory exam involves testing the sensation at key points on the body using pinprick and light touch. The motor exam assesses the strength and movement of key muscles in each limb. The results of these exams help determine the sensory and motor levels and the completeness of the injury. There are different neurological syndromes associated with spinal cord injury, such as central cord syndrome, Brown-Sequard syndrome, anterior cord syndrome, Conus medullaris syndrome, and cauda equina syndrome. The acute management of spinal cord injury focuses on airway, circulation, and breathing. It also includes imaging the entire spine, reducing and stabilizing the spine, and addressing associated injuries like traumatic brain injury and GI complications. There is a high risk of venous thrombosis and pulmonary complications following spinal cord injury, so prevention methods such as mechanical and pharmacological prophylaxis are recommended. Other considerations in acute management include respiratory management, prevention of pressure ulcers, and early rehabilitation.

Keywords

Neurologic Classification

Spinal Cord Injury

Sensory Exam

Motor Exam

Neurological Syndromes

Acute Management

Prevention Methods