1. Step 9
1.1. Review session 2
1.1.1. spinal shock?
1.1.2. pictures
1.1.2.1. Brown-sequard
1.1.2.1.1. 1
1.1.2.1.2. 2
1.1.2.2. spinal cord and vertebrae
1.2. mechanism flow chart
1.3. 20 minutes
2. Step 10
2.1. Management
2.1.1. goals
2.1.1.1. stabilize and prevent further damage
2.1.1.1.1. priority for spinal cord injury
2.1.1.1.2. check for hidden injuries
2.1.1.2. improve outcome
2.1.1.2.1. pain control
2.1.1.2.2. dealing with complications
2.1.2. at the site
2.1.2.1. safty of the scene
2.1.2.2. immobilizing
2.1.2.2.1. neck collar
2.1.2.2.2. spine board -- roll
2.1.2.3. ABCD
2.1.2.3.1. Airway
2.1.2.3.2. Breathing
2.1.2.3.3. Circulation
2.1.2.3.4. Disability
2.1.3. ED
2.1.3.1. move the patient -- bed sores
2.1.3.2. ABCD
2.1.3.2.1. Airway
2.1.3.3. controlling vitals
2.1.3.3.1. neurogenic or hemorrhagic shock
2.1.3.4. glucocorticoids
2.1.3.5. physical exmination
2.1.3.5.1. head injury
2.1.3.5.2. full body check up
2.1.3.6. imaging
2.1.3.7. consult a neurosergion
2.1.4. surgery
2.1.4.1. depends on the surgeon's experience
2.1.4.2. posterolateral
2.1.5. short term complications
2.1.5.1. urine catherter
2.1.5.2. heparin for VTE and PE
2.1.5.3. illius
2.1.5.3.1. hyperkalemia
2.1.5.4. stress GI ulcers
2.1.5.4.1. PPI
2.1.5.5. Neurtition
2.1.6. on going
2.1.6.1. Rehabilitation
2.1.6.1.1. start as soon as possible
2.1.6.1.2. occupational therapy
2.1.6.1.3. peer suport
2.1.6.1.4. dealing with depression
2.1.6.1.5. social worker
2.1.6.1.6. physiotherapy
2.1.6.1.7. family support
2.1.6.2. long term complications
2.1.6.2.1. autonomic dysreflexia
2.1.6.2.2. bed sores
2.1.6.2.3. catheter
2.1.6.2.4. CAD
2.1.6.2.5. DVT and PE
2.1.6.2.6. Pain
2.2. Prevention
2.2.1. traffic regulation
2.2.2. education
2.2.3. ambulance service
2.2.4. precations in sports