A retrospective review of 4204 patients sustaining gunshot wounds (GSW) to the head, neck or torso examined the incidence of spinal cord injury and bony spinal column injury required operative spinal intervention. None of the patients demonstrated spinal instability requiring operative intervention, and only 2/327 (0.6%) required any form of operative intervention for decompression. The authors concluded that spinal instability following GSW with spine injury is very rare, and that routine spinal imaging and immobilisation is unwarranted in examinable patients without symptoms consistent with spinal injury following GSW to the head, neck or torso.
The role of routine spinal imaging and immobilisation in asymptomatic patients after gunshot wounds
Injury. 2009 Aug;40(8):860-3
- RT @cliffreid: This podcast with @FOAMfrat was so much fun - thanks again @christifulli88 and Team 👍🏻👍🏻👍🏻 🇺🇸 🇦🇺 🇬🇧 twitter.com/FOAMfrat/statu… 1 week ago
- Do you want to learn more about PHARM? This course is on offer through Sydney University twitter.com/HawkmoonHEMS/s… 2 weeks ago
- RT @cjmdenny: Not a bad commute... With thanks to @SydneyHEMS and in particular @drgeoffhealy for a brilliant observer shift with @tollamb… 3 weeks ago
- RT @expensivecare: Apparently it’s #WorldHelicopterDay. So I’m sharing some photos from my time as a PHaRM registrar with @SydneyHEMS 🚁 htt… 3 weeks ago
- RT @ConceptosUC: Por primera vez en Chile, el australiano de @Sydney_uni Dr. Brian Burns junto al equipo de @Resuscitology vienen a @Concep… 3 weeks ago