Curriculum Resources


Neurointensive Care - Capability Levels and Curriculum Reference for Stages 1-3

Acute Spinal Cord Injury

Published on 18 March, 2022

Last modified on March 25th, 2022

Curriculum Reference

15.9.2 Delivers safe perioperative care to adults requiring complex spine surgery.

15.9.2 Delivers safe peri-operative anaesthetic care to adults for emergency intracranial surgery, CSF diversions, spinal surgery and endovascular thrombectomy.

SSM NICU: Can recognise, resuscitate and initiate treatment of the patient with acute neurological injury, having an enhanced understanding of the specific neuropathophysiologies. They will be able to institute advanced pharmacological and physical therapeutic interventions, and continue ongoing diagnostic and disease management strategies, including multi-organ support.

Publications

Initial management of acute spinal cord injury CEACCP 13(6) 224-231 (2013)

Respiratory complications of SCI https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5335574/

Autonomic dysreflexia https://www.ncbi.nlm.nih.gov/books/NBK482434/

Further Reading (incl. Key Trials)

National Acute Spinal Cord Injury Trial: Methylprednisolone versus Tirilazad Mesylate

National Guidance/Standards

A Clinical Practice Guideline for the of Acute Spinal Cord Injury: Introduction, Rationale, and Scope

e-learning

Cervical Spine Trauma

RCoA Audit Compendium

12.4 Initial management of spinal cord injury.

12.6 Management of the unconscious patient in intensive care at risk of spinal cord injury.

FICM Standard
Following traumatic spinal cord injury, a specialist neurosurgical or spinal surgeon at the major trauma centre or trauma unit must contact the linked spinal cord injury centre consultant within four hours of diagnosis to establish a partnership of care.

NACCS Video

3/9/2016 10.00 Spinal cord injury- Optimising Spinal Cord Perfusion
9/5/2019 10.10 High spinal cord injury – challenging dogma
9/5/2019 10.30 An update on surgical management of acute spinal cord injury

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