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Spinal Cord Injuries

Spinal Cord Injuries. Condition:. Spinal cord injury defined as injury within neural canal from Foramen Magnum to Cauda Equine Does not include brachial nor lumbar plexus distally. Demographics:. 10,000 new cases per year Average age 19.7 yrs old Males 82% Females 18%

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Spinal Cord Injuries

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  1. Spinal Cord Injuries

  2. Condition: • Spinal cord injury defined as injurywithin neural canal from Foramen Magnum to Cauda Equine • Does not include brachial nor lumbar plexus distally

  3. Demographics: • 10,000 new cases per year • Average age 19.7 yrs old • Males 82% Females 18% • Typical victim white male – greater proportion of non-Caucasians when compared to general population

  4. 37.2% - Auto Accidents 67% of children w/ auto accident SCI were not wearing a seat belt

  5. 26.8%Violence

  6. 21% - Falls

  7. 7.1% Sports InjuriesDiving #1 Sports Injury

  8. Remaining 7.9% assorted causes

  9. Over 25% of all Spinal Cord Injuries have alcohol as a factor

  10. Signs & Symptoms: I can’t feel my legs! Loss of Sensation identified by patient or through testing

  11. Diagnosis:

  12. Prevention: • Wear Seat Belt ALWAYS • Use care on ladders or in elevated locations – use the handrail on stairs • Only dive where you know it is deep enough

  13. Prognosis: Fifty years ago a spinal cord injury meant a sure death within a few years. Now those having Spinal Cord Injuries can live a long and productive life.

  14. Paraplegia, QuadrIplegia

  15. Living with a Spinal Cord Injury • Over 250,000 people living with spinal cord injuries • Specific health problems need to be monitored

  16. Initial Care • Save Life – ABCs • Stabilize spine • Decompress spine

  17. Rehabilitation • Physical Therapy to rehabilitate muscles • Occupational Therapy to rehabilitate life skills

  18. Chronic Problems of SCI • Joint Contracture • Pressure Ulceration • GI and GU Management • Autonomic Dysreflexia • Deep Vein Thrombosis • Pulmonary Embolism

  19. Joint Contracture • Continued movement of affected joints

  20. Pressure Ulceration • Constant repositioning of affected areas

  21. GI & GU Management • One-third of all SCI patients rated loss of bowel and bladder function as a greater loss than the use of their legs

  22. Genitourinary Management • Retention of Waste products

  23. Autonomic Dysreflexia • Body sends out messages that are incorrect to control centers of brain resulting in errors in homeostasis management

  24. Thrombosis & Embolism • Blood does not flow normally to a paralyzed limb. The blood pools and forms clots, a condition known as deep vein thrombosis. A clot or thrombus can break free and lodge in smaller arteries in the brain, causing a stroke, or in the lungs, causing pulmonary embolism.

  25. Treatment, Prognosis, Prevention • Thorough ROS with each appt • Patient Education a must • Watch for clues of problems • Health Maintenance • Find resources for Patient • BE PROACTIVE!!

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