Consider Moderate Hypothermia After Cardiac Arrest Bradford D. Winters MD, PhD Moderate hypothermia has been demonstrated to improve neurologic outcome and mortality in patients who remain comatose despite return of…
Start an Early Bowel Regimen in Patients After Spinal Cord Injury Jose I. Suarez MD Acute spinal cord injury (SCI) is a devastating problem resulting in more than 10,000 permanently…
Consider the Use of Steroids for Neurological Trauma in Blunt Spinal Cord Injury Only Jacob T. Gutsche MD Patrick K. Kim MD Corticosteroids have been studied for decades as a…
Be Alert For Autonomic Dysreflexia in Intensive Care Unit Patients With a Spinal Cord Injury Jose I. Suarez MD Autonomic dysreflexia is an acute syndrome that frequently occurs in spinal…
Apply Appropriate Deep Vein Thrombosis Prophylaxis To Patients With Spinal Cord Injury Jose I. Suarez MD Acute spinal cord injury (SCI) is common with an estimated 8,000 to 10,000 new…
Know The Status of Cervical, Thoracic, and Lumbar Spine Stability on All Postoperative and Trauma Patients Rachel Bluebond-Langner MD When a patient returns from the operating room following spinal surgery…
Keep Patients with Dural Tears Flat for 24–48 Hours Jayme E. Locke MD Dural tear is a known complication of spinal surgeries, such as laminectomies, spinal fusions, and disc excisions….
Be Alert for New-Onset Cauda Equina Syndrome in Patients with Sacral or Spinal Fractures or Surgery and Obtain Emergent Neurosurgical Consultation if Suspected Michael J. Dorsi MD Low back pain…
Consider Hyperchloremic Metabolic Acidosis to be a Renal Tubular Acidosis Until Proven Otherwise if Obvious Sources of Bicarbonate Losses Like Diarrhea, Urinary Diversions, and the Administration of Chloride are not…
Consider Excess Chloride as a Cause of an Unexplained Non-Anion-Gap Metabolic Acidosis Anthony D. Slonim MD, DrPH Metabolic acidosis is traditionally classified into an elevated anion-gap metabolic acidosis or a…
