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Case Report

Thinking Beyond ATLS Protocol: Clearing the C-Spine

Nitish Dhand, Resident, Department of Emergency Medicine, Max Hospital, Shalimar Bagh, New Delhi 110088, India. , Nitish Dhand1 , Kishalay Datta2 , Priya Govil3 , Aakansha Singh4

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Indian Journal of Emergency Medicine 4(1):p 53-55, January - March 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4118.10

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Abstract

ATLS guidelines are considered standard for clearing the C-spine all over the world in any trauma patient. As per the guidelines, in patients with dangerous mechanism of injury, CT C-spine is considered as gold standard to clear C-spine in patients with absent initial permanent or transient neurological abnormalities. We are presenting a case of a 62 years old male who suffered from a RTA with dangerous mechanism of injury. Despite clearance of C-spine as per ATLS protocol , patient eventually landed up in quadriplegia; thus raising the question in mind that whether ATLS protocol is enough or we need to think beyond it for decreasing morbidity in such cases.

Keywords: Cervical Spine; Spinal Cord Injury; Acs in Trauma; Quadriplegia; Spine Immobilisation. 

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DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4118.10

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