Emergency neurological life support: traumatic spine injury

Neurocrit Care. 2012 Sep;17 Suppl 1:S102-11. doi: 10.1007/s12028-012-9759-0.


Traumatic spine injuries (TSIs) carry significantly high risks of morbidity, mortality, and exorbitant health care costs from associated medical needs following injury. For these reasons, TSI was chosen as an ENLS protocol. This article offers a comprehensive review on the management of spinal column injuries using the best available evidence. Though the review focuses primarily on cervical spinal column injuries, thoracolumbar injuries are briefly discussed as well. The initial emergency department clinical evaluation of possible spinal fractures and cord injuries, along with the definitive early management of confirmed injuries, are also covered.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Algorithms
  • Cervical Vertebrae / injuries*
  • Decompression, Surgical
  • Emergency Medical Services / methods
  • Humans
  • Immobilization / methods
  • Neurologic Examination
  • Paraplegia / diagnosis
  • Paraplegia / etiology
  • Practice Guidelines as Topic
  • Quadriplegia / diagnosis
  • Quadriplegia / etiology
  • Spinal Cord Injuries* / complications
  • Spinal Cord Injuries* / diagnosis
  • Spinal Cord Injuries* / therapy
  • Spinal Injuries* / complications
  • Spinal Injuries* / diagnosis
  • Spinal Injuries* / therapy


  • Adrenal Cortex Hormones