risks associated with magnetic resonance imaging and cervical collar in comatose, blunt trauma patients with negative comprehensive cervical spine computed tomography and no apparent spinal deficit风险与磁共振成像和颈领在昏迷,腹部钝伤患者负全面的颈椎ct和没有明显脊髓赤字.pdfVIP
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risks associated with magnetic resonance imaging and cervical collar in comatose, blunt trauma patients with negative comprehensive cervical spine computed tomography and no apparent spinal deficit风险与磁共振成像和颈领在昏迷,腹部钝伤患者负全面的颈椎ct和没有明显脊髓赤字
Available online /content/12/4/R89
Vol 12 No 4 Open Access
Research
Risks associated with magnetic resonance imaging and cervical
collar in comatose, blunt trauma patients with negative
comprehensive cervical spine computed tomography and no
apparent spinal deficit
1 2 3 4
C Michael Dunham , Brian P Brocker , B David Collier and David J Gemmel
1Trauma/Critical Services, St. Elizabeth Health Center, Level I Trauma Center, Belmont Avenue, Youngstown, Ohio 44501, USA
2Neurosurgery, St. Elizabeth Health Center, Level I Trauma Center, Belmont Avenue, Youngstown, Ohio 44501, USA
3Radiology, St. Elizabeth Health Center, Level I Trauma Center, Belmont Avenue, Youngstown, Ohio 44501, USA
4Medical Research, St. Elizabeth Health Center, Level I Trauma Center, Belmont Avenue, Youngstown, Ohio 44501, USA
Corresponding author: C Michael Dunham, dunham.michael@
Received: 23 Apr 2008 Revisions requested: 27 May 2008 Revisions received: 24 Jun 2008 Accepted: 14 Jul 2008 Published: 14 Jul 2008
Critical Care 2008, 12:R89 (doi:10.1186/cc6957)
This article is online at: /content/12/4/R89
© 2008 Dunham et al.; licensee BioMed Central Ltd.
This is an open access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction In blunt trauma, comatose patients (Glasgow to 14.6% for secondary brain injury with MRI transportation; and
Coma Scale score 3 to 8) with a negative comprehensive 20.6% for aspiration during MRI scanning (supine position).
cervical spine (CS) computed tomography assessme
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