Pre-and In-hospital First Aid Programs and Specifications for Spine and Spinal Cord Injury in Beijing of China
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To establish a spine injury and spinal cord injury (SCI) treatment database; to complete pre- and in-hospital evaluation of spine injury and SCI, develop and optimize first aid procedures, form pre-and in-hospital standardized training program for the treatment of spine injury and SCI; to develop first aid guidelines and establish an evaluation and treatment system for early surgery, as far as possible to save the spinal cord function and reduce the degree of disability; to form expert consensus on acute SCI and "green channel" patterns, will be promoted in hospitals in Beijing and other cities of China, so as to improve the level of first aid treatment of acute spine injury and SCI in Chinese cities, and to reduce the occurrence of secondary injury and severe dysfunction due to improper treatment.
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Ages Eligible for Study:
16 Years to 85 Years (Child, Adult, Older Adult)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
To recruit acute SCI patients undergoing pre-hospital treatment in the Beijing Emergency Medical Center and Beijing Red Cross Emergency Rescue Center, and receiving in-hospital treatment in the Peking University People's Hospital, Peking University Third Hospital, Beijing Friendship Hospital Affiliated to Capital Medical University, Chaoyang Hospital Affiliated to Capital Medical University, and Chinese PLA General Hospital, China.
Spinal cord injury patients will be evaluated as complete or incomplete (contusion) after admission using rectal examination, in accordance with American Spinal Injury Association and International Medical Society of Paraplegia (2000);
Final diagnosis by spine CT and/or MRI;
Cervical, thoracic and thoracolumbar fracture dislocation or without fracture dislocation but combined with spinal cord injury;
No other injury involving life, injury severity score < 16;
No anesthesia contraindication;
No local skin infection, no severe soft tissue contusion, soft tissue condition of the operation area met the operation requirements;
Age: 16-85 years old, irrespective of sex.
Active or recent severe infection
Severe infectious diseases that need to be treated in infectious disease hospital;
History of mental illness;
History of metal allergy;
Long-term alcohol abuse and drug abuse;
Do not agree to participate in this trial; the legal representative of the patient refuses to sign informed consent;
Poor compliance, cannot be followed up as required.