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Routine cervical spine immobilisation is unnecessary in patients with isolated cerebral gunshot wounds: A South African experience.

Victor Y KongRoss D WealeBenn SartoriusJohn L BruceGrant L LaingDamian L Clarke
Published in: Emergency medicine Australasia : EMA (2018)
Patients who sustain an isolated low velocity cerebral GSW are highly unlikely to have concomitant CSI. Routine cervical spine immobilisation is unnecessary, and efforts should be directed at management strategies aiming to prevent secondary brain injury. Further studies are required to address the issue in the setting of high velocity GSWs.
Keyphrases
  • brain injury
  • subarachnoid hemorrhage
  • cerebral ischemia
  • clinical practice
  • blood flow
  • quality improvement
  • blood brain barrier