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Fig. 1 | World Journal of Emergency Surgery

Fig. 1

From: Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)

Fig. 1

Consensus flowchart. (1) intubation, mechanical ventilation, hemodynamic support, extraspinal surgery/interventional radiology for bleeding control, etc. (2) In case of difficult intraoperative bleeding control, lower values could be tolerated for the shortest possible time. (3) higher values in patients "at risk" (e.g., elderly and/or with limited cardiovascular reserve because of pre-existing heart disease, etc.). (4) if available (e.g., TEG, ROTEM, etc.). (5) as utilized in NABISC I-III studies. (6) in order to determine the severity of spinal cord damage and aid in surgical decision making. (7) decompression and/or stabilization. tSCI = Traumatic spinal cord injury, CT = Computed tomography, MRI = Magnetic resonance imaging, MAP = Mean arterial pressure, Hb = Hemoglobin, PaO2 = Arterial partial pressure of oxygen, PaCO2 = Arterial partial pressure of carbon dioxide, PLT = Platelet, PT = Prothrombin time, aPTT = Activated partial thromboplastin time, POC = Point-of-care, P = Plasma, RBC = Red blood cell, MT = Massive transfusion, DVT = Deep vein thrombosis, IPCD = Intermittent pneumatic compression device

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World Journal of Emergency Surgery

ISSN: 1749-7922