Spinal Cord Injury

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Spinal Cord Injury

Progression

  • When did disease process start
  • Initial versus subsequent visit

Location

  • Vertebral segment injured, including any disc displacement or fracture to vertebrae-displaced posterior arch fracture of C1 with spinal cord injury, etc.

Acuity

  • Acute or chronic

Name

  • Type of injury:
    • Concussion and edema (second impact syndrome)
    • Complete lesion
    • Central or anterior cord syndrome
    • Etiology, severity, degree, type

Necessary Procedures

  • As indicated

Other

  • If with or without cord damage and with or without fracture (specify site)
  • Also if with paroxysmal hypertension, organ dysfunction, neurogenic bladder, paralysis (specify type and site)

Why

  • Trauma-list each site and type of injury