Episode 62 - Cervical Spine Injuries- An Interview with Dr. Jara-Alamonte

Emergency department management of cervical spine injuries is discussed, addressing the surprisingly high incidence of such injuries in the U.S. compared to other industrialized nations. Dr. Jara-Alamonte, Assistant Resident Director for the Sinai EM Residency, explains the critical distinction between stable and unstable injuries, emphasizing the importance of identifying potential spinal canal compromise. The conversation covers pre-hospital care controversies, advocating for selective spinal immobilization based on assessment tools like the Nexus criteria. The discussion highlights the need to differentiate between neurogenic and hemorrhagic shock in hypotensive patients with spinal cord injuries. The role of imaging, particularly CT angiography for vascular injuries, and the nuances of managing pediatric cervical spine injuries are also addressed.