Citation

Sjeklocha L, Gatz JD. Emerg. Med. Clin. North Am. 2021; 39(1): 1-28.

Copyright

(Copyright © 2021, Elsevier Publishing)

DOI

10.1016/j.emc.2020.09.001

PMID

33218651

Abstract

Both blunt and penetrating trauma can cause injuries to the peripheral and central nervous systems. Emergency providers must maintain a high index of suspicion, especially in the setting of polytrauma. There are 2 major classifications of peripheral nerve injuries (PNIs). Some PNIs are classically associated with certain traumatic mechanisms. Most closed PNIs are managed conservatively, whereas sharp nerve transections require specialist consultation for urgent repair. Spinal cord injuries almost universally require computed tomography imaging; some require emergent magnetic resonance imaging. Providers should work to minimize secondary injury. Surgical specialists are needed for closed reduction, surgical decompression, or stabilization.

Language: en

Keywords

Trauma; Neurogenic shock; Peripheral nerve injury; Secondary injury; Spinal cord injury