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PHARM Podcast 128 : Are you going soft? with Dr Stephen Rashford

@ketaminh @Andywebster soft collar provides some comfort and support BUT primarily a marker the spine is not cleared. — Dr Stephen Rashford (@QASMedDirector) November 18, 2015 //platform.twitter.com/widgets.js Hi Folks On today's show, I talk with Dr Stephen Rashford, an emergency physician in Brisbane, Queensland, Australia and also Medical Director of the Queensland Ambulance service(QAS). Earlier…  
prehospitalmed.com
almost 5 years ago
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Canadian C-Spine Rule by Dr. Ian Stiell

In memory of Dr John Hinds  
prehospitalmed.com
almost 5 years ago
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Ambulatory Surgery Trends in Disc Disorders, Spinal Stenosis

A new study examines the practice patterns of ambulatory spine surgery for intervertebral disc disorders and spinal stenosis. What are the trends?  
medscape.com
almost 5 years ago
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FOAM Eye Catchers 11: C spine collars dumped

Following this in October 2014, PHARM reported that the entire Queensland Ambulance Service (QAS) would in 2015 be ceasing the use of hard cervical collars.This was confirmed, when in December QAS released their rationale for the change, explaining why they would be replacing hard collars with soft collars. Their cervical collar procedures policy, released in February, is provided here. They are following the lead of their state-wide tertiary referral centre for spinal injuries, the Princess Alexandra Hospital, who abandoned hard collars in 2009 and have had no adverse outcomes as a result with an attendant significant reduction in complications.  
emergucate.com
almost 5 years ago
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Management of lumbar spinal stenosis

Lumbar spinal stenosis (LSS) affects more than 200 000 adults in the United States, resulting in substantial pain and disability. It is the most common reason for spinal surgery in patients over 65 years. Lumbar spinal stenosis is a clinical syndrome of pain in the buttocks or lower extremities, with or without back pain. It is associated with reduced space available for the neural and vascular elements of the lumbar spine. The condition is often exacerbated by standing, walking, or lumbar extension and relieved by forward flexion, sitting, or recumbency. Clinical care and research into lumbar spinal stenosis is complicated by the heterogeneity of the condition, the lack of standard criteria for diagnosis and inclusion in studies, and high rates of anatomic stenosis on imaging studies in older people who are completely asymptomatic. The options for non-surgical management include drugs, physiotherapy, spinal injections, lifestyle modification, and multidisciplinary rehabilitation. However, few high quality randomized trials have looked at conservative management. A systematic review concluded that there is insufficient evidence to recommend any specific type of non-surgical treatment. Several different surgical procedures are used to treat patients who do not improve with non-operative therapies. Given that rapid deterioration is rare and that symptoms often wax and wane or gradually improve, surgery is almost always elective and considered only if sufficiently bothersome symptoms persist despite trials of less invasive interventions. Outcomes (leg pain and disability) seem to be better for surgery than for non-operative treatment, but the evidence is heterogeneous and often of limited quality.  
feeds.bmj.com
over 4 years ago
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Management of lumbar spinal stenosis

Lumbar spinal stenosis (LSS) affects more than 200 000 adults in the United States, resulting in substantial pain and disability. It is the most common reason for spinal surgery in patients over 65 years. Lumbar spinal stenosis is a clinical syndrome of pain in the buttocks or lower extremities, with or without back pain. It is associated with reduced space available for the neural and vascular elements of the lumbar spine. The condition is often exacerbated by standing, walking, or lumbar extension and relieved by forward flexion, sitting, or recumbency. Clinical care and research into lumbar spinal stenosis is complicated by the heterogeneity of the condition, the lack of standard criteria for diagnosis and inclusion in studies, and high rates of anatomic stenosis on imaging studies in older people who are completely asymptomatic. The options for non-surgical management include drugs, physiotherapy, spinal injections, lifestyle modification, and multidisciplinary rehabilitation. However, few high quality randomized trials have looked at conservative management. A systematic review concluded that there is insufficient evidence to recommend any specific type of non-surgical treatment. Several different surgical procedures are used to treat patients who do not improve with non-operative therapies. Given that rapid deterioration is rare and that symptoms often wax and wane or gradually improve, surgery is almost always elective and considered only if sufficiently bothersome symptoms persist despite trials of less invasive interventions. Outcomes (leg pain and disability) seem to be better for surgery than for non-operative treatment, but the evidence is heterogeneous and often of limited quality.  
feeds.bmj.com
over 4 years ago
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Motor Control Exercises Help Ease Lower Back Pain

This type of exercise, which strengthens muscles supporting the spine, reduces pain but is not superior to other exercise interventions.  
medscape.com
over 4 years ago
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Shorter Radiotherapy OK for Metastatic Epidural Spine Compression

In patients with metastatic epidural spinal cord compression (MESCC) and expected poor survival, a one-week course of radiotherapy (RT) is not significantly inferior to a two-week course, researchers say.  
medscape.com
over 4 years ago
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Characteristics of Elderly Spine Injuries After Car Crashes

A new study provides insight into the incidence and crash characteristics of thoracic and lumbar spine injuries sustained by elderly individuals in motor vehicle accidents.  
medscape.com
over 4 years ago
Beeaebd1818da1ee117791f917e152d70c9795619160898634431754
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Spine pain

What Texting Can Do To Your Spine  
Shaan E Elahi
over 4 years ago
592a1ea5fbd14e39eba5d8c036a6dde746d24e344444975669787149
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What Texting Can Do To Your Spine

What Texting Can Do To Your Spine : http://freeapkbank.blogspot.com/2016/01/what-texting-can-do-to-your-spine.html  
Shaan E Elahi
over 4 years ago
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Imaging Case of the Week 191 Answer

The lateral c-spine x-ray shows the pars interarticularis fracture of the C2 vertebra, which is also known as the Hangman’s fracture. There is anterior subluxation of C2 over C3.  
emergucate.com
over 4 years ago
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Imaging Case of the Week 192

The following lateral lumbar spine x-ray is from a 66 year old with back pain following a fall. What can be seen?With thanks to Dr. John Larkin for the image.  
emergucate.com
over 4 years ago
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Evidence-Based Recommendations for Spine Surgery

This article offers a brief summary of some of the latest evidence-based research regarding the treatment of spinal conditions.  
medscape.com
over 4 years ago
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Imaging Case of the Week 192 Answer

The lateral view of the lumbar spine x-ray shows a wedge compression fracture of the L1 vertebra. The interesting feature here is the presence of a lucency in the vertebral body. Could it be a pathological fracture?  
emergucate.com
over 4 years ago
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Regional or general anaesthesia for hip fracture surgery in adults | Cochrane

Background: The majority of people with hip fracture are elderly and are treated surgically, which requires anaesthesia. The fracture usually results from a simple fall. These patients often have many other medical problems associated with ageing, which places them at high risk of mortality after anaesthesia. The most common types of anaesthesia are 'general' and 'regional anaesthesia'. General anaesthesia involves a loss of consciousness (induced sleep). Regional anaesthesia involves an injection of a solution containing local anaesthetic inside the spine (neuraxial block) or around the nerves outside the spine (peripheral nerve block) to prevent pain in the leg with the hip fracture. We reviewed the evidence about the effect of regional anaesthesia on patients undergoing surgery for hip fracture.  
cochrane.org
over 4 years ago
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Imaging Case of the Week 194

The following cervical spine images are from a teenager who has neck pain following a punch to the face. What can be noted?Answer will be posted on 02/03/2016.  
emergucate.com
over 4 years ago
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Imaging Case of the Week 194 Answer

The lateral cervical spine x-ray shows pre-vertebral air. The C-spine AP view shows streaks of air in the superior mediastinum. There is no cervical spine fracture.  
emergucate.com
over 4 years ago
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spineEOS Online 3D Spine Surgery Planning Software Cleared in Europe |

EOS imaging, a firm based in Paris, France, obtained European approval to introduce its spineEOS online 3D spinal surgery planning software. The software u  
medgadget.com
over 4 years ago