CNS injury management

The essence of acute CNS injury management is to minimize secondary injury related to hypoxia, hypoperfusion, & further mechanical damage (such as evacuating a subdural hematoma causing mass effect & herniation).

Acute spinal cord injury management involves:

  1. Spine immobilization.
  2. Airway management if necessary.
  3. Maintaining spinal cord perfusion (which may be exacerbated by traumatic hemorrhage and/or spinal shock).
  4. Surgical intervention to relieve spinal cord compression and/or vertebral deformities.

Acute brain injury management focuses on:

  1. Airway management.
  2. Cervical spine immobilization (due to the high frequency of concomitant head & neck injuries).
  3. Maintaining cerebral perfusion.
  4. Medical therapies to control symptomatic brain edema (hyperventilation, hyperosmotic therapy).
  5. Surgical intervention to place ventricular drains/intracranial pressure monitors, remove foreign objects, fix skull deformities, or to relieve brain compression (for example- hematoma removal, hemicraniectomy).