Spinal Cord Injury (SCI) Clinical Pathway — Emergency Department and ICU
Spinal Cord Injury (SCI) Clinical Pathway — Emergency Department and ICU
Goals
To assist in standardizing the diagnosis and management of traumatic spinal cord injuries with a focus on:
- Providing appropriate imaging, medical and nursing interventions, and activity restrictions
- Decreasing complication rates
Metrics
Cohort
- All patients presenting with a traumatic mechanism with physical exam findings or imaging concerning for spinal cord injury
- All patients with confirmed spinal cord injuries
Does not include patients with isolated vertebral bony injuries or transient neurological deficits without associated finding on imaging.
Decrease
- Mortality
- CAUTIs
- Pressure Ulcers
- Time to PT, OT and rehab consults
Increase
- Compliance with Neurogenic Bowel and Bladder Care regimens