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Spinal Cord Injury, SCI, Traumatic — Goals and Metrics — Clinical Pathway: Emergency and Inpatient

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

 

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