Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 9

Impact of Compliance of Pre-hospital Care on the Evolution of Cervical Spine Trauma in Tlemcen

Sidi Mohammed Medjadi*

Department of Anesthesia and Intensive Care, Aboubekr Belkaïd University, Tlemcen, Algeria

*Corresponding Author: Sidi Mohammed Medjadi, Department of Anesthesia and Intensive Care, Aboubekr Belkaïd University, Tlemcen, Algeria.

Received: June 29, 2022; Published: August 29, 2022

Abstract

Objectives: The main objective of our work is to observe the compliance of actions and care provided during the pre-hospital phase in traumatized patients of the cervical spine in the wilaya of Tlemcen (Algeria), and its impact on the evolution of these.

Patients and Methods: Exhaustive descriptive-type study with prospective collection, carried out over a period of three and a half years at the level of several structures of the Tlemcen University Hospital, namely medico-surgical emergencies, multipurpose resuscitation and neurosurgery departments. It focuses on cervical spine trauma patients treated from the scene of the accident to the neurosurgery and/or medico-surgical intensive care unit at Tlemcen University Hospital. All were admitted for cervical spine trauma, whatever the level reached, whatever the mechanism of the accident, whatever the treatment decision, with or without neurological lesions, with or without signs of seriousness on admission and over 16 years of age.

Results: The frequency of patients having benefited from non-medicalized transport called "sanitary" was 57.04%, compared to 14.06% in medicalized ambulances and 28.90% had arrived at the medical and surgical emergencies via a private vehicle. A large majority of the injured (66.40%) passed through one or more hospital structures before arriving at the medical and surgical emergencies department of the Tlemcen University Hospital (n = 85). 57% (n = 73) were evacuated to a single hospital structure (PHE or LPHE) before being transferred to our level. The rest of the patients had passed through two, three, or even up to four (04) hospitals before their evacuation. The length of stay in a hospital structure before admission to Tlemcen University Hospital was variable in the 66.40% of patients concerned (n = 85), with extremes ranging from 15 min to 28,800 min.

Conclusion: Data from the literature show that it is difficult to determine who is responsible for the neurological deterioration, whether it is because of more serious initial lesions or because of the more frequent appearance of secondary lesions of the ACSO type. Knowing that we fight the same fight when it comes to aggression of the brain and the marrow (ACSO = AMSO). The quality of pre-hospital care is one of the fundamental factors in improving the vital and functional prognosis of these patients.

Keywords: Cervical Spine; Trauma; Pre-hospital Care; Medical Transport; Duration

References

  1. “Prise en charge d’un blessé adulte présentant un traumatisme vertébromédullaire”. Conférence d’experts SFAR (2003).
  2. Faure A., et al. “Prise en charge immédiate et démarche clinique: Les traumatismes récents du rachis cervical inférieur”. Revue de Chirurgie Orthopédique et Réparatrice De L'appareil Moteur5 (2002): 1S114-1S118.
  3. Coleman WP and Geisler FH. “Injury severity as primary predictor of outcome in acute spinal cord injury: retrospective results from a large multicenter clinical trial”. The Spine Journal 4 (2004): 373-378.
  4. Podolsky S., et al. “Efficacy of cervical spine immobilization methods”. The Journal of Trauma6 (1983): 461-465.
  5. SWAIN A., et al. “Trauma of the spine and spinal cord”. BMJ: British Medical Journal 301 (1990): 34-38.
  6. Casha S and Christie S. “A systematic review of intensive cardiopulmonary management after spinal cord injury”. Journal of Neurotrauma8 (2011): 1479-1495.
  7. Allen JB., et al. “A mechanistic classification of closed, indirect fractures and dislocations of the lower cervical spine”. Spine 1 (1982): 1-27.
  8. Seltzer S., et al. “Prise en charge pré hospitalière des traumatismes du rachiscervical”. Urgences. Cours supérieurs et mises au point SFUM Arnette, Paris. (2001): 49-59.
  9. Consensus canadien sur les lignes directrices en matière de premiers soins et de RCR. (2016).
  10. Ankelf and Roenigsberg M. “Pre hospital care in Chicago”. Journal Européen des Urgences et de Réanimation 5 (1992): 235-242.
  11. Harvey S., et al. “Severe head injury in children: experience of the Traumatic Coma Data Bank”. Neurosurgery3 (1992): 435-444.
  12. Bleichnerg Maneph Desboudard. “Enquête sur le fonctionnement des services d’accueil et d’urgence de 260hôpitaux Réanimation”. Soins intensifs Med Urg 6.1 (1990): 31-37.
  13. Calonb Launoy A. OCQUIDANT ph, AHOPUDEAUG, GENGEN – WIN N, GEARTNERE”. Poly traumatismes et personnes ages Cah. Anesthesia 4 (1997): 535-553.
  14. “Le polytraumatisé Manuel d’anesthésie de réanimation et d’urgence”. Elsevier Masson II Edition. (2002).
  15. Joseph Synèse Bemora., et al. “139 cas de traumatisme du rachis hospitalisés et pris en charge dans le service de neurochirurgie du CHUJRA Madagascar”. The Pan African Medical Journal 26 (2017):
  16. Beyiha G., et al. “Aspects épidémiologiques des traumatismes du rachis au Cameroun: à propos de 30 cas”. Journal maghrébin d'anesthésie-réanimation et de médecine d'urgence65 (2008): 258-261.
  17. Kpelaoa A., et al. “Challenge of the management of severe trauma of cervical spine in sub-developed country”. Dakar, Sénégal Neurosurgery 59 (2013): 11-114.
  18. Gerling MC., et al. “Effects of cervical spine immobilization technique and laryngoscope blade selection on an unstable cervical spine in a cadaver model of intubation”. Annals of Emergency Medicine4 (2000): 293-300.
  19. De Lorenzo RA., et al. “Optimal positioning for cervical immobilization”. Annals of Emergency Medicine3 (1996): 301-308.
  20. Toscano Joseph. “Prevention of neurological deterioration before admission to a spinal cord injury unit”. Paraplegia3 (1988): 143-150.
  21. Theodore N., et al. “Prehospital cervical spinal immobilization after trauma”. Neurosurgery 72 (2013): 22-34.
  22. Tator CH. “Review of treatment trials in humanspinal cord injury: Issues, difficulties, and recommendations”. Neurosurgery5 (2006): 957-987.
  23. PM LOEMBE., et al. “Fractures et luxations du rachis cervical inferieur (c3-c7) attitudes therapeutiques au gabon”. Médecine d'Afrique Noire 11 (1998).
  24. Pierre Bouzat Jean-François Payen-Pôle. “SFAR Anesthésie Réanimation”. CHU de Grenoble 38000. (2014).
  25. Hassid VJ., et al. “Definitive establishment of airway control is critical for optimal outcome in lower cervical spinal cord injury”. Journal of Trauma and Acute Care Surgery6 (2008): 1328-1332.
  26. KHOUDIR Ouahiba and ZENATI Lydia. “Rachis cervical inferieur post traumatique”. Etude rétrospective à propos de 41 cas. 27/05/2017 (Tasdawit n Bgayet, Université de Bejaïa ).
  27. Habbab Adil. “Prise en charge du rachis cervical traumatique en milieu de réanimation chirurgicale à l’hôpital militaire Avicenne- Marrakech (à propos de 20 cas)”. (2016).
  28. Hu R., et al. “Epidemiology of incident spinal fracture in a complete population”. Spine4 (1996): 492-499.
  29. DesPlaines I. “Committee on Injury Scaling, Association for the advancement of automotive medicine”. The abbreviated injury scale (1990).
  30. Thompson WL., et al. “Association of injury mechanism with the risk of cervical spine fractures”. Canadian Journal of Emergency Medicine1 (2009): 14-22.

Citation

Citation: Sidi Mohammed Medjadi. “Impact of Compliance of Pre-hospital Care on the Evolution of Cervical Spine Trauma in Tlemcen”.Acta Scientific Medical Sciences 6.9 (2022): 116-122.

Copyright

Copyright: © 2022 Sidi Mohammed Medjadi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

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