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Thu Jan 19 11:32:34 GMT 2006

For UK practitioners, you may wish to note the medical consensus and position statement of the UK SCI Consultant body - The British Association of Spinal Cord Injury Specialists (www.bascis.pwp.blueyonder.co.uk.

Quote:
Highly publicised studies have suggested that high dose Methylprednisolone therapy is an essential treatment in most cases of spinal cord injury in spite of important related clinical complications. In common with clinicians in other countries BASCIS has carefully evaluated the information now available. The published evidence does not support the use of high dose Methylprednisolone as a standard treatment in acute spinal cord injury. 

Key point: Your local Spinal Injuries Centre will always be ready to give advice and provide support concerning any matter related to the management of patients with spinal injuries. Please do not hesitate to pick up the telephone to discuss your patient prior to referral and/or transfer to your Regional Spinal Injuries Centre.

Paul Harrison
Clinical Development Officer
Princess Royal Spinal Injuries Centre
Sheffield, UK

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Karim Brohi
Sent: 19 January 2006 01:31
To: 'Trauma &amp; Critical Care mailing list'
Subject: ATLS 2nd printing modifies steroid in SCI guidelines

Well, looks like there has been a little shift in direction with the latest ATLS printing - and I'd like to think that the
trauma-list and Trauma.org had something to do with this.

There are now 69 signatories to our open letter to the COT
(http://beta.trauma.org/traumawiki/index.php?title=Steroids_for_SCI_open_letter)

Sign up if you haven't already (if you believe the evidence as presented:)
http://beta.trauma.org/traumawiki/index.php?title=Steroids_in_spinal_cord_injury

Karim

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ATLS 2nd printing modifies steroid in SCI guidelines