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Steroids in Spinal Cord Injury

bensonblues at comcast.net bensonblues at comcast.net
Thu Apr 24 05:46:28 BST 2008 

This is the philosophy that guides my practice in the ED:

Steroids are most likely insalubrious in the patient with spinal cord transection. Steroids may have a role in the acutely contused spinal cord, but mild local hypothermia is probably better. The NIH study in rats that led to this mess is probably not reproducible. Likewise, steroids are most likely insalubrious in the patient with CNS axonal disruption, and probably contusion, and most certainly hemorrhage. 

I only give steroids in any of the above situations if the consulting specialist tells me to. Not many of them tell me to. It is a waste of money and nursing resource, and wastes time.

DB

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