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Role of Steroids in Spinal Cord Inj

Rob Ojala Rob.Ojala at cdhb.govt.nz
Thu Nov 4 00:01:33 GMT 2010


Perhaps that should read - there is no proven role for steroids?
Rob

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Gross, Ronald
Sent: Wednesday, 3 November 2010 4:46 p.m.
To: 'Trauma-List [TRAUMA.ORG]'; Paramedicine at yahoogroups.com;
EMS-L at EMS-L.org; ems_research at yahoogroups.com
Subject: RE: Role of Steroids in Spinal Cord Inj

Simply put - there is NO ROLE for steroids.  Period.

Ron


-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of James Richardson
Sent: Tuesday, November 02, 2010 10:09 PM
To: Paramedicine at yahoogroups.com; 'Trauma-List [TRAUMA.ORG]';
EMS-L at EMS-L.org; ems_research at yahoogroups.com
Subject: Role of Steroids in Spinal Cord Inj

I know it's opening Pandora's box again but can someone share what the
current standard is regarding use of steroids' in spinal cord injury?
 
Case is a 13 year old male ice hockey injury stable with t-spine
tenderness
and weakness in one leg being transferred from a rural level 3 to an
urban
level 1 neuro / spine center about 4 hours ground inter-facility
transport. 
 
ER physician and the trauma surgeon at the level 3 were against starting
steroids prior to the transfer but the Neurologist at the receving level
1
"required" a solu-medrol drip be started for the transfer which we did
and
upon arriving at the receiving center we were asked by the ER doc there
"why
is the child on a solu-medrol drip?"
 
I thought my most recent readings were no benefit found, but have things
changed again?
 
Thanks Jim<
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