GDS2008
Forum Elite
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I would say IV methyl prednisone, given that he has signs and symptoms of acute spinal injury.
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| mazinger
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Yes IV steroids before anything else, for example before an MRI...
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| som
Forum Guru
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right
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| study_ing
Forum Fanatic
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nice discussion..just an interesting point i came across..
what helps in reducing damage from brain anoxia?
steroids
hypothermia
none
both
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| GDS2008
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hypothermia
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| msyamp
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Guyz!!!!!!!!!!!!!! I have a doubt. cant this be a DECOMPRESSION SICKNESS after DIVING????? Then the answer would be hyperbaric oxygen to wash off Nitrogen dissolved in blood. What do you say. It may not be a spinal injury. Even if it is the treatment should be a SURGICAL DECOMPRESSION>
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| som
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I was thinking exactly in the same lines msyamp..thought this was a case of bends..n i picked hyperbaric O2 ,but the expln given is diff...
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| msyamp
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is it ?? is the answer given as steroids?
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| som
Forum Guru
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well, says tht high dose IV steroids(methyl prednisone)given within 8hrs of spinalcord injury has some benefit
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| juanma0
Forum Senior
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It takes about 2 minutes to prepare an ampulle of methylprednisone and give it, that would be my first step in management. As for the brain anoxia hypothermia.
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| humbty
Forum Elite
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He has the clear symptoms of spinal cord compression not of decompression sickness. The diving history is just a distractor in that direction.
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| guayoman
Forum Elite
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I agree. Very localized symptoms. Even has a sensory level at C5. I think decompression would have more systemic events. Different sites of embolization, "the bends" (pain near joints), "the staggers" (vertigo and difficulty breathing).
Dexametasone 10-20 mg IV is the choice I found. I guess any IV steroid will help.
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| som
Forum Guru
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agree with u guys now, thanks all for the nice discussion
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| frank100
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yup
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