Mholtz: /* Background */

2017-06-28T17:31:51Z

Background

← Older revision		Revision as of 17:31, 28 June 2017
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	*Used to screen for [[vertebral and carotid artery dissection]] and/or injury after blunt head and neck trauma '''(BCVI - blunt cerebrovascular injury)'''<ref>Bromberg, William. et al. Blunt Cerebrovascular Injury Practice Management Guidelines: The Eastern Association for the Surgery of Trauma. J Trauma. 68 (2): 471-7, Feb 2010. </ref><ref>Cothren CC, Moore EE, Biffl WL, et al. Anticoagulation is the gold standard therapy for blunt carotid injuries to reduce stroke rate. Arch Surg. 2004;139:540–545; discussion 545–546. [http://archsurg.jamanetwork.com/data/Journals/SURG/9575/sws3014.pdf PDF]</ref>		*Used to screen for [[vertebral and carotid artery dissection]] and/or injury after blunt head and neck trauma '''(BCVI - blunt cerebrovascular injury)'''<ref>Bromberg, William. et al. Blunt Cerebrovascular Injury Practice Management Guidelines: The Eastern Association for the Surgery of Trauma. J Trauma. 68 (2): 471-7, Feb 2010. </ref><ref>Cothren CC, Moore EE, Biffl WL, et al. Anticoagulation is the gold standard therapy for blunt carotid injuries to reduce stroke rate. Arch Surg. 2004;139:540–545; discussion 545–546. [http://archsurg.jamanetwork.com/data/Journals/SURG/9575/sws3014.pdf PDF]</ref>
	*A CTA to evaluate for VAI should be obtained in those meeting the modified Denver Criteria		*A CTA to evaluate for VAI should be obtained in those meeting the modified Denver Criteria

	*BCVI has the highest association with cervical hyperextension and rotation, hyperflexion, or direct blunt force to head and neck<ref> Biffl WL, Moore EE, Offner PJ, et al. Optimizing screening for blunt cerebrovascular injuries. Am J Surg. 1999;178:517–522.</ref>		*BCVI has the highest association with cervical hyperextension and rotation, hyperflexion, or direct blunt force to head and neck<ref> Biffl WL, Moore EE, Offner PJ, et al. Optimizing screening for blunt cerebrovascular injuries. Am J Surg. 1999;178:517–522.</ref>
			*Most injuries are diagnosed after the development of symptoms secondary to central nervous system ischemia resulting in neurologic morbidity of up to 80% and associated mortality of up to 40%.<ref>Davis JW, Holbrook TL, Hoyt DB, Mackersie RC, Field TO Jr, Shackford SR. Blunt carotid artery dissection: incidence, associated injuries, screening, and treatment. J Trauma. 1990;30:1514–1517</ref>

	*Most injuries are diagnosed after the development of symptoms secondary to central nervous system ischemia resulting in neurologic morbidity of up to 80% and associated mortality of up to 40%.<ref>Davis JW, Holbrook TL, Hoyt DB, Mackersie RC, Field TO Jr, Shackford SR. Blunt carotid artery dissection: incidence, associated injuries, screening, and treatment. J Trauma. 1990;30:1514–1517</ref>
	[[File:BCVI-Algorithm.png\|thumb\|Algorithm for evaluation of BCVI with high risk criteria based on Memphis and Denver Screening Criteria]]		[[File:BCVI-Algorithm.png\|thumb\|Algorithm for evaluation of BCVI with high risk criteria based on Memphis and Denver Screening Criteria]]

Rossdonaldson1: Created page with "==Background== *Used to screen for vertebral and carotid artery dissection and/or injury after blunt head and neck trauma '''(BCVI - blunt cerebrovascular injury)'''B..."

2015-04-19T23:09:47Z

Created page with "==Background== *Used to screen for vertebral and carotid artery dissection and/or injury after blunt head and neck trauma '''(BCVI - blunt cerebrovascular injury)'''<ref>B..."

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==Background==
*Used to screen for [[vertebral and carotid artery dissection]] and/or injury after blunt head and neck trauma '''(BCVI - blunt cerebrovascular injury)'''<ref>Bromberg, William. et al. Blunt Cerebrovascular Injury Practice Management Guidelines: The Eastern Association for the Surgery of Trauma. J Trauma. 68 (2): 471-7, Feb 2010. </ref><ref>Cothren CC, Moore EE, Biffl WL, et al. Anticoagulation is the gold standard therapy for blunt carotid injuries to reduce stroke rate. Arch Surg. 2004;139:540–545; discussion 545–546. [http://archsurg.jamanetwork.com/data/Journals/SURG/9575/sws3014.pdf PDF]</ref>
*A CTA to evaluate for VAI should be obtained in those meeting the modified Denver Criteria

*BCVI has the highest association with cervical hyperextension and rotation, hyperflexion, or direct blunt force to head and neck<ref> Biffl WL, Moore EE, Offner PJ, et al. Optimizing screening for blunt cerebrovascular injuries. Am J Surg. 1999;178:517–522.</ref>

*Most injuries are diagnosed after the development of symptoms secondary to central nervous system ischemia resulting in neurologic morbidity of up to 80% and associated mortality of up to 40%.<ref>Davis JW, Holbrook TL, Hoyt DB, Mackersie RC, Field TO Jr, Shackford SR. Blunt carotid artery dissection: incidence, associated injuries, screening, and treatment. J Trauma. 1990;30:1514–1517</ref>
[[File:BCVI-Algorithm.png|thumb|Algorithm for evaluation of BCVI with high risk criteria based on Memphis and Denver Screening Criteria]]

Template:Denver screening criteria background - Revision history

Mholtz: /* Background */

Rossdonaldson1: Created page with "==Background== *Used to screen for vertebral and carotid artery dissection and/or injury after blunt head and neck trauma '''(BCVI - blunt cerebrovascular injury)'''B..."