Organ donation and transplantation are important and lifesaving procedures.The complexities of management include determination of death, communication with families, pre-procurement optimization of potential donors, and bereavement support for families.
Time is of the essence in management of intracranial hemorrhage and subarachnoid hemorrhage. The longer it takes to make the diagnosis and initiate treatment, whether it is surgical intervention or simply aggressive primary stabilization, the greater the risk to the patient regarding both morbidity and mortality.
The spinal cord, although well protected, can be injured in a variety of ways, including motor vehicle collisions and sporting events. The inability of the neurons to regenerate, and their sensitivity to anoxia and hypoperfusion, makes the timely diagnosis and treatment of spinal cord injury imperative to preserve as much function as possible. This article will cover the basic epidemiology, physiology, and treatments for spinal cord injury in an attempt to prepare the reader to manage these complex injuries.