Integument

Decubiti are a major source of morbidity for spinal-cord injured patients, including during the acute postinjury phase. All patients should be removed from the trauma board as soon as they reach the intensive care unit to avoid the formation of decubiti, even if the TLS spine has not yet been cleared. Patients should be turned frequently in bed. Log-roll precautions should be maintained until spine clearance is obtained. In problematic cases, special rotatory beds may be used to nurse spinal-cord injury patients. These beds also improve respiratory function by rotating the dependent portions of the lungs.

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