OBJECTIVE: The objective of this study was to identify clinical findings that are associated with @entity174 and/or @entity1566 in prehospital @entity130 @entity1 . METHODS: A retrospective chart review was performed at three tertiary referral centers in Southeastern Michigan. All charts of @entity1 with @entity174 or @entity1566 during 1992 and 1993 were reviewed. @entity1 with available prehospital records were included in the study analysis. Prehospital data points included documentation of @entity542 ; altered mental status; @entity51 ; evidence of intoxication; cervical, thoracic, and lumbar @entity158 or @entity925 ; nonspecified @entity615 or @entity925 ; and a narrative for all other documented injuries. Hospital data collected included type and level of @entity3510 and age and sex of the @entity1 . RESULTS: Of 867 @entity130 @entity1 identified, 536 were excluded, leaving 346 analyzable fractures in 331 @entity1 . The 346 @entity174 / @entity1566 were distributed as: 100 (29%) cervical, 83 (24%) thoracic, 128 (37%) lumbar, and 35 (10%) sacral. Prehospital documentation of altered mental status, @entity51 , evidence of intoxication, @entity158 , or suspected extremity @entity174 was found for every @entity1 with a cervical @entity130 , 82/83 @entity1 with @entity764 (99%), and 124/128 @entity1 with @entity130 (97%). All five @entity1 who were not documented as having one of the predictors had stable injuries. CONCLUSION: Prehospital clinical findings of altered mental status, @entity51 , evidence of intoxication, @entity158 , and suspected extremity @entity174 were documented for all @entity1 with significant @entity3510 in this series. These findings may be useful to identify @entity1 who require prehospital spinal immobilization.

Prehospital clinical findings associated with XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity3510 :: ('MESH:D013124', 'Disease') :: ['spinal injury', 'spinal injuries'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture', 'spinal fracture', 'spinal fractures'] @entity542 :: ('MESH:D006259', 'Disease') :: ['head injury'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurologic deficit'] @entity615 :: ('MESH:D001416', 'Disease') :: ['back pain'] @entity764 :: ('MESH:D013898', 'Disease') :: ['thoracic injuries'] @entity158 :: ('MESH:D010146', 'Disease') :: ['spinal pain', 'pain'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injuries'] @entity925 :: ('MESH:D063806', 'Disease') :: ['tenderness'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma', 'injury', 'lumbar injuries']
@entity3510 :: (MESH:D013124,Disease) :: ['spinal injury']
