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Correspondence
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Volume 345:1134-1135 October 11, 2001 Number 15
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Traumatic Cervical-Spine Disruption

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To the Editor: We describe the clinical course of a patient who sustained a traumatic cervical cord injury while driving under the influence of alcohol. His care emphasizes the importance of following strict guidelines in declaring a patient brain-dead.

A 22-year-old man was ejected from his car after a high-speed chase by police. Paramedics found the patient pulseless and initiated cardiopulmonary resuscitation.

On his arrival at the emergency department, the patient regained a spontaneous pulse but had profound hypotension. His score on the Glasgow Coma Scale was 3 (i.e., no eye opening, no verbal output, and no motor activity). Radiographs . . . [Full Text of this Article]

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