In general, the specific treatment of CSIs lies outside the realm of pediatric emergency medicine. The role of the emergency clinician is predominantly in the identification of injuries. Identification of spinal cord injuries lies in the secondary survey, although cord injuries and immobilization have an impact on the primary survey. All patients with suspected spinal cord injury are, first and foremost, trauma patients, and as such, the priority of treatment remains: airway, breathing, and circulation.
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