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Unknown | 1992-06-06 | 326.8 KB |
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Confidence | Program | Detection | Match Type | Support
|
---|
66%
| dexvert
| OS/2 Installation Package (archive/os2InstallPackage)
| ext
| Supported |
1%
| dexvert
| BeOS Installation Package (archive/beOSInstallPackage)
| ext
| Unsupported |
1%
| dexvert
| Newton Package (archive/newtonPackage)
| ext
| Unsupported |
1%
| dexvert
| Independence War 2 mod Package (other/independenceWar2ModPackage)
| ext
| Unsupported |
100%
| file
| data
| default
|
|
hex view+--------+-------------------------+-------------------------+--------+--------+
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|00000470| 03 00 cf 0b 00 00 38 30 | 00 00 00 01 2a fd 03 00 |......80|....*...|
|00000480| d7 0c 00 00 38 31 00 00 | 00 01 01 0a 04 00 35 13 |....81..|......5.|
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|000004b0| 00 00 00 01 0f 39 04 00 | 5a 0e 00 00 38 35 00 00 |.....9..|Z...85..|
|000004c0| 00 01 69 47 04 00 f7 0c | 00 00 38 36 00 00 00 01 |..iG....|..86....|
|000004d0| 60 54 04 00 64 0e 00 00 | 38 37 00 00 00 01 c4 62 |`T..d...|87.....b|
|000004e0| 04 00 0f 0f 00 00 38 38 | 00 00 00 01 d3 71 04 00 |......88|.....q..|
|000004f0| 0b 0d 00 00 38 39 00 00 | 00 01 de 7e 04 00 d3 0c |....89..|...~....|
|00000500| 00 00 39 30 00 00 00 01 | b1 8b 04 00 60 0d 00 00 |..90....|....`...|
|00000510| 39 31 00 00 00 01 11 99 | 04 00 c4 11 00 00 39 32 |91......|......92|
|00000520| 00 00 00 01 d5 aa 04 00 | 33 0b 00 00 39 33 00 00 |........|3...93..|
|00000530| 00 01 08 b6 04 00 d1 10 | 00 00 39 34 00 00 00 01 |........|..94....|
|00000540| d9 c6 04 00 93 0e 00 00 | 39 35 00 00 00 01 6c d5 |........|95....l.|
|00000550| 04 00 b3 0b 00 00 39 36 | 00 00 00 01 1f e1 04 00 |......96|........|
|00000560| 74 14 00 00 39 37 00 00 | 00 01 93 f5 04 00 d6 0f |t...97..|........|
|00000570| 00 00 39 38 00 00 00 01 | 69 05 05 00 04 0d 00 00 |..98....|i.......|
|00000580| 39 39 00 00 00 01 6d 12 | 05 00 b4 08 00 00 00 00 |99....m.|........|
|00000590| 00 00 00 00 21 1b 05 00 | 00 00 00 00 24 55 6e 69 |....!...|....$Uni|
|000005a0| 71 75 65 5f 49 44 7b 59 | 52 42 31 30 32 30 30 7d |que_ID{Y|RB10200}|
|000005b0| 0d 0a 24 54 69 74 6c 65 | 7b 49 6e 63 69 64 65 6e |..$Title|{Inciden|
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|000005d0| 70 69 6e 65 20 49 6e 6a | 75 72 69 65 73 20 69 6e |pine Inj|uries in|
|000005e0| 20 41 73 73 6f 63 69 61 | 74 69 6f 6e 20 57 69 74 | Associa|tion Wit|
|000005f0| 68 20 42 6c 75 6e 74 20 | 48 65 61 64 20 54 72 61 |h Blunt |Head Tra|
|00000600| 75 6d 61 7d 0d 0a 24 41 | 75 74 68 6f 72 7b 42 61 |uma}..$A|uthor{Ba|
|00000610| 79 6c 65 73 73 2c 20 50 | 0d 0a 52 61 79 2c 20 56 |yless, P|..Ray, V|
|00000620| 47 7d 0d 0a 24 41 66 66 | 69 6c 69 61 74 69 6f 6e |G}..$Aff|iliation|
|00000630| 7b 4d 61 72 69 63 6f 70 | 61 20 4d 65 64 20 43 74 |{Maricop|a Med Ct|
|00000640| 72 2c 20 50 68 6f 65 6e | 69 78 3b 20 45 61 73 74 |r, Phoen|ix; East|
|00000650| 20 43 61 72 6f 6c 69 6e | 61 20 55 6e 69 76 2c 20 | Carolin|a Univ, |
|00000660| 47 72 65 65 6e 76 69 6c | 6c 65 2c 20 4e 43 7d 0d |Greenvil|le, NC}.|
|00000670| 0a 24 4a 6f 75 72 6e 61 | 6c 7b 41 6d 20 4a 20 45 |.$Journa|l{Am J E|
|00000680| 6d 65 72 67 20 4d 65 64 | 7d 0d 0a 24 56 6f 6c 75 |merg Med|}..$Volu|
|00000690| 6d 65 7b 37 7d 0d 0a 24 | 50 61 67 65 7b 31 33 39 |me{7}..$|Page{139|
|000006a0| 2d 31 34 32 7d 0d 0a 24 | 44 61 74 65 7b 4d 61 72 |-142}..$|Date{Mar|
|000006b0| 63 68 20 31 39 38 39 7d | 0d 0a 24 59 42 56 6f 6c |ch 1989}|..$YBVol|
|000006c0| 7b 31 39 39 30 20 59 65 | 61 72 20 42 6f 6f 6b 20 |{1990 Ye|ar Book |
|000006d0| 6f 66 20 45 6d 65 72 67 | 65 6e 63 79 20 4d 65 64 |of Emerg|ency Med|
|000006e0| 69 63 69 6e 65 7d 0d 0a | 24 43 68 61 70 74 65 72 |icine}..|$Chapter|
|000006f0| 7b 32 2d 31 39 7d 0d 0a | 24 59 42 45 64 69 74 6f |{2-19}..|$YBEdito|
|00000700| 72 7b 44 72 2e 20 57 61 | 67 6e 65 72 7d 0d 0a 24 |r{Dr. Wa|gner}..$|
|00000710| 54 61 62 6c 65 7b 7d 0d | 0a 24 43 6f 6d 6d 65 6e |Table{}.|.$Commen|
|00000720| 74 61 74 6f 72 7b 52 2e | 4d 2e 20 4d 63 4e 61 6d |tator{R.|M. McNam|
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|00000740| 70 79 72 69 67 68 74 20 | 28 63 29 20 59 65 61 72 |pyright |(c) Year|
|00000750| 62 6f 6f 6b 20 4d 65 64 | 69 63 61 6c 20 50 75 62 |book Med|ical Pub|
|00000760| 6c 69 73 68 65 72 73 2c | 20 49 6e 63 2e 2c 20 31 |lishers,| Inc., 1|
|00000770| 39 39 30 0d 0a 0d 0a 31 | 39 39 30 20 59 65 61 72 |990....1|990 Year|
|00000780| 20 42 6f 6f 6b 20 6f 66 | 20 45 6d 65 72 67 65 6e | Book of| Emergen|
|00000790| 63 79 20 4d 65 64 69 63 | 69 6e 65 20 28 52 29 0d |cy Medic|ine (R).|
|000007a0| 0a 0d 0a 43 68 61 70 74 | 65 72 20 32 2d 2d 54 72 |...Chapt|er 2--Tr|
|000007b0| 61 75 6d 61 20 45 6d 65 | 72 67 65 6e 63 69 65 73 |auma Eme|rgencies|
|000007c0| 0d 0a 0d 0a 43 72 61 6e | 69 61 6c 2c 20 4e 65 63 |....Cran|ial, Nec|
|000007d0| 6b 2c 20 61 6e 64 20 56 | 65 72 74 65 62 72 61 6c |k, and V|ertebral|
|000007e0| 20 54 72 61 75 6d 61 0d | 0a 0d 0a 2d 2d 2d 2d 2d | Trauma.|...-----|
|000007f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000800| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000810| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000820| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000830| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 0d 0a 49 6e 63 69 64 |--------|-..Incid|
|00000840| 65 6e 63 65 20 6f 66 20 | 43 65 72 76 69 63 61 6c |ence of |Cervical|
|00000850| 20 53 70 69 6e 65 20 49 | 6e 6a 75 72 69 65 73 20 | Spine I|njuries |
|00000860| 69 6e 20 41 73 73 6f 63 | 69 61 74 69 6f 6e 20 57 |in Assoc|iation W|
|00000870| 69 74 68 20 42 6c 75 6e | 74 20 48 65 61 64 20 54 |ith Blun|t Head T|
|00000880| 72 61 75 6d 61 0d 0a 0d | 0a 42 61 79 6c 65 73 73 |rauma...|.Bayless|
|00000890| 20 50 2c 20 52 61 79 20 | 56 47 0d 0a 28 4d 61 72 | P, Ray |VG..(Mar|
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|000008c0| 6f 6c 69 6e 61 20 55 6e | 69 76 2c 20 47 72 65 65 |olina Un|iv, Gree|
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|000008e0| 4a 20 45 6d 65 72 67 20 | 4d 65 64 20 37 3a 31 33 |J Emerg |Med 7:13|
|000008f0| 39 2d 31 34 32 2c 20 4d | 61 72 63 68 20 31 39 38 |9-142, M|arch 198|
|00000900| 39 0d 0a 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |9..-----|--------|
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|00000930| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
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|000009e0| 73 69 6e 67 20 63 65 72 | 76 69 63 61 6c 20 72 61 |sing cer|vical ra|
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|00000bc0| 6f 6e 65 20 6f 66 20 74 | 68 65 20 31 32 32 20 70 |one of t|he 122 p|
|00000bd0| 61 74 69 65 6e 74 73 20 | 77 68 6f 20 77 65 72 65 |atients |who were|
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|00000c10| 79 2e 0d 0a 20 20 20 20 | 20 50 61 74 69 65 6e 74 |y... | Patient|
|00000c20| 73 20 77 69 74 68 20 62 | 6c 75 6e 74 20 68 65 61 |s with b|lunt hea|
|00000c30| 64 20 74 72 61 75 6d 61 | 20 68 61 76 65 20 61 20 |d trauma| have a |
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|00000c60| 0d 0a 73 70 69 6e 65 20 | 69 6e 6a 75 72 79 20 74 |..spine |injury t|
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|00000c80| 68 6f 75 67 68 74 2e 20 | 20 54 68 69 73 20 6c 6f |hought. | This lo|
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|00000d50| 65 6e 74 73 20 69 6e 20 | 74 68 69 73 20 73 65 72 |ents in |this ser|
|00000d60| 69 65 73 20 68 61 64 20 | 63 65 72 76 69 63 61 6c |ies had |cervical|
|00000d70| 20 73 70 69 6e 65 20 69 | 6e 6a 75 72 79 2e 0d 0a | spine i|njury...|
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|00002c80| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
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|00003610| 32 2d 2d 54 72 61 75 6d | 61 20 45 6d 65 72 67 65 |2--Traum|a Emerge|
|00003620| 6e 63 69 65 73 0d 0a 0d | 0a 43 72 61 6e 69 61 6c |ncies...|.Cranial|
|00003630| 2c 20 4e 65 63 6b 2c 20 | 61 6e 64 20 56 65 72 74 |, Neck, |and Vert|
|00003640| 65 62 72 61 6c 20 54 72 | 61 75 6d 61 0d 0a 0d 0a |ebral Tr|auma....|
|00003650| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003660| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003670| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003680| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003690| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 0d 0a |--------|------..|
|000036a0| 50 72 6f 74 6f 63 6f 6c | 2d 44 72 69 76 65 6e 20 |Protocol|-Driven |
|000036b0| 52 61 64 69 6f 6c 6f 67 | 69 63 20 45 76 61 6c 75 |Radiolog|ic Evalu|
|000036c0| 61 74 69 6f 6e 20 6f 66 | 20 53 75 73 70 65 63 74 |ation of| Suspect|
|000036d0| 65 64 20 43 65 72 76 69 | 63 61 6c 20 53 70 69 6e |ed Cervi|cal Spin|
|000036e0| 65 20 49 6e 6a 75 72 79 | 3a 0d 0a 45 66 66 69 63 |e Injury|:..Effic|
|000036f0| 61 63 79 20 53 74 75 64 | 79 0d 0a 0d 0a 4d 69 72 |acy Stud|y....Mir|
|00003700| 76 69 73 20 53 45 2c 20 | 44 69 61 63 6f 6e 69 73 |vis SE, |Diaconis|
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|00003720| 20 52 65 69 6e 65 72 20 | 42 49 2c 20 4a 6f 73 6c | Reiner |BI, Josl|
|00003730| 79 6e 20 4a 4e 2c 20 4d | 69 6c 69 74 65 6c 6c 6f |yn JN, M|ilitello|
|00003740| 20 50 0d 0a 28 55 6e 69 | 76 20 6f 66 20 4d 61 72 | P..(Uni|v of Mar|
|00003750| 79 6c 61 6e 64 20 4d 65 | 64 20 53 79 73 74 65 6d |yland Me|d System|
|00003760| 2f 48 6f 73 70 29 0d 0a | 52 61 64 69 6f 6c 6f 67 |/Hosp)..|Radiolog|
|00003770| 79 20 31 37 30 3a 38 33 | 31 2d 38 33 34 2c 20 4d |y 170:83|1-834, M|
|00003780| 61 72 63 68 20 31 39 38 | 39 0d 0a 2d 2d 2d 2d 2d |arch 198|9..-----|
|00003790| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000037a0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000037b0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000037c0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000037d0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 0d 0a 0d 0a 41 62 73 |--------|-....Abs|
|000037e0| 74 72 61 63 74 0d 0a 0d | 0a 20 20 20 20 20 54 68 |tract...|. Th|
|000037f0| 65 20 41 6d 65 72 69 63 | 61 6e 20 43 6f 6c 6c 65 |e Americ|an Colle|
|00003800| 67 65 20 6f 66 20 53 75 | 72 67 65 6f 6e 73 20 72 |ge of Su|rgeons r|
|00003810| 65 63 6f 6d 6d 65 6e 64 | 73 20 72 6f 75 74 69 6e |ecommend|s routin|
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|00003840| 66 72 6f 6d 20 43 31 20 | 74 6f 20 43 37 20 66 6f |from C1 |to C7 fo|
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|000038b0| 6f 6d 6f 67 72 61 70 68 | 79 20 28 43 54 29 20 77 |omograph|y (CT) w|
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|00003920| 31 39 2d 6d 6f 6e 74 68 | 20 70 65 72 69 6f 64 2e |19-month| period.|
|00003930| 20 20 54 68 65 20 70 61 | 74 69 65 6e 74 73 20 72 | The pa|tients r|
|00003940| 65 70 72 65 73 65 6e 74 | 65 64 20 61 20 31 30 25 |epresent|ed a 10%|
|00003950| 20 73 61 6d 70 6c 65 20 | 6f 66 20 74 72 61 75 6d | sample |of traum|
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|00003980| 20 20 20 20 49 6e 20 32 | 33 35 20 70 61 74 69 65 | In 2|35 patie|
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|000039a0| 77 61 73 20 72 65 71 75 | 65 73 74 65 64 20 62 65 |was requ|ested be|
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|00003a30| 6f 63 65 73 73 20 66 72 | 61 63 74 75 72 65 20 77 |ocess fr|acture w|
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|00003a50| 67 6e 69 66 69 63 61 6e | 74 0d 0a 61 62 6e 6f 72 |gnifican|t..abnor|
|00003a60| 6d 61 6c 69 74 69 65 73 | 20 77 65 72 65 20 64 65 |malities| were de|
|00003a70| 74 65 63 74 65 64 20 77 | 69 74 68 20 43 54 20 69 |tected w|ith CT i|
|00003a80| 6e 20 31 33 20 6f 66 20 | 35 34 20 70 61 74 69 65 |n 13 of |54 patie|
|00003a90| 6e 74 73 20 77 69 74 68 | 20 63 6c 69 6e 69 63 61 |nts with| clinica|
|00003aa0| 6c 0d 0a 65 76 69 64 65 | 6e 63 65 20 6f 66 20 70 |l..evide|nce of p|
|00003ab0| 6f 73 73 69 62 6c 65 20 | 69 6e 6a 75 72 79 2e 20 |ossible |injury. |
|00003ac0| 20 54 68 65 20 63 6f 73 | 74 20 6f 66 20 63 65 72 | The cos|t of cer|
|00003ad0| 76 69 63 61 6c 20 72 61 | 64 69 6f 67 72 61 70 68 |vical ra|diograph|
|00003ae0| 79 20 61 6e 64 20 43 54 | 20 66 6f 72 0d 0a 61 73 |y and CT| for..as|
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|00003b00| 6e 74 73 20 77 61 73 20 | 6e 65 61 72 6c 79 20 24 |nts was |nearly $|
|00003b10| 36 30 2c 30 30 30 2e 0d | 0a 20 20 20 20 20 49 74 |60,000..|. It|
|00003b20| 20 61 70 70 65 61 72 73 | 20 74 68 61 74 20 61 6c | appears| that al|
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|00003b50| 65 72 76 69 63 61 6c 20 | 73 70 69 6e 65 20 73 79 |ervical |spine sy|
|00003b60| 6d 70 74 6f 6d 73 0d 0a | 72 61 72 65 6c 79 20 68 |mptoms..|rarely h|
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|00003c70| 50 6f 73 74 2d 43 6f 6d | 6d 65 6e 74 0d 0a 0d 0a |Post-Com|ment....|
|00003c80| 20 20 20 20 20 54 68 69 | 73 20 73 74 75 64 79 20 | Thi|s study |
|00003c90| 69 6e 63 6c 75 64 65 64 | 20 6f 6e 6c 79 20 31 33 |included| only 13|
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|00003cc0| 2d 74 61 62 6c 65 20 6c | 61 74 65 72 61 6c 0d 0a |-table l|ateral..|
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|00003ce0| 69 6e 61 64 65 71 75 61 | 74 65 20 66 6f 72 20 74 |inadequa|te for t|
|00003cf0| 68 65 20 6c 6f 77 65 72 | 20 63 65 72 76 69 63 61 |he lower| cervica|
|00003d00| 6c 20 73 70 69 6e 65 20 | 28 37 25 20 6f 66 20 61 |l spine |(7% of a|
|00003d10| 6c 6c 20 62 6c 75 6e 74 | 0d 0a 74 72 61 75 6d 61 |ll blunt|..trauma|
|00003d20| 20 70 61 74 69 65 6e 74 | 73 29 20 61 6e 64 20 36 | patient|s) and 6|
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|00003d40| 20 70 6c 61 69 6e 20 66 | 69 6c 6d 20 66 69 6e 64 | plain f|ilm find|
|00003d50| 69 6e 67 73 20 77 68 6f | 20 75 6e 64 65 72 77 65 |ings who| underwe|
|00003d60| 6e 74 0d 0a 63 65 72 76 | 69 63 61 6c 20 43 54 2e |nt..cerv|ical CT.|
|00003d70| 20 20 54 68 65 20 73 6d | 61 6c 6c 20 6e 75 6d 62 | The sm|all numb|
|00003d80| 65 72 20 6f 66 20 70 61 | 74 69 65 6e 74 73 20 6d |er of pa|tients m|
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|00003da0| 20 68 61 72 64 20 74 6f | 20 64 72 61 77 2c 20 62 | hard to| draw, b|
|00003db0| 75 74 0d 0a 74 68 65 20 | 61 75 74 68 6f 72 73 27 |ut..the |authors'|
|00003dc0| 20 73 75 72 76 65 79 20 | 72 65 76 65 61 6c 73 20 | survey |reveals |
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|00003df0| 75 61 74 69 6f 6e 20 66 | 6f 72 0d 0a 63 65 72 76 |uation f|or..cerv|
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|00003ea0| 20 74 72 61 75 6d 61 20 | 76 69 63 74 69 6d 20 68 | trauma |victim h|
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|00004130| 65 72 73 2c 20 49 6e 63 | 2e 2c 20 31 39 39 30 0d |ers, Inc|., 1990.|
|00004140| 0a 0d 0a 31 39 39 30 20 | 59 65 61 72 20 42 6f 6f |...1990 |Year Boo|
|00004150| 6b 20 6f 66 20 45 6d 65 | 72 67 65 6e 63 79 20 4d |k of Eme|rgency M|
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|00004170| 68 61 70 74 65 72 20 32 | 2d 2d 54 72 61 75 6d 61 |hapter 2|--Trauma|
|00004180| 20 45 6d 65 72 67 65 6e | 63 69 65 73 0d 0a 0d 0a | Emergen|cies....|
|00004190| 43 72 61 6e 69 61 6c 2c | 20 4e 65 63 6b 2c 20 61 |Cranial,| Neck, a|
|000041a0| 6e 64 20 56 65 72 74 65 | 62 72 61 6c 20 54 72 61 |nd Verte|bral Tra|
|000041b0| 75 6d 61 0d 0a 0d 0a 2d | 2d 2d 2d 2d 2d 2d 2d 2d |uma....-|--------|
|000041c0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000041d0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000041e0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000041f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004200| 2d 2d 2d 2d 2d 0d 0a 49 | 73 20 50 72 65 76 65 72 |-----..I|s Prever|
|00004210| 74 65 62 72 61 6c 20 53 | 6f 66 74 20 54 69 73 73 |tebral S|oft Tiss|
|00004220| 75 65 20 53 77 65 6c 6c | 69 6e 67 20 61 20 55 73 |ue Swell|ing a Us|
|00004230| 65 66 75 6c 20 53 69 67 | 6e 20 69 6e 20 49 6e 6a |eful Sig|n in Inj|
|00004240| 75 72 79 20 6f 66 20 74 | 68 65 20 43 65 72 76 69 |ury of t|he Cervi|
|00004250| 63 61 6c 0d 0a 53 70 69 | 6e 65 3f 0d 0a 0d 0a 4d |cal..Spi|ne?....M|
|00004260| 69 6c 65 73 20 4b 41 2c | 20 46 69 6e 6c 61 79 20 |iles KA,| Finlay |
|00004270| 44 0d 0a 28 4c 65 69 63 | 65 73 74 65 72 20 52 6f |D..(Leic|ester Ro|
|00004280| 79 61 6c 20 49 6e 66 69 | 72 6d 61 72 79 2c 20 4c |yal Infi|rmary, L|
|00004290| 65 69 63 65 73 74 65 72 | 2c 20 45 6e 67 6c 61 6e |eicester|, Englan|
|000042a0| 64 29 0d 0a 49 6e 6a 75 | 72 79 20 31 39 3a 31 37 |d)..Inju|ry 19:17|
|000042b0| 37 2d 31 37 39 2c 20 4d | 61 79 20 31 39 38 38 0d |7-179, M|ay 1988.|
|000042c0| 0a 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |.-------|--------|
|000042d0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000042e0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000042f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004300| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 0d |--------|-------.|
|00004310| 0a 0d 0a 41 62 73 74 72 | 61 63 74 0d 0a 0d 0a 20 |...Abstr|act.... |
|00004320| 20 20 20 20 41 6e 20 69 | 6e 63 72 65 61 73 65 64 | An i|ncreased|
|00004330| 20 77 69 64 74 68 20 6f | 66 20 74 68 65 20 70 72 | width o|f the pr|
|00004340| 65 76 65 72 74 65 62 72 | 61 6c 20 73 6f 66 74 20 |evertebr|al soft |
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|00005120| 41 20 73 69 6d 69 6c 61 | 72 20 63 68 61 6e 67 65 |A simila|r change|
|00005130| 0d 0a 6f 66 20 74 68 65 | 20 6c 61 6d 69 6e 61 72 |..of the| laminar|
|00005140| 20 73 70 61 63 65 20 77 | 61 73 20 73 65 65 6e 20 | space w|as seen |
|00005150| 69 6e 20 6f 6e 6c 79 20 | 32 20 6f 66 20 74 68 65 |in only |2 of the|
|00005160| 20 37 30 20 70 61 74 69 | 65 6e 74 73 20 77 69 74 | 70 pati|ents wit|
|00005170| 68 20 6e 6f 72 6d 61 6c | 20 73 70 69 6e 65 73 2c |h normal| spines,|
|00005180| 0d 0a 61 6e 64 20 31 20 | 6f 66 20 74 68 65 73 65 |..and 1 |of these|
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|000051b0| 72 65 2e 20 20 4e 6f 20 | 61 62 72 75 70 74 20 63 |re. No |abrupt c|
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|00005250| 38 29 2e 0d 0a 20 20 20 | 20 20 41 62 72 75 70 74 |8)... | Abrupt|
|00005260| 20 61 6c 74 65 72 61 74 | 69 6f 6e 20 6f 66 20 74 | alterat|ion of t|
|00005270| 68 65 20 6c 61 6d 69 6e | 61 72 20 73 70 61 63 65 |he lamin|ar space|
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|00005290| 64 65 74 65 72 6d 69 6e | 61 6e 74 20 6f 66 0d 0a |determin|ant of..|
|000052a0| 72 6f 74 61 74 69 6f 6e | 61 6c 20 61 6e 6f 6d 61 |rotation|al anoma|
|000052b0| 6c 69 65 73 20 6f 66 20 | 74 68 65 20 63 65 72 76 |lies of |the cerv|
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|000052f0| 6f 63 61 74 69 6f 6e 2e | 0d 0a 0d 0a 50 6f 73 74 |ocation.|....Post|
|00005300| 2d 43 6f 6d 6d 65 6e 74 | 0d 0a 0d 0a 20 20 20 20 |-Comment|.... |
|00005310| 20 54 68 69 73 20 61 72 | 74 69 63 6c 65 20 6d 61 | This ar|ticle ma|
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|00005330| 6e 67 20 66 6f 72 20 61 | 6c 6c 20 70 68 79 73 69 |ng for a|ll physi|
|00005340| 63 69 61 6e 73 20 69 6e | 76 6f 6c 76 65 64 20 77 |cians in|volved w|
|00005350| 69 74 68 20 74 72 61 75 | 6d 61 0d 0a 6d 61 6e 61 |ith trau|ma..mana|
|00005360| 67 65 6d 65 6e 74 20 6f | 66 20 61 6e 79 20 73 65 |gement o|f any se|
|00005370| 76 65 72 69 74 79 2e 2d | 2d 47 2e 4a 2e 20 4f 72 |verity.-|-G.J. Or|
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|000053a0| 0a 24 54 69 74 6c 65 7b | 50 6f 73 74 2d 54 72 61 |.$Title{|Post-Tra|
|000053b0| 75 6d 61 74 69 63 20 4e | 65 63 6b 20 50 61 69 6e |umatic N|eck Pain|
|000053c0| 3a 20 20 41 20 50 72 6f | 73 70 65 63 74 69 76 65 |: A Pro|spective|
|000053d0| 20 61 6e 64 20 46 6f 6c | 6c 6f 77 2d 55 70 20 53 | and Fol|low-Up S|
|000053e0| 74 75 64 79 7d 0d 0a 24 | 41 75 74 68 6f 72 7b 4d |tudy}..$|Author{M|
|000053f0| 63 4e 61 6d 61 72 61 2c | 20 52 4d 0d 0a 4f 27 42 |cNamara,| RM..O'B|
|00005400| 72 69 65 6e 2c 20 4d 43 | 0d 0a 44 61 76 69 64 68 |rien, MC|..Davidh|
|00005410| 65 69 73 65 72 2c 20 53 | 7d 0d 0a 24 41 66 66 69 |eiser, S|}..$Affi|
|00005420| 6c 69 61 74 69 6f 6e 7b | 4d 65 64 20 43 6f 6c 6c |liation{|Med Coll|
|00005430| 65 67 65 20 6f 66 20 50 | 65 6e 6e 73 79 6c 76 61 |ege of P|ennsylva|
|00005440| 6e 69 61 2c 20 50 68 69 | 6c 61 64 65 6c 70 68 69 |nia, Phi|ladelphi|
|00005450| 61 7d 0d 0a 24 4a 6f 75 | 72 6e 61 6c 7b 41 6e 6e |a}..$Jou|rnal{Ann|
|00005460| 20 45 6d 65 72 67 20 4d | 65 64 7d 0d 0a 24 56 6f | Emerg M|ed}..$Vo|
|00005470| 6c 75 6d 65 7b 31 37 7d | 0d 0a 24 50 61 67 65 7b |lume{17}|..$Page{|
|00005480| 39 30 36 2d 39 31 31 7d | 0d 0a 24 44 61 74 65 7b |906-911}|..$Date{|
|00005490| 53 65 70 74 65 6d 62 65 | 72 20 31 39 38 38 7d 0d |Septembe|r 1988}.|
|000054a0| 0a 24 59 42 56 6f 6c 7b | 31 39 39 30 20 59 65 61 |.$YBVol{|1990 Yea|
|000054b0| 72 20 42 6f 6f 6b 20 6f | 66 20 45 6d 65 72 67 65 |r Book o|f Emerge|
|000054c0| 6e 63 79 20 4d 65 64 69 | 63 69 6e 65 7d 0d 0a 24 |ncy Medi|cine}..$|
|000054d0| 43 68 61 70 74 65 72 7b | 32 2d 32 36 7d 0d 0a 24 |Chapter{|2-26}..$|
|000054e0| 59 42 45 64 69 74 6f 72 | 7b 44 72 2e 20 57 61 67 |YBEditor|{Dr. Wag|
|000054f0| 6e 65 72 7d 0d 0a 24 54 | 61 62 6c 65 7b 7d 0d 0a |ner}..$T|able{}..|
|00005500| 24 43 6f 6d 6d 65 6e 74 | 61 74 6f 72 7b 52 2e 4d |$Comment|ator{R.M|
|00005510| 2e 20 4d 63 4e 61 6d 61 | 72 61 2c 20 4d 2e 44 2e |. McNama|ra, M.D.|
|00005520| 7d 0d 0a 0d 0a 43 6f 70 | 79 72 69 67 68 74 20 28 |}....Cop|yright (|
|00005530| 63 29 20 59 65 61 72 62 | 6f 6f 6b 20 4d 65 64 69 |c) Yearb|ook Medi|
|00005540| 63 61 6c 20 50 75 62 6c | 69 73 68 65 72 73 2c 20 |cal Publ|ishers, |
|00005550| 49 6e 63 2e 2c 20 31 39 | 39 30 0d 0a 0d 0a 31 39 |Inc., 19|90....19|
|00005560| 39 30 20 59 65 61 72 20 | 42 6f 6f 6b 20 6f 66 20 |90 Year |Book of |
|00005570| 45 6d 65 72 67 65 6e 63 | 79 20 4d 65 64 69 63 69 |Emergenc|y Medici|
|00005580| 6e 65 20 28 52 29 0d 0a | 0d 0a 43 68 61 70 74 65 |ne (R)..|..Chapte|
|00005590| 72 20 32 2d 2d 54 72 61 | 75 6d 61 20 45 6d 65 72 |r 2--Tra|uma Emer|
|000055a0| 67 65 6e 63 69 65 73 0d | 0a 0d 0a 43 72 61 6e 69 |gencies.|...Crani|
|000055b0| 61 6c 2c 20 4e 65 63 6b | 2c 20 61 6e 64 20 56 65 |al, Neck|, and Ve|
|000055c0| 72 74 65 62 72 61 6c 20 | 54 72 61 75 6d 61 0d 0a |rtebral |Trauma..|
|000055d0| 0d 0a 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |..------|--------|
|000055e0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000055f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005600| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005610| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005620| 0d 0a 50 6f 73 74 2d 54 | 72 61 75 6d 61 74 69 63 |..Post-T|raumatic|
|00005630| 20 4e 65 63 6b 20 50 61 | 69 6e 3a 20 20 41 20 50 | Neck Pa|in: A P|
|00005640| 72 6f 73 70 65 63 74 69 | 76 65 20 61 6e 64 20 46 |rospecti|ve and F|
|00005650| 6f 6c 6c 6f 77 2d 55 70 | 20 53 74 75 64 79 0d 0a |ollow-Up| Study..|
|00005660| 0d 0a 4d 63 4e 61 6d 61 | 72 61 20 52 4d 2c 20 4f |..McNama|ra RM, O|
|00005670| 27 42 72 69 65 6e 20 4d | 43 2c 20 44 61 76 69 64 |'Brien M|C, David|
|00005680| 68 65 69 73 65 72 20 53 | 0d 0a 28 4d 65 64 20 43 |heiser S|..(Med C|
|00005690| 6f 6c 6c 65 67 65 20 6f | 66 20 50 65 6e 6e 73 79 |ollege o|f Pennsy|
|000056a0| 6c 76 61 6e 69 61 2c 20 | 50 68 69 6c 61 64 65 6c |lvania, |Philadel|
|000056b0| 70 68 69 61 29 0d 0a 41 | 6e 6e 20 45 6d 65 72 67 |phia)..A|nn Emerg|
|000056c0| 20 4d 65 64 20 31 37 3a | 39 30 36 2d 39 31 31 2c | Med 17:|906-911,|
|000056d0| 20 53 65 70 74 65 6d 62 | 65 72 20 31 39 38 38 0d | Septemb|er 1988.|
|000056e0| 0a 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |.-------|--------|
|000056f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005700| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005710| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005720| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 0d |--------|-------.|
|00005730| 0a 0d 0a 41 62 73 74 72 | 61 63 74 0d 0a 0d 0a 20 |...Abstr|act.... |
|00005740| 20 20 20 20 54 68 65 72 | 65 20 61 72 65 20 6e 6f | Ther|e are no|
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|000057a0| 70 6f 73 73 69 62 6c 65 | 20 63 65 72 76 69 63 61 |possible| cervica|
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|000057c0| 43 53 49 29 2e 20 20 4d | 6f 73 74 20 73 74 75 64 |CSI). M|ost stud|
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|00005950| 20 20 20 20 53 65 76 65 | 6e 20 70 61 74 69 65 6e | Seve|n patien|
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