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Acute Spinal Cord Injury Data Collection Form
Acute Spinal Cord Injury Data Collection Form
No
No
unknown
start
time
If so was how long after the time of injury was the therapy initiated? Less than 3 hours
3-8 hours
Enoxaparin
2. Which VTE prophylaxis was the patient put on? Low molecular weight heparin
If started on LMWH, what was the dose and frequency? _____________________________ If started on enoxaparin, what was the dose and frequency? 30mg q12 Other 40mg daily
Phenylephrine
Dopamine
Other
If other was selected, please indicate which vasopressor was used _______________________ 4. American Spinal Cord Injury (ASIA) score? A
Date
records
were
accessed
_____________________________