ortho-traumaneurology
Metastatic Spinal Cord Compression
Emergency MSCC pathway — diagnosis, dexamethasone, and urgent surgical/radiation decision
Source: NICE CG75 2020
Step 1 of ~9
info
Suspected MSCC
Consider MSCC in any cancer patient with back pain + neurological symptoms (limb weakness, sensory level, bladder/bowel dysfunction). This is an emergency.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Dexamethasone (ICU / ARDS) · Systemic Corticosteroid
- Labetalol (IV — Hypertensive Emergency) · Combined Alpha-1 and Beta-Adrenergic Blocker
- Methylene Blue · Guanylate Cyclase / Nitric Oxide Pathway Inhibitor
- Labetalol (IV — Hypertensive Emergency) · Combined alpha and beta blocker
- Tenecteplase · Cardiovascular Emergency
Pathways
- Hip Fracture Management · NICE CG124 / BOA 2020
- Distal Radius Fracture · BOA / NICE
- Ankle Fracture Management · BOA / Lauge-Hansen classification
- Open Fracture Management · BOA/BAPRAS 2017
- OrthoPath: Upper Limb ED Triage · OrthoPath ED Tool — ReviseMRCEM.com
- OrthoPath: Lower Limb ED Triage · OrthoPath ED Tool — ReviseMRCEM.com
Decision support only. Always apply local guidelines and clinical judgement.