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Table 1 Signifies the prevention to be taken before the patient is finally taken up for surgery if impaling agent is in situ or present as retained foreign body

From: Bilateral Brown-Sequard syndrome regressing to anterior cord syndrome in spinal impalement: 2 unique cases with management pearls

1 While lifting and triaging the patient in and out of ambulance
2 While changing of trollies and transferring of patients—as straight as possible
3 While doing various radiological investigations which require patient mobility
4 While shifting the patient from general trolly to OT table
5 While intubating the patient—especially in prone position with whole instrument in situ
6 While positioning the patient for surgery
7 Lastly but most important—while doing surgery