A - PREHOSPITAL AND EMERGENCY
We recommend clinicians routinely use the International Standards for Neurological of Spinal Cord Injury (ISNCSCI) exam as the neurological assessment standard in the care of acute SCI patients. The ISNCSCI should be completed 24 hours post-injury and before and after surgery. (Adapted from CNS-ASSESS 2013, p.40; Level B)
(https://asia-spinalinjury.org/international-standards-neurological-classification-sci-isncsci-worksheet/)