12 - MSK Trauma and Soft Tissue Problems

Question 1

What are the common causes of traumatic spinal injuries?

Answer 1

RTA
Falls
Sports
Violence/assault

Question 2

What is loss of movement and sensation in all 4 limbs called?

Answer 2

Tetraplegia

Question 3

What is loss of movement and sensation in the lower limbs called?

Answer 3

Paraplegia

Question 4

Why would you be concerned if the P had an injury above C3-4

Answer 4

Phrenic nerve injury here can cause paralysis of the diaphragm

Question 5

What is the risk of airway intervention with a spinal injury?

Answer 5

Can hyperextend the cervical spine causing further damage

Question 6

What can make a spinal injury assessment difficult?

Answer 6

Question 7

What is erection in an unconscious or exposed male a sign of?

Answer 7

Spinal injury

Question 8

What do we assess for when looking at C-spine injury? Which rule is followed?

Answer 8

Age - >65 high risk
Mechanism – velocity, fall from great height, rollover RTC, ejection from RTC or motorbike or horse
Paraesthesia, weakness, numbness
Ambulation
Neck Pain
ROM in low risk group