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ZH&P II - Ortho > C-Spine Clearance > Flashcards

C-Spine Clearance Flashcards

1
Q

What is the most common cause of spinal injuries

A

blunt force trauma

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2
Q

What is the most commonly injured segment of the spine

A

cervical

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3
Q

What is the order of working on a patient in an accident

A

ABC immobilize

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4
Q

When do you immobilize a neck

A

neck pain weakness paresthesias paralysis altered level of consciousness

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5
Q

What are components of spinal immobilization

A

long spine board semi-rigid cervical collar sandbags or other devices to limit head and neck motion

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6
Q

What do cervical collars not do well

A

limit rotation

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7
Q

What is important to have in place when immobilizing a neck

A

have a person in charge of managing the head and neck to limit movement

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8
Q

What is “clinical” clearance

A

determination if imaging required to allow removal of cervical collar

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9
Q

What is NEXUS criteria

A

1 No posterior midline cervical tenderness 2 normal level of alertness 3 no focal neruological deficits 4 no painful distracting injuries 5 no intoxication/high

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10
Q

What is canadian c-spine rule

A

normal level of alertness on Glasgow coma scale stable condition dangerous mechanism for injury

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11
Q

What are studies for imaging cervical spine

A

Plain film xray CT MRI

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12
Q

What does a standard plain film series consist of for c-spine clearance

A

AP Lateral odontoid

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13
Q

What is the best film view for detecting trauma in c-spine clearance

A

Lateral

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14
Q

What should be included in a lateral x-ray for c-spine clearance

A

C1-T1

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15
Q

What points should be found on a lateral x-ray for c-spine clearance

A

posterior cervical line

anterior longitudinal ligament line

posterior longitudinal ligament line

spina-laminar line

spinous process line

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16
Q

What is the pre-dental space on a plain film

A

atlantodental inverval 3 mm adult 5 mm child

17
Q

What indicates an injury to the spine with lateral soft tissue on a plain film

A

>7 mm at C2 > 21 mm at C6

18
Q

What are the 3 types of odontoid fracture

A

Type I Type II Type III

19
Q

What is a Type I odontoid fracture

A

avulsion fracture of dens

20
Q

What is a Type II odontoid fracture

A

fracture of dens at base

21
Q

What is a Type III odontoid fracture

A

fracture through larger mass of C2

22
Q

When is a CT indicated with c-spine clearance

A

any major fracture or dislocation of the spine occult fracture

23
Q

When is MRI indicated with c-spine clearance

A

soft-tissue injury neurological deficits

24
Q
A

Clay-shovelers fracture

25
Q
A

Extension Teardrop fracture

26
Q
A

Facet Joint dislocation

27
Q
A

Flexion teardrop fracture

28
Q
A

Hangman’s fracture

29
Q
A

Jefferson’s fracture

30
Q
A

Occipitoatlantal dissociation

31
Q
A

Type III Odontoid Fracture

32
Q
A

Vertebral body wedge/burst fracture

ZH&P II - Ortho (15 decks)

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