C-spine injury Flashcards
1
Q
most common level of c-spine injury is
A
C2
2
Q
Injuries also occur at what junction?
A
C7 T1 junction
3
Q
2 things to rule out before clearing the C-spine
A
- Bony AND
ligamentous injury
4
Q
5 criteria to clear the c-spine
A
1- normal sensorium 2- no pain/tenderness 3- no neurological sx 4- no distracting injuries 5- painless ROM
5
Q
What do you need to clear c-spine on an x-ray
A
NEED a clinical exam - patient must be awake
6
Q
any preserved motor or sensory function below a SC lesion means
A
INCOMPLETE
7
Q
what is spinal shock
A
loss of motor, sensory AND reflexes below the level of the lesion
8
Q
Neurogenic shock
A
reduced BP due to loss of sympathetics
9
Q
how do you prevent 2ndary injury to spinal cord
A
Maintain Cord perfusion pressure - MAP maintain at 85
10
Q
complications of SCI
A
1) dec BP
2) Hypthermia
3) DVT
4) autonomic dysreflexia
