Immobilisation Flashcards

1
Q

Gold standard

A

Collar, blocks, tape
NICE guidelines

Just blocks & tape for kids

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2
Q

Canadian C Spine Rules - application

A

GCS 15
16 or over
Stable following trauma
Injury where c spine injury is a concern

N/A in non trauma; hx c spine surgery; unstable vitals; acute paralysis; known vertebral disease; pregnant

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3
Q

Canadian C Spine Rules - High Risk Mandating Radiography

A
  • 65 or over
  • dangerous mechanism
  • parasthesia in extremities
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4
Q

Canadian C Spine Rules - Low Risk

A

Allows safe assessment of range of movement

  • simple rear end (not into oncoming traffic; HGV; roll; high speed)
  • sitting in ED
  • ambulatory at any time
  • delayed onset neck pain
  • absence of midline c spine tenderness

If no, radiography

Able to rotate 45 degrees? No radiography.

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5
Q

Canadian C Spine Rules - Dangerous Mechanism

A
Fall from 3 feet or more, or more than 5 stairs
Axial load to head, eg diving
MVC over 60mph; roll over; ejection
Motorised recreational vehicles
Bicycle struck or collision
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