Spinal injuries

Question 1

what is the treatment for spinal injuries?

Answer 1

Apply c-collar

• extricate on combi carrier
• immobilise on vac mat

Perfusion
- if BP<90
Normal saline 10ml/kg

Question 2

WHat is the modified nexus criteria for spinal injuries

Answer 2

Increased injury risk
>65 years
- Hx of bone and muscle weakness

• ACS
• Intoxication
• Distracting injury

Midline pain/tenderness on palpation of the vertebrae

Neck range of motion
- can actively rotate 45 degrees without pain

Question 3

How do you assess motor and sensory function with spinal injury?

Answer 3

Motor function:
Arms: Push/pull/grasp
Legs: Push/pull/leg raise

Sensory:
Arm: palms and back of hands
Legs: lateral aspect of calcaneus
Suprasternal notch