spinal injury recap Flashcards
can first aid provider should use immobilization and are they allow to apply cervical collar
no and no it’s not recommend
after how long does patient report pain and pressure sure from being on the long backboard
pain: 30min
pressure sore: 1h
what are the ITLS position with SMR
- SMR is not indicated in every trauma patient
- long spine board + other rigid device = extrication device
- Patient should be remove from long spine board as soon as it safes
- Maintenant of in-line spinal aligment remain important
- SMR should be applied to patient with indicator
- SMR is not indicated with penetrating wound of torso, head or neck unless there’s evidence of spinal
difference between spinal and burner/stinger
burner/stinger: pain radiate unilaterally down the arm and hand
spinal: bilateral
weakness and numbness from burner/stinger is associated with which nerve root
C5-C6
what are the 2 type of mechanism that could result in burner/stinger
- Compressive mechanism head and neck moved into postero-lateral direction toward symptomatic upper limb
- Tensile mechanisme, arm and neck force in opposite direction
how º of AROM the patient should be able to rotate without difficulty in the assessment of potential spine
45º
when the spinal is highly unlikely
during RROM step
If all test + AROM -ve, if we are that far = spinal highly unlikely
which skill is the best option for extrication
supine scoop
which one between lof roll and supine lift & slide is better
supine lift and slide
what extrication device do you use if you are in an uneven surface or in a tight space
supine straddle lift and slide
which device do you use on ice and which one on turf
single clam: ice
double clam: turf
which technique is useful with a heavier athlete
prone log roll
T/F you may just put 3 horizontal strap for short transfer
T
statistic show that Backboard immobilization over 30 min result in
- 100% of patient develop pain within 30min of observation
- 55% graded their pain as moderate or sever
- 29% develop additional symptome over the next 48h
what are the high risk factors of canadien C-spine rule
age > 65
dangerous mechanism
parenthesis in extremity
what are the low risk factor which allow safe assessment of ROM with canadien C-spine rule
- Simple rear end MVC
- Ambulatory at any time
- Delayed onset of neck pain
- Absence of midline C-spine tenderness
what is step 3 of canadien C-spine rule
- Able to actively rotate neck 45º left and right
which type of shock occurs secondary to spinal cord injury
neurogenic shock
which type of shock is associated with warm skin/dry, low pulse, low BP and hypovolemia
neurogenic shock
what is neurogenic shock
- Lesion to vaso-regulatory fiber = produce loss of sympathetic tone to vessel below lesion
which type of shock is usually caused by penetrating type or bony
spinal shock
what is spinal shock
- Damage/disruption of spinal cord blood supply = local cord tissu ischemia
which type of shock is associated with Loss of all sensory/motor fcn, paralysis
Loss of reflex below level of spinal injury
spinal shock
spinal shock severity depend on what
amount of bleeding into tissue
spinal X-ray criteria
- no posterior midline cervical spine tenderness
- no evidence of intoxication
- normal level of alertness
- no focal neurologic deficit
- no painful distracting injuries
when can you 100% rule out spinal injury
- No distracting injury, no sign of spinal shock and all other test -ve
delayed symptom of spinal injury are usually from
spinal cord edema, secondary hypoxia
