Week 3 SBL Learning Issues Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What are the five components of an AMPLE trauma history?

A

A: Allergies
M: Medication
P: Past Medical History
L: Last Meal
E: Events leading to injury

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2
Q

How does the NEXUS criteria work? What are the five criteria?

A

If none of the five criteria are met, we can clear them from a c-spine injury:

  1. Focal neurological deficit
  2. Midline spinal tenderness
  3. Altered level of consciousness
  4. Intoxication
  5. Distracting injury
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3
Q

Spinal injuries at and above this spinal level can cause autonomic dysreflexia…

A

T6

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4
Q

Describe autonomic dysreflexia

A
  • Spinal injury at or above T6
  • Noxious stimuli (e.g. indwelling catheter) below level of injury
  • Afferent sensory signal is blocked at site of injury
  • Triggers sympathetic response (inc. BP)
  • Baroreceptors detect -> bradycardia
  • Parasympathetic response above level of injury to counteract (flushing)
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5
Q

Neurogenic shock vs spinal shock

A

Neurogenic: loss of sympathetic tone below level of injury, causing hypotension and bradycardia

Spinal shock: sudden loss of transmission (and therefore loss of reflexes and muscle tone) following spinal injury

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6
Q

Describe a normal bulbocavernosus reflex

A
  • Contraction of external anal sphincter in response to squeezing of penis/clitoris
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7
Q

What is the assumed mechanism of priapism following spinal cord injury?

A

Loss of sympathetic innervation to the external genitalia

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8
Q

What are the core components of short-term, clinical management of spinal cord injuries?

A
  • Medication (anti-flam)
  • Immobilization
  • Surgery
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9
Q

What investigations are indicated in all trauma cases?

A
  • Glucose
  • Urinalysis (blood)
  • Hb
  • CBE (baseline)
  • Blood type
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10
Q

Which professionals might be involved in spinal injury rehab?

A
  • Physio
  • Physiatrist
  • OT
  • Rehab psychologist
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