whiplash Flashcards
WAD Grade 0
no s/s
WAD Grade 1
symptoms but no signs
WAD Grade 2
symptoms and objectives signs
no neuro signs
no fracture
WAD Grade 3
symptoms and peripheral neuro signs
no fracture
WAD Grade 4
symptoms and fracture confirmed
how much flexion/compression of spine significant
> 25% height loss
where is weakest point of disc
endplate (attachment of annulus fibrosis to hyaline)
T/F fracture essential to dislocation
F
benefits of education in WAD
faster recover
reduce pain, meds, ER visits, fear
improve coping, function
What education to give WAD patients
reassurance MOI stay active home exercises prognosis
Quebec task force whiplash definition
acceleration - decelarion mechanism of energy transfer to the neck
what do they need to be on Glasgow score to go through Canadian c spine rule
15
Canadian c spine rule
any high risk factors that mandate radiography?
any low risk factors that allow assessment?
can they rotate neck?
what are high risk factors that mandate radiography
> 65
dangerous mechanism
parenthesis in extremities
what are low risk factors that allow assessment
ambulatory
in sitting position
DELAYED neck pain
absence of midline c spine tenderness
how far do they need to rotate their neck
45
c spine rule is not relevant if
non trauma case unstable vitals less than 16yr old known vertebral disease preg
dangerous mechanism WAD
fall >1m or 5 stairs
axial load to head
MVA high speed
bike crash
craniocervical flexion test
BP at 20 behind neck , chin nod
Hold for 10 seconds
add 2mm each time for total of 5 levels
max score on craniocervical flexion test
100
tips cervical rotators
need to recruit deep neck flexors not SCM
supine seated side lying four point resisted
