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48 Cards in this Set
- Front
- Back
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CNS
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central nervous system
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PNS
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peripheral nervous system
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most common spinal injury
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cervical spine
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spinal cord tracts
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motor tracks
pain tracks light touch tracks |
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motor tracks
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motor movement
impulses down spinal cord and out to muscles. |
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pain tracts
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opposite side affected
pain receptors up the spinal cord to the brain |
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light touch tracts
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from sensory receptors up the spinal cord to the brain
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spinal column injury
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injury to one or more vertebrae
composed of bone bone injury |
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spinal cord injury
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damage to the nervous tissue that is enclosed inside the hollow center of the bony spinal column
loss of motor or sensory function or both |
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complete spinal cord injury
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spinal cord injury causing complete loss of motor sensory and autonomic function below the level of injury
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spinal shock
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temporary concussion like, below the level of injury, flaccid muscles, anesthetic effect, paralysis. usually resolves 24 hours after incident or several days
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spinal vascular shock
neurogenic shock |
injury interrupts nerve impluses to arteries
relax and dilate |
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spinal vascular shock
neurogenic shock |
injury interrupts nerve impluses to arteries
relax and dilate skin warm and dry 60-80 p/m |
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Brown sequard syndrome
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pt loses motor and light touch maintains pain on one side of the body but the opposite on the other side of the body.
retains motor and light touch while losing pain sensation |
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complications of spinal injuries, pt may have
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inadequate breathing effort
paralysis inadequate circulation Spinal shock |
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Secondary assessment includes
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pulse motor function sensation
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reassessment
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5 or 15 min
ABC vital signs of shock mental status interventions |
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when a pt is in a collar
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do not let go of manual stabilization until in a full long board.
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KED is used only on what type of patient
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a stable pt
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Compression mechanism
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weight of the pt body is driven against the head
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flexion mechanism
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severe forward movement of the head
chin meets the chest or torso is excessively curled fwd |
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Extention
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severe backward movement
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rotation
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lateral movement of head or spine beyond its normal rotation
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lateral bending
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body or neck bent severely from the side
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distraction
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vertebrae and spinal cord are stretched and pulled apart
hangings |
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penetration
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gunshots stabbings penetrating trauma involving cranium or spine
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rapid extrication is ok when
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the scene is not safe
pt condition is so unstable that you need to move and transport him immediately a pt blocks your access to a second more seriously injured pt |
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leave on the helmet if
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helmet fits well
no impending airway or breathing problems removal would cause more injury properly immobilize the pt with helmet does not interfere with reassessing airway and breathing |
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remove helmet if..
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interferes with airway breathing
cant adequately manage airway helmet does not fit well cant immobilize pt pt in cardiac arrest |
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up to what age should you pad a childs shoulders to keep inline stabilization
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8 years
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a child in a car seat that was in a crash can or can not be used for transport
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can not use car seat
integrity of the seat may have been lost |
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sclera
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tough outer coat
the white of the eye |
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cornea
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clear front portion of the eye
covers the dark center |
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cornea
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clear front portion of the eye
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pupil
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covers the dark center
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iris
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colored portion
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conjunctiva
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inner surface of the eyelids and exposed portion of the sclera lined paper thin
does not cover cornea |
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malar fracture
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cheek
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nasal orbital fracture
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from orbit to orbit across the top of nasal bones
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bleeding eye with blood clots, what do you do
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do not wipe the blood from the eye nor do you wipe away blood clots from the eye.
Do wipe blood from the face |
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diplopia
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double vision
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irrigate the eye in a chemical burn for at least ___ minutes
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20 min
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irrigate the eye in a chemical burn for at least ___ minutes
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20 min
if involves alkali for at least an hour flush from inside corner to outside |
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object impaled in the cheek
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if loose
remove opposite way the object entered |
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neck laceration, watch for
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air embolism
dress with occlusive dressing no spinal injury suspected position pt left side head downward |
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eye trauma is what code transport?
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3
pt can loose function of of the eyes |
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keep teeth in
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cup of saline or wrapped in gauze soaked in sterile saline, keep from drying out
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cant find teeth that have been knocked out
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assume pt has swallowed or aspirated them
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