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6 Cards in this Set

  • Front
  • Back

Initial Spinal Assessment

Spinal pain


Normal mental status


Alcohol or Drugs


Neurological symptoms


Significant distracting injury


Priapism



History of past spinal problems, including previous spinal surgery or conditions that predispose to instability of the spine

CSS High Risk

>65




Dangerous mechanism




Paraesthesia in upper or lower limbs

CSS Dangerous Mechanism (AHF REHAB)



axial load to the head – for example diving




high-speed motor vehicle collision




fall from a height of greater than 1 metre or 5 steps




rollover motor accident




Ejection from a motor vehicle




horse riding accidents




accident involving motorised recreational vehicles




bicycle collision





CSS Low Risk (MC NAD)

minor rear-end motor vehicle collision



comfortable in a sitting position




no midline cervical spine tenderness




ambulatory at any time since the injury




delayed onset of neck pain

Assessment for thoracic or lumbosacral spine injury ** (DAMNS)

Dangerous MOI



Age >65 with TLS pain



Midline deformity/pain/tenderness on palpation/percussion/coughing/movement



Neuro symptoms (paraesthesia/numbness/weakness) at rest or mobilisation



Suspected spinal fracture in another region

Collars contraindication

Compromised airway



Known spinal deformities (eg ankylosing spondylitis)