Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
11 Cards in this Set
- Front
- Back
|
What are the most common levels of cervical spinal injury?
|
C2-most common
C6/C7 |
|
|
How do you immobilize the C-spine?
|
Hard collar + sandbags + tape onto board
Log roll when moving (in-line) |
|
|
In broad terms, what needs to be done in order to "clear" a C-spine injury?
|
Clinical exam alone
Clinical exam + xray Evaluate passive neck movement before leaving |
|
|
What needs to be assessed on clinical exam in order to clear a C-spine injury?
|
Normal sensorium
No midline spine pain/tenderness No neurologic signs/symptoms No distracting injuries |
|
|
What do you do if anything is wrong on the C-spine "clearing" clinical exam?
|
Keep immbilized
Send for imaging |
|
|
What are the two types of spinal cord injury?
|
Complete: NO motor or sensory function below level of injury, reflexes intact (after spinal shock). No chance of improvement.
Incomplete: SOME motor function below level of injury with intact reflexes (after spinal shock). Could improve with time. |
|
|
What is spinal shock?
|
Temporary (days-wks) complete loss of all spinal cord function below the level of the injury (including reflexes)
|
|
|
What is neurogenic shock?
|
Decreased blood pressure that occurs secondary to loss of sympathetic innervation (T1-L2)
|
|
|
What are the goals of Spinal Cord Injury management
|
Prevent secondary injury
Prevent/Treat complications |
|
|
How do you prevent secondary injury after spinal cord injury?
|
Immobilize
Maintain spinal cord perfusion pressure Avoid hyperglycemia/hypothermia |
|
|
What are complications of spinal cord injury?
|
Respiratory: loss of C3,4,5 (diaphragm) and intercostal innervation
Cardiovascular: can't vasoconstrict so decreased blood pressure, hypothermia. Also autonomic dysreflexia, DVT. GI: gastric atony/ileus/ulcers Skin: decubitus ulcers |
