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11 Cards in this Set
- Front
- Back
What are the most common levels of cervical spinal injury?
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C2-most common
C6/C7 |
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How do you immobilize the C-spine?
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Hard collar + sandbags + tape onto board
Log roll when moving (in-line) |
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In broad terms, what needs to be done in order to "clear" a C-spine injury?
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Clinical exam alone
Clinical exam + xray Evaluate passive neck movement before leaving |
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What needs to be assessed on clinical exam in order to clear a C-spine injury?
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Normal sensorium
No midline spine pain/tenderness No neurologic signs/symptoms No distracting injuries |
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What do you do if anything is wrong on the C-spine "clearing" clinical exam?
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Keep immbilized
Send for imaging |
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What are the two types of spinal cord injury?
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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. |
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What is spinal shock?
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Temporary (days-wks) complete loss of all spinal cord function below the level of the injury (including reflexes)
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What is neurogenic shock?
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Decreased blood pressure that occurs secondary to loss of sympathetic innervation (T1-L2)
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What are the goals of Spinal Cord Injury management
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Prevent secondary injury
Prevent/Treat complications |
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How do you prevent secondary injury after spinal cord injury?
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Immobilize
Maintain spinal cord perfusion pressure Avoid hyperglycemia/hypothermia |
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What are complications of spinal cord injury?
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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 |