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    Spine Immobilization

    Uploaded by

    Hosam Elden Mostafa Masarany

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Spine Immobilization

    Uploaded by

    Hosam Elden Mostafa Masarany
    9 views17 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    9 views17 pages

    Spine Immobilization

    Uploaded by

    Hosam Elden Mostafa Masarany

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 17

    SPINAL
    TRAUM
    A

    Atef Radwan
    Case: Chapter 11
    You are dispatched 
    to a construction site
    .accident
    You arrive to find 
    .this
    A worker has been 
    pulled out by his
    .coworkers
    What are your 
    priorities in this
    ?patient
    Anatomy of the Bony Spine
    and Spinal Cord
    Anatomy of the Vertebra
    Spinous
    Process Spinal
    Cord

    Disc

    Transvers
    e Process

    Body
    Kinematics of Spinal Injury

    Hyperextension Hyperflexion Compression


    Kinematics of Spinal Injury

    Rotation Lateral stress Distraction


    Spinal Column Injury
    2
    Sudden head movement 
    Damage of bony/connective 
    tissue
    Cord injury–of greatest 
    concern
    Sign of cord injury may not 
    be present
    Cord injuries will present 
    signs
    Clues from Mechanism
    Stabbing/impalement near 
    spine
    Shooting/blast injury to the 
    neck or torso
    Trauma above the clavicles 

    Diving accidents or falls 

    MVCs or bicycle accidents 


    Initial Assessment of Spinal Injury
    Clinical Criteria
    MECHANISM
    NEGATIVE OF INJURY POSITIVE

    Positive Mechanisms:
     High-Speed MVC
     Falls > Three Times Patient’s
    UNCERTAIN Height
     Axial Load
     Diving Accidents
     Penetrating Wound In or Near
    Spinal Column
     Sports Injuries to Head or
    APPLY MANUAL Neck
    STABILIZATION  Unconscious Trauma Patient
    UNTIL EXAM
    COMPLETE

    SPINAL PAIN OR TENDERNESS? YES

    NO

    MOTOR AND SENORY EXAM ABNORMAL


    Reliable Patient Is:
     Calm
     Cooperative
     Sober
     Alert NORMAL
     Without Distracting
    Injuries

    YES RELIABLE PATIENT? NO

    Unreliable Patient Has:


     Acute Stress Reaction
     Head/Brain Injury Positive
    Negative  Altered Mental Status Spinal Injury
    Spinal Injury:  Intoxication with
    SMR NOT INDICATED Drugs/Alcohol
     Other Distracting Injuries
    Airway Management

    .Stabilize in neutral position 


    .Open and secure airway 
    .Apply cervical collar 

    Do not release cervical spine until fully


    packaged.
    Cervical Collar
    Apply collar that is 
    .the correct size
    Log-Roll
    Short Backboard
    Pregnancy
    Uterus off inferior vena cava 
    degree tilt to left 20-30 
    weeks 20 > 
    Questions?
    Questions?
    THANK YOU

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