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Spinal Neck Trauma

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Spinal Neck Trauma PowerPoint Presentation

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Published on : Jan 08, 2015
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Slide 1 - Spinal/Neck Trauma Basic Trauma Course
Slide 2 - Mechanisms of Injury Four different types of forces can be sustained leading to particular types of injuries: Hyperextension: rear-end crashes Hyperflexion: head-on crashes Rotational: “spinning” crashes Axial loading: diving
Slide 3 - Spinal Shock Results in a temporary loss of motor, sensory, and reflex functions below the level of lesion. Onset varies-can be immediate to weeks. May present with flaccid paralysis and loss of bowel and bladder function.
Slide 4 - Vertebral Fracture Cervical and Lumbar regions most frequently injured. Due to anterior and posterior ligament injuries dislocations can occur simultaneously with fractures. Vertebral stability depends on the integrity of the bones and ligaments. A stable fracture means there is: No potential for progressive impingement of the cord No potential for displacement of injured bony areas during the healing process
Slide 5 - Incomplete Spinal Cord Injury Has preservation of motor or sensory function below the level of injury. Sacral sparing Signs and Symptoms demonstrated are different.
Slide 6 - Complete Spinal Cord Injury Lose of all motor and sensory function below the level of the lesion with flaccid paralysis of the musculature. Spinal Shock is the initial response.
Slide 7 - Neck Injury MOI generally blunt trauma. Assessment includes evaluation of integrity of cervical spine and the spinal cord. Neck trauma can result in injuries to the airway structures, blood vessels, esophagus, and endocrine structures.
Slide 8 - Assessment Inspect- Airway, Breathing, Motor Function, Priapism Palpate-Pulse rate, Skin temp, Sensory Function, Vertebral column, anal sphincter, sacral sparing
Slide 9 - Treatment Modalities Cervical Spine immobilization until cleared. Full spinal immobilization until cleared by MD. Suction cautiously. IV Fluids Vasopressors-Hypotension may be due to neurogenic shock instead of hypovolemia. Maybe steroids. Keep Warm. Prepare for Transfer.