1 / 16

Neck & Back injuries

Neck & Back injuries. Physiology. 33 in total. Physiology. C3-5 keep the diaphragm alive T attach to ribs (stronger) Which is weakest? (C? T? L?) Weakest during side-to-side movement. Pathophysiology. Mechanism Of Injury (speed/force, direction)

coye
Download Presentation

Neck & Back injuries

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Neck & Back injuries

  2. Physiology 33 in total

  3. Physiology C3-5 keep the diaphragm alive T attach to ribs (stronger) Which is weakest? (C? T? L?) Weakest during side-to-side movement

  4. Pathophysiology Mechanism Of Injury (speed/force, direction) Get as much info as possible! (Bystanders?) – pass onto crew Examples? Lateral forces more damaging Common injury sites: C1/2, C7/T1, T12/L1 50% to cervical region

  5. Assessment (Primary Survey!!) Danger – traffic, people, animals Response – AVPU (think about where you stand when talking) Summon help Airway (& C-spine) Breathing Circulation Dysfunction Exposure

  6. Airway (& C-spine) To immobilise or not to immobilise If M.O.I suggests immobilise, do it.

  7. Airway (& C-spine) - Immobilised • Neutral alignment (adults / children) • What if there’s pain / resistance? • Jaw thrust (2 movements) – why? • (Avoid causing axial pressure) • What if jaw thrust doesn’t work??

  8. Breathing Are they breathing?? Rate, ease, depth, regularity (might be affected by spinal cord injury)

  9. Circulation Neurogenic shock → slow pulse & low BP Changes in skin colour

  10. Dysfunction: Assessment • Pain • Tenderness • Irregularity • Sensation • Parasthesia? • Movement • Odd sensations Keep Pt calm!! Look Feel (Move)

  11. Priaprism

  12. Management 25% of spinal cord injuries result from improper handling after injury DRS A,B 999! LOG ROLL – why/when? Reassure Obs / mental status (beyond AVPU)

  13. Airway (& C-spine) To immobilise or not to immobilise? What influences this?

  14. C-spineClearing Protocols (YAS) • Decreased consciousness (GCS <15)? • L.O.C? • Neurological S&S (tingling, numbness…)? • SIGNIFICANT neck/back pain? • Deformity, swelling, tenderness? • SIGNIFICANT pain on moving neck/back? • Drink/drugs (inc. prescribed)? • Other painfull (distracting) injuries? Normal mental status No neurological deficit No spinal pain / tenderness No evidence of intoxication No extremity injury If in doubt, immobilise !! If M.O.I suggests spinal injury… IMMOBILISE

  15. Scenarios

  16. If you’re bored… http://www2.warwick.ac.uk/fac/med/research/hsri/emergencycare/prehospitalcare/jrcalcstakeholderwebsite/guidelines/clinical_guidelines_2006.pdf

More Related