Spinal injury

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  • Spinal injury
The EMS crew arrives at the place of a motorcycle accident. You lift the helmet visor and find out that the motorcyclist is conscious and that he communicates. The motorcyclist complains of an inability to move his limbs and a pain in his head and neck. He does not remember the circumstances of the accident. What is the correct procedure?

Remove the helmet, apply cervical collar, give an oxygen mask and immediately secure at least one IV access.

Correct answer

To be able to move the patient in any way, it is necessary to apply a cervical collar.


Continue

Immediately transport the patient to the nearest medical facility by an ambulance.

Wrong answer

The patient must always be examined and possibly stabilized. Only thereafter he can be transported. In case of a spinal cord injury it is necessary to choose a workplace providing surgical treatment of diseases and injuries of the spine and spinal cord.


Back

Examine the patient - remove the helmet, undress him and perform a standard head to toe physical examination.

Wrong answer

The patient with suspition of the spinal cord injury (present symptoms, or suspition of spinal cord injury based on the mechanism of the injury) must be secured with the neck collar. Only thereafter the patient can be examined. In case of an emergency we follow an ABC approach.


Back

Remove the helmet and apply a cervical collar.

Wrong answer

To be able to move the patient in any way, it is necessary to apply a cervical collar. Intravenous access should be established as soon as possible. In case of a sudden state deterioration, it is necessary to start the treatment immediately and there is no time to cannulate the vein.


Back

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EMS - emergency medical service

A - airway, B - breathing, C - circulation, D - disability, E - exposure, enviroment×
 
RR

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HR

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BP

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ECG

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