Transport

00:00

The patient is secured. Now, the basic examination is carried out - the ABCDE procedure. Choose the next step correctly.

Due to the suspected spinal cord injury a neurological examination focusing on determining the level of the spinal cord lesion is performed.

Wrong answer

Once the patient is examined and stabilized, immediate transport is arranged. Further examination, which cannot influence your further procedure, wastes your time and carries a risk of complications.


Back

The patient is stabilized. Transport the patient in vacuum mattress to an emergency room of a regional trauma center.

Correct answer

The patient is stabilized, and therefore the transport must not be delayed any longer. The patient with the spinal cord injury with neurological symptoms requires decompression of the spinal cord as soon as possible.


Continue

We attempt manual traction of the cervical spine in order to improve the neurological condition of the patient.

Wrong answer

Manipulation of the cervical spine may cause dislocation of damaged vertebrae which leads to deterioration of neurological deficit or death.


Try again Bury the patient

There is nothing more to offer to the patient and he is transported to an emergency room of a regional surgical department.

Wrong answer

The patient with the spinal cord injury will not receive a specialized care at a general surgical department. The patient needs an immediate surgery, and therefore we choose a department where a spine surgeon is on call.


Back

?

Help

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

GCS - Glasgow Coma Scale×
 
RR

21 bpm

HR

80 bpm

SpO2

98 %

BP

140/71 mmHg

ECG

not available

Examination:
GCS = 15, pupils equal, reactive to the light, nose and ears without secretion, chest: symmetrical, alveolar breathing without abnormal breath sounds, abdomen: soft, no pathological resistance. The limbs are plegic and non-sensitive, no signs of fractures, external bleeding not present.

Gly

not available

ABG

not available

CBC

not available

biochemistry

not available