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)
33 in total
C3-5 keep the diaphragm alive
T attach to ribs (stronger)
Which is weakest? (C? T? L?)
Weakest during side-to-side movement
Mechanism Of Injury (speed/force, direction)
Get as much info as possible! (Bystanders?) – pass onto crew
Lateral forces more damaging
Common injury sites: C1/2, C7/T1, T12/L1
50% to cervical region
Danger – traffic, people, animals
Response – AVPU (think about where you stand when talking)
Airway (& C-spine)
To immobilise or not to immobilise
If M.O.I suggests immobilise, do it.
Are they breathing??
Rate, ease, depth, regularity (might be affected by spinal cord injury)
Neurogenic shock → slow pulse & low BP
Changes in skin colour
Keep Pt calm!!
25% of spinal cord injuries result from improper handling after injury
LOG ROLL – why/when?
Obs / mental status (beyond AVPU)
To immobilise or not to immobilise? What influences this?
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…