Given a (simulated) patient with demonstrated/suspected head and/or spinal injuries in a pre-hospital environment, describe the appropriate assessment and management techniques to properly immobilize the patient for transport to a medical treatment facility IAW Chapter 30, Emergency Care and Transportation of the Sick and Injured, 8th Edition, American Academy of Orthopedic Surgeons (AAOS).
Given an overview of the anatomy and physiology of the nervous system and the signs and symptoms associated with a spinal injury, describe the techniques for manual stabilization, full immobilization and preparation for transport to a medical treatment facility IAW Emergency Care and Transportation of the Sick and Injured, 8th Edition, American Academy of Orthopedic Surgeons (AAOS).
Given an overview of the characteristics of head injuries and the associated complications resulting from brain trauma, describe the techniques for assessing and managing the head injury, with or without spinal involvement, IAW Emergency Care and Transportation of the Sick and Injured, 8th Edition, American Academy of Orthopedic Surgeons (AAOS).
Signs and Symptoms Localized pain, muscle spasms Loss of sensation, numbness Paresthesias (tingling, pins and needles) Paralysis Priapism Incontinence
Spinal Cord Injuries Primary Damage- occurs at the time of injury from the cord being cut, torn, crushed, or it’s blood supply being cut off. Secondary Damage- occurs later from hypotension, hypoxia, injury to blood vessels, swelling or compression of the cord from surrounding hemorrhage.
Neurogenic Shock -Malfunction of the autonomic nervous system due to spinal trauma-Autonomic nervous system regulates blood vessel tone and cardiac output-Patient has normal skin color and temperature with hypotension and a slow heart rate-Hypovolemic shock = cool clammy skin, hypotension and rapid pulse
Rapid extrication necessary?Access HABCTreat any life threatening situationsMaintain in-line C-spine stabilization Hand placement on shoulders (not the side of the head) with the head cradled between forearms In a tactical situation