This lecture is presented by Dr. Dubisky. He talks about the do's and dont's for a person with a spinal cord injury. In addition he informs us of the types of injures we may see.
Yes
No
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True
False
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True
False
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Rapid transport
Assessing for ROM
Intubation
Neck immobilization
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Locate the cause of injury
ABCs
A way to immobilize the fracture
TART
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Upper extremity lesions
Incomplete lesions
Lower extremity lesions
Complete lesions
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Ipsilateral loss of pain & temperature with contralateral loss of proprioception and motor function
Ipsilateral loss of motor function and proprioception and contralateral loss of pain & temperature
Ipsilateral loss of motor function, pain, temperature & proprioception
Contralateral loss of motor function, pain, temperature & proprioception
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Vibratory sense
Pain
Temperature
Motor function
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Decreased ROM in the cervical area
Pain & tenderness in the cervical area
Uncontrollable rapid blinking
Radiating pain down spinal column
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2 weeks
3 weeks
4 weeks
5 weeks
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Heightened vibratory sensation
Weakness in the lower extremities
Burning paresthesias involving the neck, arms & torso
Weakness in the upper extremities
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In the white matter
In the grey matter
Usually in the anterior spinal artery
Usually in the posterior spinal arteries
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1-2 hours
12-14 hrs
6-24 hrs
48 hrs
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3 mo
4 mo
6 mo
1 yr
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Massive somatic instability
Spinal shock
Spastic paralysis
Massive autonomic instability
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Reflexes
Light touch
Vibratory sense
Temperature
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Contractures
Mental instability
Skin breakdown
Increased risk of infection
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C1
C2
C6
C7
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Cross-table lateral
Sagittal
A-P
Open mouth
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Decompression
Stabilization
Repairing of associated tissue
Strengthening of supporting vertebra
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C1
C2
C3
C4
C7
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Supportive care
Blood pressure medication
IV fluids
Corticosteroids
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Weakness in the upper extremities
Sensory loss below the lesion
Sphincter dysfunction (bladder retention)
Hyperreflexia of the upper extremities
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