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.
Diving
Contact sports
Motor vehicle accidents
Blunt trauma
True
False
Locate the cause of injury
ABCs
A way to immobilize the fracture
TART
Rapid transport
Assessing for ROM
Intubation
Neck immobilization
Decreased ROM in the cervical area
Pain & tenderness in the cervical area
Uncontrollable rapid blinking
Radiating pain down spinal column
Yes
No
Cross-table lateral
Sagittal
A-P
Open mouth
C1
C2
C6
C7
C1
C2
C3
C4
C7
Decompression
Stabilization
Repairing of associated tissue
Strengthening of supporting vertebra
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
Reflexes
Light touch
Vibratory sense
Temperature
Weakness in the upper extremities
Sensory loss below the lesion
Sphincter dysfunction (bladder retention)
Hyperreflexia of the upper extremities
Vibratory sense
Pain
Temperature
Motor function
Heightened vibratory sensation
Weakness in the lower extremities
Burning paresthesias involving the neck, arms & torso
Weakness in the upper extremities
Upper extremity lesions
Incomplete lesions
Lower extremity lesions
Complete lesions
In the white matter
In the grey matter
Usually in the anterior spinal artery
Usually in the posterior spinal arteries
1-2 hours
12-14 hrs
6-24 hrs
48 hrs
Massive somatic instability
Spinal shock
Spastic paralysis
Massive autonomic instability
Supportive care
Blood pressure medication
IV fluids
Corticosteroids
2 weeks
3 weeks
4 weeks
5 weeks
True
False
3 mo
4 mo
6 mo
1 yr
Contractures
Mental instability
Skin breakdown
Increased risk of infection