1) Understand best practices of spinal immobilization. 3) Open the conversation with your local medical director
|
|
- Abigail McCormick
- 7 years ago
- Views:
Transcription
1 April 23, 2016
2
3 1) Understand best practices of spinal immobilization 2) Updated indications for use of backboard and C- collar 3) Open the conversation with your local medical director Disclaimer: This discussion and the opinions by the panel members is not intended to supersede local protocols. Talk with your medical director.
4 1) Dr Gee SPH 2) Dr Gildea CMC 3) Ron Brunell City Fire 4) Blaine Cowan Rural Fire 5) Don Leatham Life Flight Network 6) Brian Vibbert Clinton Fire 7) Jeff Welch MESI
5 Montana BOME: MT Prehospital Treatment Protocols Criteria for spinal precautions (only 1 needs to be present to require spinal precautions) Mechanism consistent with potential for spinal injury (ie. Significant falls (greater than 20ft), or MVC with significant MOI, or direct trauma to head, neck, or back) Neck/back pain or tenderness Abnormal neuro exam or complaint of sxs (ie. Sensory/motor abnormalities or hx of LOC with current injury, or altered mental status) Multi-system trauma (potential for distracting injury) Revision 1.5 March 2015
6 Montana BOME: MT Prehospital Treatment Protocols Omission criteria (all of the following must be met to allow for selectively not following spinal precautions) Normal neurological exam in cooperative pt (fully alert and oriented pt and normal sensory/motor exam) Normal VS Absence of intoxicants Absence of neck/back pain or tenderness Absence of distracting injuries No communication barriers (due to language, intellect, intoxication, emotional condition, etc) Revision 1.5 March 2015
7 Montana BOME: MT Prehospital Treatment Protocols Patients with penetrating trauma to head, neck, torso and no evidence of SCI should not be immobilized on a backboard Spinal precautions can be maintained by application of a rigid cervical collar and securing the patient firmly to the EMS stretcher, and may be most appropriate for 1) pts who are found to be ambulatory at the scene, 2) pt who must be transported for a protracted time, particularly prior to IFT, or 3) pts for whom a backboard is not otherwise indicated (p. 42) Revision 1.5 March 2015
8 Montana BOME: MT Prehospital Treatment Protocols General Considerations Manual Immobilization Cervical Collar Backboard Rapid Extrication vs KED/Short Board d/pdf/emt_protocols.pdf
9
10
11
12
13 Event: 25 yo M MVC at highway speeds roll over ETOH smell and beer cans all over ground EMS Patient walking on scene. Questionable as to whether ejected or self extricated. Significant bleeding from scalp. Patient is agitated and combative, does not remember events of accident. P 110, BP 145/90, Sat 95%, RA, RR 24, GCS 14 Pt denies neck pain, denies cervical pain with palpation, pressure dressing placed on scalp with continued bleeding. Denies numbness or tingling in extremities, equal strength in all extremities. Patient becomes more agitated and uncooperative.
14 What further examination should be conducted on scene? Do you think a C-Collar necessary? Do you think a back board necessary? What does an abnormal spine feel like? What if you were only 10 min from the hospital? Or 60 min?
15 Arrived as Trauma Standby (because of mechanism + LOC, and obvious head trauma) P 118, BP 130/89, 3 L NC 99%, RR 24, GCS 14 To CT In CT patient complained of mid back pain on transfer to table.
16 Large Scalp Laceration T 1-2 spinous process fx
17
18 Event: 75 M Fall from stool at home while painting in garage; large scalp laceration EMS Arrived with patient lying on garage floor significant bleeding from scalp Patients reports syncope with positive LOC HX Coumadin for Afib, CHF, COPD, home O2-2 L P 65, BP 96/56, Sat 85%, RR 20, GCS 15 Pt C/O neck pain and soreness to left side of neck, denies cervical pain with palpation, concern for large amount of blood from head laceration. Pressure dressing placed on scalp with continued bleeding..
19 What further examination should be conducted on scene? Does this patient need to be immobilized? How?
20 1308: Arrived as Trauma Standby (because of head trauma, amount of blood loss, and reports of hypotension) P 100, BP 99/45, 3 L NC 92%, RR 24 Procedure: Scalp laceration stapled and bleeding controlled 1323: To CT 1413: Vit K and K centra given CT revealed C2 lateral mass fx non displaced First C-collar not placed until after CT Neurosurgery consult: advised Miami J for 6-8 weeks at all times Patient admitted to Trauma Services
21 Large Scalp Laceration C2 Lateral Mass fx
22
23 Event: 20 M Ejected from full size truck during roll over found 40 ft from vehicle Highway speeds EMS: Arrived with patient on ground c/o extreme back pain Repetitive questioning Laceration on scalp bleeding Assessment reveals patient unable to feel or move lower extremities P 110, BP 130/93, RR 28, O2 Sat 97% RA, GCS min transport time to first facility
24
25 What further examination should be conducted on scene? Does this patient need to be immobilized? How?
26 1045: Patient arrives as trauma activation: P 109, BP 129/62, 2 L NC, O2 Sat 98%, GCS 14, mild confusion, repetitive questioning Physical examine reveals no feeling or movement in lower extremities, back board removed during exam taken to CT CT finding- Compression fracture with facet dislocation at T12 with spinal cord injury Surgical intervention required Plans to transfer to Level II Trauma Center
27 T12 compression fx Complete Paraplegic
28
29 Should the patient be re-back boarded for transport? Other options vacuum mattress scoop? What if the patient still has some intact extremity sensation how would this change the care?
30 General approach for patients at risk: Spinal motion restriction basically flat on stretcher with C- Collar NO backboard for long transports Per Dr. Eileen Bulger, MD Harborview
31 1) Backboard advised for extrication only 2) The use of backboards can cause more damage than good 3) Re-backboard a patient for intra-facility transport is not recommended 4) Include a complete assessment and documentation 5) Discuss with your medical director in your local area Thank you for your participation! You can find the presentations and references on the Spring Fever Trauma Conference page:
Michael J. Reihart, MD Chair Medical Advisory Committee Pennsylvania Emergency Health Services Council
Douglas F. Kupas, MD, EMT-P Commonwealth EMS Medical Director Bureau of Emergency Medical Services PA Department of Health Michael J. Reihart, MD Chair Medical Advisory Committee Pennsylvania Emergency
More informationField Evaluation of Cervical Spinal Injuries NCEMSF Conference 2010. Mark E. Pinchalk, MS, EMT-P Paramedic Crew Chief City of Pittsburgh EMS
Field Evaluation of Cervical Spinal Injuries NCEMSF Conference 2010 Mark E. Pinchalk, MS, EMT-P Paramedic Crew Chief City of Pittsburgh EMS Cervical Spinal Immobilization Standard of care for patients
More informationSpinal Immobilization Scenarios
Spinal Immobilization Scenarios Scenario 1: Medic 2 and 3112 arrive to find a 24 y/o male sitting on the sidewalk on Pacific Ave. Per witnesses he was punched in the head multiple times and fell down to
More informationMaricopa Integrated Health System: Administrative Policy & Procedure
Maricopa Integrated Health System: Administrative Policy & Procedure Effective Date: 03/05 Reviewed Dates: 09/05, 9/08 Revision Dates: Policy #: 64500 S Policy Title: Cervical & Total Spine Clearance and
More informationReturn to same game if sx s resolve within 15 minutes. Return to next game if sx s resolve within one week Return to Competition
Assessment Skills of the Spine on the Field and in the Clinic Ron Burke, MD Cervical Spine Injuries Sprains and strains Stingers Transient quadriparesis Cervical Spine Injuries Result in critical loss
More informationCHAPTER 32 QUIZ. Handout 32-1. Write the letter of the best answer in the space provided.
Handout 32-1 QUIZ Write the letter of the best answer in the space provided. 1. All of the following are signs and symptoms in patients with spinal injuries except A. paralysis. C. hyperglycemia. B. priapism.
More informationSouthern Stone County Fire Protection District Emergency Medical Protocols
TITLE Pediatric Medical Assessment PM 2.4 Confirm scene safety Appropriate body substance isolation procedures Number of patients Nature of illness Evaluate the need for assistance B.L.S ABC s & LOC Focused
More information8 th Annual W/C Spine Summit. Ted A. Lennard, MD Feb. 12, 2015
8 th Annual W/C Spine Summit Ted A. Lennard, MD Feb. 12, 2015 Case Study 45 y.o. male Truck Accident on 1/15/12 Slid on ice and crossed median. Case Study Taken by ambulance to ER in Texas +Loss of consciousness
More informationSouth Denver Prehospital Services 2014
South Denver Prehospital Services 2014 Overview of 2014 BACKBOARD EMS PATIENT OUTCOMES EMS Pain management MED RECONCILIATION Attention! BACKBOARD DRILL!! BEFORE AND AFTER PROTOCOL CHANGE Measure: Injury:
More informationEvaluation and Treatment of Spine Fractures. Lara C. Portmann, MSN, ACNP-BC
Evaluation and Treatment of Spine Fractures Lara C. Portmann, MSN, ACNP-BC Nurse Practitioner, Neurosurgery, Trauma Services, Intermountain Medical Center; Salt Lake City, Utah Objectives: Identify the
More informationNICE guideline Published: 17 February 2016 nice.org.uk/guidance/ng41
Spinal injury: assessment and initial management NICE guideline Published: 17 February 2016 nice.org.uk/guidance/ng41 NICE 2016. All rights reserved. Contents Recommendations... 3 1.1 Assessment and management
More informationDOCUMENTATION TEMPLATES. All patient care reports should include the following information in the narrative:
DOCUMENTATION TEMPLATES All patient care reports should include the following information in the narrative: Patient Data: -Chief Complaint -Mechanism of injury/nature of illness -Associated signs and symptoms/pertinent
More information.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description
Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures can
More informationHead & Spinal Trauma. Lesson Goal. Lesson Objectives 9/10/2012
Head & Spinal Trauma Lesson Goal Learn assessment of patients with head or spinal injuries and how to treat those injuries Lesson Objectives State nervous system components List central nervous system
More informationSpine & Nervous System Trauma
Spine & Nervous System Trauma Andrea L. Williams PhD, RN Emergency Education Specialist Clinical Associate Professor University of Wisconsin School of Nursing http://www.youtube.com/watch?v=g2tdp_7q3n4
More information404 Section 5 Shock and Resuscitation. Scene Size-up. Primary Assessment. History Taking
404 Section 5 and Resuscitation Scene Size-up Scene Safety Mechanism of Injury (MOI)/ Nature of Illness (NOI) Ensure scene safety and address hazards. Standard precautions should include a minimum of gloves
More informationNEW YORK STATE IN-HOSPITAL CERVICAL SPINE CLEARANCE GUIDELINES IN BLUNT TRAUMA
Page 1 of 5 NEW YORK STATE IN-HOSPITAL CERVICAL SPINE CLEARANCE GUIDELINES IN BLUNT TRAUMA STAC Evaluation Subcommittee Authors: Jamie S. Ullman, MD FACS, Matthew Bank, MD, FACS, Nelson Rosen, MD, FACS,
More informationTemple Physical Therapy
Temple Physical Therapy A General Overview of Common Neck Injuries For current information on Temple Physical Therapy related news and for a healthy and safe return to work, sport and recreation Like Us
More informationEMS POLICIES AND PROCEDURES
EMS POLICIES AND PROCEDURES POLICY #: 13 EFFECT DATE: xx/xx/05 PAGE: 1 of 4 *** DRAFT *** SUBJECT: TRIAGE OF TRAUMA PATIENTS *** DRAFT *** APPROVED BY: I. PURPOSE Art Lathrop, EMS Director Joseph A. Barger,
More informationTo C-Spine or Not to C-Spine. Kevin Parkes, M.D.
To C-Spine or Not to C-Spine. Kevin Parkes, M.D. Disclosures: None! Warning! This one is tough Get ready to rethink your training!! Mechanism of Injury.. Remember CPR ABC Pediatric issues General spinal
More informationCervical-Spine Injuries: Catastrophic Injury to Neck Sprain. Seth Cheatham, MD
Cervical-Spine Injuries: Catastrophic Injury to Neck Sprain Seth Cheatham, MD 236 Seth A. Cheatham, MD VCU Sports Medicine I have no financial disclosures Contact sports, specifically football, places
More informationNational Registry of Emergency Medical Technicians Emergency Medical Technician Psychomotor Examination BLEEDING CONTROL/SHOCK MANAGEMENT
BLEEDING CONTROL/SHOCK MANAGEMENT Candidate: Examiner: Date: Signature: Possible Applies direct pressure to the wound 1 NOTE: The examiner must now inform the candidate that the wound continues to bleed.
More informationNational Registry Skill Sheets
Bleeding Control/Shock Management BVM Ventilation of an Apneic Adult Patient Cardiac Arrest Management/AED Joint Immobilization Long Bone Immobilization Oxygen Administration By Non-Rebreather Mask Patient
More informationWhiplash Associated Disorder
Whiplash Associated Disorder Bourassa & Associates Rehabilitation Centre What is Whiplash? Whiplash is a non-medical term used to describe neck pain following hyperflexion or hyperextension of the tissues
More informationNeck Pain Frequently Asked Questions. Moe R. Lim, MD UNC Orthopaedics (919-96B-ONES) UNC Spine Center (919-957-6789)
Neck Pain Frequently Asked Questions Moe R. Lim, MD UNC Orthopaedics (919-96B-ONES) UNC Spine Center (919-957-6789) Neck Pain Human Spine 25 bones Cervical (7) Thoracic (12) Lumbar (5) Sacrum Human Spine
More informationDoes This Hospital Serve Cocktails? Alcohol Withdrawal: A Nursing Perspective. Written and presented by: Susan Laffan, RN, CCHP-RN, CCHP-A
Does This Hospital Serve Cocktails? Alcohol Withdrawal: A Nursing Perspective Written and presented by: Susan Laffan, RN, CCHP-RN, CCHP-A Disclaimer: This speaker has no financial disclaimers to report.
More informationHead Injury. Dr Sally McCarthy Medical Director ECI
Head Injury Dr Sally McCarthy Medical Director ECI Head injury in the emergency department A common presentation 80% Mild Head Injury = GCS 14 15 10% Moderate Head Injury = GCS 9 13 10% Severe Head Injury
More informationVanderbilt University Medical Center Division of Trauma & Surgical Critical Care. Clinical Management Guideline: Standard Trauma Resuscitation
Vanderbilt University Medical Center Division of Trauma & Surgical Critical Care Clinical Management Guideline: Standard Trauma Resuscitation Global Communication is the key to a well organized and efficient
More informationCompleting the Loop: Management of the Adolescent Sports Injury. Adam Thomas, PT, DPT, ATC
: Management of the Adolescent Sports Injury Adam Thomas, PT, DPT, ATC https://www.youtube.com/watch?v=vbufpo 8s3As On field assessment can be the most efficient when the health care provider has observed
More informationSTATE OF CONNECTICUT
STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH June 7, 2010 The Following Will Be Policy For Emergency Medical Service Care Providers: GUIDELINES FOR EMR, EMT, AEMT, and Paramedic DETERMINATION OF DEATH/DISCONTINUATION
More informationSpine Injury and Back Pain in Sports
Spine Injury and Back Pain in Sports DAVID W. GRAY, MD 1 Back Pain Increases with Age Girls>Boys in Teenage years Anywhere from 15 to 80% of children and adolescents have back pain depending on the studies
More informationWhiplash: a review of a commonly misunderstood injury
1 Whiplash: a review of a commonly misunderstood injury The American Journal of Medicine; Volume 110; 651-656; June 1, 2001 Jason C. Eck, Scott D. Hodges, S. Craig Humphreys This review article has 64
More informationSoft-tissue injuries of the neck in automobile accidents: Factors influencing prognosis
Soft-tissue injuries of the neck in automobile accidents: Factors influencing prognosis 1 Mason Hohl, MD FROM ABSTRACT: Journal of Bone and Joint Surgery (American) December 1974;56(8):1675-1682 Five years
More informationPromising Treatments for SCI: What s on The Horizon. SCI: A Devastating Injury. Case: Mr. MC 9/21/2015. Epidemiology: Costs:
Promising Treatments for SCI: What s on The Horizon Shawn Song, MD SCI Fellow University of Washington/VA Puget Sound Healthcare System SCI: A Devastating Injury Epidemiology: Incidence of ~12,000 patients/year.
More informationCase 3:08-cv-00382-TJM-DEP Document 101 Filed 01/27/10 Page 1 of 10
Case 3:08-cv-00382-TJM-DEP Document 101 Filed 01/27/10 Page 1 of 10 UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF NEW YORK LILLIAN MILLER, Individually and As Administratrix of the ESTATE OF EDWARD
More informationLow Back Injury in the Industrial Athlete: An Anatomic Approach
Low Back Injury in the Industrial Athlete: An Anatomic Approach Earl J. Craig, M.D. Assistant Professor Indiana University School of Medicine Department of Physical Medicine and Rehabilitation Epidemiology
More informationMLFD Standard Operating Guidelines SOG# 12-22 Subject: Patient Transfer of Care Initiated 1/30/2013
MLFD Standard Operating Guidelines SOG# 12-22 Subject: Patient Transfer of Care Initiated 1/30/2013 Approved: Revised PURPOSE It is the purpose of this SOG to provide and ensure the highest level of patient
More informationKing County EMS Stroke Quality Improvement Program
King County EMS Stroke Quality Improvement Program A Report from the King County EMS Medical QI Section March 2012 Prepared by Sofia Husain, Jim Duren, and Norm Nedell OBJECTIVE The goal of the King County
More informationCOUNTY OF LOS ANGELES. op «q OFFICE OF THE COUNTY COUNSEL. ~~a~`n~
op «q ~~a~`n~ COUNTY OF LOS ANGELES OFFICE OF THE COUNTY COUNSEL f ~' 648 KENNETH HAHN HALL OF ADMINISTRATION t "" ~ ' ~r 500 WEST TEMPLE STREET ~~Aii~oR SPX LOS ANGELES, CALIFORNIA 90012-2713 MARK J.
More informationWhiplash and Whiplash- Associated Disorders
Whiplash and Whiplash- Associated Disorders North American Spine Society Public Education Series What Is Whiplash? The term whiplash might be confusing because it describes both a mechanism of injury and
More information12/5/2012. Introduction. Head, Neck, and Spine Injuries. Recognizing and Caring for Serious Head, Neck and Back Injuries
Head, Neck, and Spine Injuries Identify the most common causes of head, neck and spinal injuries. List 10 situations that might indicate serious head, neck and spinal injuries. List the signals of head,
More informationINTERNATIONAL TRAUMA LIFE SUPPORT
INTERNATIONAL TRAUMA LIFE SUPPORT What to wear STUDENT GUIDE TO INTERNATIONAL TRAUMA LIFE SUPPORT ITLS is a practical course that stresses hands-on teaching. You should wear comfortable clothes that you
More information1 REVISOR 5223.0070. (4) Pain associated with rigidity (loss of motion or postural abnormality) or
1 REVISOR 5223.0070 5223.0070 MUSCULOSKELETAL SCHEDULE; BACK. Subpart 1. Lumbar spine. The spine rating is inclusive of leg symptoms except for gross motor weakness, bladder or bowel dysfunction, or sexual
More informationTraumatic injuries SPINAL CORD. Causes of Traumatic SCI SYMPTOMS. Spinal Cord trauma can be caused by:
Traumatic injuries SPINAL CORD Jennie Trkulja RN, BScN, ENC (c) Causes of Traumatic SCI Spinal Cord trauma can be caused by: MVC (most injuries) Gunshots Falls Stabbings Assaults Industrial accidents Sports
More informationEmergency Action Plans
Emergency Action Plans Clearly the most effective way to deal with an injury- emergency is to plan ahead and to practice the appropriate procedures. An emergency action plan is a written plan of action
More informationGilbert Varela, M.D., Inc 5232 E. Beverly Boulevard Los Angeles, California 90022 Phone: (323) 724-6911 Fax: (323) 724-6915
Gilbert Varela, M.D., Inc 5232 E. Beverly Boulevard Los Angeles, California 90022 Phone: (323) 724-6911 Fax: (323) 724-6915 September 10, 2007 Law offices of xxxxxxxxx Santa Monica, CA 90405 REGARDING:
More informationNeck Injuries and Disorders
Neck Injuries and Disorders Introduction Any part of your neck can be affected by neck problems. These affect the muscles, bones, joints, tendons, ligaments or nerves in the neck. There are many common
More informationC-Spine Injuries. Trauma Rounds
C-Spine Injuries Trauma Rounds OUTLINE Introduction: Incidence, Importance Normal C-spine Anatomy Clinical Criteria for C-Spine X-rays Imaging Evaluation & Interpretation Fractures: Mechanism, Types, Management
More informationNursing. Management of Spinal Trauma. Content. Objectives. Objectives
7 cervical vertebrae Content 12 thoracic vertebrae Nursing 5 sacral vertebrae Management of Spinal Trauma Kwai Fung Betty Siu Ward Manager O&T Dept TKOH Date : 22nd April 2007 5 lumbar vertebrae 4 coccygeal
More informationFirst Responder (FR) and Emergency Medical Responder (EMR) Progress Log
First Responder (FR) and Emergency Medical Responder (EMR) Progress Log Note: Those competencies that are for EMR only are denoted by boldface type. For further details on the National Occupational Competencies
More information.org. Cervical Spondylosis (Arthritis of the Neck) Anatomy. Cause
Cervical Spondylosis (Arthritis of the Neck) Page ( 1 ) Neck pain can be caused by many things but is most often related to getting older. Like the rest of the body, the disks and joints in the neck (cervical
More informationHigh Risk Emergency Medicine
High Risk Emergency Medicine Minor Head Injuries in Patients on Oral Anticoagulants David Thompson, MD, MPH Assistant Professor Department of Emergency Medicine No relevant financial relationships to disclose
More informationCervical Spondylosis (Arthritis of the Neck)
Copyright 2009 American Academy of Orthopaedic Surgeons Cervical Spondylosis (Arthritis of the Neck) Neck pain is extremely common. It can be caused by many things, and is most often related to getting
More informationEMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPORT State Form 54407 (R / 5-13)
EMERGENCY MEDICAL RESPONDER (EMR) PRACTICAL SKILLS EXAMINATION REPT State Form 54407 (R / 5-3) INDIANA DEPARTMENT OF HOMELAND SECURITY EMERGENCY MEDICAL SERVICES CERTIFICATION 302 West Washington Street,
More informationClinical guidance for MRI referral
MRI for cervical radiculopathy Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: cervical radiculopathy
More informationGuideline for Emergency CT scanning Tony Bleetman Aidan Macnamara October 2008. June annually Emergency Department guidelines
Meta Data Guideline Title: Guideline Author: Guideline Sponsor: Date of Ratification (CSC): Review Date: Related Policies/Topic/Driver Stored Centrally: Guideline for Emergency CT scanning Tony Bleetman
More informationCase Report Chronic Neck Pain Associated with an Old Odontoid Fracture: A Rare Presentation
Case Reports in Emergency Medicine Volume 2013, Article ID 372723, 4 pages http://dx.doi.org/10.1155/2013/372723 Case Report Chronic Neck Pain Associated with an Old Odontoid Fracture: A Rare Presentation
More informationTITLE 836 INDIANA EMERGENCY MEDICAL SERVICES COMMISSION. ARTICLE 1.5 Trauma Field Triage and Transport Destination Requirements
TITLE 836 INDIANA EMERGENCY MEDICAL SERVICES COMMISSION ARTICLE 1.5 Trauma Field Triage and Transport Destination Requirements 836 IAC 1.5-1 Purpose Affected: [IC 10-14-3-12; IC 16-18; IC 16-21-2; IC 16-31-2-9;
More informationHEAD INJURY Discharge Instructions
Hospital Copy NEUROSURGICAL CONSULTANTS, INC. www.neurosurgical-consult.com MICHAEL GIEGER, ABNS MICHAEL H. FREED, M.D., FACS, ABNS MARC H. FRIEDBERG, M.D., Ph.D., FACS, ABNS LINDEN BUILDING FIRST FLOOR
More informationLifting, Moving and Positioning Patients From Brady s First Responder (8th Edition) 44 Questions
Lifting, Moving and Positioning Patients From Brady s First Responder (8th Edition) 44 Questions 1. Approximately how much of the log roll will be complete before the rescuer at the patient's head will
More informationMinimally Invasive Spine Surgery For Your Patients
Minimally Invasive Spine Surgery For Your Patients Lukas P. Zebala, M.D. Assistant Professor Orthopaedic and Neurological Spine Surgery Department of Orthopaedic Surgery Washington University School of
More informationCBT/OTEP 445 Head, Spine and Chest Trauma
Seattle-King County EMS Seattle-King County Emergency Medical Services Division Public Health - Seattle/King County 401 5th Avenue, Suite 1200 Seattle, WA 98104 (206) 296-4693 January 2009 CBT/OTEP 445
More informationEMERGENCY MEDICINE PATIENT PRESENTATIONS: A How-To Guide For Medical Students
EMERGENCY MEDICINE PATIENT PRESENTATIONS: A How-To Guide For Medical Students Kerry B. Broderick, MD David E. Manthey, MD Wendy C. Coates, MD For the SAEM Undergraduate Education Committee Patient presentation
More informationWhiplash and Cervical Spine Disorders: Evaluation and Management
Whiplash and Cervical Spine Disorders: Evaluation and Management Dr. Corrie Graboski Definition by Quebec Task Force Pain Generators an acceleration-deceleration mechanism of energy transfer to the neck
More informationClosed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario
Page 1 Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Injury Descriptions Developed from Newfoundland claim study injury definitions No injury Death Psychological
More informationWrist Fracture. Please stick addressograph here
ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS FOLLOWING WRIST FRACTURE Please stick addressograph
More informationOrthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs
Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.
More informationSimulation Design Template
Simulation Design Template Date: May 7, 2008 Discipline: Expected Simulation Run Time: 20 mins Location: hospital ER Admission Date: Today s Date: Brief Description of Client Name: Mr. Crash Gender: M
More informationCHAPTER 6 HEAD INJURY AND UNCONSCIOUSNESS
CHAPTER 6 HEAD INJURY AND UNCONSCIOUSNESS BRAIN INJURY Injury to the brain is one of the more serious outcomes that occur due to injury or illness. The first aider plays a major role in limiting damage
More informationCoding and Documentation in Practice
Coding and Documentation in Practice Great Exam Documentation By: Kathy Mills Chang Kathy Mills Chang is a Certified Medical Compliance Expert, Reimbursement Consultant, Medicare Specialist, and a Documentation
More informationlet s talk bleeds a bleed checklist for haemophilia patients
let s talk bleeds a bleed checklist for haemophilia patients Specific signs of a bleed Watch for Bruising, with or without lumps Difference in the size of arms/legs Difference in movement in arms/legs
More informationHEAD INJURIES Table 1
NEISS HORSE RELATED EMERGENCY ROOM ADMISSIONS HEAD INJURY Edited 5-31-08 Word count 3,694 Characters 17,297 The first part of the report concerned the National Electronic Injury Surveillance System (NEISS)
More informationSpinal Injections. North American Spine Society Public Education Series
Spinal Injections North American Spine Society Public Education Series What Is a Spinal Injection? Your doctor has suggested that you have a spinal injection to help reduce pain and improve function. This
More informationCOUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures
COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT Final - May 2, 2002 Russ Blind Interim Director Robert Barnes, M.D. Medical Director TABLE OF CONTENTS Section: Topic: Page #: I. Definitions 3-4 II.
More informationInformation on the Chiropractic Care of Lower Back Pain
Chiropractic Care of Lower Back Pain Lower back pain is probably the most common condition seen the the Chiropractic office. Each month it is estimated that up to one third of persons experience some type
More informationROAD TRAFFIC INCIDENT INSTRUCTORS COURSE (RTI I) Course Code RTI I. Eligibility. Personnel to be trained must:
ROAD TRAFFIC INCIDENT INSTRUCTORS COURSE (RTI I) Course Code RTI I Eligibility Personnel to be trained must: Aim a. Be a DFRMO FS Junior Officer or, b DFRMO FS Firefighter who can justify a need and receives
More informationPain In The Neck? C- Spine Immobilization. Jamie Sklar, RN, BSN, MS, CCRN Pediatric Intensive Care Unit The Children s Hospital of Philadelphia
Pain In The Neck? C- Spine Immobilization Jamie Sklar, RN, BSN, MS, CCRN Pediatric Intensive Care Unit The Children s Hospital of Philadelphia Objectives Discuss developmental differences in children and
More informationFull name DOB Age Address Email Phone numbers (H) (W) (C) Emergency contact Phone
DEMOGRAPHIC INFORMATION Full name DOB Age Address Email Phone numbers (H) (W) (C) Emergency contact Phone CARE INFORMATION Primary care physician: Address Phone Fax Referring physician: Specialty Address
More informationOrientation to Movement-Based Physical Therapy in the ED
Orientation to Movement-Based Physical Therapy in the ED Physical Therapists in the ED PT consult icon available Debbie Fleming-McDonnell, PT, DPT flemingd@wusm.wustl.edu Pam Wendl, PT, DPT wendlp@wusm.wustl.edu
More informationTHORACIC OUTLET SYNDROME & BRACHIAL PLEXUS INJURIES
THORACIC OUTLET SYNDROME & BRACHIAL PLEXUS INJURIES I. THORACIC OUTLET SYNDROME TOS is a compression of nerves or blood vessels, or both, in the thoracic outlet region, which is the space between the collarbone
More informationObjectives At the conclusion of this lecture the participant should be able to:
Cervical Spine Injuries By: Aloysius N. Fobi, MD Objectives At the conclusion of this lecture the participant should be able to: Explain basic spinal cord anatomy and its function List the risk factors
More informationLifting & Moving Patients. Lesson Goal. Lesson Objectives 9/10/2012
Lifting & Moving Patients Lesson Goal Learn the correct techniques, equipment, & positioning for moving patients safely and effectively in a variety of situations &locations Lesson Objectives Define body
More informationBrain Injury. Mild to Moderate Effects Pathways. Jane Gillett MD FRCPC Medical Director ABI Program
Brain Injury Mild to Moderate Effects Pathways Jane Gillett MD FRCPC Medical Director ABI Program Brain Injury Commonest Cause of morbidity and mortality in those under 40 70% are considered mild to moderate
More informationIII./8.4.2: Spinal trauma. III./8.4.2.1 Injury of the spinal cord
III./8.4.2: Spinal trauma Introduction Causes: motor vehicle accidents, falls, sport injuries, industrial accidents The prevalence of spinal column trauma is 64/100,000, associated with neurological dysfunction
More informationINSTRUCTIONAL MATERIALS: REFERENCES: a. PAEC School Safety Manual b. Any locally produced Back Injury pamphlet TRAINING AIDS:
LESSON TOPIC: AVERAGE TIME: BACK INJURY PREVENTION 30 Minutes INSTRUCTIONAL MATERIALS: REFERENCES: a. PAEC School Safety Manual b. Any locally produced Back Injury pamphlet TRAINING AIDS: a. Handout #1
More informationNeck Pain Overview Causes, Diagnosis and Treatment Options
Neck Pain Overview Causes, Diagnosis and Treatment Options Neck pain is one of the most common forms of pain for which people seek treatment. Most individuals experience neck pain at some point during
More information6.0 Management of Head Injuries for Maxillofacial SHOs
6.0 Management of Head Injuries for Maxillofacial SHOs As a Maxillofacial SHO you are not required to manage established head injury, however an awareness of the process is essential when dealing with
More informationCase Studies Updated 10.24.11
S O L U T I O N S Case Studies Updated 10.24.11 Hill DT Solutions Cervical Decompression Case Study cant neck pain, headaches, and bilateral parathesia. The above captioned patient complained of neck pain,
More informationSpinal Cord Injury Education. An Overview for Patients, Families, and Caregivers
Spinal Cord Injury Education An Overview for Patients, Families, and Caregivers Spinal Cord Anatomy A major component of the Central Nervous System (CNS) It is 15 to 16 inches long, and weighs 1 to 2 ounces
More informationNORTH REGION EMS & TRAUMA CARE SYSTEM Operational Guidelines
PATIENT CARE PROCEDURES #1 Access to Prehospital EMS Care To define elements of the Regional EMS and trauma system necessary to assure rapid universal access to 911 and E-911, rapid identification of emergent
More informationDischarge planning. Rehabilitation Center at Scripps Memorial Hospital Encinitas. Discharge Planning. General rehab diagnosis
Discharge planning with Case Managers Paul Kelsey R.N., C.C.M Joan Wilson R.N.,C.R.R.N.,C.C.M Rehabilitation Center at Scripps Memorial Hospital Encinitas Discharge Planning There are no EASY rehab patients
More informationTRAUMA PATIENT TRANSPORT
TRAUMA PATIENT TRANSPORT I. Region XI EMS uses a pre-hospital scoring system (see Attachment 1, Trauma Field Triage Criteria) to assist with the identification of injured adult and pediatric patients and
More informationElectrodiagnostic Testing
Electrodiagnostic Testing Electromyogram and Nerve Conduction Study North American Spine Society Public Education Series What Is Electrodiagnostic Testing? The term electrodiagnostic testing covers a
More informationBasic ATLS. The Primary Survey. Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon
Basic ATLS The Primary Survey Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon Trauma - expression comprising a spectrum of severity of mechanical violation of tissues, from a little scratch to a multiply
More informationObjectives. Spinal Fractures: Classification Diagnosis and Treatment. Level of Fracture. Neuro exam Muscle Grading
Objectives Spinal Fractures: Classification Diagnosis and Treatment Johannes Bernbeck,, MD Review and apply the understanding of incidence and etiology of VCF. Examine conservative and operative management
More informationSBAR Communication CONCISE
SBAR Communication CONCISE CLEAR EFFECTIVE Contra Costa EMS is adopting a county-wide prehospital model for communicating patient care information between EMS and ED providers with the purpose of improving
More informationIf you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time.
If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time. You may be worried about your future, both in respect of finances and
More informationThe Anatomy of Spinal Cord Injury (SCI)
The Anatomy of Spinal Cord Injury (SCI) What is the Spinal Cord? The spinal cord is that part of your central nervous system that transmits messages between your brain and your body. The spinal cord has
More informationEYE, EAR, NOSE, and THROAT INJURIES
T6 EYE, EAR, NOSE, and THROAT INJURIES Management of injuries of the eyes, ears, nose, and throat focuses on airway management and initial stabilization of the injury. Bilateral comparisons can assist
More informationClearing the C Spine
1. Introduction 2. Clinical Presentation 3. History 4. Physical Exam 5. Diagnosis 6. Investigations 7. Evaluation 8. Management 9. Reference 10. Acknowledgents Clearing the C Spine 1. Introduction: Injury
More information