Symptoms And Treatment Of Cervical Spine Trauma

This assignment will present a reflective analysis of the examination, diagnosis, treatment and referral plan based on a simulated patient presenting with a minor injury. Potential diagnoses related to the mechanism of injury will discussed aligning the patient presentation with the literature to produce the most likely diagnosis. When this is established, a suggested treatment plan will be created in line with current guidance.

20. A patient was in an automobile accident and is complaining of a minor headache and no other apparent injuries. History gathered from bystanders states that the patient was not wearing a seat belt and hit his head on the windshield. A 15-minute loss of consciousness was noted. The patient was then admitted for 24-hour observation to rule out head injury. A comprehensive history and exam are performed by the physician. The MDM is of moderate complexity.

A visit note from Gregory Carico, MD (Internal Medicine), dated 01/23/2017, indicated that the claimant presented with a history of depression. She was involved in a motor vehicle accident on December 9th. She was relieved from work duties from 12/09 to 01/04 and was able to return to work on 01/10. She was again off work on 01/12 for therapy. She had pain in the thoracic part of the back and lower neck to middle back. She was diagnosed with a sprain of ligaments of the thoracic spine. An

     This essay is not intended to criticize any emergency medical or hospital staff. I am writing this essay out of concern for patients who come into the emergency room that may have a jeopardized spinal cord resulting from an injury or suspected injury to their cervical spine. I am a certified emergency medical technician, farm-medic instructor and currently a medical diagnostic student doing clinicial's. In the United States each year there are approximately 10,000 reported cervical spine injuries that come into emergency rooms. Motor vehicle accidents account for approximately 45%, falls approximately 30%, the remaining 25% from sports and miscellaneous. Although only a small amount of

DOI: 9/18/2000. Patient is a 59-year-old female technician who sustained a work-related injury due to being jostled and jolted in the back of a golf cart which ran over a pothole. As per OMNI, she was diagnosed with post cervical protrusions, facet syndromes with headaches, lumbar facet syndrome and status post right shoulder repair/resection.

On 4/4/17 I met Mr. Kobetic at the office of Dr. O’Hara Neurosurgeon. Mr. Kobetic reports he has no back pain. He is allowed to remove the back brace for sleeping and reports his left side muscles are tender when he is lying in bed. X-rays were taken before the appointment today. Mr. Kobetic was examined by PA Ms. Masaud then Dr. O’Hara came in. Examination showed good strength, sensation and strength. The x-rays showed the fracture has healed. Mr. Kobetic may now remove the back brace. He is to increase his activity as tolerated. Mr. Kobetic will follow up with the office only if needed. Mr. Kobetic will be making the stress test appointment with the cardiologist to determine if he had a cardiac issue that caused the auto accident. Mr. Kobetic reports he has no recollection of the accident and what caused it. Once the test is complete and he has a follow up appointment he will let me know. Mr. Kobetic returns to work today.

People struggling with back and neck pain can become used to the administration of narcotic pain medications (also referred to as opioids). All narcotic agents have a dissociative effect that helps patients manage pain. While they do not actually deaden the pain, they do work to dissociate patients from the discomfort. Commonly used narcotics include Codeine, Hydrocodone, and Oxycodone.

Since high speed road traffic accidents are the most common cause of spinal injury in the under 8s (Egloff et al., 2009), clinicians should not be prudish in their approach to imaging.

Thesis Statement: Our veterans deserve for the procedures implicated in the treatment of all mild head injuries to have detailed diagnostic testing, in-depth evaluations, and follow up so there are not adverse future effects.

Around ten years ago my life was changed forever when I became a victim of a car accedint. Once at the hospital it was found that I was had two compression fractures and that the T12 fracture could cause paralysis or other issues. The deciding factor seemed to depend on the swelling muscles around the breaks. Unluckily the swelling had already begun. Compression fractures of the spine are fairly common in car accidents but I wasn't sure just what it meant.

In the case 2 of chapter 7 on McKinnis (2014), depicted motor vehicle injury which is also cause of whiplash injury to the cervical spine. Whiplash injury associated disorders (WAD) are one of the considerable reason for high costs for public health care system (Haiduk, et al., 2017). From this case study, it is clearly mentioned that patient neck was snapped backwards and then forward which resulted in anterior and posterior pain, the cervical radiograph is negative, however patient have typical pain type which indicates patient required further radiographic screening. Moreover, McKinnis mentioned that in the cranio-vertebral at cervical area there is more chances to missed fracture in the usual radiograph (2014), magnetic resonance imaging

According to Chiles and Cooper (1996) spinal injury should always be suspected in patients with severe systemic trauma, patients

After a injury occurs a primary survey should be done. The level of consciousness should be assessed, this will determine the next step. If the patient is unconscious, the spine should be stabilized. The patient should be checked for responsiveness, airway breathing, circulation, shock, and profuse breeding. While checking for these, emergency services should be contacted. If the patient was conscious after the primary survey, a secondary survey (responsiveness, airway breathing, circulation, shock, and profuse breeding) should be done. Provider should then check vital signs. history and musculoskeletal evaluation. From here, consider what treatment it is needed and decide transportation.

Kristie had a road traffic accident some time ago and had concerns about a throbbing pain in her lower back and neck. She also had concerns about a slight pain in her shoulders.

Farrington advised the use of backboards in EMS, this recommendation has become the “norm” for Emergency Medical Technicians (Bledsoe, 2013). Since the 1980s, any injury with a significant mechanism of injury would be cause to immobilize the patient’s spine. This has been the understanding of EMS personnel and the reason backboards have been over-applied to patients with minimal injuries. C-spine is considered harmless procedure used to prevent any further injuries to the patient. For example, a study in 1998 found that 99.6% of patients out of 34000 that were placed in C-Spine did not have a spinal injury (Hsieh, 2014). This statistic shows that backboards are often applied when not technically needed. The assumption to C-Spine a patient when there is a significant mechanism of injury does not mean that every patient will have an injury. In fact, that assumption may be hurting, more than