Management Of Suspected Spinal Injury Essay

1777 words - 7 pages

In the case study provided, the unconscious patient needs an assessment and a differential diagnosis completed so that the paramedics know how to treat and to determine if the patient is time or transport critical. A differential diagnosis comes from the paramedics’ education and the patient’s history, current vitals signs, and pertinent knowledge gained from those at the scene. The paramedic must, after the differential diagnosis, have an understanding of the pathophysiological process and how this affects the patient. Due to the patients mechanism of injury they need to be treated as a suspected spinal injury. The patient is to remain still, and requires the paramedic to immobilise the head and neck of the patient without traction (Greaves, Hodgetts, Porter, & Woollard, 2012). A semi-rigid collar needs to be used to help support the head and neck, however the patients head still needs to be immobilised manually to prevent further injury (Greaves, Hodgetts, Porter, & Woollard, 2012). When moving the patient the technique used is a ‘log roll’ (Greaves, Hodgetts, Porter, & Woollard, 2012). With this technique will require assistance of bystanders is necessary so that stability of the spine is preserved (Greaves, Hodgetts, Porter, & Woollard, 2012). The patient will be log rolled onto their right side because of the injury on the left, if they have trauma in their chest cavity log rolling onto their left side could exacerbate the injuries (Greaves, Hodgetts, Porter, & Woollard, 2012). Once patient is on their right side a spinal board needs to positioned inline with the back, head and toes so when they are rolled back into a supine position they are correctly on the spinal board (Greaves, Hodgetts, Porter, & Woollard, 2012), however before the patient is returned into the supine position a head to toe assessment of the patients back, especially spine needs to be performed and note any suspected spinal injury (Greaves, Hodgetts, Porter, & Woollard, 2012).
Once the patient is in the supine position treatment for a possible tension pneumothorax can occur, a thoracic decompression, if within their scope of practice, can be completed by a paramedic to release pressure in the left lung. A thoracic decompression is completed by using a 14-gauge cannula that is connected to a 10ml syringe. The cannula is then inserted into the second intercostal space in the midclavicular line on the left side of this patient (Greaves, Hodgetts, Porter, & Woollard, 2012). The aim of this treatment is for the pressure within the chest cavity to decrease and to equalise pressure, and lower pain levels of the patient (Greaves, Hodgetts, Porter, & Woollard, 2012). However, if pressure and symptoms do not diminish the paramedic must begin treating for a haemothorax. Treatment of...

Find Another Essay On Management of Suspected Spinal Injury

Spinal Bifida Essay

795 words - 3 pages taking extra amounts of the folic acid before they become pregnant.When Spina bifida occulta is suspected, to help in diagnosis is best to do a spinal X rays and an ultrasound examination. To treat spinal bifida, the first step is to close the spinal defect, and then more operations are necessary later on. These operations are to repair the hip dislocations, clubfeet, kyphosis, or scoliosis. Some operations can very much lead to a degree of

Spinal Cord Injury Essay

1315 words - 5 pages Historically, each year 11,000 people are added to the existing 230,000 cases of Spinal Cord Injury in the United States. Sad to say that young population ranging from 16-30 years old are affected by the Spinal Cord Injury. Learning the physiology of central nervous system is essential in understanding the function of spinal column. Central Nervous system is made up of spinal cord and the brain. The brain responds and receives sensory

Informative Speech: Spinal Cord Injuries

1130 words - 5 pages degrees of injury. In this illustration we see an example of a slipped disk. A slipped disk most often results in severe and sometimes disabling pain and can be treated by painkillers, bed rest, or surgery. While definitely not a minor ailment, the severity of a slipped disk is not very high since the spinal cord is left intact and therefor there is no nerve damage. However, more serious consequences occur when the spinal cord is damaged or

Lab Paper

1069 words - 4 pages Robert FreterUMUC Biology 103Paper: Biology and Technology in the Real World19 October 2014Dear Friend,I am so sorry to hear about your car accident. After doing a fair amount of research about spinal injury I started to grasp how complicated the area around the spinal cord is. It amazed me that the spinal cord has so many components to include neural cells and glia as well as nerve pathways in the cord alone, not to mention the complexity of

The Multiple Organ Dysfunction Syndrome

1275 words - 5 pages activity of vascular smooth muscle” (Huether, McCance, 2010, pp. 1702). One of the factors that can cause neurogenic shock is trauma to the spinal cord. For example, a man named John Jackson suffered a spinal cord injury after being involved in a motorcycle accident; he will likely suffer from neurogenic shock as well. While he is in neurogenic shock however, he has not lost any fluid from vasculature. This is possible because when the spinal

Chronic Back Pain

1151 words - 5 pages through the leg (Jackson & Simpson, 2006). Medical investigations for diagnosis and injury progression: To prevent chronic back pain, medical investigations and clinical evaluation is necessary to provide the best treatment (Weiner & Nordin, 2010). To investigate the signs of nerve root damage, the femoral stretch test and straight leg raise test is used to diagnose spinal nerve root back pain (Jackson & Simpson, 2006). These neurological tests

Health Issues - Paraplegia

1004 words - 4 pages I've chosen to write my report on paraplegia. Paraplegia is paralys of the legs and lower body, and is caused by damage to the lower spinal cord. Spinal cord injury resulting in Paraplegia or Quadriplegia is most often caused by a severe accident. Statistics show that the majority of Paraplegics and Quadriplegic sustain their injury from road accidents, and these along with diving and other sporting accidents affect many young people for the

Cervical Spinal Stenosis

2275 words - 10 pages numbness on one side of his body so the USC coaching staff decided to pull Jarvis from the game before his injury got more severe. The next day after the game Jarvis was sent to a spinal specialist and then had to go into an MRI test. When the results came back they had discovered he had an extremely mild case of cervical spinal stenosis between his 4th and 5th vertebra. After a mild case of cervical spinal stenosis was found in Jarvis USC refused

Neural Engineering

617 words - 2 pages system illnesses such as stroke, traumatic brain injury, or spinal cord injury. In these illnesses, the new technologies can be applied to help reroute neural signals around damaged areas of brain or spinal cord, or to substitute one type of neural signal for another type that is lost after the injury. A particularly innovative example relating to the descending control of muscle actions in spinal cord injury relies on the application of multi

MRI of Spine

4205 words - 17 pages backside of the vertebral column. The back muscles of the body are associated to the paired transverse process, which has 90 º orientations towards the spinous process (Spine Anatomy and Spine General).Overview Spine MRIMRI is believed as the standard mode for the analysis of patients who have neurological symptoms. Soft tissue injury of the discs, spinal cord and ligaments is evaluated by MRI. MRI offers clear description of soft tissues and cord

Brain and Spinal Cancer

1004 words - 5 pages The brain and spinal cord are the key components of one’s nervous system. They, like all other systems, are necessary to remain alive and functioning properly. The brain controls everything one’s body does, while specific parts of the brain control different elements of a body’s functions. Movement, balance, breathing, and senses are only examples of what the brain accomplishes on a daily basis. The brain keeps a human being alive. There are

Similar Essays

Management Of Head And Neck Injury

1457 words - 6 pages , medulla oblongata and the pons, is responsible for the sensory and motor neurons ability to relay messages and signals between the brain and spinal cord (Baily, 2014). The major functions of the brainstem include controlling several essential factors of which are; alertness, breathing, blood pressure, and heart rate. These have all been impaired in the current patient (Baily, 2014). The mechanism and pathophysiological process of the patient’s injury

Pain Management. The Influence Of Psychological Aspects In A Sport Injury Rehabilitation. By Rafael Cortez

1954 words - 8 pages counseling can help in pain management by enhancing in different ways rehabilitation. Examples are goal setting, anger management, and positive thinking and social support. In summary, the ultimate goal of psychology rehabilitation is to help understand themselves, their injury and how to management their pain, recovering their well-being and live to fully the experience of a healthy life.BibliographyüAndersen, M.B., Williams, J, M. (1988) A model

Repairing Spinal Cord Injuries Essay

981 words - 4 pages not yet have a cure. One of these major injuries is a spinal cord injury. The human body consists of many important systems. The nervous system is one of these that ensure survival of a person. The nervous system is split into two main parts. The spinal cord and the brain make up the Central Nervous System (CNS). The receptors, effectors, and the intermediate neurons make the Peripheral Nervous System (PNS). The nervous system at the basic level

Spinal Cord Injuries Essay

1507 words - 6 pages together into a solid unit. Therefore, there are usually no distinguishable disc spaces between the sacral segments. At the end of the spinal column is the coccyx or tailbone. Damage to any part of the spinal cord or nerves at the end of the spinal canal causes everlasting fluctuations in strength, responsiveness and other body functions. A spinal cord injury can be complete or incomplete. A complete spinal cord injury, all capability to