Axial loading. (para 5-14a(1))
Distraction. (para 5-14d(2))
You are correct if you listed any five of the following:
Mechanism of injury was violent.
Patient has head injury.
Patient is in an altered state of consciousness.
Patient is in a state of unconscious trauma.
Patient has significant blunt trauma above the clavicals.
In the accident, there may have been sudden violent movement,
deceleration of the spine, or there are signs of spinal injury.
Patient was ejected from an automobile.
Patient's helmet was damaged in a motorcycle or sports injury.
Patient is experiencing pain when he moves and when he does not move.
Patient has point tenderness surrounding the spine.
Patient has deformity in neck.
Patient protects his head, neck, or back.
Patient has paralysis, partial paralysis, numbing, tingling.
Patient has signs of vasodilation.
Patient has gunshot wound between the neck and the pelvis.
(paras 5-15a(1) through (13))
Mechanism of injury.
Exact time of injury.
Sensation felt by patient.
Movement of patient.
(paras 5-16a through e)
(paras 5-17a(1), (2))
The goal of treatment for spinal cord injury is to support the patient's vital functions
and to prevent further injury. (para 5-18)
The patient may become permanently paralyzed. (para 5-18)
Damage to the motor nerves at the mid-cervical level and the upper thoracic level
can prevent supporting muscles from assisting with breathing. The patient's
breathing may become impaired. He may develop atelectasis and pneumonia.
Neurogenic shock. (para 5-19b(1))