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CRACKCast & Physicians as Humans on CanadiEM


CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. The CanadiEM Podcast brings you cutting edge clinical topics on the National Rounds Series and delves into the struggles that doctors face on the Physicians as Humans Series.

Oct 3, 2016

This episode covers Chapter 043 of Rosen’s Emergency Medicine, Spinal Injuries.

Episode Overview

  • Describe the anatomical contents of the anterior and posterior spinal columns
  • List cervical spinal injuries for the following mechanisms, and indicated whether they are stable or unstable
    1. Flexion x 6
    2. Shear / AP forces x 1
    3. Flexion-Rotation x 2
    4. Extension x 3
    5. Vertical Compression x 2
  • List 8 unstable C-spine injuries
  • Describe an approach to C-Spine X-rays, and define normal:
    1. Predental space
    2. Soft-tissue spaces
    3. Line of Swischuck
  • Describe Canadian C-Spine Rule + Nexus Rule
  • Describe incomplete cord lesions
  • Describe:
    1. Wallenburgs Syndrome
    2. Dejeune Onion Skin Pattern of Analgesia
    3. Horners Syndrome
    4. Cauda Equina
  • How does the bulbocavernosus reflex reflect the presence of spinal shock
  • List features of sacral sparing
  • List Dermatomes/ Myotomes / Spinal reflexes
  • List 6 causes of Horner’s
  • For what C-spine injuries is a CT-a indicated to R/O vascular injury
  • Are Steroids indicated for C-spine injuries
  • For whom is surgical intervention indicated immediately with a spinal cord injury
  • Define neurogenic shock and describe its management
  • Define spinal shock
  • What is the risk of cervical injury in Down’s Syndrome? Rheumatoid Arthritis?
  • What are the Denver criteria?