CRACKCast E043 - Spinal Injuries

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?