C-Spine – Induction – RCEMLearning India

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Question 1 of 4

1. Question
In which of these patients would you request further imaging before “clearing” the c-spine?
- Mavis was found unconscious at the bottom of the steps, with a left sided weakness. Her family brought her in – they think she's had a stroke.
- Mathilda was playing rugby. She was in a scrum, when the scrum collapsed. Her neck is fairly painful now.
- Marigold was in a car accident a few hours ago. An idiot drove into the back of her at a roundabout, then drove off. She can move her neck easily but it aches a bit
- Marguerite is 71, and slipped over whilst gardening. She has 8/10 neck pain, and is reluctant to move her neck.
- Margot has been in a car accident. She feels fine, apart from a sore knee where her knee hit the dash. She's moving her neck, and has no tenderness on palpation. She says it was pretty frightening – she was on the motorway, and the car flipped upside down.
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Question 2 of 4

2. Question
All patients with suspected c-spine injury must have gold standard immobilisation?
- True
- False
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Question 3 of 4

3. Question
A patient walks in to the department after a tree fell on his head a week ago. He is holding his head still. Which of the following would be appropriate?
- Ask him to continue keeping his head still, provide analgesia, restrict c-spine movement, request x-ray.
- Non acute presentation, send to GP. Analgesia, and examine neck before assessing range of movement
- Ask him to continue keeping his head still, provide analgesia, restrict c-spine movement, request CT.
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Question 4 of 4

4. Question
Which of these are high risk factors for c-spine injury, according to the Canadian C-Spine Rules?
- fall >1m or 5 stairs
- axial load
- road traffic collision combined speed >60mph
- rollover motor vehicle accident
- bicycle collision
- age >65 years
- On warfarin
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C-Spine – Induction

C-Spine – Induction

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