AFA Chapter 12

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Questions and Answers

What is the first step in the method for Manual Spinal Motion Restriction (SMR)?

Maintain manual stabilization.

Place one hand on each side of the head. (correct)

Slowly tilt the head into the neutral position.

Slowly rotate the head until the chin is in line with the body’s midline.

Which grip technique is NOT mentioned in the Methods for Manual Spinal Motion Restriction (SMR)?

Head grip

Modified trapezius stabilization

Trapezius forehead grip (correct)

Trapezius squeeze

What should be done when rapid extrication is needed?

Monitor responsiveness and prepare to provide interventions for respiratory or cardiac issues.

The patient is blocking access to another patient with life-threatening injuries.

Initiate SMR protocols.

Control any external bleeding. (correct)

Which category should the patient be placed in when rapid transport is required?

Rapid transport category Signup and view all the answers

What is the purpose of maintaining manual stabilization during Manual Spinal Motion Restriction (SMR)?

To prevent further injury to the spinal cord Signup and view all the answers

What is the location of an epidural hematoma?

Between the skull and dura mater Signup and view all the answers

Which of the following indicates a potential need for spinal immobilization?

Paresthesia in the extremities Signup and view all the answers

What type of bleed is a subdural hematoma?

Venous bleed in the subdural space Signup and view all the answers

When might a patient not require spinal motion restriction?

After being ambulatory since the injury Signup and view all the answers

What is considered a dangerous mechanism of injury for spinal immobilization consideration?

Fall from 1 meter or 5 stairs Signup and view all the answers

Which symptom is NOT typically associated with a concussion?

Neck pain Signup and view all the answers

What should someone suspected of having a concussion do?

Be examined by a physician as soon as possible Signup and view all the answers

Which emotional symptom is commonly observed in individuals with concussions?

Heightened emotions Signup and view all the answers

What should be done if a patient sustains a suspected concussion during an activity?

Stop all activity immediately and be closely monitored until evaluated by a physician Signup and view all the answers

Which physical symptom is NOT commonly associated with concussions?

Seizure or convulsion Signup and view all the answers

What is a common indicator that children may express following a physical impact that could indicate a concussion?

"Feeling off" or "not feeling right" Signup and view all the answers

How is in-line stabilization defined in the text?

Keeping the chin in line with the neck and spine straight Signup and view all the answers

When should spinal motion restriction be indicated according to the text?

If the patient cannot rotate his or her head Signup and view all the answers

What is the purpose of maintaining in-line stabilization during a medical procedure?

To prevent further damage to the spinal column Signup and view all the answers

In which position can in-line stabilization be performed according to the text?

Supine Signup and view all the answers

What is the recommended approach if a patient complains of neck pain during head rotation?

Stop moving the head and maintain manual stabilization in the current position Signup and view all the answers

Which situation might suggest that spinal motion restriction is not needed according to the text?

Complete ability to rotate the head 45 degrees Signup and view all the answers

What should be done before applying the straps to a patient on a backboard?

Adjust the patient's position if necessary Signup and view all the answers

Why should padding be placed under or around the head of a patient on a backboard?

To maintain a neutral head position Signup and view all the answers

What is the purpose of securing the chest, pelvis, and legs of a patient on a backboard?

To maintain spinal motion restriction Signup and view all the answers

When should manual in-line stabilization be discontinued for a patient on a backboard?

Once the patient's head is fully secured Signup and view all the answers

What should be done if the top of a patient's head goes beyond the end of the backboard?

Adjust the patient's position using an appropriate technique Signup and view all the answers

Why is it crucial to use collars and equipment specifically designed for children when immobilizing them on a backboard?

To ensure proper immobilization and support for children's smaller bodies Signup and view all the answers

Study Notes

Manual Spinal Motion Restriction (SMR)

The first step in the method for Manual Spinal Motion Restriction (SMR) is not specified.
The purpose of maintaining manual stabilization during Manual Spinal Motion Restriction (SMR) is to prevent further injury.

Grip Techniques

Not mentioned grip technique is not specified.

Rapid Extrication and Transport

When rapid extrication is needed, the patient should be quickly extricated.
When rapid transport is required, the patient should be placed in the " unload and go" category.

Epidural Hematoma

An epidural hematoma is located outside the dura mater.

Indications for Spinal Immobilization

A potential need for spinal immobilization is indicated by a dangerous mechanism of injury.
The patient may not require spinal motion restriction if they have a clear mental status, no neurological deficit, and no spinal pain or tenderness.

Types of Hematoma

A subdural hematoma is a type of venous bleed.

Concussions

A patient suspected of having a concussion should be removed from activity and evaluated.
A concussion is not typically associated with the symptom of vomiting.
Emotional symptoms commonly observed in individuals with concussions include anxiety and depression.
A patient who sustains a suspected concussion during an activity should be removed from play.
Physical symptoms not commonly associated with concussions include diarrhea and vomiting.
A common indicator that children may express following a physical impact that could indicate a concussion is a change in behavior.

In-Line Stabilization

In-line stabilization is defined as the manual stabilization of the head and neck in a neutral position.
In-line stabilization should be maintained during a medical procedure to prevent further injury.
In-line stabilization can be performed in the sitting or standing position.
The purpose of maintaining in-line stabilization is to prevent further injury.

Spinal Motion Restriction Indications

Spinal motion restriction should be indicated according to the text when a patient has a potential need for spinal immobilization.

Backboard Management

Before applying the straps to a patient on a backboard, the patient should be assessed for proper positioning.
Padding should be placed under or around the head of a patient on a backboard to prevent pressure points.
The chest, pelvis, and legs of a patient on a backboard should be secured to prevent movement.
Manual in-line stabilization should be discontinued for a patient on a backboard when the patient is securely strapped.
If the top of a patient's head goes beyond the end of the backboard, the head should be adjusted to fit within the backboard.
It is crucial to use collars and equipment specifically designed for children when immobilizing them on a backboard to prevent improper fit and discomfort.

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Description

Test your knowledge on epidural hematoma and when spinal immobilization is indicated. Determine high-risk factors for spinal immobilization based on patient characteristics and symptoms.