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AFA Chapter 12
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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?

    <p>Rapid transport category</p> Signup and view all the answers

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

    <p>To prevent further injury to the spinal cord</p> Signup and view all the answers

    What is the location of an epidural hematoma?

    <p>Between the skull and dura mater</p> Signup and view all the answers

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

    <p>Paresthesia in the extremities</p> Signup and view all the answers

    What type of bleed is a subdural hematoma?

    <p>Venous bleed in the subdural space</p> Signup and view all the answers

    When might a patient not require spinal motion restriction?

    <p>After being ambulatory since the injury</p> Signup and view all the answers

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

    <p>Fall from 1 meter or 5 stairs</p> Signup and view all the answers

    Which symptom is NOT typically associated with a concussion?

    <p>Neck pain</p> Signup and view all the answers

    What should someone suspected of having a concussion do?

    <p>Be examined by a physician as soon as possible</p> Signup and view all the answers

    Which emotional symptom is commonly observed in individuals with concussions?

    <p>Heightened emotions</p> Signup and view all the answers

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

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

    Which physical symptom is NOT commonly associated with concussions?

    <p>Seizure or convulsion</p> Signup and view all the answers

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

    <p>&quot;Feeling off&quot; or &quot;not feeling right&quot;</p> Signup and view all the answers

    How is in-line stabilization defined in the text?

    <p>Keeping the chin in line with the neck and spine straight</p> Signup and view all the answers

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

    <p>If the patient cannot rotate his or her head</p> Signup and view all the answers

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

    <p>To prevent further damage to the spinal column</p> Signup and view all the answers

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

    <p>Supine</p> Signup and view all the answers

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

    <p>Stop moving the head and maintain manual stabilization in the current position</p> Signup and view all the answers

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

    <p>Complete ability to rotate the head 45 degrees</p> Signup and view all the answers

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

    <p>Adjust the patient's position if necessary</p> Signup and view all the answers

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

    <p>To maintain a neutral head position</p> Signup and view all the answers

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

    <p>To maintain spinal motion restriction</p> Signup and view all the answers

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

    <p>Once the patient's head is fully secured</p> 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?

    <p>Adjust the patient's position using an appropriate technique</p> 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?

    <p>To ensure proper immobilization and support for children's smaller bodies</p> 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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    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.

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