CRACKCast E043 - Spinal Injuries - a podcast by The CanadiEM.org Team

from 2016-10-03T12:00

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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?

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