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Platinum Trauma Practice Exam
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Which sequence best aligns with standard management for a patient with suspected cervical spine injury after a fall?
Check vital signs and monitor
Manual stabilization, airway, C-collar, backboard, rapid transport.
Remove helmet and transport
Immediate on-scene full treatment
Reveal Answer
Correct Answer:
Manual stabilization, airway, C-collar, backboard, rapid transport.
Explanation:
The main idea is to prevent any movement of the cervical spine while preparing for transport, with airway protection as needed. Start by in-line, manual stabilization of the head and neck in a neutral position to stop movement. While maintaining that stabilization, assess and support the airway and breathing, providing ventilation if required. After stabilization and airway management, apply a rigid cervical collar to lock the neck in place and then secure the patient to a long spine board to keep the entire spine immobilized during transport. Finally, proceed with rapid transport to a facility equipped to manage spinal injuries. This approach minimizes the risk of worsening a cervical spine injury during movement and ensures timely definitive care. Choosing options that involve only monitoring without immobilization, removing protective devices, or delaying immobilization for full on-scene treatment could increase the chance of secondary injury.
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