Welcome to our second UC bootcamp on trauma—we’ll be focusing on neck and spine injuries. I see cases of neck/spine trauma on a daily basis. My urgent care also sees a good amount of workman’s comp cases (do NOT get me started on workman's comp paperwork). Regardless of the reason they're coming in, you have to know how to manage neck/spine trauma, how to read imaging, and when to transfer
Be sure to check out HippoEd for the rest of their lectures on approach to Trauma—which has 7 lectures in total (e.g. head trauma, facial trauma, abdominal injuries, etc). Thanks to the amazing educators over at HippoEd for their content. Some of you have already purchased the course, I hope you are loving it as much as I do. IF you haven’t & are on the fence, check it out here using my link: here. You get $25 off the course :)
Feel free to message me with any other questions! Let's begin:
Blunt neck injury?
Are C-spine radiographs indicated?
Using Nexus C-spine rule, x-rays are not indicated if:
*If I don't obtain x-rays, my note states: meets Nexus C-spine rule, no imaging indicated
Reading C-spine x-rays?
Side note: You may be thinking, "why do I need to read x-rays, isn't that what radiologists are for?" In urgent care, I’m responsible for reading my own x-rays. Yes, we have radiology reports---but sometimes they're delayed, especially on weekends. Plus, radiologists are humans too & do not have the patient in front of them. This is where the infamous "correlate clinically" line comes in. I've caught plenty of fractures which were read at "negative" by the radiologists. Cannot emphasize enough to learn to read them!
Thoracic & Lumbar spine fractures:
Consider imaging of Thoracic and Lumbar spine if :
Red flags for neck and spinal injuries
That's all! We have one more UC bootcamp lesson next week followed by one last giveaway!