PHTLS Spinal Trauma Management 2

Question 1

A patient involved in a high-speed MVC is found ambulatory at the scene but complains of neck pain. What is the PHTLS-recommended approach to spinal motion restriction (SMR)?

Accepted Answer

Apply a cervical collar and consider full SMR based on mechanism and symptoms

Answer

PHTLS recommends applying a cervical collar and evaluating for full SMR when significant mechanism is combined with neck pain, even in ambulatory patients.

Question 2

Which vertebral region is MOST commonly injured in blunt trauma due to its transitional anatomy?

Accepted Answer

Thoracolumbar junction (T12-L1)

Answer

The thoracolumbar junction (T12-L1) is the most common site of blunt spinal injury because the rigid thoracic spine meets the more mobile lumbar spine here.

Question 3

During extrication of a seated vehicle crash victim, which technique best maintains spinal alignment?

Accepted Answer

Manual in-line stabilization throughout the move

Answer

Manual in-line stabilization must be maintained throughout extrication to prevent secondary spinal cord injury.

Question 4

A patient with a cervical spinal cord injury presents with bradycardia and hypotension but warm, dry skin. This pattern is MOST consistent with:

Accepted Answer

Neurogenic shock

Answer

Neurogenic shock from high cervical cord injury causes loss of sympathetic tone, producing hypotension and bradycardia with warm, dry (vasodilated) skin.

Question 5

When applying a cervical collar to a trauma patient, what is the FIRST step?

Accepted Answer

Apply manual in-line stabilization

Answer

Manual in-line stabilization must be established before any device is applied to prevent movement during sizing and collar placement.

PHTLS - Prehospital Trauma Life Support Practice Test

PHTLS - Prehospital Trauma Life Support Practice Test

PHTLS Spinal Trauma Management 2