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Radiology Case 2

Home Radiology Case 2

ICU rad_pic

By Dimity McCracken

These are images from real ICU patients.

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This young woman was the driver in a high speed MVA. She was restrained by a seatbelt, & she sustained mostly lower limb orthopaedic injuries. She was initially distressed by pain, but after analagesia was more settled & denied any midline spinal tenderness.

Would you be happy to clear her C-spine?

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rad2a

[/su_tab][su_tab title=”Answer”]

NO!

Lateral C-spine image shows fracture line through base of PEG w posterior displacement of PEG in relation to C2 body (ie. unstable)

Open mouth PEG-view shows this more clearly.

Always check each view thoroughly, & ensure they are of adequate quality to answer the question of C-spine clearance.

rad2b

rad2c

[/su_tab][su_tab title=”More Resources”]

Victorian Trauma Guidelines on C-spine clearance

Canadian C-spine Rules (go back to the original!)

The Alfred Hospital (Vic) Spinal Clearance Protocol from 2009

Our latest podcast on neck trauma – Protect Ya Neck

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