Question

If the patient in an MVC complains of isolated neck or back pain but no neurological signs or other indicators of major trauma, how can they be extricated from the vehicle?

a. Rapidly and forcefully.
b. Using SMR protocols only.
c. Using a logroll technique.
d. In a manner that minimizes movement

Answer 1

Patients with isolated neck or back pain but no neurological signs should be extricated from a vehicle with minimal movement, using spinal stabilization techniques to avoid the risk of serious injury or paralysis.

Step-by-step explanation:

If the patient in an MVC (Motor Vehicle Collision) complains of isolated neck or back pain but shows no neurological signs or other indicators of major trauma, they should be extricated from the vehicle in a manner that minimizes movement to prevent further injury. Advanced imaging like MRI or CT scanning could localize the injury, but such equipment is not available on the scene.

It is essential to remember the example of Christopher Reeve, whose spinal cord injury led to paralysis, as a cautionary tale for the serious consequences of improper handling of suspected spinal injuries. Therefore, the proper way to extricate the patient under these circumstances is to use protocols that stabilize the spine, avoid rapid or forceful movements, and employ techniques such as a logroll if necessary.