Spinal immobilization (NSAIDS) – THINGS THAT YOU CONSIDER BEFORE IMMOBILIZING SPINE* Neurological examination – check for focal deficits, numbness and decreased strength Significant Traumatic ... mechanism of injury Alertness Intoxication – if they’re intoxicated they might lack awareness of pain Distracting injury – another significant injury distracting them from spinal pain Spinal examination – tenderness of spine or neck, pain on movement Pathologic vertebral fractures are very common in people with multiple myeloma Joint dislocations - Can be an orthopedic emergency because the articular bone might compress surrounding vasculature causing limb-threatening distal ischemia* - Can cause damage to nerves and blood vessels - Pain, deformity, decreased ROM, extremity paresthesia - Goal is to reduce and immobilize the joint, do frequent neurovasc checks Phalen’s test – assess for carpal tunnel syndrome [Show More]
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