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You are asked to assess a 56-year-old man in resus who has fallen from some scaffolding. On assessment he is alert and conscious but unable to move his legs and has weakness in his arms.
His observations are:
On examination he has power grade 5/5 in C6 and above, grade 3/5 in C7 and C8, and grade 0/5 below this. He is unable to feel any stimulus below C7.
In what order should the management steps be taken?
Establish IV access
Commence IV fluid resuscitation
Cervical spine imaging
Lateral, peg and AP cervical spine x-rays are taken in the resuscitation room (Figs 1-3).
Click on the x-rays to enlarge.
Report your findings below.
|Fig 1: Lateral view
|Fig 2: Peg view
|Fig 3: AP view