lisa graham
Mud 2 or Bulldogs?
Any ideas on which is better???
Thanks,
Lisa> From: Brady.Brady@sas.com> To: mike.murray@obra.org; obra@list.obra.org> Date: Mon, 3 Nov 2008 14:40:44 -0500> Subject: Re: [OBRA Chat] Injury mode / reaction> > Thanks for the clarification, Mike.> > Brady > > -----Original Message-----> From: obra-bounces@list.obra.org [mailto:obra-bounces@list.obra.org] On Behalf Of Mike Murray> Sent: Monday, November 03, 2008 11:32 AM> To: obra@list.obra.org> Subject: Re: [OBRA Chat] Injury mode / reaction> > I would have to put this story in the category of urban myth. The most> glaring error is that Christopher Reeves suffered a C2 fracture, not a C5> fracture. The difference is pretty significant since a person paralyzed at> C5 remains able to move their arms somewhat but a C2 fracture will generally> kill you by knocking out breathing. In general there is an excessive> attention placed on immobilizing people that may have suffered a cervical> spine injury> (http://emergency-medicine.jwatch.org/cgi/content/full/1998/401/4).> Although it is certainly possible to have a cervical spine fracture and have> minimal symptoms (I have seen this a few times) it is very unlikely that you> will further destabilize the injury by voluntary movement. If you are awake> and alert and you don't feel as though you are injured then you probably are> not. All bets are off if you are knocked out but you really don't have too> wait to have someone else tell you that you are OK before you move. Turns> out we have really pretty good internal sensors to figure that out> ourselves. Mechanism of injury turns out to be a very poor predictor of> severity of injury.> > Mike Murray> > -----Original Message-----> From: obra-bounces@list.obra.org [mailto:obra-bounces@list.obra.org] On> Behalf Of Brady Brady> Sent: Monday, November 03, 2008 09:42 AM> To: obra@list.obra.org> Subject: [OBRA Chat] Injury mode / reaction> > > First, I'd like to wish all involved in this weekend's nasty spills a speedy> recovery...> > > > Next, in light of the nasty wrecks this weekend, and as the slick> "wheel-washout" season is upon us, I thought I would pass on something I> learned from the EMT instructing my CPR course a couple of weeks ago. Many> of you probably already know this, but for those who may not, here goes.> > He said: The injury MODE is at least as important as injury symptoms, and> the fewer the symptoms, the more important it is to rely on injury mode. To> illustrate, he told the story of his brother (hereafter "Bro"), who endoed> into a ditch, landing on his head, while taking a corner.> > Although he felt fine (no symptoms!), Bro knew to remain still, having> landed on his head. He did not try to sit up, get to his feet, or move> around. When medics arrived, Bro asked to be treated pre-emptively as if he> had a broken neck, and was placed on a backboard and immobilized.> > At the hospital it was discovered that Bro had, in fact, broken his neck at> C5, suffering essentially the same type of injury that rendered the late> Christopher Reeves a quadripeligic. However, because he remained still, his> spinal cord was intact and he was riding again after a relatively short> convalescent period.> > Before hearing this story, I'm pretty sure I would have jumped back on the> bike and resumed riding, especially in the absence of symptoms--even after> landing smack on my head... bad idea.> > > _______________________________________________> OBRA mailing list> obra@list.obra.org> http://list.obra.org/mailman/listinfo/obra> Unsubscribe: obra-unsubscribe@list.obra.org> > _______________________________________________> OBRA mailing list> obra@list.obra.org> http://list.obra.org/mailman/listinfo/obra> Unsubscribe: obra-unsubscribe@list.obra.org> > _______________________________________________> OBRA mailing list> obra@list.obra.org> http://list.obra.org/mailman/listinfo/obra> Unsubscribe: obra-unsubscribe@list.obra.org