A construction worker is brought to the emergency department after falling from a two-story building. The patient complains of severe lower back pain and exhibits unilateral paralysis in the left leg. What is the most appropriate immediate management strategy?
Practise this CCP-C Critical Care Prep question free, then download the PDF, watch the video walkthrough, or unlock timed mock exams for the full web bank.
AInitiating a rapid infusion of intravenous fluids
BPositioning the patient in the recovery position
CApplying a spinal board and immobilizing the spine
DAdministering high-flow oxygen therapy
✓ Correct answer: C. Applying a spinal board and immobilizing the spineApplying a spinal board and immobilizing the spine is crucial in managing suspected spinal injuries effectively. This prevents further damage to the spinal cord or surrounding structures. Immobilization should be prioritized in cases of trauma with potential spinal involvement, especially when a fall from height is involved and there is indication of neurological involvement like paralysis. Administering high-flow oxygen or rapid IV fluids is not the immediate priority for managing spinal injuries. Additionally, the recovery position is typically used for unconscious patients to maintain the airway but not for spinal stabilization.
Keep practising. Use the free CCP-C Critical Care Prep PDF, watch the YouTube walkthrough, or unlock all 10 web questions with timed mock exams.
Free practice here. Timed mocks when you are ready.
Study the CCP-C Critical Care Prep free question explanations, download the PDF, then unlock timed mock exams on the web when you want exam-day practice.
Theory