MiddleEastMedic101
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No, I probably wouldn't c-spine. I would have to be there though to know for sure.
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To many patients are boarded to begin with, lets not start boarding every kid who takes a baseball in the melon. Any of us growing up before the popularization of video games and sitting in front of a TV all day fell off our bikes, out of tree houses, off of docks, bridges etc without someone rushing to our side with a spinal board and c collar. Unless a significant weight IE their bodyweight, a meteorite or a cinder block has fallen directly on top of their head to disperse enough kinetic energy downwards to compress their spinal vertebra I would be weary of boarding most head injuries patients, obvious exceptions due to presentation, GCS, mentation, co-morbidities/disease progession. OP look up the Canadian C Spine rule, it rarely fails.
NEXUS is for people for whom spinal injury may be suspected.
This doesn't even fall into that category. This is common sense.
Honestly, OP, as a child, how many times were you yourself or did you see others, get hit in the head with balls and objects of all different shapes and sizes? How many times did they say I'm fine, take two paces and *snap* Oh there goes my spine. NEVER.
Use a little common sense, mate.
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