Connor
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So first of all I could be in the wrong forum. Not sure.
Had a pt today during a football game, states someone from the other team grabbed onto his helmet and twisted his head laterally. Got on scene, ran through all the things. Vitals were all normal, a&ox4, pain 8/10 compared to a broken tib - localized just lateral of the midline. Spinal palpation felt normal, and no paresthesia. I suspected it was muscular since he could turn his head the opposite way from which it was pulled just fine, no pain. So we sat him up and brought him to the bench, applied ice.
He said pain went down to 1/10 within 5 mins with full ROM. My question is, is it normal for ice to work so well, so quickly? I've never seen that before. I'm worried he could have been lying to me out of fear or anxiety since we had to board 3 people so far in the past 2 days.
Would you have immobilized him?
Coach benched him anyways and I documented the heck out of it. I'm still pretty green so I may or may not be second guessing my decision. Thoughts?
Had a pt today during a football game, states someone from the other team grabbed onto his helmet and twisted his head laterally. Got on scene, ran through all the things. Vitals were all normal, a&ox4, pain 8/10 compared to a broken tib - localized just lateral of the midline. Spinal palpation felt normal, and no paresthesia. I suspected it was muscular since he could turn his head the opposite way from which it was pulled just fine, no pain. So we sat him up and brought him to the bench, applied ice.
He said pain went down to 1/10 within 5 mins with full ROM. My question is, is it normal for ice to work so well, so quickly? I've never seen that before. I'm worried he could have been lying to me out of fear or anxiety since we had to board 3 people so far in the past 2 days.
Would you have immobilized him?
Coach benched him anyways and I documented the heck out of it. I'm still pretty green so I may or may not be second guessing my decision. Thoughts?