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> I also have a question for Adrian Fogarty:
> You said:"I've also seen several patients who have fallen down two or
three
> steps at home. Each sustained only a minor head injury, but they all
sustained
> serious cervical spine injuries."
> Do you really mean that ALL the patients who fell two or three steps at
home
> and attended your Department (and were seen by you) sustained serious
cervical
> spine injuries and minor head injuries?
Not exactly Marcello, but the few cervical spine injuries I've seen over the
last few years have all resulted from similar "trivial" domestic injuries,
yet all of my high speed RTA victims have had normal cervical spines. That's
an interesting observation for the prehospital guys, who invariably strap
down the latter victims but frequently undertreat the former! That's not
meant to be a criticism of prehospital care, as A&E folk often have problems
with the former group also. But the LAS do have a particular fondness for
strapping down perfectly well whiplash victims! But that's another story,
and covered in a previous thread...
Adrian Fogarty
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