Greetings learned colleagues. Can I have your ideas about the management of the following case? A 2 year old fell off his father's shoulders and landed head first onto hard packed snow. He screamed with apparent pain in his neck. He had bony tenderness in his mid c-spine. He was moving all limbs vigorously and resisting attempts to immobilise him on a spine board.
Should he have been immobilised? If so how? Is there a place for sedation in this case. Should he have been left to calm down for a while? How would you manage this case in the field?
Mt Ruapehu Ski Fields/Wanganui Hospital ED
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