Unilateral or bilateral?

644 - C-spine dislocation

In case you didn’t encounter another trauma today!

You are working in a rural hospital. A 55-year-old female was brought to the ED by EMS. She was found at home, lying on the ground, in front of the stairs. She is vitally stable but unconscious (GCS: E1, V:2, M:3). You applied trauma surveys. After inline stabilization, you intubated the patient. The facility does not have a CT scan, and you order standard X-ray series for trauma including c-spine.

What are abnormal findings in this x-ray?

Facet dislocation? Unilateral or Bilateral?

iEM Education Project Team uploads many clinical picture and videos to the Flickr and YouTube. These images are free to use in education. You can also support this global EM education initiative by providing your resources. Sharing is caring!

Neck pain after a bar fight

674.1 - C1 fx - 6-7 sublux

In case you didn’t encounter a young trauma patient today!

You are working in a rural hospital. A 34-year-old male trauma patient was brought to the ED by his friends! You applied primary and secondary survey. The patient describes only neck pain. He has a central tenderness at the c-spine area. The facility does not have a CT scan, and you order c-spine X-ray. 

iEM Education Project Team uploads many clinical picture and videos to the Flickr and YouTube. These images are free to use in education. You can also support this global EM education initiative by providing your resources. Sharing is caring!