A 30-year-old male is brought to the emergency department after a motorcycle accident. He is conscious and complaining of severe neck pain. On examination, you note weakness in both upper extremities with intact sensation. What would be the most appropriate initial management for this patient?
Begin a CT scan to evaluate for bleeding
Give intravenous analgesics without immobilization
Administer a neuromuscular blocker for immediate management
Apply a cervical collar and secure the patient to a backboard
The appropriate initial management for this patient involves immobilizing the cervical spine. This step is critical in preventing further injury, especially if there is a potential spinal cord injury indicated by the weakness. Other options, like providing analgesia first or immediately initiating a CT scan, fail to address the risk of exacerbating a potential spinal injury that could lead to permanent loss of function.
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BCEN CEN
Neurological Emergencies
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