ATLS Practice Exam 2025 – Complete Guide for Exam Preparation

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What should be assumed in all blunt trauma patients regarding cervical spine injury?

C-spine injury is unlikely

There is no need for stabilization

C-spine injury has occurred until proven otherwise

In patients with blunt trauma, it is essential to assume that a cervical spine injury may have occurred until definitive evidence demonstrates otherwise. This principle stems from the high risk associated with blunt trauma mechanisms, such as motor vehicle accidents, falls, or sports injuries, where significant forces can impact the neck. The anatomical structures of the cervical spine are particularly vulnerable, and injuries can occur even in the absence of neurological deficits or overt signs of injury.

By operating under the assumption that a cervical spine injury exists, healthcare providers can ensure appropriate precautions are taken to stabilize the patient and prevent exacerbation of any potential injuries during assessment and transport. This mindset is crucial in trauma care, as untreated cervical spine injuries can lead to catastrophic outcomes, including permanent neurological damage or death.

This approach also emphasizes the need for a thorough evaluation of the patient, including physical examinations and possibly imaging, to rule out injuries properly. Overall, recognizing that a cervical spine injury could be present in blunt trauma patients enhances the safety and effectiveness of trauma care management.

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C-spine injury assessment is not necessary

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