You are called for a 78-year-old female who fell earlier in the day. As you enter her kitchen, you observe her sitting in a chair with ecchymotic areas to her left cheek and left arm. There also appears to be blood on her pants. She is on home oxygen for COPD and is breathing in a moderately labored manner. The patient states that she fell a few hours ago, and now the pain and swelling in her arm are unbearable. She has also developed significant lower neck pain. What should you do first?

A) Take manual spinal motion restriction precautions
B) Place a cold pack to her cheek
C) Check her SpO2 level
D) Examine her arm for deformity


A) Take manual spinal motion restriction precautions

Health Professions

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What will be an ideal response?

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