A 10-year-old child is transported to the emergency room by ambulance from the scene of a car accident
He is alert and oriented X 3;his pulse,respirations,and blood pressure are stable;and his neck and back are immobilized on a backboard. The nurse sees no obvious bleeding. The child states, "I can't feel or move my legs." What injury is most likely?
1. Traumatic brain injury
2. Ruptured spleen
3. Traumatic shock
4. Spinal-cord injury
Answer:4
Rationale:Spinal-cord injury results in paralysis and anesthesia of the affected body parts below the level of the lesion. Altered levels of consciousness may indicate traumatic brain injury. The child may have a ruptured spleen,but it is not evident from the data given. Traumatic shock results in initially increasing then decreasing pulse and respirations and falling blood pressure.
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