Question

Paramedics bring in a 19-year-old male who was the restrained back-seat passenger in a vehicle that was rear-ended at approximately 35 miles per hour. He is on a backboard and is wearing a cervical collar. The patient states he struck his head on the front seat headrest, and though he did not lose consciousness, he does have a headache. He denies neck pain. His past medical history is significant for hemophilia B. His vital signs are stable and his physical examination is entirely normal except for a forehead contusion. What is the next MOST appropriate step in this man's care? (A) Obtain cervical spine films. (B) Obtain a CT scan of the head. (C) Administer factor IX. (D) Administer cryoprecipitate.

   Paramedics bring in a 19-year-old male who was the restrained back-seat passenger in a vehicle that was rear-ended at approximately 35 miles per hour. He is on a backboard and is wearing a cervical collar. The patient states he struck his head on the front seat headrest, and though he did not lose consciousness, he does have a headache. He denies neck pain. His past medical history is significant for hemophilia B. His vital signs are stable and his physical examination is entirely normal except for a forehead contusion. What is the next MOST appropriate step in this man's care?
(A) Obtain cervical spine films.
(B) Obtain a CT scan of the head.
(C) Administer factor IX.
(D) Administer cryoprecipitate.
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Emergency Medicine Examination & Board Review
Emergency Medicine Examination & Board Review
Susan Promes 3rd Edition
Chapter 11, Problem 14 ↓

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He was a restrained back-seat passenger and the vehicle was rear-ended at approximately 35 miles per hour. He is currently on a backboard and wearing a cervical collar, indicating precautions for potential spinal injury.  Show more…

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Paramedics bring in a 19-year-old male who was the restrained back-seat passenger in a vehicle that was rear-ended at approximately 35 miles per hour. He is on a backboard and is wearing a cervical collar. The patient states he struck his head on the front seat headrest, and though he did not lose consciousness, he does have a headache. He denies neck pain. His past medical history is significant for hemophilia B. His vital signs are stable and his physical examination is entirely normal except for a forehead contusion. What is the next MOST appropriate step in this man's care? (A) Obtain cervical spine films. (B) Obtain a CT scan of the head. (C) Administer factor IX. (D) Administer cryoprecipitate.
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