Vol 1:4 Answer

Congratulations to Andaleeb - the first winner of quizzER.
Andaleeb will receive a copy of PreTest Emergency Medicine

The results were close with 4 participants getting all 4 questions correct (winner selected randomly from 4 winners)

quizzER Top 10

1. Andaleeb (4/4)
   
2. Carola (4/4)
   
3. HicksterAZ (4/4)
   
4. Joshua (4/4)
   
5. Cody (3/4)
   
6. Rune (3/4)
   
7. Npg (3/4)
8. Nurse K (2/4)
9. Helen (2/4)
10. Wongml (2/4)
    

Thank you to everyone who participated.
Don't forget to give this week's VizD a try.

The Question Vol 1:4

The answer is c.
Spearing generates an axial loading force that is transmitted through the occipital condyles to the superior articular surfaces of the lateral masses of the first cervical vertebra (C-1). This fracture is commonly referred to as a Jefferson fracture. It is considered an unstable fracture; however, it is not commonly associated with spinal cord injury due to the increased area of the C-1 foramen. It is associated with diving accidents and in this scenario, “spearing” in a football game, which places an increased axial load to the cervical spine. Proper cervical spine precautions should remain in place throughout his management in the ED.

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