neurodeficits

E

Einstein

Forum Probie
Messages
29
Reaction score
0
Points
0
Medic in LOS ANGELES area with ALS question:
does someone who experiences intense pain in shoulder due to dislocation so keeps arm in one position have a neuro-deficit or simply have lots of pain (favoring).

i say she has no deficit. she has lack of ROM due to pain. FTO says she has deficits.

Arent deficits caused by BRAIN or CENTRAL NERVOUS system. Dint confuse this with neurovascular compromise.......

what is the answer
 
freepratique said:
Medic in LOS ANGELES area with ALS question:
does someone who experiences intense pain in shoulder due to dislocation so keeps arm in one position have a neuro-deficit or simply have lots of pain (favoring).

i say she has no deficit. she has lack of ROM due to pain. FTO says she has deficits.

Arent deficits caused by BRAIN or CENTRAL NERVOUS system. Dint confuse this with neurovascular compromise.......

what is the answer
Click to expand...

Pain is not a neuro deficit, it shows the pain fibres are working as they should be.

You can also have local or distal neuromuscular or sensory insult and deficit in addition to the range of motion issues. But they are not implied.
 
The question is why someone is in pain?

Shoulder pain almost always lead to a relief position in the patient.
 
Last edited by a moderator:
Wouldn't the dislocation at the shoulder alone reduce ROM at the shoulder anyways? :sad:
 
JPINFV said:
Wouldn't the dislocation at the shoulder alone reduce ROM at the shoulder anyways? :sad:
Click to expand...

There you go thinking logically again...
 
freepratique said:
Medic in LOS ANGELES area with ALS question:
does someone who experiences intense pain in shoulder due to dislocation so keeps arm in one position have a neuro-deficit or simply have lots of pain (favoring).

i say she has no deficit. she has lack of ROM due to pain. FTO says she has deficits.

Arent deficits caused by BRAIN or CENTRAL NERVOUS system. Dint confuse this with neurovascular compromise.......

what is the answer
Click to expand...

No it is not. Decreased sensation despite perfusing circulation and/or dressed ROM unrelated to pain would be a neuro deficit. Could happen on a dislocation due to pinching of enough if the redundant nerves in the cervical plexus.
But that doesn't sound lime what's going on with your pt. Her shoulder hurt her. So she wasn't going to move @#$%.
 
Can you explain me the abbreviations ROM and FTO? That would be very nice.
I'm unfortunately not yet so familiar with the abbreviations here. :unsure::blush:
 
Rettsani said:
Can you explain me the abbreviations ROM and FTO? That would be very nice.
I'm unfortunately not yet so familiar with the abbreviations here. :unsure::blush:
Click to expand...

ROM = Range Of Motion

FTO = Field Training Officer
 
MSDeltaFlt said:
ROM = Range Of Motion

FTO = Field Training Officer
Click to expand...

Thank you MSDeltaFlt, this has really helped me now.^_^

And now a response from the thread creator would be helpful. I would be interested whether the patient had an accident or not? Because of the pain and the limitations ...
 
Barging in...

Technically any cessation of a neural function, be it the sensation of 1/2 of the tip of your left fifth finger's palmar distal phalanx, to total paralysis with an iron lung, is a neural deficit. Pain originating from a proximal site is not strictly considered a deficit, it would be more in the nature of an overabundance if you will.

I.E., if I whack the junction of your neck and shoulder, then your third, fourth and fifth fingers go numb, that is a deficit; if I do that and your arm feels like it is on fire, that is not a deficit. Both are due to a neural insult.
 
I think you're looking for me (medic in los angeles)

a) why? do you think im knowlegable? or you just cant wait to sere the next ridiculous or stupid thing I say.....(lol)
(seriousluy. Im curious. Ive never blogged like this, and i wonder why you ask me something instead of just throwing it out there.

b) Im not in los angeles

c) for what its worth, i rarely look things up when ive blogged. its either out of my memory or logic.

d)sorry
I just noticed the post. i didnt know its old

e)My understanding of nuerodeficit is weakness or deficiency (whether trauma or medical/pathophysiological) demonstrating lack of full normal function NOT "i dont want to move it because it hurts.

does this answer question?
 
I've had a conversation with Einstein and hopefully cleared up some issues he was having with posting on the forum.

I've removed the off topic comments. If I have to come back and clean this up again, I'll have the infraction book out.

If you have something constructive to add to this thread, feel free...
 
DEmedic said:
I've had a conversation with Einstein and hopefully cleared up some issues he was having with posting on the forum.

I've removed the off topic comments. If I have to come back and clean this up again, I'll have the infraction book out.

If you have something constructive to add to this thread, feel free...
Click to expand...

You're the best, n7. I don't care what firefite says about you! :D
 
PoeticInjustice said:
You're the best, n7. I don't care what firefite says about you! :D
Click to expand...

Hey! I didn't say anything about him not being the best! Haha

Just so this post is relevant, pain is not a deficit.
 
I'm sorry
Was there something off topic I'm said?

I'm not the one who started saying folks logic was illogical etc....

What's an "infraction book", and I assure you it worries me
 
Deep breath, bud. Everyone's happy, back on topic, and infraction-free. Continue on with your forum perusal :)
 
c spine packaging

I thought I posted a question which i dont see, likely because i dont think I hit send before i had to run out

Something flashed in my brain today and id like a reality check

arrive on scene to find victim with head angulated (cocked off to one side) and status post trauma.

No obvious sign of nuerodeficit.

question: Under NREMT-P: Gently apply c collar in position found? c collar in normal position unless pain/crepitus obvious change?

I guess I mean despite county EMS protocols (which vary), unless you have a mobile x-ray, MRI or CT, why would you ever manipulate for c spine to neutral position? You should just c collar in position found and (even in presence of obvious distal neurovascular compromise........????
 
Einstein said:
I thought I posted a question which i dont see, likely because i dont think I hit send before i had to run out

Something flashed in my brain today and id like a reality check

arrive on scene to find victim with head angulated (cocked off to one side) and status post trauma.

No obvious sign of nuerodeficit.

question: Under NREMT-P: Gently apply c collar in position found? c collar in normal position unless pain/crepitus obvious change?

I guess I mean despite county EMS protocols (which vary), unless you have a mobile x-ray, MRI or CT, why would you ever manipulate for c spine to neutral position? You should just c collar in position found and (even in presence of obvious distal neurovascular compromise........????
Click to expand...

The very act of placing a C-Collar on your patient puts their C-Spine in neutral position regardless of the position found.
 
You must log in or register to reply here.
Back
Top