AXIAL LOAD INJURIES: @the_resuscitationist There is a classic Cervical Spine injury associated with this mechanism of injury. Can also be seen with roll-overs where a passenger head/neck axial load against the roof injuries among others. C-1 BURST aka "Jefferson's Fracture" caused by axial load from occipital condyles to lateral masses. 1. Fracture of the anterior posterior arches of C1 (Atlas) 2. Classically linked w/ other Cspine fractures 3. May also see vertebral artery dissections. Jefferso

DIFFUSE AXONAL INJURY (DAI) Caused by acceleration/deceleration/rotational forces that shear the neuronal axons and tear the tiny blood vessels. These patient present with ALOC, combativeness, posturing, abnormal vital signs, and even seizures! Prevent secondary injury to the brain by normalizing vital signs, avoiding hypoxia or seizures, and getting the patient to definitive care! Intended for educational purposes only. Always follow your local protocols. #ERNurse #EmergencyNurse #CEN #CFRN #CT