Question

Discussion Topic: What are the three major causes of brain damage in childhood?

Discussion Topic: Why would you use distraction versus traction?

Case Study:

Adam is a 6-year-old boy who dove head first in the shallow end of a swimming pool. Unable to move, he sank to the bottom of the pool and was rescued by his mother. His father called the emergency medical services (EMS) while the mother provided mouth-to-mouth resuscitation. The EMS arrived and continued the resuscitation and placed him in a cervical collar. Adam was placed on a backboard and began to breathe on his own while en route to a trauma center. The neurologic assessment revealed paralysis of the upper and lower extremities, and cervical spine x-ray images and a magnetic resonance image (MRI) confirmed a C6-C7 complete transection injury. The patient was intubated before going into surgery for decompression of the injury.

Answer 1

Diving into the water with shallow causes catastrophic spinal cord injury.
Three main causes of major brain damage in childhood are
-Traumatic brain injury caused by external force when sudden blow occurs on the head
- by falls that causes abusive injury
- A motor vehicle accident is that other cause
Distraction or flexion attempts to use force at a specific level. distraction has not benefit in terms of disc pressure changes. but traction provide general force for the spine. traction benefits reduce the intradiscal pressure and enhance circulation and reduce the spinal pressure.
Child c6-c7 injury cause the patient to sinal cord injury so may have a spinal shock that causes loss of feeling, muscle movement and reflexes, motor and sensory function due to spinal cord injury make the child to have the onset of neurologic signs that partial neurologic deficits and complete paralysis