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CHEMCO Exit Exam • Set 11 Question 21 of 30

What is the procedure for checking for spinal cord damage in an unconscious patient?

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Direct Answer

Option B: Prick the skin of the hands and the soles of the feet with a sharp object to check for reaction

To check for potential spinal cord damage in an unconscious patient, gently pricking the skin of the hands and soles of the feet to observe for any reaction is a method to assess neurological response without moving the patient, which could exacerbate an injury. This is a basic first aid assessment.

All Options

A
Beginning at the back of the neck, and proceeding to the buttocks, press the spine to find where it hurts
B
Prick the skin of the hands and the soles of the feet with a sharp object to check for reaction (Correct Answer)
C
Selectively raise each arm and each leg and watch patient's face to see if he registers pain
D
Roll patient onto his stomach and prick along the length of his spine to check reaction

Detailed Explanation & Context

To check for potential spinal cord damage in an unconscious patient, gently pricking the skin of the hands and soles of the feet to observe for any reaction is a method to assess neurological response without moving the patient, which could exacerbate an injury. This is a basic first aid assessment.

Relevant Framework: STCW 2010 Manila Amendments • DG Shipping E-Learning & Exit Exam Standards • Advanced Training for Chemical Tanker Cargo Operations (CHEMCO).

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