Dermatome Map

In the October, 2021 issue of Emergency Medicine Practice titled ā€œEmergency Department Management of Cervical Spine Injuriesnā€ Dr Jara-Almonte and Dr Pawar describe a rapid neurological examination for the trauma primary survey based on the innervation of the hands and feet:

ā€œA rapid neurological examination conducted during the initial resuscitative phase assesses the level of consciousness and motor function of the upper and lower extremities. A reasonable practice may be to test flexion of the fingers (C8) of both upper extremities and plantarflexion (S1) in both lower extremities, along with sensation to light touch. A more thorough examination can be conducted on secondary survey.ā€

For more on this topic, see Emergency Department Evaluation of Cervical Spine Injuries  or listen to the free podcast interview with Dr Jara-Almonte.

Last Updated on January 25, 2023

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