A Patient Enters the ED Due to an MVA

Multiple Choice

A patient enters the ED due to an MVA.He is on a backboard and in a cervical collar.The initial lateral cervical spine projection demonstrates C1 to C6.The patient has broad and thick shoulders.Because the hospital is in a rural setting,no CT scanner is available.Which of the following modifications would best demonstrate the lower cervical spine?

A) Repeat the exposure and increase kV.
B) Repeat the exposure but ask the patient to stand up and do the lateral projection erect.
C) Repeat the exposure but have a student pull down on the arms during the exposure.
D) Perform the horizontal beam cervicothoracic (swimmer's) lateral position.