What type of injury is the primary concern for a 40-year-old client who has experienced an MVC and has a GCS of 15?

In the context of a motor vehicle collision (MVC), an acceleration-deceleration injury is a primary concern due to the mechanics of how such injuries occur. During an MVC, the sudden change in velocity can lead to significant forces acting on the body, particularly affecting the brain and spine. While a Glasgow Coma Scale (GCS) of 15 indicates that the patient is fully alert and oriented, it does not rule out the potential for underlying injuries that may not present immediately.

Acceleration-deceleration injuries often affect the central nervous system, causing brain injuries that may not be immediately apparent. These injuries, like diffuse axonal injury, can occur even when the individual does not lose consciousness. Additionally, spinal injuries can occur in conjunction with such forces, but they may not always be the primary concern if the patient exhibits a normal GCS.

Immediate assessment of the likelihood of acceleration-deceleration injuries is crucial because they can have delayed symptoms and potentially lead to severe complications if not treated promptly. Thus, while other injuries, such as fractured ribs or concussions, are possible, the overarching risk associated with the specific dynamics of an MVC places acceleration-deceleration injury as the primary concern.