Consensus Recommendations on the Prehospital Care of the Injured Athlete With a Suspected Catastrophic Cervical Spine Injury

被引：6

作者：

Mills, Brianna M. ^{[1
]}

Conrick, Kelsey M. ^{[1
,2
]}

Anderson, Scott ^{[3
]}

Bailes, Julian ^{[4
]}

Boden, Barry P. ^{[5
]}

Conway, Darryl ^{[6
]}

Ellis, James ^{[7
]}

Feld, Francis ^{[8
]}

Grant, Murphy ^{[9
]}

Hainline, Brian ^{[10
]}

Henry, Glenn ^{[11
]}

Herring, Stanley A. ^{[12
,13
]}

Hsu, Wellington K. ^{[14
]}

Isakov, Alex ^{[15
]}

Lindley, Tory ^{[16
]}

McNamara, Lance ^{[17
]}

Mihalik, Jason P. ^{[18
]}

Neal, Timothy L. ^{[19
]}

Putukian, Margot ^{[20
]}

Rivara, Frederick P. ^{[1
,21
,22
]}

Sills, Allen K. ^{[23
,24
]}

Swartz, Erik E. ^{[25
]}

Vavilala, Monica S. ^{[26
,27
]}

Courson, Ron ^{[28
]}

机构：

[1] Univ Washington, Harborview Injury Prevent & Res Ctr, 401 Broadway Ave,Suite 4075, Seattle, WA 98195 USA

[2] Univ Washington, Sch Social Work, Seattle, WA 98195 USA

[3] Univ Oklahoma, Norman, OK 73019 USA

[4] NorthShore Univ Hlth Syst, Evanston, IL USA

[5] Orthopaed Ctr, Rockville, MD USA

[6] Univ Michigan Athlet Med, Ann Arbor, MI USA

[7] Univ South Carolina, Sch Med, Greenville, SC USA

[8] Univ Pittsburgh, Med Ctr, Pittsburgh, PA USA

[9] Wake Forest Univ, Winston Salem, NC 27101 USA

[10] Natl Collegiate Athlet Assoc, Sports Sci Inst, Indianapolis, IN USA

[11] Athens Tech Coll, Watkinsville, GA USA

[12] Univ Washington, Dept Rehabil Med, Seattle, WA 98195 USA

[13] Univ Washington, Sports Inst, Seattle, WA 98195 USA

[14] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA

[15] Emory Univ, Sch Med, Dept Emergency Med, Sect Prehosp & Disaster Med, Atlanta, GA USA

[16] Northwestern Univ, Evanston, IL 60201 USA

[17] Winder Barrow High Sch, Barrow Cty Sch, Winder, GA USA

[18] Univ N Carolina, Dept Exercise & Sport Sci, Matthew A Gfeller Sport Related Traumat Brain Inj, Chapel Hill, NC 27515 USA

[19] Concordia Univ, Ann Arbor, MI USA

[20] Univ Hlth Serv, Rutgers Robert Wood Johnson Med Sch, Princeton, NJ USA

[21] Univ Washington, Dept Pediat, Seattle, WA 98195 USA

[22] Seattle Childrens Hosp, Seattle, WA USA

[23] Natl Football League, New York, NY USA

[24] Vanderbilt Univ, Med Ctr, Nashville, TN USA

[25] Univ Massachusetts, Lowell, MA USA

[26] Harborview Injury Prevent & Res Ctr, Dept Pediat, Seattle, WA USA

[27] Univ Washington, Dept Anesthesiol, Seattle, WA 98195 USA

[28] Univ Georgia, Athens, GA 30602 USA

来源：

CLINICAL JOURNAL OF SPORT MEDICINE | 2020年 / 30卷 / 04期

关键词：

sports; collision athletes; emergency medicine; spine board; log-roll technique; SHOULDER PAD REMOVAL; RADIOGRAPHIC ANALYSIS; FOOTBALL EQUIPMENT; HELMETED ATHLETE; RESEARCH TOPICS; AIRWAY ACCESS; NOMINAL GROUP; CORD SPACE; ALIGNMENT; MANAGEMENT;

D O I：

10.1097/JSM.0000000000000869

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Introduction: Sports participation is among the leading causes of catastrophic cervical spine injury (CSI) in the United States. Appropriate prehospital care for athletes with suspected CSIs should be available at all levels of sport. The goal of this project was to develop a set of best-practice recommendations appropriate for athletic trainers, emergency responders, sports medicine and emergency physicians, and others engaged in caring for athletes with suspected CSIs. Methods: A consensus-driven approach (RAND/UCLA method) in combination with a systematic review of the available literature was used to identify key research questions and develop conclusions and recommendations on the prehospital care of the spine-injured athlete. A diverse panel of experts, including members of the National Athletic Trainers' Association, the National Collegiate Athletic Association, and the Sports Institute at UW Medicine participated in 4 Delphi rounds and a 2-day nominal group technique (NGT) meeting. The systematic review involved 2 independent reviewers and 4 rounds of blinded review. Results: The Delphi process identified 8 key questions to be answered by the systematic review. The systematic review comprised 1544 studies, 49 of which were included in the final full-text review. Using the results of the systematic review as a shared evidence base, the NGT meeting created and refined conclusions and recommendations until consensus was achieved. Conclusions: These conclusions and recommendations represent a pragmatic approach, balancing expert experiences and the available scientific evidence.

引用

页码：296 / 304

页数：9

共 52 条

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