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Acute and Emergent Spinal Injury Assessment and Treatment.

Ron Courson1, Barry P Boden2, Jim Ellis3

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Sports participation frequently causes catastrophic cervical spine injuries (CSIs) in the US. Prehospital care and transport planning are crucial for athletes with suspected CSIs to reduce complications and ensure timely medical attention.

Keywords:
Cervical spine injuryEmergency action planSpinal cord injurySpinal motion restriction

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Area of Science:

  • Sports Medicine
  • Orthopedic Surgery
  • Emergency Medicine

Background:

  • Sports participation is a significant cause of catastrophic cervical spine injuries (CSIs) in the United States.
  • Ensuring appropriate prehospital care for athletes with suspected CSIs is vital across all levels of sport.

Purpose of the Study:

  • To emphasize the importance of prehospital care and transport planning for athletes with suspected cervical spine injuries.
  • To outline strategies for improving on-field medical response and transport decisions.

Main Methods:

  • The study reviews current practices and recommendations for managing suspected CSIs in athletes.
  • It highlights the necessity of proactive planning for medical transport from home venues prior to the season.
  • The importance of implementing medical timeouts during games (both home and away) is discussed.

Main Results:

  • Proactive planning for transport can mitigate complications arising from on-field decisions.
  • Ensuring medical timeouts facilitates timely and appropriate care for injured athletes.
  • Standardized protocols enhance the efficiency of managing catastrophic cervical spine injuries in sports.

Conclusions:

  • Effective prehospital care and strategic transport planning are essential for athletes with suspected CSIs.
  • Implementing medical timeouts and pre-season transport plans can significantly improve outcomes.
  • Consistent application of these measures across all levels of sport is recommended to protect athletes.