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Consensus Recommendations on the Prehospital Care of the Injured Athlete With a Suspected Catastrophic Cervical Spine Injury
- Source :
- J Athl Train
- Publication Year :
- 2020
- Publisher :
- National Athletic Trainers Association, 2020.
-
Abstract
- 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 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 nominal group technique 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.
- Subjects :
- Restraint, Physical
medicine.medical_specialty
Emergency Medical Services
Delphi Technique
Sports medicine
MEDLINE
Delphi method
Football
Poison control
Physical Therapy, Sports Therapy and Rehabilitation
Cervical spine injury
Sports Medicine
Occupational safety and health
Scientific evidence
Neck Injuries
03 medical and health sciences
0302 clinical medicine
Prehospital Care of the Spine-Injured Athlete
Nominal group technique
Medicine
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Device Removal
computer.programming_language
biology
business.industry
Athletes
Protective Devices
Emergency Responders
Human factors and ergonomics
General Medicine
030229 sport sciences
biology.organism_classification
United States
Transportation of Patients
Spinal Injuries
Family medicine
Athletic Injuries
Head Protective Devices
business
computer
030217 neurology & neurosurgery
Delphi
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- J Athl Train
- Accession number :
- edsair.doi.dedup.....635e256c7e4a23b70a72f3e65b9d54ff