University of New Hampshire, Durham, NH, USA.
J Athl Train. 2009 May-Jun;44(3):306-31. doi: 10.4085/1062-6050-44.3.306.
To provide certified athletic trainers, team physicians, emergency responders, and other health care professionals with recommendations on how to best manage a catastrophic cervical spine injury in the athlete.
The relative incidence of catastrophic cervical spine injury in sports is low compared with other injuries. However, cervical spine injuries necessitate delicate and precise management, often involving the combined efforts of a variety of health care providers. The outcome of a catastrophic cervical spine injury depends on the efficiency of this management process and the timeliness of transfer to a controlled environment for diagnosis and treatment.
Recommendations are based on current evidence pertaining to prevention strategies to reduce the incidence of cervical spine injuries in sport; emergency planning and preparation to increase management efficiency; maintaining or creating neutral alignment in the cervical spine; accessing and maintaining the airway; stabilizing and transferring the athlete with a suspected cervical spine injury; managing the athlete participating in an equipment-laden sport, such as football, hockey, or lacrosse; and considerations in the emergency department.
为认证的运动训练师、队医、急救人员和其他医疗保健专业人员提供有关如何最好地管理运动员灾难性颈椎损伤的建议。
与其他损伤相比,运动中灾难性颈椎损伤的相对发生率较低。然而,颈椎损伤需要精细和精确的管理,通常涉及各种医疗保健提供者的共同努力。灾难性颈椎损伤的结果取决于这种管理过程的效率以及及时转移到控制环境进行诊断和治疗的情况。
建议基于与预防策略相关的现有证据,以减少运动中颈椎损伤的发生率;为提高管理效率进行应急规划和准备;保持或创造颈椎的中立对齐;进入和维持气道;稳定和转移疑似颈椎损伤的运动员;管理参加装备齐全的运动(如足球、曲棍球或长曲棍球)的运动员;以及在急诊室的考虑因素。