University of New Hampshire, Durham, NH 03824, USA.
Phys Sportsmed. 2009 Dec;37(4):20-30. doi: 10.3810/psm.2009.12.1738.
The 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 timeliness of transfer to a controlled environment for diagnosis and treatment. The objective of the National Athletic Trainers' Association (NATA) position statement on the acute care of the cervical spine-injured athlete is to provide the certified athletic trainer, team physician, emergency responder, and other health care professionals with recommendations on how to best manage a catastrophic cervical spine injury in an athlete. 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 imaging considerations in the emergency department.
与其他损伤相比，运动中灾难性颈椎损伤的发生率较低。然而，颈椎损伤需要精细和精确的管理，通常需要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和及时转移到控制环境进行诊断和治疗的及时性。美国国家运动训练协会（NATA）关于急性颈椎损伤运动员护理的立场声明的目的是为认证运动训练师、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。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；应急计划和准备工作以提高管理效率；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；管理参与装备齐全的运动的运动员，如足球、曲棍球或长曲棍球；以及急诊科的影像学考虑因素。
