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Protocol for Positioning and Helmet Removal-Management in the Emergency Room

After safe transport, the care of the athlete is transferred to the hospital emergency room personnel. If possible, a member of the on-field medical team should accompany the athlete during transport.

This provides an accurate, knowledgeable briefing to the emergency room physicians, which may be essential during the early management of the case. Furthermore, the […]

Protocol for Positioning and Helmet Removal-Removal of Helmet and Shoulder Pads

Manual stabilization of the cervical spine is maintained by placing one hand on each side of the athlete’s helmet. The chin strap is cut, and all accessible internal padding is removed. The second care provider (team physician) then slides his or her hands along each side of the mandible and stabilizes the cervical spine. […]

Management of Cervical Spine Injuries-Scenario 2: Altered Mental Status without Cardiorespiratory Compromise

Care of the cervical spine in the collision athlete with altered mental status presents a challenging problem for the sports medicine physician. After a rapid primary survey, a brief neurological assessment is performed to determine the athlete’s level of consciousness.

Important aspects of the on-field neurological examination include assessment of mental status (i.e., Glasgow Coma […]

Management of Cervical Spine Injuries-Scenario 1: Cardiorespiratory Compromise

Life-threatening alteration of cardiopulmonary function is a rare event in the collision sport athlete. Respiratory distress from obstruction of the airway can result by a foreign body, facial fractures, or direct injury to the trachea or larynx. The ability to maintain airway patency also can be lost secondary to a depressed level of consciousness.

In […]