PMID: 9641443Jun 26, 1998Paper

On-field management of potential cervical spine injury in helmeted football players: leave the helmet on!

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
Kevin N Waninger

Abstract

Improper handling of an unstable neck injury in the prehospital setting may result in potential iatrogenically induced neurologic injury. On-site management of the neck-injured, helmeted football player differs from that of other traumatic cervical spine injuries. Controversy still exists regarding helmet removal protocols for stabilizing the cervical spine of helmeted football players with a suspected neck injury. This article provides a critical review of the scientific evidence on cervical spine management in helmeted football players with a suspected cervical spine injury. A computerized literature search of databases (MEDLINE, Sportdiscus) and a manual search of journals from the sports medicine, emergency medicine, orthopedic, and athletic training literature identified articles related to the topic. Additional references were reviewed from the bibliographies of the retrieved articles. Conclusions are based on five quasi-experimental study designs evaluating motorcycle, football, and hockey helmet removal. In addition, an attempt was made to correlate articles relating to airway and cervical spine management in general trauma to the helmeted athlete. Several studies support the recommendation not to remove the helmet or s...Continue Reading

Citations

Nov 13, 2013·The Spine Journal : Official Journal of the North American Spine Society·Erik E SwartzLaura C Decoster
Mar 1, 2001·The Physician and Sportsmedicine·R R Haight, B J Shiple
Aug 10, 2011·Physical Medicine and Rehabilitation Clinics of North America·Brian J Krabak, Samantha L Kanarek
Jul 11, 2003·Clinics in Sports Medicine·Gary GhiselliDavid R McAllister
Mar 1, 2000·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·K R Dasen
Nov 23, 2006·Neurosurgical Focus·Vincent J MieleJulian E Bailes
Aug 15, 2012·Journal of Athletic Training·Jason S ScibekJennifer I McKenzie
Jul 21, 2004·The American Journal of Sports Medicine·Kevin N Waninger
May 26, 2012·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·J Scott DelaneyJosé A Correa
Jan 14, 2011·Current Sports Medicine Reports·Kevin N Waninger, Erik E Swartz
Apr 16, 2002·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Kenneth VeenemaLinda Spillane
Jun 14, 2001·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·K N WaningerM K Shindle

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