On-scene therapy of spinal accidents in motor sports activities.
Eur J Trauma Emerg Surg. 2017 Apr;43(2):191-200
Authors: Kreinest M, Scholz M, Trafford P
As a result of spinal twine accidents can have deadly penalties for injured race automotive drivers, prehospital therapy of spinal accidents is a serious concern in motor sports activities. A structured process for assessing trauma sufferers and their therapy ought to comply with established ABCDE ideas. Solely then, a steady affected person might be additional examined and acceptable measures will be undertaken. For sufferers in an acute life-threatening situation, fast transport have to be initiated and shouldn’t be delayed by measures that aren’t indicated. If a competitor should first be extricated from the racing car, the proper technique of extrication have to be chosen. To keep away from secondary damage to the backbone after a racing accident, in-line extrication from the car and immobilization of the affected person are commonplace procedures in motor sports activities and have been used for many years. Since immobilization will be related to disadvantages and problems, the necessity for immobilization of trauma sufferers exterior of motor sports activities medication has grow to be the topic of an growing variety of reviews within the scientific literature. Even in motor sports activities, the place particular security techniques that provide spinal safety are current, the indications for spinal immobilization have to be fastidiously thought-about slightly than being blindly adopted as a matter after all. The purpose of this text is to make use of current literature to current an summary concerning the therapy of spinal accidents in motor sports activities. Additional, we current a brand new protocol for indications for immobilizing the backbone in motor sports activities that’s based mostly on the ABCDE ideas and takes under consideration the situation of the affected person.
PMID: 28005155 [PubMed – indexed for MEDLINE]