کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5563731 1562909 2017 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Cervical Spine Alignment in Helmeted Skiers and Snowboarders With Suspected Head and Neck Injuries: Comparison of Lateral C-spine Radiographs Before and After Helmet Removal and Implications for Ski Patrol Transport
ترجمه فارسی عنوان
ترازبندی ستون فقرات گردن در کلاهخود سر اسکی بازان و اسنوبوردرهای مشکوک به صدمات سر و گردن: مقایسه رادیوگرافی های جانبی ستون فقرات C قبل و بعد از حذف کلاه و مفاهیم برای حمل و نقل گشت اسکی
کلمات کلیدی
اسکی؛ اسنوبرد. کلاه ایمنی؛ بی حرکت سازی ستون فقرات؛ گشت اسکی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

ObjectiveCurrent protocols for spine immobilization of the injured skier/snowboarder have not been scientifically validated. Observing changes in spine alignment during common rescue scenarios will help strengthen recommendations for rescue guidelines.MethodsTwenty-eight healthy volunteers (18 men, 10 women) age 47±17 (range 20-73) (mean ±SD with range) underwent a mock rescue in which candidate patrollers completing an Outdoor Emergency Care course performed spine immobilization and back boarding in 3 scenarios: 1) Ski helmet on, no c-collar; 2) helmet on, with c-collar; and 3) helmet removed, with c-collar. After each scenario, a lateral radiograph was taken of the cervical spine to observe for changes in alignment.ResultsCompared with the control group (helmet on, no collar), we observed 9 degrees of increased overall (occiput-C7) cervical extension in the helmet on, with collar group (P < .001), and 17 degrees in the helmet off, with collar group (P < .001). There was increased extension at the occiput-C2 intersegment in the helmet on, with collar group (9 degrees, P < .001) and at both the occiput-C2 (9 degrees, P < .001) and C2-C7 (8 degrees, P < .001) intersegments in the helmet off, with collar group.ConclusionSki helmet removal and c-collar application each leads to increased extension of the cervical spine. In the absence of other clinical factors, our recommendation is that helmets should be left in place and c-collars not routinely applied during ski patrol rescue.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Wilderness & Environmental Medicine - Volume 28, Issue 3, September 2017, Pages 168-175
نویسندگان
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