Navigation Links
Emergency on-field treatment for neck injuries in young sports athletes no different than adults
Date:3/8/2008

SAN FRANCISCO New guidelines for on-field treatment and emergency transport of young athletes with suspected neck injuries should recommend keeping both helmet and shoulder pads on for initial stabilization and transport, followed by removal of both, once the patient is in a controlled setting, according to new research released today at the 2008 American Orthopaedic Society for Sports Medicine Specialty Day at The Moscone Center.

There was a clear hole in on-the-field guidelines in the treatment of young (8-14 year olds) contact and collision sports athletes with possible neck injuries, says first author and study presenter Gehron Treme, MD, former sports medicine fellow at the University of Virginia, now with the Center for Orthopaedics in Lake Charles, LA. Skeletal proportions are different in children than adults. Kids have larger heads than torsos. With this study, we looked to see if this disproportion would result in a different recommendation, such as removing the helmet only. Our study found, however, just as is the case with adults, that both the helmet and shoulder pads should be left on for initial treatment and removed as a unit once the patient is stabilized.

Only car accidents and falls had a higher frequency of neck injuries in kids than sports participation. Neck injuries in football, ice hockey and lacrosse are rare, but can be catastrophic, according to Treme. Football players represented 29 percent of the cases of children with neck injuries from sports participation. In particular, the number of 7 17-year-olds playing tackle football increased by nearly 45 percent between 1997 and 2006, according to the National Sporting Goods Association.

Although these events are uncommon, they can be tragic, says Treme. The initial treatment, usually within the first 10 minutes, is critical to how the patient will do long term. The goal, of course, is to avoid paralysis or neurological damage.

Treme and David Diduch, MD, principle investigator, professor, and team physcian at University of Virginia studied 31 boys from a local youth football league between the ages of 8 and 14. X-rays were taken of each child lying down wearing shoulder pads only, wearing helmet and shoulder pads and wearing no equipment. Next, they measured the alignment of the head, neck and spine to determine if the head tipped back, risking further damage. After examining the X-rays, the study investigators determined that there was no statistically significant difference in alignment when the children wore no equipment compared to wearing both helmet and shoulder pads. However, alignment changes seen with shoulder pads only were considered unacceptable and could place the athlete at risk if the helmet alone was removed.

With this study, there is at least some information we can use for the 8 -14 year old age range, in the unfortunate event of suspected neck injuries on the field, said Treme. The all or nothing policy for adult emergency on-field treatment is also appropriate for kids between 8 and 14.


'/>"/>

Contact: Lisa Weisenberger
lisa@sportsmed.org
847-292-4900
American Orthopaedic Society for Sports Medicine
Source:Eurekalert

Related medicine news :

1. Retired NYPD Lieutenants William E. Keegan, Jr., Owen McCaffery and John Moran and Tom Thees, a former COO in the financial industry, announce today the formation of H.E.A.R.T (Healing Emergency Aid Response Team) 911.
2. Temple Emergency Medicine receives $1.8M to find best MRSA treatment
3. Academy releases emergency preparedness tools to enable millions more people to shelter in place
4. Texas Aviation Services: Over 20 Years of Creating Flying Emergency Rooms for Airborne EMS Customers in US and Latin America
5. American Heart Association Enhances eLearning for Emergency Cardiovascular Care (ECC)
6. Giving emergency nurses aromatherapy massages with music dramatically reduced stress levels
7. Mecklenburg EMS Introduces Most-Advanced Situational Training in America for Emergency Medical Personnel
8. Giving emergency nurses aromatherapy massages with music dramatically reduced stress levels
9. Verathon Inc. Introduces GlideScope(R) Ranger Single Use Video Laryngoscope for Emergency Departments, EMS and Military; Enables Fast Intubations and Eliminates Time-Consuming Disinfection
10. Connecticut Bishops Back Down over Provision of Emergency Contraception
11. Vital Work of Emergency Nurses Honored Across the Nation During Emergency Nurses Week, October 7-13, 2007
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... People across ... in Genome magazine’s Code Talker Award, an essay contest in which patients and their ... award to be presented at the 2016 National Society of Genetic Counselors (NSGC) Annual ...
(Date:6/24/2016)... NY (PRWEB) , ... June 24, 2016 , ... ... Haute Living, is proud to recognize Dr. Barry M. Weintraub as a prominent ... “the most beautiful women in the world, and the most handsome men, look ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... feeding the Frederick area economy by obtaining investment capital for emerging technology companies. ... 2½ years that have already resulted in more than a million dollars of ...
(Date:6/24/2016)... D.C. (PRWEB) , ... June 24, 2016 , ... ... Heroes Golf Classic Tournament held on June 20th at the Woodmont Country Club ... charity, Luke’s Wings, an organization dedicated to helping service members that have been wounded ...
(Date:6/24/2016)... ... June 24, 2016 , ... Advanced Plastic Surgery Institute ( ... as its official Medspa Sponsor. Dr. Josh Olson, a board-certified plastic surgeon, owns ... Dr. Olson says the decision to support the pageant in an official capacity ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... , June 27, 2016  VMS Rehab Systems, ... Board will take whatever measures required to build a ... stock which is currently listed on the OTC Markets-pink ... Company Chairman and CEO, "We are seeing an anomaly ... to understand, not only by the Company, but shareholders ...
(Date:6/24/2016)... N.J. , June 24, 2016  Collagen ... the design, development and manufacturing of collagen and ... regeneration announced today that Bill Messer ... and Marketing to further leverage the growing portfolio ... medical devices. Bill joins the Collagen ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... and Markets has announced the addition of the ... their offering. ... products and provides an updated review, including its applications ... covering the total market, which includes three main industries: ...
Breaking Medicine Technology: