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Evidence-based Comparison of Spine Motion Restriction (SMR) Techniques in Athletics
General Course Information
Course Info (Description; Learning Objectives; Practice Gap; Clinical Bottom Line; Summary Conclusions)
About the Presenter
Continuing Education Credits / Course Disclaimers and Conflicts of Interest / Refund Policy
Learning Material
1:05:36
1:05:36
Presentation (Video)
Completed
Complete
Evidence-based Comparison of Spine Motion Restriction (SMR) Techniques in Athletics
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Learning Material
Presentation (Video)
Updated Jan 22, 2024
Bookmarks
00:00
Ray Castle is moderating today's session of Sports Emergency Care symposium 1.0. Marybeth Wardinski is presenting the day on evidence based comparison, spine motion restriction, techniques in athletics.
04:00
There's no clear evidence for or against demobilization. The athletic population is most often younger, and our population that we deal with most of the time is younger. They have good bone health. Fortunately for us, fewer comorbidities.
07:48
The bottom line is spinal is geared towards preventing further harm to the spinal cord or spinal column. If they had midline spinal pain and or tenderness, that's another key factor to suggest spinal mode from restriction.
12:22
The longer a person is left on a spine board, the more likely some of these negative side effects can occur. The cervical collar has been demonstrated to increase intracranial pressure in some patients. The use of a hard ceased apart sea spine boards should only be used in shorter durations.
16:30
Lateral trauma, spine position, is another technique that actually doctor Hidermo was one of my former doctoral students. The lateral trauma position requires at minimum two people. Airway access though does need to be completed prior to transportation.
20:35
There are significant differences in removal time between the different helmets. The key point is you need to practice or any type of face mask your athletes might be wearing.
25:05
If we're out there 3 minutes and then we start accessing the airway, that might be extremely detrimental to the recovery of the athlete. Children are more likely to experience hyperflexion and extension injuries with the helmet on because of the weight of the helmet.
29:26
Cervical collars don't effectively reduce motion in a truly unstable cervical spine. Practice makes perfect and the better you the more you practice regardless of the type of cervical collar, it's probably not gonna increase the amount of motion.
33:27
The lift slide being a straddle lift slide technique. In the multi person technique, some of you maybe know it as the 6 plus, but the reason we now call it multi person is simply because you just add more people if the person's bigger.
37:34
Overall cumulative motion to the unstable spine can be reduced by about 50% if we avoided the log roll and did lift slide motion. Rolling over the equipment almost always will create greater motion. The multi person lift generates less motion than the law rule.
41:27
Dr. David Perry: With every transfer, there's the potential or opportunity for motion to occur and potentially cause secondary injury to the spinal cord. He suggests trying to do any of your movements with that patient in 1 slow and controlled motion. Perry: "Best care actually likely encompasses a variety of treatment strategies"
45:08
There is a little bit of reasonable inherent risk no matter what we're doing. We're working on calculating the space available for the spinal cord. More to come on that because we've now been able to shift our model in the lab to a model actually in the cadaver setting.
49:31
The biggest barrier is just people not a, believing the research, even though our team is no longer the only research team that is demonstrating this. And b, just failing to take the time to practice and practice. Practice makes you comfortable.
53:28
2 to help lift the person and one to put the spine board in. Is that not doable? So we in fact did the law rule. Now had the imbalance come with a a fire truck that would have brought us quite a few more hands and few more paramedics. But that that would be probably more in a rapid trauma situation where they're trying to move, get the patient.
57:19
In most cases, anytime you have something that really clearly says to you, This is a c Spine injury, they should be handled with more than just a cervical collar. If it's something that you deem as being unsafe based on practice and what protocol is for that, then you need to step in.
1:01:14
If you are able to use the scoop stretcher on the on Actually, on the ice, that's a good option. You can very safely and carefully use straps and use the 7 strap technique. If you have the option between a level 1 trauma hospital versus maybe a hospital that's just a tiny bit closer, it is better to actually pass that tiny bit.
1:05:15
And for the audience, make sure you if you would, fill out the evaluation form. We're gonna be signing off now we'll be getting other reminder emails on the next session coming up shortly.
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