怀疑脊柱损伤的长曲棍球运动员院前护理:一个系统的搜索,证据审查,和共识的建议。

IF 11.6 1区 医学 Q1 SPORT SCIENCES
Thomas G Bowman, Richard J Boergers, Shane V Caswell, Darryl Conway, William J Mills, Margot Putukian, Mandy Merritt, Jason D Vescovi, Edward Strapp, Kellie Loehr, Jennifer Monnin, Rebecca Vozzo, Robert Hatch, Caroline Wesley Siler, Samantha E Scarneo-Miller
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引用次数: 0

摘要

长曲棍球在全球的受欢迎程度有了显著的增长,并将在2028年的夏季奥运会上回归。虽然对疑似脊柱损伤运动员的院前护理有已发表的共识建议,但目前没有针对有或没有循环、气道或呼吸(CAB)损害的长曲棍球运动员的具体建议。该文件旨在确定基于证据和共识的最佳做法,并提供实施建议,以指导医疗保健专业人员院前护理疑似脊柱损伤的长曲棍球运动员。我们由15名具有不同临床、研究和管理经验的个人组成的共识小组,以确保在长曲棍球比赛水平上有广泛的代表性。同行评议的科学和医学研究文献系统地检索了关于长曲棍球参与者脊柱损伤的文章,以获得基于证据的建议。经过三轮投票,作者小组制定了10个基于共识的最佳实践和实施建议,这些建议与有或没有CAB妥协的潜在脊柱损伤的长曲棍球运动员的护理有关。此外,还提出了一些建议,以指导参加长曲棍球之前的关键准备工作,例如制定和分发紧急行动计划、针对长曲棍球的政策和程序,以及心肺复苏和自动体外除颤器的要求。所有建议都获得了至少80%的小组成员的可接受性、可行性和清晰度。这些建议为医疗保健专业人员和活动组织者提供院前护理指导,旨在改善疑似脊柱损伤后患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prehospital care of suspected spine-injured lacrosse athletes: a systematic search, evidence review, and consensus recommendations.

Lacrosse has experienced significant growth in popularity worldwide and will return to the Summer Olympic Games in 2028. While there are published consensus recommendations for prehospital care of athletes with suspected spine injuries, there are currently no recommendations specific to lacrosse athletes with and without circulation, airway, or breathing (CAB) compromise. The document aims to determine evidence- and consensus-based best practices and provide implementation recommendations to guide healthcare professionals in the prehospital care of suspected spine-injured lacrosse athletes. We comprised a consensus group of 15 individuals with diverse clinical, research, and administrative experiences to ensure broad representation across lacrosse competition levels. Peer-reviewed scientific and medical research literature was systematically searched for articles on spine injury in lacrosse participants to derive evidence-based recommendations. Following a modified Delphi approach with three rounds of voting, the author panel developed ten consensus-based best practices and implementation recommendations related to the care of potentially spine-injured lacrosse athletes with and without CAB compromise. In addition, recommendations are provided to guide the implementation of key preparations before lacrosse participation, such as developing and distributing an emergency action plan, lacrosse-specific policies and procedures, and cardiopulmonary resuscitation and automated external defibrillator requirements. All recommendations obtained acceptable levels of agreeability, feasibility, and clarity from at least 80% of the panel. The recommendations provide prehospital care guidance for healthcare professionals and event organisers aimed at improving patient outcomes following suspected spine injury.

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来源期刊
CiteScore
27.10
自引率
4.90%
发文量
217
审稿时长
3-8 weeks
期刊介绍: The British Journal of Sports Medicine (BJSM) is a dynamic platform that presents groundbreaking research, thought-provoking reviews, and meaningful discussions on sport and exercise medicine. Our focus encompasses various clinically-relevant aspects such as physiotherapy, physical therapy, and rehabilitation. With an aim to foster innovation, education, and knowledge translation, we strive to bridge the gap between research and practical implementation in the field. Our multi-media approach, including web, print, video, and audio resources, along with our active presence on social media, connects a global community of healthcare professionals dedicated to treating active individuals.
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