Summary: <br> Backboarding the injured athlete is an ever-evolving skill. <a href="https://www.memorialhermann.org/doctors/orthopedic-surgeons/dr-randal-camarillo-md-1215297247" target="_blank" rel="noreferrer noopener">Dr. Matt Camarillo</a> discusses it live at the Memorial Hermann Sports Medicine Update <br> <br> <br> <br> <a href="https://sportsmedicinebroadcast.com/wp-content/uploads/2019/04/CamarilloMatt.jpg"></a><br> <br> <br> <br> How common are spinal cord injuries?<br> <br> <br> <br> -9-10% of injuries are spinal. About 12,000 nationally.<br> <br> <br> <br> Looking at physicals I have a couple of athletes with previous spinal cord injuries. What are some of the things that I should be more aware of when taking care of these athletes? <br> <br> <br> <br> -Usually due to trauma or born with cervical stenosis. <br> <br> <br> <br> -Should have a spine surgeon associated with the athletic population<br> <br> <br> <br> We talk about spinal cord injuries, and the first thing we think about is football. We think that it is equipment-heavy and collision-based and talk about equipment removal for that. But what is the instance in other sports?<br> <br> <br> <br> -Happens in lacrosse, gymnastics, hockey, soccer, baseball, and basketball.<br> <br> <br> <br> -Helmet and shoulder pads keep them in alignment then leave it on. <br> <br> <br> <br> -If only a helmet probably needs to come off. <br> <br> <br> <br> These spinal cord injuries, I believe you mentioned there are about 12,000 injuries per year. Are these spinal injuries with awareness in education are we increasing these or decreasing these?<br> <br> <br> <br> -Since 1975 they have gone down. <br> <br> <br> <br> -A lot of spinal injuries come from automobile accidents. <br> <br> <br> <br> Is there a reason for that?<br> <br> <br> <br> -Awareness, and if it goes away the numbers will go up again. <br> <br> <br> <br> Moving back into narrowing down into more of an athletic training setting when working with sport athletes for example what would be our initial assessment and what would be some red flags to actually move the person onto a spine board?<br> <br> <br> <br> -Big trauma like a head-on hit you want to be careful. <br> <br> <br> <br> -Clinical judgment.<br> <br> <br> <br> -numbness bilaterally <br> <br> <br> <br> The athlete just has a lot of pain. <br> <br> <br> <br> -Trust your gut<br> <br> <br> <br> So once you decide to stabilize someone, I know you talked about two methods to stabilize, but what is your preferred method?<br> <br> <br> <br> -6 man lift<br> <br> <br> <br> -If you don’t have enough hands, nobody will fault you for doing a log roll. <br> <br> <br> <br> When is it appropriate to move the neck into neutral?<br> <br> <br> <br> -It is always ok as long as you do the head or trap squeeze.<br> <br> <br> <br> -You want to make sure you have access to the airway. <br> <br> <br> <br> Can you talk a little bit about the difference between a head or trap squeeze?<br> <br> <br> <br> - head squeeze is more about putting you hands around the athletes head or helmet<br> <br> <br> <br> -trap squeeze where you are putting your thumbs and finger around someone's traps and gives you more stability because you also have to add in the fatigue factor. <br> <br> <br> <br> -Trap squeeze is more stable<br> <br> <br> <br> Be aware that clothing could cause you to slip while holding a helmet.<br> <br> <br> <br> I think it comes down to practice and figuring out how everything works. Because once you get it down, then when all that emotion going, if you practice over and over again it just becomes a routine. <br> <br> <br> <br>
