On Field Cervical Spine

On-field cervical spine evaluations are an area of expertise for Dr. Mark Prasarn.  He is the spine consultant for the Houston Texans and all University of Houston sports teams.

On field Cervical Spine evaluation

What is the initial on-field assessment look like

ABCs

When do we transport?

Anyone that is unconscious

Significant neck pain

Weakness or numbness

Bilateral is a much greater indicator.

What does it look like once we transport it?

This really depends on the group, but equipment removal

Then get them stabilized

What are our early-stage rehab focus and goals?

If there is an AT it is a huge benefit

ROM

Transient hemioplegic patient

This can be mistaken for strokes

Neck pain is the significant indicator

Education is important

Most cases resolve in  a few seconds or few minutes when it is a stinger

If it does not resolve then have them evaluated

Refer for imaging per doctor's orders.

What conversations should ATs be having with local staff?

Where are they going?

You should be involved in the decision-making.

What can we do to prevent these cervical spine injuries?

There is not really much we can do to train away injuries.  Strengthening is most likely going to help

Do we need acclimatization for tackling?

Data shows that tackling technique improves injury rates

Watch the presentation:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

Dr. Josh Yellenjbyellen@central.uh.edu

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Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

Donate and get some swag (like Patreon but for the school)

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.