Prevalence and Indications for Applying Prehospital Spinal Motion Restriction in Children at Risk for Cervical Spine Injury
Of children transported by EMS after blunt trauma in this study, 41.5% had SMR placed, while only 1.6% had CSIs. Factors associated with SMR placement included patient demographics, mechanism of injury, history, and examination findings. Many of these factors are not in the new PECARN CSI clinical prediction rule. Implementation of a risk-centered EMS decision aid for SMR in children after blunt trauma must address this discrepancy.
Authors
- Monica L. Harding
- Caleb E. Ward (ORCID: https://orcid.org/0000-0001-5272-8552)
- Fahd A. Ahmad (ORCID: https://orcid.org/0000-0001-5919-6835)
- Robert E. Sapién (ORCID: https://orcid.org/0000-0002-8196-9635)
- Alexander J. Rogers (ORCID: https://orcid.org/0000-0003-3972-4156)
- Kathleen Adelgais (ORCID: https://orcid.org/0000-0002-4405-0769)
- Julie C. Leonard (ORCID: https://orcid.org/0000-0003-3670-1944)
- Lawrence J. Cook (ORCID: https://orcid.org/0000-0001-9085-0428)
- Lorin R. Browne (ORCID: https://orcid.org/0000-0002-8160-3035)
- Leah Tzimenatos
- Sylvia Owusu‐Ansah (ORCID: https://orcid.org/0000-0002-8201-4267)
Institutions
- Children's Hospital of Wisconsin (US)
- Nationwide Children's Hospital (US)
- St. Louis Children's Hospital (US)
- University of New Mexico (US)
- University of Pittsburgh (US)
- George Washington University (US)
- Medical College of Wisconsin (US)
- University of Utah (US)
- Children's Hospital Colorado (US)
- Children's Hospital of Pittsburgh (US)
- C. S. Mott Children's Hospital (US)
- University of California, Davis (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- Prehospital Emergency Care
- Published
- 2025-03-04
- DOI
- https://doi.org/10.1080/10903127.2025.2472269
- Citations
- 2
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 4.01
Funders
- U.S. Department of Health and Human Services
- Children's Hospital of Philadelphia
- Children's Hospital Los Angeles
- Texas Children's Hospital
- Cincinnati Children's Hospital Medical Center
- Nationwide Children's Hospital
- Seattle Children's Research Institute
- Children's National Hospital
- Scheme for Promotion of Academic and Research Collaboration
- Health Resources and Services Administration
- University of California, Davis
- University of California, San Francisco
- University at Buffalo
- National Institute of Child Health and Human Development
- Maternal and Child Health Bureau
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Children's Hospital of Pittsburgh