OBJECTIVE: To describe frequency and characteristics of emergency medical services (EMS) activations by certified athletic trainers (ATs) and effects of pre-season planning meetings on interactions between ATs and EMS both generally and specifically during football head/neck emergencies. DESIGN: Retrospective cross-sectional survey. SETTING: 2009 Web-based survey. PARTICIPANTS: Athletic trainers (n = 1884; participation rate, 28%) in high school and collegiate settings. INDEPENDENT VARIABLES: Athletic trainer work setting, AT demographics, history of pre-season planning meetings. MAIN OUTCOME MEASURES: Proportions and 95% confidence intervals (CIs) estimated the prevalence of EMS activation, planning meetings, and characteristics of AT-EMS interactions (eg, episodes of AT-perceived inappropriate care and on-field disagreements). Chi square tests tested differences (P < 0.05) in proportions. Associations (odds ratio = OR and 95% CI) between work setting, demographics, preseason meetings and fall 2008 1) episodes of AT-perceived inappropriate care, and 2) on-field disagreements were assessed using multivariate logistic regression. RESULTS: High school ATs activated EMS more frequently than collegiate ATs (eg, fall 2008 EMS activation for football injury, 59.9% vs 27.5%; P < 0.01) and reported fewer pre-season planning meetings (eg, met with EMS to practice, 38.1% vs 55.8%; P < 0.01). During the Fall 2008 football season, high school ATs perceived more episodes of inappropriate care (10.4% vs 3.9%; P < 0.01) and on-field disagreements (5.4 vs 2.2%; P < 0.01) than collegiate ATs. High school work setting was independently associated with episodes of AT-perceived inappropriate care (adjusted OR = 2.76; 95% CI, 1.65-4.62) and on-field disagreements (adjusted OR = 2.33; 95% CI, 1.17-4.64). CONCLUSIONS: Athletic trainer-EMS interactions are common and sometimes involve AT-perceived episodes of inappropriate care and on-field disagreements between emergency care providers.
OBJECTIVE: To describe frequency and characteristics of emergency medical services (EMS) activations by certified athletic trainers (ATs) and effects of pre-season planning meetings on interactions between ATs and EMS both generally and specifically during football head/neck emergencies. DESIGN: Retrospective cross-sectional survey. SETTING: 2009 Web-based survey. PARTICIPANTS: Athletic trainers (n = 1884; participation rate, 28%) in high school and collegiate settings. INDEPENDENT VARIABLES: Athletic trainer work setting, AT demographics, history of pre-season planning meetings. MAIN OUTCOME MEASURES: Proportions and 95% confidence intervals (CIs) estimated the prevalence of EMS activation, planning meetings, and characteristics of AT-EMS interactions (eg, episodes of AT-perceived inappropriate care and on-field disagreements). Chi square tests tested differences (P < 0.05) in proportions. Associations (odds ratio = OR and 95% CI) between work setting, demographics, preseason meetings and fall 2008 1) episodes of AT-perceived inappropriate care, and 2) on-field disagreements were assessed using multivariate logistic regression. RESULTS: High school ATs activated EMS more frequently than collegiate ATs (eg, fall 2008 EMS activation for football injury, 59.9% vs 27.5%; P < 0.01) and reported fewer pre-season planning meetings (eg, met with EMS to practice, 38.1% vs 55.8%; P < 0.01). During the Fall 2008 football season, high school ATs perceived more episodes of inappropriate care (10.4% vs 3.9%; P < 0.01) and on-field disagreements (5.4 vs 2.2%; P < 0.01) than collegiate ATs. High school work setting was independently associated with episodes of AT-perceived inappropriate care (adjusted OR = 2.76; 95% CI, 1.65-4.62) and on-field disagreements (adjusted OR = 2.33; 95% CI, 1.17-4.64). CONCLUSIONS: Athletic trainer-EMS interactions are common and sometimes involve AT-perceived episodes of inappropriate care and on-field disagreements between emergency care providers.
Authors: Ron Courson; James Ellis; Stanley A Herring; Barry P Boden; Glenn Henry; Darryl Conway; Lance McNamara; Timothy L Neal; Margot Putukian; Allen K Sills; Kimberly P Walpert Journal: J Athl Train Date: 2020-06-23 Impact factor: 2.860
Authors: Rebecca M Hirschhorn; Zachary Y Kerr; James M Mensch; Robert A Huggins; Thomas P Dompier; Caroline Rudisill; Susan W Yeargin Journal: Cureus Date: 2022-07-28
Authors: Rebecca M Hirschhorn; Zachary Y Kerr; Erin B Wasserman; Melissa C Kay; Daniel R Clifton; Thomas P Dompier; Susan W Yeargin Journal: J Athl Train Date: 2018-10-04 Impact factor: 2.860