Facemask removal (FMR) is crucial for immediate treatment of helmeted athletes. The purpose of this study was to determine the effect of practice on the time required for lacrosse helmet FMR. Participants removed the facemasks of two helmet models (Cascade CPXR and Warrior Trojan) four times over four weeks with either a cordless screwdriver or pruner. We found a significant interaction for removal tool and time (p < .001). Participants became faster at FMR across the 4 weeks of data collection. We recommend three consecutive weeks of practice to improve FMR speed, though depending on FMR tool, an individual could benefit from additional sessions.
Daniel C. Martinez, Thomas G. Bowman and Richard J. Boergers
Richard J. Boergers, Thomas G. Bowman, Nicole Sgherza, Marguerite Montjoy, Melanie Lu and Christopher W. O’Brien
In 2015, new practice recommendations to remove equipment prior to transport when cervical spine injury is suspected were released. The purpose of this study was to determine current emergency management practices and perceptions of the new practice recommendation. We received completed mixed-method surveys from 143 athletic trainers practicing in the Mid-Atlantic region (response rate = 10.11%). The majority of respondents stated that the number of personnel required, along with the training and time to practice equipment removal, were barriers to implementation. Requiring assistance from emergency medical services (EMS) was common, but many failed to practice with local EMS. Emergency management procedures should be appropriate given the resources (personnel and training) available. Collaboration between athletic trainers and EMS is needed.