Perspectives And Approaches Among Paramedics In The Saudi Red Crescent Authority About Spine Trauma Management

Abstract

This study aimed to assess perspectives and approaches of paramedics in the Saudi Red Crescent Authority regarding spine trauma management. Given the high prevalence of spinal injuries in Saudi Arabia, particularly from traffic incidents. A descriptive, cross-sectional survey was conducted among 236 Saudi red crescent authority paramedics. A structured questionnaire measured participants' perspectives and approaches on spine trauma management. The findings indicated that paramedics demonstrated adequate foundational knowledge, particularly regarding the mechanisms of spinal injury and basic immobilization techniques, with an average knowledge score of 4.01 out of 5. However, gaps were observed in familiarity with advanced protocols, such as ATLS, where responses were neutral. Attitudes toward evidence-based guidelines were generally positive, with a mean attitude score of 3.57, though confidence in handling complex spine trauma cases was lower. Practice scores revealed consistent application of basic immobilization techniques, yet documentation and reassessment practices were less rigorously applied. The study highlights a solid knowledge base among Saudi Red Crescent Authority paramedics but identifies specific areas for improvement, particularly in advanced protocol training, practical skills reinforcement, and documentation practices. Targeted training programs, scenario-based simulations, and feedback mechanisms are recommended to enhance paramedics' confidence, skills, and consistency in managing spine trauma.