RT Journal Article SR Electronic T1 Sports prehospital-immediate care and spinal injury: not a car crash in sight JF British Journal of Sports Medicine JO Br J Sports Med FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine SP 1097 OP 1101 DO 10.1136/bjsports-2012-091800 VO 46 IS 16 A1 Jonathan R Hanson A1 Brian Carlin YR 2012 UL http://bjsm.bmj.com/content/46/16/1097.abstract AB The prehospital management of serious injury is a key skill required of pitch-side medical staff. Previously, specific training in sports prehospital-immediate care was lacking or not of a comparable standard to other aspects of emergency care. Many principles have been drawn from general prehospital care or in-hospital training courses. This article discusses sports prehospital-immediate care as a niche of general prehospital care, using spinal injury management as an illustration of the major differences. It highlights the need to develop the sport-specific prehospital evidence base, rather than relying exclusively on considerations relevant to prolonged immobilisation of multiply injured casualties from motor vehicle accidents, falls from height or burns.