Urban Emergency Research Articles

Emergency Physician Performed Ultrasound-Guided Abdominal Paracentesis: A Retrospective Analysis.

Emergency physicians commonly perform ultrasound-assisted abdominal paracentesis, using point of care ultrasound (POCUS) to identify ascites and select a site for needle insertion. However, ultrasound-guided paracentesis has the benefit of real-time needle visualization during the entire procedure. Our objective was to characterize the performance of emergency physician-performed ultrasound-guided paracentesis using POCUS, their ability to achieve good in-plane needle visualization, and factors associated with procedural success. A POCUS database was retrospectively reviewed for examinations where abdominal paracentesis was performed by an emergency physician at two academic urban emergency departments over a six-year period. Medical records were reviewed for demographics, presenting history, complications, and hospital course. Descriptive statistics were used to summarize the data. 131 patients were included in the final analysis. The success rate for ultrasound-guided paracentesis was 97.7% (84/86 [95% CI: 92-100%]) compared to 95.6% (43/45 [95% CI: 85-99%]) for ultrasound-assisted paracentesis (p=0.503). 58% (50/86) demonstrated good in-plane needle visualization; 17% (15/86) had partial or out-of-plane visualization; and 24% (21/86) did not demonstrate needle visibility on their saved POCUS images. All four procedural failures were performed by first- or second-year residents using a curvilinear transducer, while all procedures using a linear transducer were successful. The most common complications were ascites leak, infection at the site, and minor bleeding. Emergency physicians with training in real-time needle guidance with ultrasound were able to use POCUS to perform ultrasound-guided paracentesis in the emergency department with a high success rate and no fatal complications. Based on our experience, we recommend performing ultrasound-guided paracentesis using a linear transducer, with attention to identifying vessels near the procedure site and maintaining sterile technique.

A Review of Emergency Resource Allocation under Natural Disasters

The acceleration of urbanization has led to increasingly serious casualties and property losses caused by natural disasters, while also exposing issues such as unreasonable and inefficient allocation of emergency resources. This article elaborates on the location selection of urban emergency resources, prediction of disaster point demand, construction of emergency resource scheduling models, and application of intelligent optimization algorithms by consulting relevant literature. It analyzes some problems in current emergency resource research and summarizes the key points that need to be broken through in future research.

Implementation of a Suicide Risk Screening Clinical Pathway in a Children's Hospital: A Feasibility Study.

Youth suicide is a pressing global concern. Prior research has developed evidence-driven clinical pathways to screen and identify suicide risk among pediatric patients in outpatient clinics, emergency departments (ED) and inpatient hospital units. However, the feasibility of implementing these pathways remains to be established. Here, we share the results of a hospital-wide "youth suicide risk screening pathway" implementation trial at an urban academic pediatric hospital to address this gap. A 3-tier "youth suicide risk screening pathway" using The Ask Suicide-Screening Questions (ASQ) was implemented for patients aged 10 to 26 years who received care at an urban academic pediatric hospital's emergency department or inpatient units. We retrospectively reviewed implementation outcomes of this pathway from January 1 to August 31, 2019. The feasibility of this implementation was measured by assessing the pathway's degree of execution, fidelity, resource utilization, and acceptability. Of 4108 eligible patient encounters, 3424 (83%) completed the screen. Forty-eight (1%) screened acute positive, 263 (8%) screened nonacute positive and 3113 (91%) screened negative. Patients reporting positive suicide risk were more likely to be older and female, although more males required specialty mental health evaluations. Pathway fidelity was 83% among all positive screens and 94% among acute positive screens. The clinical pathway implementation required 16 hours of provider training time and was associated with slightly longer length of stay for inpatients that screened positive (4 vs 3 days). Sixty-five percent of nurses and 78% of social work providers surveyed supported participation in this effort. It is feasible to implement a youth suicide risk screening pathway without overburdening the system at an urban academic pediatric hospital.

Bilingual Texting in the Age of Emoji: Spanish–English Code-Switching in SMS

Technology and computer-mediated communication (CMC) have quickly transformed the means of interaction among monolingual and bilingual individuals alike, especially in the younger generations. While e-mail once replaced traditional “snail mail”, today’s youth networks mainly via social media and short message services (SMS). Digital communication has thus become a fertile ground for sociolinguistic research. The present study aims to contribute to the field of “electronic” code-switching, specifically in the emerging area of text messaging. To this end, I analyze The Bilingual Youth Texts Corpus, a collection of text messages among urban emergent Spanish–English bilinguals in New York City. The main findings indicate that (1) although it is not the most common practice, participants do engage in code-switching when texting each other; (2) their language mixing obeys most of the socio-pragmatic and communicative patterns attested in oral production (such as emphasis, elaboration, lexical need and, especially, tag switches) along with other functions (textisms) which are idiosyncratic to CMC; and (3) the language choices made by these bilinguals reveal a linguistic and a cultural belonging to two worlds where they may and must use both languages to fully express themselves online just like in real life.

Racial differences in triage assessment at rural vs urban Maine emergency departments.

Data continue to accumulate demonstrating that those belonging to racialized groups face implicit bias in the emergency care delivery system across many indices, including triage assessment. The Emergency Severity Index (ESI) was developed and widely implemented across the US to improve the objectivity of triage assessment and prioritization of care delivery; however, research continues to support the presence of subjective bias in triage assessment. We sought to assess the relationship between perceived race and/or need for translator and assigned ESI score and whether this was impacted by hospital geography. We performed retrospective EMR-based review of patients presenting to urban and rural emergency departments of a health system in Maine with one of the top ten most common chief complaints (CC) across a 5-year period, excluding psychiatric CCs. We used multivariable regression to analyze the relationships between perceived race, need for translator, and gender with ESI score, wait time, and hallway bed assignments. We found that patients perceived as non-white were more likely to receive lower acuity ESI scores and have longer wait times as compared to patients perceived as white. Patients perceived as female were more likely to receive lower acuity scores and wait longer to be seen than patients perceived as male. The need for an interpreter was associated with increased wait times but not significantly associated with ESI score. After stratification by hospital geography, evidence of subjective bias was limited to urban emergency departments and was not evident in rural emergency departments. Further investigation of subjective bias in emergency departments in Maine, particularly in urban settings, is warranted.

Urban form and structure explain variability in spatial inequality of property flood risk among US counties

Understanding the relationship between urban form and structure and spatial inequality of property flood risk has been a longstanding challenge in urban planning and emergency management. Here we explore eight urban form and structure features to explain variability in spatial inequality of property flood risk among 2567 US counties. Using datasets related to human mobility and facility distribution, we identify notable variation in spatial inequality of property flood risk, particularly in coastline and metropolitan counties. The results reveal variations in spatial inequality of property flood risk can be explained based on principal components of development density, economic activity, and centrality and segregation. The classification and regression tree model further demonstrates how these principal components interact and form pathways that explain spatial inequality of property flood risk. The findings underscore the critical role of urban planning in mitigating flood risk inequality, offering valuable insights for crafting integrated strategies as urbanization progresses.

126. The Sexual and Reproductive Health Concerns of Youth Experiencing Homelessness Presenting to an Urban Pediatric Emergency Department: a descriptive study

126. The Sexual and Reproductive Health Concerns of Youth Experiencing Homelessness Presenting to an Urban Pediatric Emergency Department: a descriptive study

Every Second Counts: A Comprehensive Review of Route Optimization and Priority Control for Urban Emergency Vehicles

Emergency vehicles (EMVs) play an important role in saving human lives and mitigating property losses in urban traffic systems. Due to traffic congestion and improper priority control strategies along the rescue route, EMVs may not be able to arrive at rescue spots on time, which also increases traffic risk and has a negative impact on social vehicles (SVs). The greater the negative impact on SVs, such as increased delay times and queue length, the more profound the negative impacts on urban environmental sustainability. Proper rescue route selection and priority control strategies are essential for addressing this problem. Consequently, this paper systematically reviews the studies on EMV routing and priority control. First, a general bibliometric analysis is conducted using VOSviewer. This study also classifies the existing studies into three parts: EMV travel time prediction (EMV-TTP), EMV routing optimization (EMV-RO), and EMV traffic priority control (EMV-TPC). Finally, this study provides future research suggestions on five aspects: 1. uncovering authentic demand characteristics through EMV data mining, 2. incorporating the distinct characteristics of EMV in EMV-RO models, 3. implementing active EMV-TPC strategies, 4. concentrating more on the negative impacts on SVs, and 5. embracing the emerging technologies in the future urban traffic environment.

Health-Related Social Risks Versus Needs in a Pediatric Emergency Department

IntroductionHealth-related social problems may be conceptualized as the presence of either a social risk (i.e. food insecurity as defined by a screening tool) or a social need (i.e. desire for referral to a food program). Identification of social risks may not correlate with patients’ desire to receive help. This study aimed to identify and compare patients and families with social risks versus social needs in a pediatric emergency department. MethodsThis was a planned secondary analysis conducted in 2023 of a previously published prospective intervention study, which screened and referred caregivers and adult patients for health-related social problems in an urban tertiary pediatric emergency department between May 2019 and October 2020. Participants completed a screening tool for social risks and self-identified social needs by selecting desired assistance from a list of social service categories. Participants’ social risk screening results were compared with their selection of resources for social needs across demographic and socioeconomic characteristics and the number of positive social risks using chi-squared or Fisher's exact tests. ResultsOf 258 participants, 42.2% (109) screened positive for any social risk, and 38.0% (98) self-selected a social need. Of those, only 59.2% (77/130) both screened positive and self-selected a need. Among those who screened positive for a social risk, several demographic and socioeconomic factors including race, ethnicity, and income were significantly different between those interested versus not interested in assistance. ConclusionsBoth social risks and self-identified social needs should be considered within social care interventions in the pediatric healthcare setting.

Sustainable Urban Development in the Post-Pandemic Era: Smart Shenzhen based on the 15-Minute City Concept

In the face of the pandemic, there has been a global focus on urban planning and sustainability. These have attracted attention in innovative cities. The 15-Minute City approach aims to address the COVID-19 pandemic, enhance urban sustainability, and encourage citizen involvement in urban planning and management. In 2018, the municipality of Milan launched the Fifteen Minute City project. The project aims to redefine the use of streets and public spaces, encourage cycling and walking, and reshape neighborhoods. By studying the success of Milan's 15-minute City, this paper aims to deeply analyze the necessary factors for the successful implementation of the 15-minute plan based on the Notice of Shenzhen Municipal Bureau of Commerce on printing and distributing the Implementation Plan for the Pilot City Construction of Shenzhen Quarter Hour Convenient Living Circle. This paper will establish causal connections between the variables within the plan and propose strategies for mitigating the identified risks. Additionally, the document will present a fair and objective evaluation of the plan's consequences, along with practical suggestions for future execution. The paper highlights the importance of community involvement in urban planning and emergency management by examining key initiatives in Shenzhen, such as the implementation of digital technologies, green transport policies, community support, and public education. The research provides valuable lessons for both Shenzhen and other cities on sustainable development and infection management and highlights the need for community collaboration and public participation.

Postconcussive Symptoms After Early Childhood Concussion

Research on postconcussive symptoms (PCS) following early childhood concussion has been hindered by a lack of measures suitable for this age group, resulting in a limited understanding of their evolution in young children. To document PCS in the first 3 months after early childhood concussion using a developmentally appropriate measure. This cohort study used data collected at 3 Canadian and 1 US urban pediatric emergency departments (EDs) and 8 Canadian daycares from December 2018 to December 2022 as part of the Kids' Outcomes and Long-Term Abilities (KOALA) project, a prospective, multicenter, longitudinal cohort study. Participants included children aged 6 to 72 months with early childhood concussion or orthopedic injury (OI) or uninjured children from the community to serve as controls. Data were analyzed from March 2023 to January 2024. Concussion sustained between ages 6 and 72 months. Primary outcomes were cognitive, physical, behavioral and total PCS assessed prior to injury (retrospectively), acutely (within 48 hours), and at 10 days, 1 month, and 3 months after injury or recruitment through caregiver observations using the Report of Early Childhood Traumatic Injury Observations & Symptoms inventory. Group comparisons were analyzed using ordinal regression models. The study included 303 children (mean [SD] age, 35.8 [20.2] months; 152 [50.2%] male). Of these, 174 children had a concussion (mean [SD] age, 33.3 [19.9] months), 60 children had an OI (mean [SD] age, 38.4 [19.8] months) and 69 children were uninjured controls (mean [SD] age, 39.7 [20.8] months). No meaningful differences were found between the concussion and comparison groups in retrospective preinjury PCS. Significant group differences were found for total PCS at the initial ED visit (concussion vs OI: odds ratio [OR], 4.33 [95% CI, 2.44-7.69]; concussion vs control: OR, 7.28 [95% CI, 3.80-13.93]), 10 days (concussion vs OI: OR, 4.44 [95% CI, 2.17-9.06]; concussion vs control: OR, 5.94 [95% CI, 3.22-10.94]), 1 month (concussion vs OI: OR, 2.70 [95% CI, 1.56-4.68]; concussion vs control: OR, 4.32 [95% CI, 2.36-7.92]), and 3 months (concussion vs OI: OR, 2.61 [95% CI, 1.30-5.25]; concussion vs control: OR, 2.40 [95% CI, 1.36-4.24]). Significant group differences were also found for domain-level scores (cognitive, physical, behavioral) at various time points. In this early childhood cohort study, concussion was associated with more PCS than OIs or typical development up to 3 months after injury. Given the limited verbal and cognitive abilities typical of early childhood, using developmentally appropriate manifestations and behaviors is a valuable way of tracking PCS and could aid in concussion diagnosis in young children.

Adherence to doxycycline for uncomplicated genitourinary chlamydia: A prospective observational study.

Since 2020, the Center for Disease Control and Prevention (CDC) no longer recommends single-dose azithromycin as first-line therapy for uncomplicated genitourinary chlamydia, advising instead a 7-day course of doxycycline. Our study investigates self-reported adherence to the new regimen, reasons for nonadherence, and the impact of dispensing the regimen on-site compared to prescribing it. We performed a prospective observational study of adult patients treated for suspected or laboratory-confirmed uncomplicated genitourinary chlamydia at three urban emergency departments (EDs), where patients receive a prescription for doxycycline, and in a sexually transmitted infection (STI) clinic, where the 14 doxycycline pills are dispensed on-site. Clinical data were extracted from electronic medical records and patients were interviewed regarding adherence via telephone 2-4weeks after their index visit. We enrolled 127 STI clinics and 201 ED patients. Therapeutic adherence was reported by 85% of STI clinic patients and 77% of ED patients. In the ED setting, younger age and female sex were associated with nonadherence, with only 67% of female patients reporting adherence. Reported reasons for nonadherence included medication adverse effects, financial and transportation barriers, skepticism of the need for therapy, and misunderstanding of discharge instructions, among others. A considerable portion of patients treated for uncomplicated genitourinary chlamydia in urban EDs and STI Clinics report nonadherence to the 7-day doxycycline regimen. The CDC recommendation to consider azithromycin when nonadherence is a "substantial concern" should be applied broadly in these settings by routinely discussing barriers to adherence when selecting the optimal antimicrobial regimen. The benefit of dispensing the doxycycline regimen on-site compared to prescribing it could not be determined given differences in baseline characteristics between the two groups.

Assessment of Mayaro virus vector competence of the mosquito Aedes aegypti (Linnaeus, 1762) populations in Argentine using dose-response assays.

Mayaro virus (MAYV; Alphavirus: Togaviridae) is an emerging pathogen in Latin America, causing fever and polyarthritis. Sporadic outbreaks of MAYV have occurred in the region, with reported human cases being imported to Europe and North America. Although primarily a risk for those residing in the Amazon basin's tropical forests, recent reports highlight that urbanization would increase the risk of MAYV transmission in Latin America. Urban emergence depends on human susceptibility and the ability of mosquitos like Aedes aegypti (Linnaeus, 1762) (Diptera: Culicidae) to transmit MAYV. Despite the absence of active MAYV transmission in Argentine, the risk of introduction is substantial due to human movement and the presence of Ae. aegypti in the region. This study aimed to evaluate the susceptibility of different Argentine Ae. aegypti populations to MAYV genotype L (MAYV-L) using dose-response assays and determine barriers to virus infection, dissemination and transmission. Immature mosquito stages were collected in Buenos Aires, Córdoba and Rosario cities. Female Ae. aegypti (F2) were orally infected by feeding on five concentrations of MAYV-L, ranging from 1.0 to 6.0 log10 PFU/mL. Abdomens, legs and saliva were analysed using viral plaque assays. Results revealed that MAYV-L between infection and dissemination were associated with viral doses rather than the population origin. Infection rates varied between 3% and 65%, with a 50% infectious dose >5.5 log10 PFU/mL. Dissemination occurred at 39%, with a 50% dissemination dose of ~6.0 log10 PFU/mL. Dissemination among infected mosquitoes ranged from 60% to 86%, and transmission from disseminated mosquitoes ranged from 11% to 20%. Argentine Ae. aegypti populations exhibited a need for higher viral doses of MAYV-L than those typically found in humans to become infected. In addition, only a small proportion of infected mosquitoes were capable of transmitting the virus. Understanding MAYV transmission in urban areas is crucial for public health interventions.

Enhancing urban emergency management: A two-stage network DEA analysis of Chinese cities

In order to scientifically evaluate the emergency management capabilities of major cities in China, this article conducts a comprehensive study on the input and output indicators of emergency response in each city. A two-stage network DEA model was used to construct an evaluation model that reflects the emergency management capacity of cities. A dataset containing emergency management data from 36 well-known cities in China was selected to effectively evaluate its performance, and the city that demonstrated the most effective input-output ratio in the field of emergency management was ultimately determined. The research results show that using a two-stage network DEA model as the foundation to construct an evaluation model that reflects urban emergency management capabilities can promote a wise combination of subjective and objective evaluations, and achieve scientific investment in urban emergency assets.

Research on Application Solutions of Blockchain Technology in Multi-Party Collaborative Emergency Logistics System

With the continuous development of global trade and logistics business, the construction of emergency logistics system has become an important part to ensure the efficient operation of logistics chain. However, in the face of emergencies, such as natural disasters, traffic accidents or public health crises, the traditional emergency logistics system is vulnerable to information asymmetry, data tampering and other problems, resulting in low emergency response efficiency. Blockchain technology, with its decentralized, immutable, transparent and traceable characteristics, offers new possibilities for solving these problems. This paper aims to discuss the solution of blockchain technology applied in the field of emergency logistics from the perspective of supply chain, in order to build a multi-agent collaborative emergency logistics “digital platform” network, and improve the response ability and toughness of the urban emergency logistics system that “combines emergency and peace”.

Spatial heterogeneities of residents' sentiments and their associations with urban functional areas during heat waves– a case study in Beijing

The intensification of global heat wave events is seriously affecting residents' emotional health. Based on social media big data, our research explored the spatial pattern of residents' sentiments during heat waves (SDHW). Besides, their association with urban functional areas (UFAs) was analyzed using the Apriori algorithm of association rule mining. It was found that SDHW in Beijing were characterized by obvious spatial clustering, with hot spots predominately dispersed in urban areas and far suburbs, and cold spots mainly clustered in near suburbs. As for the associations with urban function areas, green space and park areas had significant effects on the positive sentiment in the study area, while a higher percentage of industrial areas had a greater impact on negative SDHW. When it comes to combined UFAs, our results revealed that the green space and park area combined with other functional areas was more closely related to positive SDHW, indicating the significance of promoting positive sentiment. Subdistricts with a lower percentage of residential and traffic areas may have a more negative sentiment. There were two main combined UFAs that have greater impacts on SDHW: the combination of residential and industrial areas, and the combination of residential and public areas. This study contributes to the understanding of improving community planning and governance when heat waves increase, building healthy cities, and enhancing urban emergency management.

A Short Adverse Experiences Measure Among Mothers of Young Children.

Screening for parental adverse childhood experiences (ACEs) in pediatric settings can be burdensome because of the questionnaire's length and sensitive nature. Rapid screening tools may help address these challenges. We evaluated a 2-item short ACE measure developed for adults in a cross-sectional sample of mothers of young children in an urban pediatric emergency department. From January 2011 to March 2020, we administered the ACE questionnaire in English or Spanish to 3999 biological mothers of children aged <4 years in a pediatric emergency department in Philadelphia, Pennsylvania. We assessed sensitivity and specificity of a shortened 2-item ACE measure defined as report of childhood emotional abuse and/or household substance use, using 4+ ACEs on the full questionnaire as the standard. We assessed convergent validity by comparing associations of the 2-item and standard measures with maternal, household, and child outcomes using adjusted log-binomial regression. Mothers were racially and ethnically diverse (54% Latina, 35% Black non-Latina); 94% of children were publicly insured. Thirteen percent of mothers reported childhood emotional abuse and 16% childhood household substance use; 23% reported at least 1 of these and 6% both. Compared with 4+ ACEs on the full questionnaire, the 2-item measure had sensitivity 88% and specificity 90%. In adjusted models, high adversity was associated with poor maternal, household, and child outcomes. A 2-item ACE measure assessing childhood emotional abuse and household substance use may be useful in pediatric settings to identify mothers who may have experienced significant child adversity and inform development, testing, or provision of comprehensive family supports.

Experiencing violence and other predictors of within-person same-day use of multiple substances in youth: a longitudinal study in emergency settings

ABSTRACT Background: Although experiencing violence is a risk factor for substance use among youth, its association with same-day use of multiple substances (a form of polysubstance use) and mitigating factors is less well understood. Objectives: To identify whether prosocial factors modified the effect of experiencing violence on the frequency of same-day use, and examine gender-specific risk/protective factors for same-day use. Methods: We analyzed longitudinal data from a cohort of youth who use drugs aged 14–24 (n = 599; 58% male) presenting to an urban emergency department between 2009–2011 and assessed biannually for two years. Using Poisson-generalized linear models with person-level fixed effects, we estimated within-person associations between self-reported experiencing violence and same-day use and analyzed gender and peer/parent support as effect modifiers. We adjusted for negative peer influence, parental drug and alcohol use, family conflict, anxiety and depression, and age. Results: Overall, positive parental support corresponded to lower rates of same-day use (rate ratio [RR]:0.93, 95% CI:0.87–0.99) and experiencing violence was associated with higher rates of same-day use (RR:1.25, 95% CI:1.10–1.41). Violence exposure was a risk factor among males (RR:1.42, 95% CI:1.21–1.66), while negative peer influences and parental substance use were risk factors among females (RR:1.63, 95% CI:1.36–1.97 and RR:1.58, 95% CI:1.35–1.83, respectively). Positive peer support reduced the association between violence exposure and same-day use among males (RR:0.69, 95% CI:0.57–0.84, p < .05). Conclusions: Tailored interventions may address gender differences in coping with experiencing violence – including interventions that promote parental support among males and reduce influence from parental substance use among females.

A Review of Electric UAV Visual Detection and Navigation Technologies for Emergency Rescue Missions

Sudden disasters often result in significant losses of human lives and property, and emergency rescue is a necessary response to disasters. In recent years, with the development of electric unmanned aerial vehicles (UAVs) and artificial intelligence technology, the combination of these technologies has been gradually applied to emergency rescue missions. However, in the face of the complex working conditions of emergency rescue missions, the application of electric UAV visual detection still faces great challenges, particularly in relation to a lack of GPS positioning signal in closed emergency rescue environments, as well as unforeseen obstacle avoidance and autonomous planning and searching flights. Although the combination of visual detection and visual navigation technology shows great potential and added value for use in the context of emergency rescue, at present it remains in the research and experimental stages. Consequently, this paper summarizes and discusses the current status and development of visual detection and navigation technologies for electric UAVs, as well as issues related to emergency rescue applications, with a view to accelerating the research and application of visual detection and navigation technologies for electric UAVs in emergency rescue missions. In this study, we first summarize the classification of typical disasters, analyze the application of sample UAV and configurations in typical disasters with a high frequency of occurrence, refine key electric UAV technologies in emergency rescue missions, and propose the value of exploring electric UAV visual detection and navigation technologies. Subsequently, current research on electric UAV visual detection and navigation technology is analyzed and its application in emergency rescue missions is discussed. Finally, this paper presents the problems faced in the application of electric UAV visual detection and navigation technology in urban emergency rescue environments and offers insights into future research directions.

Care needs of adults with spinal trauma in the prehospital and hospital setting from the perspective of patient care team: A qualitative research.

Appropriate care of patients with definite spinal cord injury or at risk of it in the prehospital and hospital stages requires comprehensive planning in the health system. It is also the requirement of any successful program to explain the needs from the perspective of its stakeholders. Thus, this study aimed to discover the care needs of adults with spinal trauma in prehospital and hospital settings from the perspective of the patient care team. This qualitative study was conducted with the participation of urban and rural prehospital emergency personnel and emergency departments of educational and therapeutic hospitals affiliated to Isfahan, Tehran, Shiraz, Kermanshah, Ahvaz, and Yasuj Universities of Medical Sciences, through conducting 36 in-depth semi-structured interviews from September to December 2021. Using purposive sampling method, the participants were selected considering the maximum variation. The data saturation was reached after conducting interviews and group discussions with 36 subjects. Data were analyzed using conventional content analysis approach. Lundman and Graneheim approach were used for the study rigour. Data were simultaneously analyzed using MAXQDA software version 10. During the data analysis, two themes of prehospital care with two main categories (emergency care and management of secondary complications of spinal trauma) and hospital care with two main categories (emergency care and management of secondary complications of spinal trauma) emerged. Emergency care and management of secondary complications of spinal cord injury in the prehospital and hospital stages can affect treatment results, improve quality of life, and reduce mortality rate, secondary injuries, and healthcare costs. Thus, identification of the care needs of the adults with spinal trauma from the perspective of the patient care team can help the authorities to plan appropriate interventions.