Hours of Boredom, Punctuated by Moments of Sheer Terror
It is unclear exactly who gets credit for this quote, but it has been used to describe warfare, flying, poker, playing outfield in baseball, anesthesiology, and …team coverage. This phrase came to mind when I was covering a gymnastics event at a local university several years ago. Our program was devoid of both scholarships and talent, and we were competing against some of the better teams in our region. Needless to say, I was nervous every time one of ou r gymnasts ran down the ramp to the pommel horse, and there were plenty of “miss-mounts.” The one thing that can reduce the risk of sheer terror in this arena is so...
Source: Clinics in Sports Medicine - May 18, 2023 Category: Sports Medicine Authors: Mark D. Miller Tags: Foreword Source Type: research
On-the-Field Emergencies in Athletics: It Takes a Team!
Sports medicine is an ever-evolving field, with the focus on maintaining the health and well-being of athletes, both on and off the field. Most of the time, the sports medicine practitioner watches an event as a spectator available for occasional consultation for the athlete for a myriad of musculoskeletal injuries or for medical problems requiring treatment and determination of return to play. However, infrequently, there are times that the sports medicine practitioner is faced with emergent issues that can be as serious as life or death. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 18, 2023 Category: Sports Medicine Authors: Eric McCarty, Sourav Poddar, Alex Ebinger Tags: Preface Source Type: research
On-the-Field Emergencies
CLINICS IN SPORTS MEDICINE (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 18, 2023 Category: Sports Medicine Authors: Eric McCarty, Sourav Poddar, Alex Ebinger Source Type: research
Copyright
ELSEVIER (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 18, 2023 Category: Sports Medicine Source Type: research
Contributors
MARK D. MILLER, MD (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 18, 2023 Category: Sports Medicine Source Type: research
Contents
Mark D. Miller (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 18, 2023 Category: Sports Medicine Source Type: research
Forthcoming Issues
Acromioclavicular, Clavicle, and Sternoclavicular Injuries in Athletes (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 18, 2023 Category: Sports Medicine Source Type: research
Cardiac Emergency in the Athlete
This article reviews the approach to the collapsed athlete, causes for select cardiac emergencies in athletes, preparedness for cardiac emergencies, and return to play considerations and recommendations. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - April 7, 2023 Category: Sports Medicine Authors: William Denq, Ben Oshlag Source Type: research
On-Field Sports Emergencies
The foundation of preventing and treating an on-field emergency is preparation and readiness. The sideline medical team should coordinate the utilization of an emergency action plan (EAP). A successful EAP is accomplished through attention to detail, rehearsal, and self-assessments. Every EAP should include site-specific implementation, personnel, equipment, communication, transportation, venue location, emergency care facilities, and documentation. Improvements and advancements can be made to the EAP by self-evaluation after each on-field emergency and yearly reviews. A competent sideline emergency medical team can enjoy ...
Source: Clinics in Sports Medicine - April 6, 2023 Category: Sports Medicine Authors: Timothy P. McCarthy, Daniel J. Stokes, Rachel M. Frank, Eric C. McCarty Source Type: research
The Collapsed Athlete
The collapsed athlete encompasses multiple critical and noncritical pathologic conditions, management of which highly depends on the elements of presentation of an athlete, the environment in which the athlete presents, and the key history elements leading to the collapse. Early identification of an unresponsive/pulseless athlete with basic life support/CPR, AED use, and EMS activation is key, with the addition of early hemorrhage control in acute traumatic injuries. The initiation of a focused history and physical examination is critical to rule out life-threatening causes of collapse and to guide initial management and d...
Source: Clinics in Sports Medicine - April 6, 2023 Category: Sports Medicine Authors: Ryan A. Keenan, Eric McCarty, Sourav K. Poddar, Alex Ebinger Source Type: research
Acute Emergent Airway Issues in Sports
Emergent airway issues are rare in competitive sports. However, when airway compromise occurs, the sideline physician will be relied upon to manage the situation and the airway. . The sideline physician is tasked with not only the evaluation of the airway, but also management until the athlete can get to a higher level of care. Familiarity with the assessment of the airway and the various techniques for the management of airway compromise on the sideline are of the utmost importance in the unlikely event that an airway emergency should occur. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - April 6, 2023 Category: Sports Medicine Authors: Mary Terese Whipple, Jeffrey P. Feden Source Type: research
Acute Hemorrhage on the Playing Field
Acute hemorrhage in sport is a common issue for the sideline professional. The severity of bleeding ranges from mild to severe and life- or limb-threatening. The mainstay of management of acute hemorrhage is achieving hemostasis. Hemostasis is frequently accomplished via direct pressure but may require more invasive management including tourniquet use or pharmacologic management. With concerns for internal bleeding, dangerous mechanism of injury, or signs of shock, prompt activation of the emergency action plan is required. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - April 6, 2023 Category: Sports Medicine Authors: Alecia Gende, Heather Roesly Source Type: research
General Medical Emergencies in Athletes
This article focuses on the management of the most common on-field medical emergencies. As with any discipline in medicine, a well-defined plan and systematic approach is the cornerstone of quality health care delivery. In addition, the team-based collaboration is necessary for the safety of the athlete and the success of the treatment plan. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - April 6, 2023 Category: Sports Medicine Authors: Jens T. Verhey, Steven K. Poon Source Type: research
Heat, Cold, and Environmental Emergencies in Athletes
With the increase in outdoor events, there is an inevitable rise in climate-related environmental emergencies. Heat exposure can place athletes at risk for life-threatening heatstroke which requires emergent diagnosis and rapid in-field management. Cold exposure can lead to hypothermia, frostbite, and other nonfreezing injuries that require prompt evaluation and management to minimize morbidity and mortality. Altitude exposure can lead to acute mountain sickness or other serious neurologic or pulmonary emergencies. Finally, harsh climate exposure can be life-threatening and require appropriate prevention and event planning...
Source: Clinics in Sports Medicine - April 6, 2023 Category: Sports Medicine Authors: Kartik Sidhar, Katlyn Elliott, Michael Ibrahem Source Type: research
Emergency Facial Injuries in Athletics
Dental and oral injuries are a common occurrence in sport. Initial evaluation should always begin with an assessment of the patient ’s airway, breathing, circulation, as well as identification of associated injuries. Tooth avulsions are the only true dental emergency. Oral lacerations frequently do not require repair; however, special attention should be paid to lip lacerations involving the vermillion border. Most tooth and o ral lacerations can be treated on the field with urgent referral to a dentist. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - April 6, 2023 Category: Sports Medicine Authors: Jessica Tsao, Calvin Eric Hwang Source Type: research
