On-the-Field Emergencies, An Issue of Clinics in Sports Medicine

1st Edition, Volume 42-3 - May 22, 2023
Editors: Eric McCarty, Sourav Poddar, Alex Ebinger
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 1 9 1 - 7
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 1 9 2 - 4

In this issue of Clinics in Sports Medicine, guest editors Drs. Eric McCarty, Sourav Poddar, and Alex Ebinger bring their considerable expertise to the topic of On-the-Field… Read more

On-the-Field Emergencies, An Issue of Clinics in Sports Medicine

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In this issue of Clinics in Sports Medicine, guest editors Drs. Eric McCarty, Sourav Poddar, and Alex Ebinger bring their considerable expertise to the topic of On-the-Field Emergencies. On-the-field emergencies are common in sports. In this issue, top experts provide up-to-date information to healthcare practitioners who provide event coverage to athletes, helping them deliver excellent medical care efficiently to prevent further injury, reduce pain, and allow a safe return to athletic competition.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
On-Field Sports Emergencies: Preparation and Readiness
Key points
Introduction
Need for emergency action plan
Preparing for the season
Review of policies and procedures
Preseason on-field emergency training
Game day policies and procedures
Summary
Clinics care points
Disclosure
The Collapsed Athlete: General Principles
Introduction
Demographics
Responsive patient, focused history and physical
Summary
Clinics care points
Cardiac Emergency in the Athlete
Key points
Introduction, background, and prevalence
Approach to the collapsed athlete
Special considerations
Pathophysiology
Hypertrophic cardiomyopathy
Arrhythmogenic right ventricular cardiomyopathy
Dilated cardiomyopathy
Brugada
Myocarditis
Coronary artery anomalies
Sickle collapse (exercise-related collapse in the athlete with sickle cell trait)
Stable versus unstable tachyarrhythmias
Coronary artery disease
Aortic dissection or rupture (marfan syndrome)
Commotio cordis
Environmental
Emergency action plan
General preparticipation physical examination considerations
Evaluation of outcome and/or long-term recommendations
Coronary artery disease
Myocarditis
Dissection
Sickle cell trait
Coronary artery anomalies
Summary/discussion/future directions
Clinics care points
Disclosure
Acute Emergent Airway Issues in Sports
Key points
Introduction
Airway assessment
Basic airway techniques and equipment
Summary
Clinics care points
Disclosure
Chest and Thorax Injuries in Athletes
Key points
Pneumothorax
Summary/discussion/future directions
Clinics care points
Pneumomediastinum
Summary/discussion/future directions
Clinics care points
Rib fractures
Summary/discussion/future directions
Clinics care points
Vascular injury
Summary/discussion/future directions
Clinics care points
Cardiac injury
Summary/discussion/future directions
Clinics care points
Sternoclavicular joint dislocation
Summary/discussion/future directions
Clinics care points
Disclosure
Acute Hemorrhage on the Playing Field
Key points
Introduction
Patient evaluation
Types of acute hemorrhage
Recognition of bleeding
Management of bleeding
Pharmacologic versus non-pharmacologic bleeding management
Pharmacologics
Non-pharmacologics
Managing different types of bleeding
Clinics care points
Disclosure
Emergency Abdominopelvic Injuries
Key points
Introduction
Clinical findings
Specific diagnosis considerations
Liver
Kidney
Small and large intestines
Pancreas
Rectus sheath hematoma
Bladder rupture
Testicular trauma (torsion/rupture)
Summary
Clinics care points
Disclosure
General Medical Emergencies in Athletes
Key points
Introduction
Emergency preparedness and developing an action plan
The primary survey
The secondary survey
Constructing a first-aid kit
Diabetes, hypoglycemia, and insulin shock
Airway reactivity and asthma
Seizure disorder
Sunburn and other dermatologic conditions
Heat exhaustion and heatstroke
Sudden cardiac arrest
Summary of recommendations
Clinics care points
Disclosure
Heat, Cold, and Environmental Emergencies in Athletes
Key points
Exertional heat illness
Exercise-associated collapse (heat syncope)
Extreme weather-related emergencies
Altitude-related illness
Summary
Clinics care points
Disclosures
Emergency Facial Injuries in Athletics
Key points
Ocular injuries
Summary
Clinics care points
Nasal injuries
Summary
Clinics care points
Facial fractures
Summary
Clinics care points
Dental and oral trauma
Summary
Clinics care points
Disclosure
Head Injuries and Emergencies in Sports
Key points
Introduction
Types of head injuries
Head injury complications
On-field evaluation of head injuries
Off-field evaluation of head injuries
Management of concussion
Management of convulsing athlete
Clinics care points
Disclosure
Acute and Emergent Spinal Injury Assessment and Treatment
Key points
Introduction
Epidemiology
Emergency action plan
Medical time out
Emergency assessment
Scene control
Spinal motion restriction and transfer techniques
Equipment removal
Special situations
Transportation and medical facility criteria
Clinics care points
Disclosure
Fractures and Dislocations on the Playing Field: Which Are Emergent and What to Do?
Key points
Introduction
Patient evaluation overview and treatment options
Clinical Care Points
Summary
Disclosure
Acute Compartment Syndrome in the Athlete
Key points
Introduction/history/definitions/background
Prevalence/incidence
Evaluation
Approach/guidelines
Surgical techniques
Clinical outcomes
Discussion
Summary
Clinics care points
Disclosure

Eric McCarty

Eric C. McCarty, MD, is a board-certified and fellowship-trained orthopaedic surgeon with a longtime interest in sports medicine and athletics. He attended college at the University of Colorado, where he excelled and received numerous honors for his exploits in the classroom, as well as on the football field, where he was an All Big-Eight linebacker and also was an Academic All-American. After medical school at the University of Colorado, he completed his training in orthopaedic surgery at Vanderbilt University in Nashville, Tennessee. From there he completed an intensive year of fellowship training in sports medicine and shoulder surgery at the internationally renowned Hospital for Special Surgery in New York City. He subsequently returned to Vanderbilt as a faculty member in the department of orthopaedics. In 2003, Dr. McCarty was recruited from Vanderbilt University to take over the sports medicine and shoulder program and to serve as the head team physician for the University of Colorado and University of Denver athletic programs. His specialized practice involves the care of these collegiate athletes, as well as recreational and highly competitive athletes from the community. In addition to his busy clinical practice, Dr. McCarty is very active in research, teaching, and writing articles in the field of sports medicine and knee and shoulder surgery. He has received grants for his research and frequently gives talks at both the national and international level. Since his playing days, Dr. McCarty continues to maintain a very active lifestyle with his family. He enjoys the activities he grew up with in Colorado, including hiking, cycling, climbing, and skiing. This carries over into his unbridled dedication to returning his patients to their desired activity/sport.

Affiliations and expertise

Chief, Sports Medicine & Shoulder Surgery, Associate Professor, Department of Orthopaedics, University of Colorado School of Medicine, Denver, Colorado; Director of Sports Medicine, Department of Athletics, University of Colorado, Boulder, Colorado

Sourav Poddar

Affiliations and expertise

Associate Professor, Team Physician, University of Colorado

Alex Ebinger

Affiliations and expertise

Assistant Professor, University of Colorado

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On-the-Field Emergencies, An Issue of Clinics in Sports Medicine

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Eric McCarty

Sourav Poddar

Alex Ebinger