The IOC Manual of Emergency Sports Medicine

Editor/Author McDonagh, David and Zideman, David
Publication Year: 2015
Publisher: Wiley

ISBN: 978-1-11-891368-0
Category: Health & Medicine - Rehabilitation & Therapy
Image Count: 40
Book Status: Pending
Predicted Release Month:
Table of Contents

The Manual focuses on the fieldside diagnosis and treatment of severe injuries and illnesses that can present at a sports event. It concentrates on basic diagnostic skills and treatment modalities as the sports physician has often limited diagnostic and treatment facilities available.

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Table of Contents

    • List of contributors
    • Foreword
    • Preface
    • About the Authors
    • 1 Emergency Care at the Olympic Games - Richard Budgett
    • Introduction
    • Early Preparations
    • Final Preparations
    • Team and IF Doctors
    • Summary
    • 2 Injury and Illness During the 2008 Summer and the 2010 Winter Olympic Games - Kathrin Steffen, Torbjørn Soligard and Lars Engebretsen
    • Vancouver Winter Games 2010
    • Beijing Summer Olympic Games
    • Bibliography
    • 3 The Medical Team Response - David McDonagh and David Zideman
    • ABC on the Field of Play
    • Primary Survey
    • Primary Survey
    • Primary Survey
    • Transferring the Athlete from the FOP to the Fieldside
    • Fieldside Assessment
    • Pupils – Pathological Findings
    • Blood Sugar
    • Blood Pressure
    • Athlete Medical Room Treatment
    • Transportation to Hospital
    • Discharge
    • Teamwork
    • Bibliography
    • 4 Cardiopulmonary Resuscitation on the Field of Play - Ruth Löllgen, Herbert Löllgen, and David Zideman
    • Sudden Cardiac Arrest on the Field of Play
    • Recognition of Cardiac Arrest
    • Field of Play Airway
    • Foreign Body Airway Obstruction (FBAO or Choking)
    • Field of Play Breathing
    • Recovery Position
    • Field of Play Circulation
    • FoP: Combining Compressions and Ventilations
    • Expired Air Ventilation
    • Bag-Valve-Mask Ventilation (Two Rescuer Technique)
    • FoP Removal
    • Rhythm Analysis
    • Shockable Rhythms
    • Nonshockable Rhythms
    • Reversible Causes (The 4H’s and 4T’s)
    • Advanced Life Support
    • Advanced Airway
    • Simple Airway Adjuncts
    • Inserting an Oropharyngeal Airway (OPA)
    • Inserting a Nasopharyngeal Airway (NPA)
    • Advanced Airway Adjunct
    • Venous Access
    • Intraosseous Access
    • Drugs
    • Implantable Cardiac Defibrillators (ICDs)
    • Postresuscitation
    • Bibliography
    • 5 Cardiac Emergencies on the Field of Play - Ruth Löllgen, Herbert Löllgen and David Zideman
    • Sudden Cardiac Death (SCD)
    • FoP Management Non-traumatic Sudden Collapse
    • Clinical Findings/Management ACS (Fig 5.1)
    • Clinical Findings/Management AA or AD
    • FoP Management of Myocarditis
    • Clinical Findings/Management Hypertensive Crisis
    • Clinical Findings/Management Bradycardia
    • Clinical Findings/Management Tachycardia
    • Bibliography
    • 6 Control of Hemorrhage and Infusion Management - Kenneth Wing Cheung Wu and Hiu Fai Ho
    • Introduction
    • FoP Management
    • External Bleeding Wounds
    • New Trends in Hemorrhage Control
    • Internal Bleeding
    • Infusion Management
    • Conclusion
    • Bibliography
    • 7 Anaphylaxis - Andy Smith and Jerry Nolan
    • Introduction
    • Signs and Symptoms
    • Management of Anaphylaxis
    • Bibliography
    • 8 Asthma and Respiratory Emergencies - Joseph Cummiskey
    • Observation – From Outside the FoP and While Approaching the Patient
    • FoP Management of a Suspected Chest Medical Event
    • Primary Survey
    • Fieldside Management of Chest Medical Conditions
    • Pulmonary Embolism
    • Bronchial Asthma and Exercise-Induced Bronchospasm (EIB)
    • The Effect of Environmental Conditions and Pollutants in Sport Activity
    • Bibliography
    • 9 Seizures and Epileptic Emergencies - Geraint Fuller
    • Preparation
    • Fieldside Observation
    • Observations on Approaching the Athlete
    • Clinical Findings/Management Convulsing Athlete
    • Referral or Discharge?
    • Differential Diagnoses of Seizures
    • Bibliography
    • 10 Head Injuries - David McDonagh and Mike Loosemore
    • Sideline Observation
    • FoP Management of a Convulsing Athlete
    • Primary Survey – Convulsing Patient
    • FoP Management of a Nonconvulsing Athlete with a Head Injury
    • Primary Survey on the FoP
    • FoP Management of Head Injury with a Low GCS
    • Management of Head Injury with a GCS 12–14 on the FoP
    • Fieldside Evaluation
    • Secondary Survey at the Fieldside
    • Management of Patients with Head Injuries
    • Pupil Examination
    • Glasgow Coma Scale
    • Binocular Hematomas – Raccoon Eyes
    • Battles Sign
    • A Focused Medical History
    • Transfer to the Hospital
    • When Should the ED Request a Cranial CT?
    • Scalp Lacerations and Bleeding
    • Smelling Salts
    • Bibliography
    • 11 Concussion – Onfield and Sideline Evaluation - Paul McCrory and Michael Turner
    • Introduction
    • Epidemiology
    • Definition of Concussion
    • Symptoms and Signs of Acute Concussion
    • Fieldside Recognition of Concussion
    • Concussion Injury Severity and Recovery
    • Concussion Management
    • Concussion in Child and Adolescent Athletes
    • Prevention of Concussion
    • Other Specific Issues
    • Conclusion
    • Bibliography
    • 12 Throat Injuries - Jonathan Hanson, Padraig B. Sheeran, Brian Carlin and David Zideman
    • Penetrating Trauma
    • Clinical Findings/Management Penetrating Neck Wound
    • Blunt Trauma
    • Clinical Findings/Management Blunt Neck Trauma
    • Clinical Findings/Management Laryngeal Contusion
    • Clinical Findings/Management Laryngeal Fracture
    • Needle Cricothyrotomy
    • Surgical Cricothyrotomy
    • VASCULAR INJURY - Clinical Findings Acute Vascular Neck Injury
    • Clinical Findings Delayed Presentation Vascular Neck Injury
    • Management Aerodigestive Track Injury
    • Bibliography
    • 13 Facial Injuries - David McDonagh and Mike Loosemore
    • FoP Management Serious Facial Injuries
    • Facial Injury - Clinical Findings/Management Serious Facial Injury
    • Fieldside Management Serious Facial Injury
    • Clinical Findings/Management Serious Facial Injury
    • Clinical Findings/Management LeFort Fracture
    • Clinical Findings/Management Mandibular Fracture
    • Clinical Findings/Management Orbital Fracture
    • Clinical Findings/Management Zygomatic Fracture
    • Clinical Findings with a Nasal Fracture
    • Clinical Findings/Management NOE Fracture
    • Clinical Findings/Management Septal Hematoma
    • Clinical Findings/Management Epistaxis
    • Bibliography
    • 14 Eye Injuries and Other Ocular Emergencies - Sibel Kocabeyoglu, U˘gur Erdener and David McDonagh
    • Fieldside Observation and Observations on Approaching the Athlete
    • Fieldside Management Eye Injury
    • Eye – Blunt Trauma
    • Clinical Findings/Management Hyphema
    • Clinical Findings/Management Lens Subluxation
    • Posterior Chamber Hemorrhage
    • Clinical Findings/Management Retinal Detachment
    • Clinical Findings/Management Blowout Fracture
    • Clinical Findings/Management Orbital Fracture
    • Clinical Findings/Management Rupture of the Globe
    • Clinical Findings/Management Retrobulbar Hemorrhage
    • Clinical Findings/Management Periocular Ecchymosis
    • Clinical Findings/Management Subconjunctival Hemorrhage
    • Eye – Penetrating Injuries
    • Treatment
    • Non-traumatic Ocular Emergencies
    • Bibliography
    • 15 Dental Injuries - Paul Piccinini and Anthony Clough
    • Types of Injuries
    • Management of Dental and Orofacial Injuries
    • Fractured Teeth
    • Dental Luxation
    • Intrusions
    • Avulsions
    • Trauma to the Alveolus
    • TMJ Trauma
    • Soft Tissue Trauma
    • Injury Prevention
    • 16 Thoracic Injuries - David McDonagh and David Zideman
    • Fieldside Observation and Observations on Approaching the Athlete
    • FoP Management Chest Injury
    • Clinical Findings/Management Chest Injury
    • Fieldside Management Chest Injury
    • Clinical Findings Traumatic Pneumothorax
    • Clinical Findings Major Traumatic Pneumothorax
    • Clinical Findings Tension Pneumothorax
    • Pneumothorax Treatment
    • Tension Pneumothorax – Immediate Treatment
    • Needle Thoracostomy of Tension Pneumothorax
    • Clinical Findings/Management Hemothorax
    • Clinical Findings/Management Flail Chest
    • Clinical Findings/Management Pulmonary Contusion
    • Clinical Findings/Management Sternal Fracture
    • Needle Pericardiocentesis
    • Primary Management of Penetrating Thoracic Injuries
    • Bibliography
    • 17 Abdominal Injuries - David McDonagh and Dara Lundon
    • FoP Management of an Abdominal Injury
    • Clinical Findings/Management Abdominal Injury
    • Clinical Findings/Management Penetrating Abdominal Wound
    • Clinical Findings/Management Blunt Abdominal Injury
    • Clinical Findings Splenic Injury
    • Clinical Findings Liver Injury
    • Clinical Findings Kidney Injury
    • Clinical Findings/Management Scrotal Trauma
    • Clinical Findings/Management Testicle Torsion
    • Bibliography
    • 18 Pelvic Injuries - Andy Smith and João Grangeiro Neto
    • FoP Management Pelvic Injuries
    • Clinical Findings/Management Pelvic Injury
    • Fieldside Management Pelvic Injury
    • Clinical Findings Pelvic Injury at the Fieldside
    • Summary
    • Bibliography
    • 19 Spinal Injuries - Éanna Falvey and Craig Roberts
    • Preparation for Onfield Management
    • FoP Management Potential Spinal Injury
    • Primary Survey Potential Spinal Injury
    • FoP Management of a Patient with Findings Indicative of a Spinal Cord Injury
    • Transfer of the Patient onto the Spinal Board/Lifting Device
    • Transfer from the FoP to the Fieldside
    • Fieldside Management Potential Spinal Injury
    • Clinical Findings with a Potential Spinal Injury
    • Return to Play After a Fieldside Evaluation of a Neck Injury
    • Clinical Findings with a Potential Cervical Spinal Fracture
    • Clinical Findings/Management Facet Joint Injuries
    • Clinical Findings/Management Stinger Injury
    • Clinical Findings/Management Acute Prolapsed Disc
    • Clinical Findings Spondylolysis and Spondylolisthesis
    • Bibliography
    • 20 Extremity Injuries - Michael R Carmont and David McDonagh
    • Fieldside Observation and Observations on Approaching the Athlete
    • FoP Management - Limb Injury
    • Clinical Findings Limb Injury
    • Onfield Management Limb Injury
    • Realignment of Fracture/Dislocations
    • Transfer from the FoP
    • Fieldside Management Limb Injury
    • Splint Selection and Application (See Chapter 30)
    • Analgesia
    • Ski Boot Removal
    • Paralympic Sport
    • Documentation
    • Bibliography
    • 21 Aquatic Athlete Injuries and Emergencies - Margo Mountjoy and Saul Marks
    • Introduction
    • Swimming
    • Synchronized Swimming
    • Diving and High Diving
    • Water Polo
    • Open Water Swimming
    • Conclusion
    • Bibliography
    • 22 Emergency Care of the Adolescent Athlete - Lisa M. Vopat and Lyle J. Micheli
    • Introduction
    • Primary Survey and Stabilization (See Chapter 3)
    • Differences in Injury Pattern
    • Emergency Planning and Fieldside Preparedness
    • Conclusion
    • Bibliography
    • 23 Emergency Medical Care in Paralympic Sports - Peter Van de Vliet and Mike Wilkinson
    • The Paralympic Athlete
    • Injury and Illness in Paralympic Athletes
    • Impairment-Specific Considerations of Medical Care
    • Specific Paralympic Medical Concerns
    • Autonomic Dysreflexia
    • Conclusion
    • Bibliography
    • 24 Cold Injuries - Ken Zafren, Gordon Giesbrecht and David McDonagh
    • The Collapsed Cold Athlete
    • Primary Survey in a Cold Athlete
    • Prehospital Treatment for a Cold But Nonhypothermic Patient or for a Mildly Hypothermic Patient
    • Prehospital Treatment of a Patient With Moderate or Severe Hypothermia
    • CPR and Severely Hypothermic Patients
    • Frostbite
    • Clinical Findings/Management Frostbite
    • Nonfreezing Cold Injuries (NFCI)
    • Bibliography
    • 25 Severe Dehydration and Exertional Heat Illness - Eunice M. Singletary
    • Introduction
    • Fieldside Observation and Observations on Approaching the Athlete
    • Primary Survey Severe Dehydration or Heat Illness
    • Blood Pressure and Pulse
    • FoP Management Dehydration, Exercise-Associated Hyponatremia and Heat-Related Illness
    • Specific Conditions
    • Bibliography
    • 26 Hypo- and Hyperglycemia - Kathryn E. Ackerman and David McDonagh
    • Hypoglycemia
    • Clinical Findings Severe Hypoglycemia
    • Clinical Findings Mild Hypoglycemia
    • Hyperglycemia
    • Clinical Findings Hyperglycemia
    • Bibliography
    • 27 Wound Care - David McDonagh and Sally Whitmore
    • FoP or Fieldside Management
    • Wound Location
    • Reassessment of Wounds and Dressing Changes
    • Tetanus Vaccines
    • Burns, Abrasions, and Blisters
    • Bibliography
    • 28 The Role of the Paramedic on the Field of Play - Mike Nolan and David Whitmore
    • Planning and Logistics
    • Clinical Practice
    • Additional Information
    • 29 The Role of the Physiotherapist on the Field of Play - Mark Brown, Michael Kenihan and Marie-Elaine Grant
    • Introduction
    • An Emergency Situation When Traveling with a Team of Athletes Either Nationally or Internationally
    • An Emergency Situation Either Nationally or Internationally Where the Physiotherapist is Covering the Event Alone and There is No Doctor or Paramedic Available
    • Onfield Assessment and Management
    • Bibliography
    • 30 Emergency Medications and Equipment at the Fieldside - Mark Faulkner, Fionna P. Moore and David Zideman
    • The Bag
    • Immobilization and Carrying
    • Stretcher or Trolley Bed
    • The Spinal Board
    • The Scoop Stretcher
    • The Basket Stretcher
    • Carry Sheet
    • Semi-Rigid Cervical Collars
    • Head Blocks
    • Body Straps
    • Vacuum Mattresses
    • Limb Splints (See Chapter 20)
    • Pelvic Splints (See Chapter 18)
    • Resuscitation (See Chapter 4)
    • Dressings and Hemorrhage Control
    • Drug Administration and Intravenous Access
    • Medications
    • Intravenous Fluids
    • Bibliography
    • 31 Emergency Medications and the WADA Prohibited List - Alan Vernec and Eduardo de Rose
    • Therapeutic Use Exemption
    • Strict Liability
    • Supplements
    • Possession of Prohibited Medication and Physician Responsibility
    • Summary
    • 32 Retrieval and Repatriation of Injured and Ill Athletes - Mark Brown and Glenn Brown
    • Introduction
    • Preplanning
    • Team Medical Staff Skills
    • Equipment Requirements
    • Medical Transport Options
    • Specialist Medical Evacuation and Repatriation Services
    • Insurance/Repatriation Processes
    • Other Procedural Considerations
    • Bibliography
    • Appendix 1 International Olympic Committee Executive Board
    • PREAMBLE
    • Olympic Charter, July 2007
    • Chapter I: Relationships Between Athletes and Health Care Providers
    • Chapter II: Protection and Promotion of the Athlete's Health during Training and Competition
    • Chapter III: Adoption, Compliance and Monitoring
    • Chapter IV: Scope, Entry into Force and Amendments
    • Appendix 2 Sport-Specific Injury Profile and Equipment Guide
    • Winter Olympics Federations
    • Summer Olympics Federations
    • Appendix 3 Healthcare Professional Skillbase
    • Field of Play (FoP)
    • Appendix 4 Treatment Algorithms at a Glance