The IOC Manual of Emergency Sports Medicine

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

Single-User Purchase Price: $74.95
Unlimited-User Purchase Price: $112.43
ISBN: 978-1-11-891368-0
Category: Health & Medicine - Rehabilitation & Therapy
Image Count: 40
Book Status: Available
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