Medical Emergencies: On the Sidelines and in the Training Room - - PowerPoint PPT Presentation

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medical emergencies on the sidelines and in the training
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Medical Emergencies: On the Sidelines and in the Training Room - - PowerPoint PPT Presentation

Nov 15, 2023 164 likes •369 views

Medical Emergencies: On the Sidelines and in the Training Room Gene Hong, MD CAQSM FAAFP Hamot and Sturgis Endowed Chair Chief Division of Sports Medicine Department of Family, Community and Preventive Medicine Drexel University College of

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Medical Emergencies: On the Sidelines and in the Training Room

Gene Hong, MD CAQSM FAAFP Hamot and Sturgis Endowed Chair Chief Division of Sports Medicine Department of Family, Community and Preventive Medicine Drexel University College of Medicine

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Background

  • Certified athletic trainers are often the “go

to” resource for the health and wellness needs for many athletes, families, coaches, staff and communities

  • Many different medical conditions, both

injuries and illnesses, can be and are seen in the training room and on the sidelines

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Objectives

  • Describe clinical presentations of serious

and life threatening conditions

  • Identify risk factors and diagnostic criteria
  • Discuss clinical pearls, principles and

pitfalls in diagnosing medical emergencies

  • Ages 13- 30
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What We Are Not Talking About

  • Head injuries including concussions and

traumatic brain injuries

  • Cervical spine injuries or other

musculoskeletal injuries

  • Cardiopulmonary arrest
  • Depression, suicide, mental health
  • Eating disorders, female athlete triad
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Medical Emergencies

  • Heat Illness and Heat Stroke
  • Hyponatremia
  • Abdominal emergencies (appendicitis,

ectopic pregnancy, testicular torsion)

  • Infectious emergencies (meningitis, ocular

herpes)

  • Cancer presentations (hodgkins

lymphoma, testicular cancer, melanoma)

  • Early recognition and identification is key!
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SLIDE 6

Heat Stroke

  • Risk factors
  • Presentation
  • Diagnosis
  • Treatment
  • Further management
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SLIDE 7
  • Korey Stringer
  • Steve Belcher
  • NCAA
  • High school football
  • Pearls
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SLIDE 8
  • Related issues
  • Sickle cell trait
  • Exertional rhabdomyolysis
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SLIDE 9

Hyponatremia

  • Risk factors
  • Presentation
  • Diagnosis
  • Treatment
  • Further management
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  • Marathon deaths

– 2007 London, 2002 Boston

  • 2008 Bakersfield high school athlete
  • Radio contest “hold your wee for a wii”
  • Pearls
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Abdominal Emergencies

  • Appendicitis

– Presentation – Diagnosis (McBurney’s point) – Treatment

  • Ectopic pregnancy

– Presentation – Diagnosis – Treatment

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More Abdominal Emergencies

  • Splenic injury

– Presentation – Diagnosis – Treatment

  • Testicular torsion

– Presentation – Diagnosis – Treatment

  • Pearls
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Infectious Emergencies

  • Meningitis

– Presentation – Diagnosis – Treatment – Brittany F

  • Ocular herpes

– Presentation – Diagnosis – Treatment

  • Pearls
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Cancer

  • Hodgkins lymphoma

– Presentation – Age, persistent lymphadenopathy

  • Testicular cancer

– Presentation – Age, sex, testicular mass, metastatic sx

  • Melanoma

– Presentation – ABCDE mnemonic

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  • Nicole Hester

– NCAA Jimmy Valvano award winner

  • Brian Kennedy

– Crew athlete with persistent lymph node

  • Pearls
  • Unexplained weight loss, night sweats,

fever of unknown origin

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Cardiopulmonary Emergencies

  • Sudden Cardiac Death

– Risk factors – Family history – Signs and symptoms

  • Tension Pneumothorax

– Rib fracture

  • Asthma
  • Pearls
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Principles and Pitfalls

  • Early recognition of these conditions is key
  • Prompt identification will lead to better
  • utcomes
  • Failure to treat may lead to death or

permanent disability

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Summary

  • Certified athletic trainers are often the “go-

to” primary healthcare providers for athletes

  • Be familiar with common conditions and

with potentially dangerous conditions

  • Generate two differential diagnosis lists:

most common to least, and most dangerous to least

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Summary

  • If you don’t think about the diagnosis, you

won’t ever make the diagnosis

  • Generate a comprehensive differential

diagnosis list

  • Do the right thing for your patients