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Key Terms

Aneurysm

Angiogram

Aortic dissection

Aortic stenosis

Arrhythmogenic right

ventricular dysplasia

Asthma

Beta-2 agonists

Brugada syndrome

Cardiomyopathy

Cholinergic urticaria

Coronary artery anomalies

Diabetes mellitus

Diabetic ketoacidosis

Exercise-induced anaphylaxis

Hypercapnia

Hypertension

Hypertrophic cardiomyopathy

Hypoxemia

Kawasaki disease

Long QT syndrome

Lymphadenopathy

Lymphocytosis

Marfan's syndrome

Mitral valve prolapsed

Mononucleosis

Nebulizer

Osmotic diuresis

Polydipsia

Polyuria

Pulsus paradoxus

Rhabdomyolysis

Sarcoidosis

Sickle cell trait

Ventricular ectopy

Viral myocarditis

Wolff-Parkinson-White

(WPW) syndrome

EMERGENCY SITUATION

A 15-year-old wrestler with insulin-dependant diabetes is brought to the athletic training room half-way through practice by a teammate who states that the wrestler appears to be confused and “out of it.” He does not think that he had hit his head but has been saying things that don’t make any sense. When you question the wrestler about what he had eaten and when he last took his insulin, he slurs his words and is not able to focus on what you are saying. What should you do next?

Introduction

Emergencies in the care of athletes are uncommon. However, different sports present different risks for the athletes participating in those sports, and these differing risks increase the challenge for the athletic trainer who must prepare for a variety of sports injuries in a number of different sports (Box 7-1). In general, emergency preparation should begin with a plan to address issues with the facility; the arrangement of transportation; emergency equipment; the personnel involved in the decisions to transport and/or treat; and, ultimately, ongoing care after the initial management has been addressed. The sports medicine team should review and, ideally, practice emergency care prior to the season, so that each member of the team knows his or her role and can execute it without incident. Undoubtedly, preparation and practice for emergency care are the most important components of successful management in the emergency setting.

Box 7-1 Medical Emergencies

  1. Sudden cardiac death

  2. Exercise-induced anaphylaxis

  3. Pulmonary issues

  4. Diabetic emergencies

  5. Mononucleosis and sickle cell trait

  6. Hypertension

Image not available. STAT Point 7-1. Preparation and practice for emergency care are critical components of successful management of emergencies.

Athletic trainers should be aware of field conditions, including possible hazards on or near the field. They should know where emergency transportation personnel are located, ...

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