Caring for the injured athlete presents a high-stress situation to any provider. The patient is typically young and healthy, has suffered a traumatic and public injury, and has tens to hundreds of concerned family and friends breathlessly observing your care.ÜSports Emergency CareÜ addresses the initial evaluation and management of the acutely injured athlete. The 272-page book is intended primarily as a text for athletic trainers; its secondary audience includes EMTs, paramedics and physicians. Organized into 13 chapters, it follows a logical progression from preparation, assessment and airway management, to spinal, thoracic and abdominal injuries, all the way to general medical and pediatric considerations.
The introduction stresses prior preparation, rehearsal and teamwork, with this theme repeated throughout the chapters. Preparation for sports emergencies is a dynamic process, and planning should begin well in advance of the injury, the game or even the season. The scope even covers the safety of athletic fields, appropriate playground apparatus and properly sized protective equipment.
EMSproviders will be impressed by the detailed guide to the removal and management of facemasks and helmets, with excellent accompanying illustrations. General medical conditions are also covered, with thoughtful inclusion of both common conditions (e.g., asthma, diabetes) and uncommon disorders more frequently seen in athletic populations (e.g., hyperthermia, hypothermia, altitude-related illness). Including these topics also prepares the student for the inevitable sick or injured spectator.
At times,ÜSports Emergency CareÜ is too detailed. The intricate flowcharts for the care of suspected spinal injuries and head injuries would be daunting to memorize and cumbersome to use in any patient-care setting, much less in the field. Discussion of the difference between decerebrate and decorticate posturing is of questionable value in the field management of the injured athlete. Its level of detail in covering abdominal pain and shock states is too comprehensive to be relevant in the acute prehospital management of injured patients, but may be of academic value to athletic trainers who see patients daily in non-emergent settings.
Sports Emergency CareÜ is a worthwhile addition for anyone who handles the medical needs of athletes in a professional capacity or who might find themselves thrust into that situationÛas any parent on the sidelines might be.Ü