Sports Emergency Care: A Team Approach

287 Pages·2018·17.98 MB·English

by  Robb S. Rehberg

SPORTS
EMERGENCY
CARE
A TEAM APPROACH
Third Edition

SPORTS
EMERGENCY
CARE
A TEAM APPROACH
Third Edition
Robb S. Rehberg, PhD, ATC, NREMT
Jeff G. Konin, PhD, ATC, PT, FACSM, FNATA
Senior Vice President: Stephanie Arasim Portnoy
Vice President, Editorial: Jennifer Kilpatrick
Vice President, Marketing: Michelle Gatt
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SLACK Incorporated
6900 Grove Road Managing Editor: Allegra Tiver
Thorofare, NJ 08086 USA Creative Director: Thomas Cavallaro
856-848-1000 Fax: [phone] Cover Artist: Katherine Christie
www.Healio.com/books
Project Editor: Joseph Lowery
© 2018 by SLACK Incorporated
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The procedures and practices described in this publication should be implemented in a manner consistent with the professional standards
set for the circumstances that apply in each specific situation. Every effort has been made to confirm the accuracy of the information
presented and to correctly relate generally accepted practices. The authors, editors, and publisher cannot accept responsibility for errors
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Library of Congress Cataloging-in-Publication Data
Names: Rehberg, Robb S., author. | Konin, Jeff G., author.
Title: Sports emergency care : a team approach / Robb S. Rehberg, Jeff G.
Konin.
Description: Third edition. | Thorofare, NJ : SLACK Incorporated, [2018] |
Includes bibliographical references and index.
Identifiers: LCCN 2018022460 (print) | LCCN 2018023187 (ebook) | ISBN
9781630914349 (Epub) | ISBN 9781630914356 (Web) | ISBN 9781630914332
(paperback)
Subjects: | MESH: Athletic Injuries--therapy | Emergency Treatment
Classification: LCC RC1210 (ebook) | LCC RC1210 (print) | NLM QT 261 | DDC
617.1/027--dc23
LC record available at https://lccn.loc.gov/2018022460
For permission to reprint material in another publication, contact SLACK Incorporated. Authorization to photocopy items for internal,
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D
EDICATION
For Joelle, Anna, and Joey – you are the greatest joy of my life.
And for my colleagues, the athletic trainers and EMS professionals who, day in and day out,
selflessly help others when they need it the most. You are the inspiration for this book.
—Robb S. Rehberg, PhD, ATC, NREMT
To Lucy, who provided care for decades without any book to guide you how to do it.
You simply did it.
—Jeff G. Konin, PhD, ATC, PT, FACSM, FNATA

C
ONTENTS
Dedication ........................................................................................................................................v
Acknowledgments ............................................................................................................................ix
About the Authors ............................................................................................................................xi
Contributing Authors ....................................................................................................................xiii
Preface .............................................................................................................................................xv
Foreword by Ronnie P. Barnes, MS, ATC ................................................................................xvii
Chapter 1 Introduction to Sports Emergency Care ..........................................................1
Robb S. Rehberg, PhD, ATC, NREMT
Chapter 2 Preparing for Sports Emergencies ....................................................................7
Robb S. Rehberg, PhD, ATC, NREMT and Jim Kyle, MD, FACSM
Chapter 3 Assessment of Sports Emergencies ................................................................21
Robb S. Rehberg, PhD, ATC, NREMT
Chapter 4 Airway Management and Breathing ..............................................................39
Robb S. Rehberg, PhD, ATC, NREMT
Chapter 5 Cardiovascular Emergencies...........................................................................53
Robb S. Rehberg, PhD, ATC, NREMT
Chapter 6 Care Concepts in Management of the Spine-Injured Athlete .......................63
Ron Courson, ATC, PT, NRAEMT, CSCS;
Robb S. Rehberg, PhD, ATC, NREMT; and Michele J. Monaco, DSc, ATC
Chapter 7 Unconsciousness and Seizures ........................................................................89
David A. Middlemas, EdD, ATC, CCISM
Chapter 8 Management of Traumatic Brain Injury ......................................................103
Casey Christy, MA, ATC, CSCS
Chapter 9 Injuries to the Thoracic Region ...................................................................123
Michael A. Prybicien, MA, ATC, PES, CES
Chapter 10 Abdominal and Pelvic Injuries .....................................................................135
David A. Middlemas, EdD, ATC, CCISM
Chapter 11 Fractures and Soft Tissue Injuries ................................................................153
Michael A. Prybicien, MA, ATC, PES, CES and
Louis Rizio III, MD
viii Contents
Chapter 12 General Medical Emergencies .....................................................................173
John L. Davis, MS, ATC
Chapter 13 Environmental Emergencies ........................................................................187
Rebecca M. Lopez, PhD, ATC, CSCS
Chapter 14 Managing Mental Health Emergencies .......................................................203
Eileen Lubeck, PsyD
Chapter 15 Emergency Care Considerations for the Pediatric and Youth Athlete ........213
Rebecca M. Lopez, PhD, ATC, CSCS and
Jeff G. Konin, PhD, ATC, PT, FACSM, FNATA
Chapter 16 Care of Athletes With Disabilities ...............................................................235
Aaron Rubin, MD, FAAFP, FACSM and
Lauren M. Simon, MD, MPH, FACSM, FAAFP
Chapter 17 Emergencies in Sports for the Aging Athlete ..............................................245
David Pezzullo, MS, PT, SCS, ATC
Appendix Equipment Removal Techniques .......................................................................255
Financial Disclosures .....................................................................................................................267
A
CKNOWLEDGMENTS
Developing Sports Emergency Care: A Team Approach was just that…a team approach. There
are several people who were instrumental in the development of this book that we wish to thank.
Without their help, this book would never have been written.
To the contributing authors:
Casey Christy, you have a passion for this subject, and I’m glad we got you involved in this
project. You are a true professional and a good friend.
Ron Courson, whose all-around professionalism and leadership is second to none.
John L. Davis (the original “cover boy” for the book), you are a friend, colleague, and role model.
It meant a lot to have you involved in this project. Thanks for everything.
Dr. Jim Kyle, a life-long dear friend of ours who embodies the warmest of hearts and deepest
of passion in emergency care.
Eileen Lubeck, for filling a critical need in this book, and for being a great example of inter-
profession collaboration. Your addition to this book makes it stronger.
Rebecca M. Lopez, for contributing great content on such important topics. You were wonder-
ful to work with, and we truly appreciate your expert contributions.
David A. Middlemas, this book is better because of your involvement. Thanks for your contri-
bution, your friendship, and your help with the photo shoot.
David Pezzullo, a true go-getter who simply “gets it,” thanks for your professional friendship.
Michael A. Prybicien, my colleague and longtime friend. We have come a long way from those
early days in our careers. Thanks for being involved in this project and for helping out in so many
ways.
Louis Rizio III, for finding the time in your busy schedule to contribute to this project. Your
contributions were invaluable.
Joelle Rehberg, for illustrating much of the line art that appears in this book, for countless hours
of manuscript review, and simply for putting up with me in the process.
Dr. Aaron Rubin and Dr. Lauren M. Simon, whose contributions to this text add a dimension
of importance previously overlooked.
Thanks also to the athletic training faculty and staff at William Paterson University: Linda
Gazzillo Diaz, Alison Moquin, and Dondi Boyd, for their never-ending assistance in getting this
book off the ground. Thanks also to the athletic training students of William Paterson University,
especially Matthew Bergh and Tedd Rossillo (who served as models), and the athletic training stu-
dents and EMS staff at Montclair State University for participating in the photo shoot for this book.
Special thanks to the staff at SLACK Incorporated that have been involved in this project
through the years, including Brien Cummings, Michelle Gatt, Joe Lowery, Allegra Tiver, John
Bond, Jennifer Briggs, April Billick, and especially Carrie Kotlar for believing in this book and
finally making it happen.