Learning Center: Sideline Emergencies in Sports Medicine

Thursday, October 20, 2022

12:30 PM – 2:00 PM ET

Location: Learning Center, Pod 4

Session Director(s)

AK

Amie Kim, MD, CAQSM

Associate Professor Emergency Medicine, Associate Professor PM&R
Mount Sinai Beth Israel - Sports Medicine Fellowship
New York, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Faculty(s)

Joseph E. Herrera, DO

Chair and Professor
Icahn School of Medicine At Mount Sinai PM&R Program
New York, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
TN

Thomas Nguyen, MD

Attending
Icahn School of Medicine At Mount Sinai
New York, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Richard G. Chang, MD, MPH (he/him/his)

Assistant Professor; Associate Program Director, Sports Medicine Fellowship
Icahn School of Medicine At Mount Sinai PM&R Program
New York, New York

Disclosure: Oculogica, Inc (Consultant/Advisory Board, 11/2020 to 2/2021; Clinical Adjudicator)
Mariam A. Zakhary, DO

Assistant Professor, Sports Medicine, Medical Director
Mount Sinai Hospital
JERSEY CITY, New Jersey

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
WA

Walter Alomar-Jimenez, MD JD

Clinical Assistant Professor
University of Michigan
Ann Arbor, Michigan

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Nadia N. Zaman, DO

Assistant Professor
Tufts Medical Center
Boston, Massachusetts

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
JF

Jeffrey Feden, MD, FACEP, FAMSSM

Associate Professor (Clinician Educator) of Emergency Medicine
Alpert Medical School of Brown University
Providence, Rhode Island

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Lab Marketing

Description: : In addition to common sports related injuries, rehabilitation medicine physicians can encounter sideline emergencies during sporting events. Sideline physicians are often first responders in these cases and serve as team leaders, directing care on the field. In effect, the sideline physician is part of the continuum of emergency medical treatment. These life-threatening events require quick responses and effective treatment strategies.

This hands-on workshop is a collaboration between Physiatry and Emergency Medicine. The workshop will demonstrate multiple emergency scenarios to help sideline physicians recognize and prepare for on-field emergencies with hands-on skills training. The clinical scenarios presented teach physicians how to recognize, strategize and direct care during on-field emergencies. Hands-on training stations include blunt abdominal trauma and FAST (Focused Assessment with Sonography in Trauma), pneumothorax, neurogenic shock and spinal cord injury, cardiac arrest, anaphylaxis, polytrauma, hyperthermia, seizure. The workshop also prepares physicians to triage care during mass casualty events such as lightning strikes. Altogether, the workshop combines rehabilitative medicine and emergency care to better prepare sideline physicians for these critical situations.

Why is this lab needed? : Sideline emergencies present life-threatening events in which delayed or improper care can have disastrous consequences. Sideline physicians are first responders in these events, and should have knowledge in evaluating and treating on-field emergencies. In most cases, there is a gap in knowledge about sideline emergencies, as physicians may never have encountered these events during training. Most physicians never receive hands-on training, or preparation for these emergencies. Few have teaching by emergency medicine specialists, although they are next physicians to see the patient after sideline care. Additionally, even experienced sideline physicians are inexperienced in using new technologies such as Ultrasound for FAST. This workshop will implement clinical scenarios to prepare the sideline physician for life threatening emergencies, emphasizing on hands-on learning, teamwork, coordination of care and improving reaction time in critical situations.

Lab Outline/Format:: There is a 5 minute introduction by the course director and the hands-on sessions will be divided into 8 workstations:
1.FAST/Pneumothorax - 30 min. Multiple stations will cover this topic with one featured presenter to make sure the topic is fully covered. Afterwards participants will begin rotating through other stations.
2. Neurogenic Shock/Spinal Cord Injury and Spinal Board - 20- min
3.Cardiac Arrest – 20 minutes
4.Lightning/Burns/Mass Casualty Event– 20 min
5.Polytrauma/Pelvic Fracture/Hip Binding– 20 min
6.Anaphylaxis– 20 min
7.Hyperthermia – 20 min
8. Seizure - 20 min Participants will be divided into 8 stations and rotate through stations. The FAST/Pneumothorax station will serve as a review for rotating participants who want more hands on practice with the ultrasound.
At the end of the workshop there will be a 5 min Question/Answer Period.
Learning Objectives:
Recognize life-threatening emergencies that can occur on-field through history and physical examination.
Acquire proficiency in FAST (Focused Assessment with Sonography in Trauma) to identify serious injuries in blunt abdominal trauma.
Develop effective team strategies and multiple techniques to coordinate safe patient transport in an emergency.
Improve clinical outcomes and survival during an on-field emergency.