FIMS Sports Medicine Manual: Event Planning and Emergency Care

573 Pages·2011·11.861 MB·English

by  David McDonagh et al.

FIMS
SPORTS MEDICINE
MANUAL:
EVENT PLANNING
AND EMERGENCY CARE
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FIMS
SPORTS MEDICINE
MANUAL:
EVENT PLANNING
AND EMERGENCY CARE
Senior Editor
David O’Sullivan McDonagh, MD
Editors
Professor Lyle J.Micheli, MD
Professor Walter R. Frontera, MD, PhD
Professor Fabio Pigozzi, MD
Katharina Grimm, MD
Charles F. Butler, MD
Professor Angela D.Smith, MD
Richard Budgett, MD
Costas Parisis, MD
Professor Inggard Lereim, MD
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Acquisitions Editor: Robert A. Hurley
Project Manager: David Murphy
Marketing Manager: Lisa Lawrence
Design Manager: Holly McLaughlin
Manufacturing Manager: Benjamin Rivera
Production Services: SPi Global
Copyright © 2012 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business
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Library of Congress Cataloging-in-Publication Data
FIMS sports medicine manual : event planning and emergency care / senior editor, David O’Sullivan
McDonagh.
p. ; cm.
Sports medicine event manual
ISBN 978-1-58255-873-8 (alk. paper)
1. Sports medicine—International cooerpation. 2. Sports injuries. I. McDonagh, David O’Sullivan.
II. International Federation of Sports Medicine. III. Title: Sports medicine event manual.
[DNLM: 1. Sports Medicine—methods. 2. Athletic Injuries. 3. International Cooperation.
4. Physician’s Role. 5. Practice Management, Medical—organization & administration. QT 261]
RC1210.F56 2011
617.1'027—dc23
2011015850
Care has been taken to confi rm the accuracy of the information presented and to describe gener-
ally accepted practices. However, the authors, editors, and publisher are not responsible for errors or
omissions or for any consequences from application of the information in this book and make no
warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the con-
tents of the publication. Application of the information in a particular situation remains the profes-
sional responsibility of the practitioner.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dos-
age set forth in this text are in accordance with current recommendations and practice at the time of
publication. However, in view of ongoing research, changes in government regulations, and the constant
fl ow of information relating to drug therapy and drug reactions, the reader is urged to check the package
insert for each drug for any change in indications and dosage and for added warnings and precautions.
This is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in the publication have Food and Drug Administration
(FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care
provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.
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To Eileen
Go n-éiri an bóther leat.
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Senior Editor, Editors, Contributing Authors,
Reviewers
Senior Editor
David O’Sullivan McDonagh, MD
Consultant, Accident and Emergency Department, University Hospital, Trondheim, Norway
Assistant Professor, NTNU (the University of Science and Technology) Trondheim, Norway
Chair, FIBT (Bobsleigh and Skeleton) Medical Committee
Secretary, AIBA (International Boxing Association) Medical Commission
Winter Olympic International Federations representative to FIMS
Physician for the Top Athlete Program in central Norway
Head of the Scientific and Education Committee, EFSMA (European Federation of Sports Medical
Associations)
Member, Norwegian Antidoping Tribunal
Member ICC (International Cricket Council) Antidoping Tribunal
Past Team Physician, Norwegian Boxing team, Nordic Combined team, Bobsled and Luge team
Member, Norwegian Rugby Union medical committee
Physician for the Olympic Athlete Program in central Norway
Deputy CMO at the Lillehammer 1994 Olympic Winter Games
CMO/Deputy CMO for World Ice Hockey Championships, 2 World Nordic Skiing Championships and
over one hundred other World Cup, World Championships events in various sports
Advisor to 5 Olympic Games organization committees
Editors
Professor Lyle J. Micheli, MD
Director, Boston Children’s Hospital
Associate Clinical Professor of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts
Vice President of FIMS
Past President, American College of Sports Medicine (ACSM)
Professor Fabio Pigozzi, MD
Professor IUPM, Rome, Italy
Chair, (UIPM) Modern Pentathlon Medical Committee
President FIMS
Professor Walter R. Frontera, MD
Dean, University of Puerto Rico School of Medicine, San Juan, Puerto Rico
Past President of FIMS
Past President, ACSM
Katharina Grimm, MD
Head Medical Office, FIFA
Charles F. Butler, MD
Chairman AIBA (International Boxing Association) Medical Commission
Member AIBA Executive Committee
vi
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SENIOR EDITOR, EDITORS, CONTRIBUTING AUTHORS, REVIEWERS | vii
Professor Angela D. Smith, MD
University of Pennsylvania, School of Medicine
Children’s Hospital, Philadelphia, Pennsylvania
Chair Education Commission FIMS 2002–2009
Past President, ACSM
Richard Budgett, MD
Chief Medical Officer, British Olympic Association
Chief Medical Officer, London 2012 Summer, Olympics
Member FIBT Medical Committee
Gold Medal Olympian
Professor Inggard Lereim, MD
Orthopaedic Department, NTNU, Trondheim, Norway
Vice Chair, FIS (Skiing) Medical Committee
Chief Medical Officer Lillehammer 1994 Olympic Winter Games
Costas Parisis, MD
Chair, FIBA (International Basketball Association) Medical Committee
Chief Medical Officer, Athens 2004 Olympic Summer Games
Contributing Authors
Abdelhamid Khadri, Vice-President AIBA (Boxing) Medical Commission, Rafat, Morocco
Abel Wakai, St. James’s Hospital, Dublin, Ireland
Alain Lacoste, Chair FISA (Rowing) MC, France
Andreas Niess, German Athletics Team, University of Tübingen, Germany
Ann Quinn, ITF (Tennis) Medical Commission, Australia
Anthony F. Clough, Dental Lead London 2012, University College London, England
Babette Pluim, ITF, Royal Netherlands Lawn Tennis Association, Netherlands
Bernard Montalvan, ITF (Tennis) Medical Commission, France
Bredo Knudtzen, Former Team Physician Norwegian National Ice Hockey Team, Norway
Brian Hainline, ITF (Tennis) Medical Commission, USA
Charles Butler, Chair AIBA (Boxing) Medical Commission, Michigan, USA
Clint Readhead, SA Rugby Medical Association Committee Member, South Africa
Colin Fuller, FIFA/IRB, University of Nottingham, England.
Constantine Au, Sports Medicine Subcommittee, College of Emergency Medicine, Hong Kong
Costas Parisis, Chair FIBA (Basketball) MC, Greece
Craig Ferrel, Chair FEI (Equestrian Sports) Medical Committee, USA
Dave Miley, ITF (Tennis) Medical Commission, Ireland
David Townend, Associate Professor Maastricht University, Netherlands
Demetrios G. Pyrros, President World Association of Disaster Medicine, Greece
Demitri Constantinou, FIFA Medical Centre, University of Witwatersrand, Johannesburg, SA
Derek McCormack, Glasgow Celtic FC, Scotland
Didier Rousseau, Chair JIF (Judo) MC, France
Dominique Sprumont, University of Neuchatel, Switzerland
Don McKenzie, Chair ICF (Canoeing) MC, Canada
Dory Boyer, Deputy CMO, VANOC, Canada
Doug Hiller, Chief Medical Officer ITU (Triathlon), Waimea, Hawaii
Eanna Falvey, IRB, University College Cork, Ireland
Emin Ergen, Chair FITA (Archery) MC, Turkey
Eugene Byrne, USA Bobsleigh, Member FIBT and FIL MC, USA
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viii | SENIOR EDITOR, EDITORS, CONTRIBUTING AUTHORS, REVIEWERS
Evan L. Lloyd, Chair WCF (Curling) MC, Scotland
Fabio Pigozzi, IOC, EOC, FIMS, UIPM, Italy.
Fook Wong, Chair FIH (Field Hockey) MC, USA
Francois Gnamian, Chair IHF (Handball) MC, Ivory Coast
Gary Mak, Consultant Cardiologist for the Hong Kong Sports Institute, Hong Kong
George Ruijsch van Dugteren, Chair FIE (Fencing) MC, South Africa
Geraint Fuller, Consultant Neurologist, Gloucester, UK
Gianfranco Beltrami, Chair IBAF (Baseball) MC, Italy
Gordon Bosworth, physiotherapist to the Canadian Skating Team, UK
Gurchuran Singh, Chair BWF (Badminton) MC, Malaysia
Heinz Günter, Chair FIBA (Basketball) MC, Austria
Herbert Hoerterer, Chair FIS (Skiing) MC, Germany
Hiu-fai Ho, Sports Medicine Subcommittee, Hong Kong College of Emergency Medicine
Iain Higgins, In-house sports lawyer, ICC (International Cricket Council), Dubai, UAE
Inggard Lereim, Vice Chair FIS (Skiing) MC, Norway
Jack Taunton, Chief Medical Officer, VANOC—2010 Olympic Games, Vancouver, Canada
James R. Andrews, Medical Director, LPGA (Golf), Alabama, USA
James M. Lally, Chair ISSF (Shooting) MC, USA
James Macdonald, Team Physician University of California, Santa Cruz , USA
James Sekajugo, Uganda Health Ministry, Kampala, Uganda
James A. Whiteside, American College of Sports Medicine, Alabama, USA
Jan Hoff, University of Science and Technology, NTNU, Trondheim, Norway
Jane Moran, Chair ISU (Skating) MC, Canada
Jean Francois Kahn, Chair ITTF (Table Tennis) MC, France
Jean-Luc Dion, Team Dentist, Quebec Nordiques (NHL), Quebec City, Canada
Jim Carrabre, Chair IBU (Biathlon) MC, USA
Jim Thorne, Ice Hockey Canada Men’s Olympic Team, Calgary Flames Hockey Club (NHL)
Jiri Dvorak, FIFA Medical Committee, Switzerland
Joseph Cummiskey, IOC MC, FIMS Executive Committee, President EFSMA, Ireland
Jon Patricios, Sports Concussion South Africa, Johannesburg, South Africa
Johan-Arnt Hegvik, Anesthetics Dept, Trondheim University Hospital, Norway
John M. Ryan, MO Leinster Rugby Football Team, Irish Hockey Union, Ireland
Jörg Ellermeyer, Chair FIL (Luge) MC, Germany
Juan Manuel Alonso, Chair IAAF (Athletics) MC, Spain
Julia Alleyne, Canadian Skating Team, University of Toronto, Canada
Justin Durandt, SA Rugby Medical Association Committee Member, South Africa
Karl Weber, ITF (Tennis) Medical Commission, Germany
Kathryn E. Ackerman, Harvard University, Boston, USA
Kathleen A. Stroia, ITF (Tennis) Medical Commission, USA
Kenneth Wu, Sports Medicine Subcommitttee, College of Emergency Medicine, Hong Kong
Kjell Løfors, Norwegian Boxing Union MC, Norway
Lars Engebretsen, Ullevål University Hospital, Oslo, IOC, Norway
Lars Kolsrud, Olympic Athlete Program, Norway.
Lars Toft, Chief Physician, SOS International, Denmark
Marc Demars, Chair FILA (Wrestling) MC, France
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SENIOR EDITOR, EDITORS, CONTRIBUTING AUTHORS, REVIEWERS | ix
Margo Mountjoy, FINA (Swimming) MC, IOC, Canada
Mark Aubry, IOC, Chair IIHF (Ice Hockey) MC, Canada
Maria Rizzo, Department of Health Sciences, University of Rome, Italy
Mario Zorzoli, Chair UCI (Cycling) MC, Switzerland
Martin Schwellnus, IOC, Stellenbosch University, South Africa
MG Molloy, Medical Officer International Rugby Board (IRB), Ireland
Michael McNamee, Centre for Philosophy, Humanities and Law, University of Wales, UK
Michel Binder, Member FIG (Gymnastics) Medical Committee, France
Michel Leglise, IOC Medical Committee, Chair FIG MC, France
Miguel Crespo, ITF (Tennis) Medical Commission, Spain
Nicky Dunn, ITF (Tennis) Medical Commission, United Kingdom
Nils Ericsson, Head of Emergency Department, Trondheim, Norway
Nils Kaehler, VP, Norwegian Motorcross Federation, Norway
Paul Piccininni, IOC Medical Committee, Toronto, Canada
Peter Giannoudis, President British Trauma Society, UK
Peter Harcourt, Chair ICC’s Medical Committee (Cricket), Victoria, Australia
Peter Jenoure, University of Basel, WADA List Committee, EFSMA, Switzerland
Peter van de Vliet, International Paralympic Committee, Belgium
Pierre d’Hemecourt, Medical Director Boston Marathon., USA
Pierre Viviers, SA Rugby Medical Association Committee Member, South Africa
J. Preston Wiley, IRB, University of Calgary, Canada
Ray Padilla, Dentist, LA Galaxy, USA Men’s and Women’s Soccer, Los Angeles, USA
Rene Fasel, President, IIHF, Member IOC, President – AOWS), Switzerland
Roald Bahr, Chair FIVB (Volleyball) MC, IOC Medical Committee, Norway
Roger Hackney, Surgeon, British Olympic Association, Leeds, England
Scott Kincade, University of Texas South Western, Dallas, Texas,USA
Sergio Migliorini, Chair ITU (Triathlon) MC, Italy
Shane Brun, Team Physician Australian National Soccer Team, Australia.
Stefano Dragoni, Chair ITU (Triathlon) MC, Italy
Stuart Miller, ITF (Tennis) Medical Commission, United Kingdom
Suzanne Shepherd, Department Emergency Medicine, University of Pennsylvania, USA
Tai-wai Wong, HK Association of Sports Medicine, Hong Kong
Tim Wood, ITF (Tennis) Medical Commission, Australia
Terence Babwah, FIFA (Football) MC, Trinidad
Trygve Moe, Consultant Psychiatrist, Friskvern, Oslo, Norway
Victor Lun, University of Calgary, Canadian Bobsleigh, Speed Skating Teams, Calgary, Canada
Vlad Haralambie, FIBT MC, Romanian Motorsports Federation, Romania
Wayne Viljoen, South African Rugby Medical Association Committee Member, South Africa
Wayne Derman, University of Cape Town, SA Olympic Team 2000, 2004, South Africa
Willy Pieter, University of Asia and the Pacific, Pasig City, MM, Philippines
Thank you to:
Paul McCrory, Winne Meeuwisse, Karen Johnston, Jiri Dvorak, Mark Aubry, Michael G Molloy and
Robert Cantu for allowing us to print the contents of the 3rd International Conference on Concussion
in Sport, Zurich, November 2008
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x | SENIOR EDITOR, EDITORS, CONTRIBUTING AUTHORS, REVIEWERS
Reviewers
Are Holen, Vice Dean, Faculty of Medicine, NTNU, Trondheim, Norway
Arild Aamodt, Head of Orthopedic Department, St. Olavs University Hospital, Trondheim, Norway
Bredo Knudtzen, Former Team Physician Norwegian National Ice Hockey Team, Norway
Christian Schneider, German Bobsleigh Federation, Schõn Klinik, Munich, Germany
David Mulder, McGill University, Montreal, Canada
Ian Cohen, University of Toronto, Toronto, Canada
Irene Skaget, Vinje Ambulance Service, Trondheim, Norway.
Lars Jacob Stovner, Professor of Neurology, NTNU, Trondheim, Norway
Jan Mjønes, Head of Urology Department, NTNU, Trondheim, Norway
Jan Kristian Damås, Dept of Infectious Medicine, NTNU, Trondheim, Norway
Jørn-Terje Iversen, Vinje Ambulance Service, Trondheim, Norway
Julia Alleyne, Canadian Skating Team, Women’s College, University of Toronto, Canada
Ketil Holen, Rosenborg Football Team, Trondheim, Norway
Kjell Løfors, Ophthalmology Department, NTNU, Norwegian Boxing Union, Norway
Kristian Bjerva, Clinical Chemistry Department, St. Olavs University Hospital, Trondheim, Norway
Kristin Ryggen, Dermatology Department, St. Olavs University Hospital, Trondheim, Norway
Mike Wilkinson, Deputy CMO, VANOC, Vancouver, Canada
Mohamed Mydin Musa, President SSEMM, Prof, Help University, Kuala Lumpur, Malaysia
Sven Erik Gisvold, Professor of Anesthetics, NTNU, Trondheim, Norway
Svein A. Nordbø, Microbiology Department, St. Olavs University Hospital, Trondheim, Norway
Talia Alenabi, Secretary General, Asian Federation of Sports Medicine, Tehran, Iran
Tomm Müller, Department of Neurosurgery, St. Olavs Hospital Trondheim, Norway
Vegard Bugten, ENT Department, NTNU, Trondheim, Norway
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