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Breath-Hold Diving Injuries - A Primer for Medical Providers. 憋气式潜水伤害--医务人员入门指南》。
IF 1.8 4区 医学
Current sports medicine reports Pub Date : 2024-05-01 DOI: 10.1249/JSR.0000000000001168
Elaine Yu, Juan M Valdivia-Valdivia, Fernando Silva, Peter Lindholm
{"title":"Breath-Hold Diving Injuries - A Primer for Medical Providers.","authors":"Elaine Yu, Juan M Valdivia-Valdivia, Fernando Silva, Peter Lindholm","doi":"10.1249/JSR.0000000000001168","DOIUrl":"10.1249/JSR.0000000000001168","url":null,"abstract":"<p><strong>Abstract: </strong>Breath-hold divers, also known as freedivers, are at risk of specific injuries that are unique from those of surface swimmers and compressed air divers. Using peer-reviewed scientific research and expert opinion, we created a guide for medical providers managing breath-hold diving injuries in the field. Hypoxia induced by prolonged apnea and increased oxygen uptake can result in an impaired mental state that can manifest as involuntary movements or full loss of consciousness. Negative pressure barotrauma secondary to airspace collapse can lead to edema and/or hemorrhage. Positive pressure barotrauma secondary to overexpansion of airspaces can result in gas embolism or air entry into tissues and organs. Inert gas loading into tissues from prolonged deep dives or repetitive shallow dives with short surface intervals can lead to decompression sickness. Inert gas narcosis at depth is commonly described as an altered state similar to that experienced by compressed air divers. Asymptomatic cardiac arrhythmias are common during apnea, normally reversing shortly after normal ventilation resumes. The methods of glossopharyngeal breathing (insufflation and exsufflation) can add to the risk of pulmonary overinflation barotrauma or loss of consciousness from decreased cardiac preload. This guide also includes information for medical providers who are tasked with providing medical support at an organized breath-hold diving event with a list of suggested equipment to facilitate diagnosis and treatment outside of the hospital setting.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 5","pages":"199-206"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Every Picture Tells A Story: Managing Exertional Heatstroke with Rotating Ice Water Towels. 每张图片都在讲述一个故事用旋转冰水毛巾处理劳累性中暑。
IF 1.7 4区 医学
Current sports medicine reports Pub Date : 2024-05-01 DOI: 10.1249/JSR.0000000000001165
William O Roberts
{"title":"Every Picture Tells A Story: Managing Exertional Heatstroke with Rotating Ice Water Towels.","authors":"William O Roberts","doi":"10.1249/JSR.0000000000001165","DOIUrl":"10.1249/JSR.0000000000001165","url":null,"abstract":"<p><strong>Abstract: </strong>A 23-year-old woman completing her first marathon collapsed near the finish line at 4 hours 6 min with a rectal temperature of 41.8°C. She was in good health before the race with no recent illness, had completed a full training program, and was taking no medications or supplements. On the initial exam, she was unconscious with a response to painful stimulus, spontaneous breathing, rapid pulse, eyes closed, fully dilated pupils, poor muscle tone, and pale skin that was warm to touch. The medical team initiated whole-body cooling using rapidly rotating ice water towels and ice packs placed in the neck, axilla, and groin. She developed echolalia during active cooling. About 20 minutes into the cooling procedure, she \"woke up,\" was able to answer questions coherently, and her pupils were normal size and reactive. She was discharged home with instructions to follow-up in 2 d for evaluation and blood chemistry testing.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 5","pages":"171-173"},"PeriodicalIF":1.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oxygen Straight to the Brain: An Overview of Hyperbaric Oxygen Therapy for a Variety of Brain Morbidities. 氧气直达大脑：治疗各种脑部疾病的高压氧疗法概述。
IF 1.8 4区 医学
Current sports medicine reports Pub Date : 2024-04-01 DOI: 10.1249/jsr.0000000000001158
Terrance Leighton, Edgar VanHorne, Dale Parsons
{"title":"Oxygen Straight to the Brain: An Overview of Hyperbaric Oxygen Therapy for a Variety of Brain Morbidities.","authors":"Terrance Leighton, Edgar VanHorne, Dale Parsons","doi":"10.1249/jsr.0000000000001158","DOIUrl":"https://doi.org/10.1249/jsr.0000000000001158","url":null,"abstract":"Hyperbaric oxygen therapy as a treatment for conditions like traumatic brain injury, posttraumatic stress disorder, and migraines would seem intuitive, given its effect on condition-related ischemia and inflammation. However, hyperbaric therapeutic impacts for these in acute and chronic, or prolonged symptoms are elusive. This narrative review of hyperbaric's utility provided in sections per disease renders first a review of conventional pathological mechanisms and then articulates hyperbaric treatment targets versus their respective impacts. Multiple challenges exist using hyperbaric oxygen therapy for each morbidity, even in tertiary and adjunctive treatments. An almost universal shortfall across studies includes a lack of consistent, appropriate patient selection criteria intersected with delivery timing of therapy to symptomatic target, necessary to provide a higher fidelity in treatment metrics. Further research into these respective conditions is needed along with a revisitation of hyperbaric oxygen therapy's application to their conventional pathological mechanisms, lending new perspective to their employment and efficacy.","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"72 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140575482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dive Hazards: Barotrauma, Flora, Fauna, Equipment, and Free Diving. 潜水危险：气压创伤、植物群、动物群、设备和自由潜水。
IF 1.8 4区 医学
Current sports medicine reports Pub Date : 2024-04-01 DOI: 10.1249/jsr.0000000000001159
Jonathan Bailey, Collin Hu, Brian Merrigan, Steve Gillis
{"title":"Dive Hazards: Barotrauma, Flora, Fauna, Equipment, and Free Diving.","authors":"Jonathan Bailey, Collin Hu, Brian Merrigan, Steve Gillis","doi":"10.1249/jsr.0000000000001159","DOIUrl":"https://doi.org/10.1249/jsr.0000000000001159","url":null,"abstract":"Present-day diving comes in various forms, from utilizing sophisticated diving equipment to relying solely on one's ability to hold their breath. The diver and physician must be aware of the many common medical conditions and environmental considerations of this unique activity. While barotrauma remains the most common dive-related injury, injuries and accidents also are related to diving equipment-related accidents and exposure to marine flora and fauna. In addition, breath-hold diving, which includes free diving, snorkeling, and tasks, is an activity humans have done for thousands of years for recreation or survival. This article will update the dangers of diving and methods to prevent or treat injuries.","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"50 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140575480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Swimming-Induced Pulmonary Edema: Evaluation, Diagnosis, and Treatment. 游泳引起的肺水肿：评估、诊断和治疗。
IF 1.8 4区 医学
Current sports medicine reports Pub Date : 2024-04-01 DOI: 10.1249/jsr.0000000000001157
Stephen Steele, Sunny Brahmbhatt, Devak Patel
{"title":"Swimming-Induced Pulmonary Edema: Evaluation, Diagnosis, and Treatment.","authors":"Stephen Steele, Sunny Brahmbhatt, Devak Patel","doi":"10.1249/jsr.0000000000001157","DOIUrl":"https://doi.org/10.1249/jsr.0000000000001157","url":null,"abstract":"Swimming-induced pulmonary edema (SIPE) is a rare but life-threatening acute illness that can occur in otherwise healthy athletes and individuals. Also known as immersion pulmonary edema, SIPE presents in swimmers, snorkelers, and SCUBA divers. It occurs in persons under heavy exertion in cold water temperatures, leading to coughing, shortness of breath, and sometimes blood-tinged sputum. Under these conditions, there is increased pulmonary vascular pressure, which may ultimately lead to pulmonary edema. This article synthesizes the latest data on the prevalence, pathophysiology, etiology, risks, short- and long-term complications, and the efficacy of supportive medical treatment interventions.","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140602611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mass Participation and Tournament Event Management for the Team Physician: A Consensus Statement (2022 Update). 队医的大众参与和赛事活动管理：共识声明（2022 年更新）》。
IF 1.8 4区 医学
Current sports medicine reports Pub Date : 2024-04-01 DOI: 10.1249/jsr.0000000000001160
Stanley A Herring, W Ben Kibler, Margot Putukian, Cheri Blauwet, Lori A Boyajian-O'Neill, Joel Boyd, R Rob Franks, Peter A Indelicato, Lance E LeClere, Catherine Logan, Francis G O'Connor, Jason Matuszak, William O Roberts, Robert E Sallis
{"title":"Mass Participation and Tournament Event Management for the Team Physician: A Consensus Statement (2022 Update).","authors":"Stanley A Herring, W Ben Kibler, Margot Putukian, Cheri Blauwet, Lori A Boyajian-O'Neill, Joel Boyd, R Rob Franks, Peter A Indelicato, Lance E LeClere, Catherine Logan, Francis G O'Connor, Jason Matuszak, William O Roberts, Robert E Sallis","doi":"10.1249/jsr.0000000000001160","DOIUrl":"https://doi.org/10.1249/jsr.0000000000001160","url":null,"abstract":"Mass participation events include endurance events (e.g., marathon, triathlon) and/or competitive tournaments (e.g., baseball, tennis, football (soccer) tournaments). Event management requires medical administrative and participant care planning. Medical management provides safety advice and care at the event that accounts for large numbers of participants, anticipated injury and illness, variable environment, repeated games or matches, and mixed age groups of varying athletic ability. This document does not pertain to the care of the spectator.","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"74 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140575479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
First Rib Fracture Presenting as Chest Pain in a Collegiate Basketball Player: A Case Report. 一名大学篮球运动员以胸痛为表现的第一肋骨骨折：病例报告。
IF 1.8 4区 医学
Current sports medicine reports Pub Date : 2024-03-01 DOI: 10.1249/JSR.0000000000001143
Jeremy Loescher, Joshua Blomgren, Kathleen Weber
{"title":"First Rib Fracture Presenting as Chest Pain in a Collegiate Basketball Player: A Case Report.","authors":"Jeremy Loescher, Joshua Blomgren, Kathleen Weber","doi":"10.1249/JSR.0000000000001143","DOIUrl":"10.1249/JSR.0000000000001143","url":null,"abstract":"","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 3","pages":"76-78"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140027570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bias and Conflict of Interest in the Underreporting of Sexual Abuse in Competitive Sports: A Literature Review. 竞技体育性虐待报告不足中的偏见和利益冲突：文献综述。
IF 1.8 4区 医学
Current sports medicine reports Pub Date : 2024-03-01 DOI: 10.1249/JSR.0000000000001146
Abhishek Chandra, Jack Goldstein, Krystina Peters, William O Roberts, David J Satin
{"title":"Bias and Conflict of Interest in the Underreporting of Sexual Abuse in Competitive Sports: A Literature Review.","authors":"Abhishek Chandra, Jack Goldstein, Krystina Peters, William O Roberts, David J Satin","doi":"10.1249/JSR.0000000000001146","DOIUrl":"10.1249/JSR.0000000000001146","url":null,"abstract":"<p><strong>Abstract: </strong>The prevalence of sexual abuse in competitive sports is increasing worldwide and requires a united call to action. The underreporting of such abuses gained media attention resulting from recent high-profile cases. In this article, we report the results of a systematic literature review, identifying root causes of underreporting sexual abuse in competitive sports. We identify that biases and conflicts of interest work against effective reporting of abuse by athletes at the individual, organizational, and cultural levels. We offer conflict of interest and bias mitigation approaches from the social science, law, business, research, and diagnostic error literature that may apply. Competitive sports organizations may use this analysis to identify barriers and improve the effective reporting of sexual abuse.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 3","pages":"105-110"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140027569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Initial Assessment and Management of Select Musculoskeletal Injuries: A Team Physician Consensus Statement. 特定肌肉骨骼损伤的初步评估和处理：队医共识声明》。
IF 1.8 4区 医学
Current sports medicine reports Pub Date : 2024-03-01 DOI: 10.1249/JSR.0000000000001151
Stanley A Herring, W Ben Kibler, Margot Putukian, Lori A Boyajian-O'Neill, Cindy J Chang, R Rob Franks, Mark Hutchinson, Peter A Indelicato, Francis G O'Connor, Amy Powell, Ryan Roach, Marc Safran, Siobhan M Statuta, Karen Sutton
{"title":"Initial Assessment and Management of Select Musculoskeletal Injuries: A Team Physician Consensus Statement.","authors":"Stanley A Herring, W Ben Kibler, Margot Putukian, Lori A Boyajian-O'Neill, Cindy J Chang, R Rob Franks, Mark Hutchinson, Peter A Indelicato, Francis G O'Connor, Amy Powell, Ryan Roach, Marc Safran, Siobhan M Statuta, Karen Sutton","doi":"10.1249/JSR.0000000000001151","DOIUrl":"10.1249/JSR.0000000000001151","url":null,"abstract":"<p><strong>Abstract: </strong>Musculoskeletal injuries occur frequently in sport during practice, training, and competition. Injury assessment and management are common responsibilities for the team physician. Initial Assessment and Management of Musculoskeletal Injury-A Team Physician Consensus Statement is title 23 in a series of annual consensus documents written for the practicing team physician. This statement was developed by the Team Physician Consensus Conference, an annual project-based alliance of six major professional associations. The goal of this document is to help the team physician improve the care and treatment of the athlete by understanding the initial assessment and management of selected musculoskeletal injuries.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 3","pages":"86-104"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140027571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Penetrating Flank Injury in an Adolescent Due to Exercise Resistance Band Malfunction. 运动阻力带故障导致一名青少年侧腹穿透性损伤。
IF 1.8 4区 医学
Current sports medicine reports Pub Date : 2024-03-01 DOI: 10.1249/JSR.0000000000001145
Anthony Ruzga, Adam Gorra
{"title":"Penetrating Flank Injury in an Adolescent Due to Exercise Resistance Band Malfunction.","authors":"Anthony Ruzga, Adam Gorra","doi":"10.1249/JSR.0000000000001145","DOIUrl":"10.1249/JSR.0000000000001145","url":null,"abstract":"","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 3","pages":"72-75"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140027572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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