Beasley Michael A, Abbott Alexandra, Mackie James, Goldman Joshua T
Department of Orthopaedics, Sports Medicine and Performance Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Division of Sports Medicine, Department of Family Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
J Pediatr Soc North Am. 2024 Jun 27;8:100069. doi: 10.1016/j.jposna.2024.100069. eCollection 2024 Aug.
The evolving role of the sideline physician in sports medicine frequently involves comprehensive responsibilities beyond direct medical care. We outline important aspects of sideline preparedness and management, including the development and rehearsal of Emergency Action Plans (EAPs), initial approaches to assessing injured athletes, equipment removal strategies, and return-to-play decision-making processes. Epidemiological insights into sports injuries, particularly catastrophic events, underscore the importance of venue-specific planning within EAPs. We also provide guidance and recommendations for nuanced medical procedures such as IV fluid administration, anesthetic joint injections, and Toradol use, addressing current controversies and evidence-based recommendations. Medicolegal and ethical considerations emphasize the necessity of navigating legal statutes and maintaining patient confidentiality while adhering to ethical principles. Overall, this concept review underscores the multifaceted nature of the sideline physician's role, emphasizing evidence-based practice, transparent communication, and collaboration with stakeholders for optimal athlete care across all levels of play.
(1)Evolution of sideline physician role: the manuscript explores the expanded responsibilities of sideline physicians beyond direct medical care, encompassing aspects such as emergency action plan development and return-to-play decisions.(2)Importance of emergency preparedness: emphasizes the crucial role of rehearsed emergency action plans in effectively managing on-field emergencies and optimizing patient outcomes.(3)Nuanced medical procedures: discusses controversies and evidence-based recommendations surrounding procedures like IV fluid administration, anesthetic joint injections, and Toradol use.(4)Medicolegal and ethical considerations: addresses the necessity for navigating legal statutes, maintaining patient confidentiality, and adhering to ethical principles in sports medicine practice.(5)Collaborative care approach: underscores the significance of evidence-based practice, transparent communication, and collaboration with stakeholders for providing optimal athlete care across all levels of play.
在运动医学领域，场边医生的角色不断演变，其职责往往超出直接医疗护理范畴。我们概述了场边准备和管理的重要方面，包括应急行动计划（EAP）的制定与演练、评估受伤运动员的初步方法、装备移除策略以及重返比赛的决策过程。对运动损伤（尤其是灾难性事件）的流行病学见解强调了在应急行动计划中进行特定场地规划的重要性。我们还针对细致入微的医疗程序提供指导和建议，如静脉输液、关节麻醉注射和使用托拉朵尔，阐述当前的争议和循证建议。法医学和伦理考量强调在遵守伦理原则的同时，必须遵循法律法规并维护患者隐私。总体而言，本概念综述强调了场边医生角色的多面性，强调循证实践、透明沟通以及与利益相关者协作，以在各级比赛中为运动员提供最佳护理。
（1）场边医生角色的演变：本文探讨了场边医生超出直接医疗护理的扩展职责，包括应急行动计划制定和重返比赛决策等方面。（2）应急准备的重要性：强调演练过应急行动计划在有效管理场上紧急情况和优化患者治疗结果方面的关键作用。（3）细致入微的医疗程序：讨论了围绕静脉输液、关节麻醉注射和使用托拉朵尔等程序的争议和循证建议。（4）法医学和伦理考量：阐述了在运动医学实践中遵循法律法规、维护患者隐私和坚持伦理原则的必要性。（5）协作护理方法：强调循证实践、透明沟通以及与利益相关者协作在为各级比赛运动员提供最佳护理方面的重要性。
