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The COVID-19 pandemic has necessitated many novel responses in healthcare including sport and exercise medicine. The cessation of elite sport almost globally has had significant economic implications and resulted in pressure to resume sport in very controlled conditions. This includes protecting pitch-side medical staff and players from infection. The ongoing prevalence of SARS-CoV-2 and the desire to resume professional sport required urgent best practice guidelines to be developed so that sport could be resumed as safely as possible. This set of best practice recommendations assembles early evidence for managing SARS-CoV-2 and integrates expert opinion to provide a uniform and pragmatic approach to enhance on-field and pitch-side safety for the clinician and player. The nature of SARS-CoV-2 transmission creates new hazards during resuscitation and emergency care and procedures. Recommendations for the use and type of personal protective equipment during on-field or pitch-side emergency medical care is provided based on the clinical scenario and projected risk of viral transmission.
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http://dx.doi.org/10.1136/bjsports-2020-103226 | DOI Listing |
Br J Sports Med
December 2020
Wits Institute for Sport and Health (WISH), School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg-Braamfontein, South Africa
The COVID-19 pandemic has necessitated many novel responses in healthcare including sport and exercise medicine. The cessation of elite sport almost globally has had significant economic implications and resulted in pressure to resume sport in very controlled conditions. This includes protecting pitch-side medical staff and players from infection.
View Article and Find Full Text PDFBMJ Case Rep
September 2017
The Botnar Research Centre (NDORMS), Oxford University Hospitals, Oxford, UK.
A 19-year-old man was sent to the emergency department following a pitch-side assessment for suspected concussion, unexplained upper abdominal tenderness and vomiting, following a high-impact tackle during a rugby match. A Focussed Assessment with Sonography for Trauma (FAST) scan performed in the emergency department suggested intra-abdominal free fluid, and subsequent head and abdominal CT imaging showed no intracranial lesion but confirmed a significant haemoperitoneum due to large splenic tear and bleeding. An emergency splenectomy was performed, which confirmed the rupture of an enlarged spleen with blood loss of almost 2 L into the peritoneal cavity.
View Article and Find Full Text PDFBMJ Open Sport Exerc Med
March 2017
Queens Medical Centre, Department of Academic Orthopaedics and Sports Trauma, The University of Nottingham, Nottingham, UK.
The shoulder, specifically the glenohumeral joint, by virtue of its anatomical characteristics and biomechanics confers a large range of movement, which ultimately results in a joint that is inherently prone to becoming unstable. The incidence of acute traumatic shoulder dislocation varies within the sporting environment, commonly occurring following direct trauma. Anterior dislocations account for nearly 90% of all dislocations.
View Article and Find Full Text PDFBr J Sports Med
January 2017
World Rugby, Dublin, Ireland.
Objective: To evaluate World Rugby's concussion management process during Rugby World Cup (RWC) 2015.
Design: A prospective, whole population study.
Population: 639 international rugby players representing 20 countries.
J Sci Med Sport
March 2017
World Rugby, World Rugby House, Ireland.
Objectives: To investigate the accuracy and reliability of side-line video review of head impact events to aid identification of concussion in elite sport.
Design: Diagnostic accuracy and inter-rater agreement study.
Methods: Immediate care, match day and team doctors involved in the 2015 Rugby Union World Cup viewed 20 video clips showing broadcaster's footage of head impact events occurring during elite Rugby matches.