Abdominal Injuries in Sports with Dr. Benedict Ifedi and Shwan Ready live from the memorial Hermann Sports Medicine Update







How are we going to see this on the field?



PQRST - 



Provoking - what is making it worse?



Qulity - sharp, ripping



Radiating - diaphragm



Severity - 0-10



Timing - constant, coming and going



All ATs need to have a stethoscope and BP cuff in their kit to monitor for vitals



PulseOx in your pocket



What do we need to carry with us?



Stethoscope



PulseOx



BP Cuff



Pneumothorax cover



Possibly needle decompression - 18 gauge needle



Reflex Diaphragm evaluation



Whats going on



Where are yo uhurting



How is it hurting?



Keep it simple with yes or no questions



PulseOx for Oxygen



Walk them off and continue to monitor if things are trending upward.



Trending downward - call EMS and send them



Let’s try to loosen up everything so there is not compression from equipment.



It can also be a lung contusion - where the athlete is spitting up blood.



If it clears in a few minutes then still sit them out and have them follow up with an ER visit and imaging



Rib Fracture - Evaluation



Posterior to anterior allows you to check the spine first.



Having a systematic routine is important.



Pneumothorax



Spontaneous - taller thinner athletic male



Traumatic- comes witha hit to the ribs



If you are looking at the athlete and they are just struggling then elevate yoru care to the next level.



Use your vital sign measuring tools.



Comotio Cordis



Sudden collapse



Non-responsive



Activate EMS and provide care



Aortic Rupture



ABC



Pulses were weak



Legs felt like they were going numb



Spleenic Laceration



Mono increases the spleen 30-50% increase in size



Flank pain from a blow



Monitor vital signs - PulseOx and BP



Practice your abdominal palpations on non injuries so you know the difference.



Liver Laceration



Rare



Usually non emergency



Painful breathing



Outpatient follow up most likely



Looking at the PQRST



Rigidity in the abdomen is something we need to know what it feels like.



Kidney



Kidney punch



Tenderness in CVA area



May have radiating pain that wraps around to the bladder area



Blood in the urine



Where can we go to learn normal abdominal feel and sounds?



Youtube is a great resource