Abdominal Injuries in Sports

Sports Medicine Broadcast

Abdominal Injuries in Sports

January 18, 2023

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

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

Dr. Josh Yellen – jbyellen@central.uh.edu

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