IC 104-2024: Sideline Decisions One Makes in the Heat of the Battle of Game or On-site Coverage, Times are Changing! What Every Team Physician Should Know!-IC104_Sideline Decisions One Makes in the Heat of the Battle of the Game or Onsite Coverage, Times are Changing! What Every Team Physician Should Know

IC104_Sideline Decisions One Makes in the Heat of the Battle of the Game or Onsite Coverage, Times are Changing! What Every Team Physician Should Know

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Video Summary

In this comprehensive discussion, experienced sports physicians share their insights on managing athletic injuries, particularly focusing on their experience and approaches as sideline team doctors. The panel includes Darren Johnson from Kentucky, Peter Indelicato from Gainesville, Jeffrey Baer from Wisconsin, and Ned Amendola from Durham, each bringing their regional expertise.<br /><br />Peter Indelicato kicks off by emphasizing the unique and complex role of team physicians, highlighting the importance of trust and relationships with players, trainers, and coaches. He discusses the art of making return-to-play decisions and the need for clear communication to avoid any misunderstanding. He also touches on the implications of NIL (Name, Image, Likeness) in sports, stressing the importance of documentation for medical liability.<br /><br />Jeffrey Baer focuses on managing upper extremity injuries, common issues in-season, and the use of pain management strategies. He underscores the significance of having strong relationships with athlete trainers and coaches and covers the pros and cons of medications like NSAIDs and Toradol for pain management. Baer also explains the utilization of local anesthetics and the procedure for handling specific injuries such as AC separations, SC joint injuries, shoulder instability, stingers, elbow injuries, and fractures.<br /><br />Ned Amendola provides perspective on lower extremity injuries, offering strategies for identifying and managing injuries such as lateral ankle sprains, high ankle sprains, stress fractures, and Lisfranc injuries. He advocates for early surgical interventions in specific scenarios and highlights the role of orthotics and other supportive treatments to aid recovery.<br /><br />Darren Johnson concludes by discussing the practical aspects of game day and the first 48 hours following an injury. He stresses the importance of monitoring injured athletes closely during games and subsequent communication and planning based on their performance in practice. Johnson also deliberates on the in-season management of common injuries like MCL tears and meniscal injuries.<br /><br />Overall, the discussion marries practical experience with medical expertise, offering a detailed view of injury management in a sports context and emphasizing teamwork, communication, and athlete-centered care.

Keywords

athletic injuries

team physicians

return-to-play decisions

NIL implications

upper extremity injuries

pain management

NSAIDs

local anesthetics

lower extremity injuries

surgical interventions

orthotics