The sports arena

Chapter 46. The sports arena




Sport-related deaths


Most deaths that occur at sporting events are from natural causes such as myocardial infarctions. Occasionally, congenital heart diseases such as hypertrophic cardiomyopathy can affect young athletes.







































Table 46.1. Fatal accidents in sport (UK statistics for 1 year)

Sport Fatalities per year
Air sports 13
Horse riding 12
Mountaineering 11
Motor sports 10
Ball games 6
Water sports 6
Winter sports 5
Athletics 4
Cycling 1
Shooting 1


Nature of injuries in sport


Most sports injuries are soft tissue injuries. Injuries to the lower limbs are most common, followed by the upper limbs, head and face, and finally the chest and abdomen. The majority are minor and self-limiting; however, serious injuries such as ligament and tendon tears, fractures, spinal and head injuries and damage to viscera do occur.

Paramedics must decide whether the problem must be dealt with in hospital immediately or whether the patient can be left to arrange independently for treatment at hospital or by a general practitioner later in the day. Many injuries do not require medical intervention and can be readily treated with rest, ice, compression and elevation (RICE), plus analgesia:




RRest


IIce


CCompression


EElevation


Athletics and field sports






• The majority of athletes suffer soft tissue injury and sprains. Overuse predisposes them to chronic muscle and ligament problems that may be suddenly exacerbated in competition


• High jumpers and pole vaulters are liable to neck injury if they land badly


• Heat exhaustion is frequent during hot conditions.


Combat sports






• Of greatest concern in combat sports are head and neck injuries as a result of direct blows or from falls following throws. Facial fractures and eye injuries are also common


• Soft tissue injury and fractures are features of the martial arts.


Football






• The majority of association football injuries are to soft tissues, with strains and complete tears of leg muscles and tendons being most common


• Severe knee and ankle injuries occur less frequently and fractures to the lower limb are relatively rare


• Head and neck injuries can occur in bad falls or clashes of heads.


Hockey






• Hockey players are prone to the same injuries as footballers; they also run the risk of being hit by a stick or a very hard ball travelling at high speed

Sep 6, 2016 | Posted by in EMERGENCY MEDICINE | Comments Off on The sports arena

Full access? Get Clinical Tree

Get Clinical Tree app for offline access