Emergency Management: Shock, Soft Tissue Injuries, Sickle Cell, and Sudden Cardiac Death

presented by Danny Smith

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Sports emergency management requires knowledge of common and uncommon conditions when dealing with potentially deadly situations. What are the warning signs, and how can you protect your athletes? In this course, Danny Smith provides practical, evidence-based knowledge and guidelines on emergency management for four conditions: Shock, Soft-tissue injuries, Sickle Cell, and Sudden Cardiac Death. Soft tissue injuries are one of the most common injuries seen in sports. The sports medicine professional must be aware of the soft tissue injury, and be able to effectively manage it, in order for the athlete to return to play as quickly and as safely as possible. Sudden Cardiac Death (SCD) is very seldom seen in sports, however the sports medicine professional must be able to recognize signs and symptoms and react quickly and effectively in order to attempt to save the life of the athlete. Sickle Cell Disease, or Sickle Cell trait, is becoming more prevalent in sports. The Sports Medicine Professional must be able to recognize signs and symptoms of Sickle Cell Disease and Sickle Cell Trait in order to refer these individuals to a physician for follow up care. Shock can happen at any time with any type of injury and a multitude of diseases. Again, the sports medicine professional must be able to recognize the signs and symptoms of shock and know when to activate 911 in order to provide appropriate care for the individual. Though these conditions vary greatly in prevalence, each requires knowledge and attention to effectively manage emergency situations.

Meet Your Instructor

  • Danny Smith, PT, DHSc, OCS, SCS, ATC

    Danny Smith, PT, DHSc, OCS, SCS, ATC

    Danny D. Smith, PT, DHSc, OCS, SCS, ATC graduated from the University of Tennessee Memphis with a BS Degree in Physical Therapy in 1972. He completed his Master’s Degree at East Tennessee State University in 1979 and his Doctor of Health Sciences at the University of St. Augustine in 1999, making him one of the first to complete a Doctorate in Physical Therapy in the US. Dr. Smith's area of study was the pre-hospital care of injured athletes by physical therapists. He also completed training as an Emergency Medical Technician and was actively involved with the Burke County (NC) Rescue Squad for a number of years. Due to his involvement in the Sports Physical Therapy Section of the APTA, Dr. Smith was presented with the Turner A. Blackburn Lifetime Achievement Award, as well as the Ron Peyton Award, which is the highest award presented by the SPTS. In 1996, Dr. Smith became an instructor with the American Red Cross in Emergency Response and became an Emergency Response Instructor Trainer. His goal was to educate physical therapists in emergency care on the field, in the community, and in the classroom. Since 1996, Dr. Smith has completed over 200 Emergency Response and Emergency Medical Response classes and continues to conduct classes today. If you are interested in attending or hosting a class in your facility, please contact Dr. Smith.

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Chapters & Learning Objectives

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  1. Soft Tissue Injuries

    1. Soft Tissue Injuries

    Danny Smith provides a comprehensive overview of soft tissue injuries for the athlete, including both closed and open wounds, as well as immediate management of these wounds. This chapter includes information on care for traumatic amputation and blisters. The chapter concludes with a question and answer session on return to play guidelines.

  2. Shock

    2. Shock

    In this chapter, Danny Smith delves into a life threatening condition: shock. This chapter covers both types and causes of shock and relates each of these types of shock specifically to athletic conditions. Different signs and symptoms of shock are also discussed before detailing the important steps for treatment of shock. This chapter also includes a question and answer session with Justin Smith, discussing different types of shock and their treatment and prevention. Included is a demonstration of an epinephrine autoinjector for treating anaphylactic shock.

  3. Sickle Cell

    3. Sickle Cell

    This chapter discusses the unusual situation of sickle cell trait in an athlete. Danny Smith covers exertional sickling, situations that affect sickling, and death as a result of sickle cell trait. Finally, this chapter covers the signs and symptoms of sickling, precautions, and treatment for athletes with sickle cell trait.

  4. Sudden Cardiac Death

    4. Sudden Cardiac Death

    This chapter provides an overview of sudden cardiac death in athletes and breaks down the examination into SCD in athletes under thirty and athletes over thirty. Several conditions associated with sudden cardiac death such as Hypertrophic Cardiomyopathy, Marfan’s Syndrome, and Myocarditis are covered in this chapter. The chapter concludes with a note on screening and a question and answer session with Justin Smith.