Sideline management of facial injuries

Physicians who cover sporting events frequently encounter facial injuries. These injuries include contusions, hematomas, abrasions, lacerations, ruptured tympanic membranes, and fractures. For most physicians covering events, the diagnoses and decisions on returning athletes to play must be made without many of the diagnostic tools available in the office, such as radiographs, nasopharyngoscopes, or CT scans. As a result, physicians must rely on focused histories and thorough physical examinations to make their diagnoses and ultimately determine if injured participants can continue in their respective events.     

Football: Sideline management of injuries

Football is reported to have one of the highest rates of injury among sports. Thus, it is becoming more commonplace for a physician to be present at the sideline to help manage injuries acutely. The team physician should be well equipped to provide game coverage by having the necessary equipment and knowledge of the injuries common in football. The physician should have an understanding of how to evaluate injuries at the sideline and when to send the player to the emergency room for further evaluation.     

Sideline splinting,bracing, and casting of extremity injuries

Emergent and nonemergent splinting, bracing, and casting are effective ways to safely remove an injured athlete from the playing field, allow immediate return to play, and permit an athlete to return to play before an injury has completely healed. Sideline providers should be familiar with the materials and resources currently available, and be aware of the sport-specific guidelines regarding their use. Properly applied splints, casts, braces, and padding should function to prevent further injury, promote comfort, and not pose a risk of injury to other participants.     

急性伤口处置的研究进展

近年来急性伤口的处置进展颇多,许多新理念及新方法的提出,为急性伤口的正规、标准处置提供了依据。本文回顾了急性伤口的清洁递质及使用方法;并从湿性愈合、感染控制、伤口闭合等方面,阐述了促进急性伤口愈合的环境营造;最后,对促进急性伤口愈合的辅助方法选择及护理等方面的研究热点进行了综述,以期为国内临床医护人员和研究者提供参考。     

严重撕脱伤撕脱皮瓣原位回植方法探讨

目的:探讨严重撕脱伤病人撕脱皮肤原位回植修复创面的处理方法。方法:本组病人的创面处理全部采取撕脱皮瓣切除后反取中厚皮移植,用轧皮机将部分皮制成网状皮片(扩展倍数为1:1),植于对外观、功能影响不大的部位,功能部位仍行整张皮片回植。结果:35例病人全部治愈,平均住院日31.7±9.4天。结论:网状皮片具有制作容易、皮片引流好、容易成活和能一次性覆盖创面的特点,尤其适合于严重撕脱伤病人的急诊手术治疗。     

Sideline and event management in golf

Golf has great popularity as a spectator sport, as well as a participation sport. Providing coverage for golf events can range from mass event coverage for large professional tournaments to provision of injury care at local golf events. This article provides a brief introduction to the game of golf for those unfamiliar with its play, an overview of the types of injuries seen, and consideration in providing care for a variety of golf competitions.     

Investigations on combined injuries, 25th communication: renal function and energy metabolism in mice with injuries combined of whole-body irradiation and an open skin wound (author's transl)

In NMRI-mice injured with combined lesions (whole-body irradiation with 500 R and, two or seven days later, an open skin wound), lethality increased from 10 or 20% following sole irradiation up to 60%. Investigations of urinary excretion and serum levels in animals with combined injuries did not show undue elevations of the levels of electrolytes, creatinine, urea, uric acid and acid or alkaline equivalents. Analysis of lactate, pyruvate, ATP and ADP in liver tissue and blood serum indicated no significant changes in the energy metabolism in animals with combined injuries in comparison with mice irradiated only. These findings and those of our last communication (24. Mitteilung) seem to be incompatible with the presence of a shock state as cause of the high lethality of mice with combined injuries.     

Sideline preparedness for the team physician: consensus statement

The objective of the Sideline Preparedness Statement is to provide physicians who are responsible for making decisions regarding the medical care of athletes with guidelines for identifying and planning for medical care and services at the site of practice or competition. It is not intended as a standard of care and should not be interpreted as such. The Sideline Preparedness Statement is only a guide, and as such, is of a general nature, consistent with the reasonable, objective practice of the health care professional. Individual treatment will turn on the specific facts and circumstances presented to the physician at the event. Adequate insurance should be in place to help protect the physician, the athlete, and the sponsoring organization. The Sideline Preparedness Statement was developed by a collaboration of six major professional associations concerned about clinical sports medicine issues; they have committed to forming an ongoing project-based alliance to bring together sports medicine organizations to best serve active people and athletes. The organizations are: American Academy of Family Physicians, American Academy of Orthopaedic Surgeons, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine.     

Expression of oxygen-regulated protein 150 (ORP150) in skin wound healing and its application for wound age determination

Immunohistochemical study combined with morphometry was carried out to examine the expression of oxygen-regulated protein 150 (ORP150) using 58 human skin wounds of different ages (group I, 0-12 h; II, 1-5 days; III, 7-14 days; and IV, 17-21 days). In human wound specimens aged 4-12 h, neutrophils recruited at the wound showed no positive signals for ORP150. With the increase in wound age of >/=7 days, granulation tissue and angiogenesis were observed, with the migration of macrophages and fibroblasts with ORP150-positive reactions. In semi-quantitative analysis, the average of ORP150-positive ratios in group III was highest. In group III, all samples had an ORP150-positive ratio of >40%, and 17 samples showed >50%. In group IV, three out of ten samples showed a positive ratio of 40-45% and the remaining seven cases less than 40%. Collectively, with regard to the practical applicability with forensic safety, these observations suggest that an ORP150-positive ratio of >50% strongly indicates a wound age of 7-14 days.