Lecture 15: Pre-Participation Sports Physicals Flashcards
What is the ultimate goal of a Pre-Participation Physical Exam (PPE)?
Promote health and safety of student athletes
When is a PPE usually done?
6-8 weeks prior
Perform annually
Before whatever sport you wanna play
What are the 3 methods for doing a PPE?
- Locker-room
- Station
- Office-based
Describe locker-room PPEs
- LINE UP single file
- Line inspection one by one
- Little privacy & loud but efficient!
When is the station method for PPE best?
Large numbers
Efficient, but little privacy also. Conveyor belt
Splitting up duties.
Pros and Cons of Office PPE
- Pros: established relationship, privacy
- Cons: Lack of consistency, unfamiliarity with sports, lack of cost effectiveness
What is the main issue with pediatric providers providing PPEs for sports?
They’re not sports med people!
What is the most important part of PPE?
Medical history
What do we mainly care about in CV Medical Hx for a PPE?
Anything that can predispose them to sudden death
Kawasaki, Heart infection, CP w/ exercise, Murmur, HTN
What FMHx is significant for potential cardiac complications in a PPE?
- Premature deaths before 50 d/t heart dz
- Disability before 50
- FHx of PPM
- HOCM/DCM, Long QT, Marfan syndrome, arrhythmia
Age 50 seems important
What associated symptoms make a concussion complicated?
- Amnesia (either)
- Loss of consciousness (LOC)
- Seizure
- Prolonged symptoms
When is a child able to return to learn post concussion?
- Able to concentrate on a task
- Tolerable of visual and auditory stimulus for 30+ mins
- Return them with academic adjustments
Can they handle the noise/distractions of a classroom and focus
What are the requirements to begin return to play?
- Successful return to school
- Symptom-free and free off meds
- Normal neuro exam
- Baseline balance and cognitive function
How long is each step of the Return to Play protocol?
1 day
Must be symptom free for 24 hrs to move onto next step.
What two indications mean you MUST retire from contact/collision sports?
- Structural brain abnormality (AKA your brain is like permanently damaged)
- Nonresolving/Prolonged neurocognitive defects
Post-concussion