position statement PPE

Question 1

physician responsiblity

Answer 1

must have compelling medical reason.

must be the ones to exclude, develop treatment plans, referrals

Question 2

PPE objectives

Answer 2

detect life threatening conditions/ disabling conditions

identify predispositions

address legal and insurance requirements

is not the sole component of health care for athletes

Question 3

medical/family history

Answer 3

comprehensive, history of CV problems, get from parents and athlete, underlying conditions to predispose to injury

Question 4

General health screen

Answer 4

vitals, visual acuity, CV, neuro, pulmonary, abdominal, skin, genitalia, musculoskeletal (based on med hx)

Question 5

gurgles per minute

Answer 5

anything between 5-8/minute is worrisome

Question 6

CV Screen

Answer 6

should be standing or supine, auscultate from sitting to standing or squat to standing, cardiac testing only if hx or PPE screen is concerning

Question 7

neuro screen

Answer 7

history of concussion, seizure, cervical spine stenosis, spinal cord injury, help establish baseline

Question 8

Gen MEd screen

Answer 8

lab test not supported by evidence

hx of anemia - need to measure hemoglobin
hx of abnormal cycle, taking iron or other meds, - need lab follow up

hx of diabetes - routine foot evals, retinopathy, check blood glucose

Question 9

Sickle cell trait

Answer 9

recommend confirmatory testing,

Question 10

elevated cholesterol / dislypidemia and CV risk factors

Answer 10

need lipid profiles, long term care by team doc to manage levels

Question 11

mental health status

Answer 11

plan, refer, follow up

Question 12

meds and supplements

Answer 12

reviewed by examiner during PPE

Question 13

clearance decision

Answer 13

is the athlete at risk? are others at risk? can they participate safely with tx? limited participation?

Question 14

when to have PPE?

Answer 14

4-6 weeks before pre-season training begins