Athletic Cardiac Care - Duke SCD.24 Conference
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Hap Zarzour, MS, BA Duke University
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Athletic Cardiac Care - Duke SCD.24 Conference
- 1. ATHLETIC CARDIAC CARE THE ROLE OF THE ATHLETIC MEDICAL STAFF
- 3. ATHLETIC MEDICINE CARDIAC PLAN • Coordinated Organized Plan • Availability, Interest, Expertise • Collaboration, Communication • Timely, Urgency , Expectations • Resources, Athletic Trainers, Physical Therapists Team Physicians, Primary Care, Orthopods ,Cardiologists , Cardiothoracic Surgeons, Electrophysiologist. • Team Approach • Do what's best for the athlete. • Educate ,case by case • Studies , interpretations, • Decisions , Communication
- 4. ATHLETIC TRAINER RESPONSIBILITY • WORK CLOSLY WITH TEAM PHYSICIAN • ACCURATE CARDIAC MEDICAL HISTORY • AWARNESS OF ANY PRE EXISTNG CONDITIONS –RECRUTING • PRE PARTICIPATION PHYSICAL • OBTAIN RECORDS,PHYSICIAN NOTES, STUDIES IN ADVANCE WHEN POSSIBLE. • COMMUNICATE WITH TEAM PHYSICIAN AND CARDIAC TEAM TO REVIEW AND SET UP APPOINTMENTS,STUDIES, • COORDINATE VISIT ,PLAN ,PARENTS, COACHES, MEDICAL TEAM CONVERSATION • IMPLIMENT PLAN ,MANAGE PLAN ,COMMUNICATE EFFECTIVNESS ,
- 9. DEALING WITH CARDIAC ISSUES • Preexisting problem • Problem found during PPE. • Covid ,myocarditis • Practice, game issues • Work up • Communication /explanation • Management • Warnings signs • Medical team /cardiac team • Team physician/Certified Athletic Trainer • Cardiac Specialist • PA’s ,Nurses, Administrative assistants, technicians, fellows, • Residents, • ECG • ECHO • Cardiac MRI
- 10. ON FIELD CONTRIBUTING FACTORS • Sleep • Hydration • Food • Illness • Fever • Asthma • Allergies • Sickle cell Trait • Heat /acclimatization /history core temp • Stimulants • Adderall • 5 hour energy • Supplements • Caffeine • Medications /cold /Sudafed • Commotio cordis • Direct Contact /impact
- 11. EMERGENCY PREPAREDNESS • Sudden Cardiac Death • Emergency action plan • Trained personal , Certified Athletic Trainers -CPR • Have a plan and Practice your plan • Education players, coaches, staff. • Proper equipment • Defibrillator • Stethoscopes • Blood pressure cuff • Pulse oximeter • Oxygen • IV fluids • Glucometer • Screw Driver/facemask removal • Glucose • Baby Aspirin • epipen • Bag Valve Mask • Glucagon • Airways • Inhaler albuterol • Medical Alert Cards • Ambulance