Sports medicine physicians have to be ready for anything whether they are covering a game, a mass participation event such as a marathon, or multi-sport events.
Sports medicine physicians have to be ready for anything whether they are covering a game, a mass participation event such as a marathon, or multi-sport events. They may even be providing EMS-like coverage for attendees of a game or concert. The level of competition may be youth leagues, community leagues, or recreational all the way up to professional.
Preparation means having certain equipment, medications, and devices immediately available and ready access to EMS services and transportation to the hospital when required. In reviewing what a sports medicine physician (or any sideline physician) should have available, we will try to distinguish between what should be immediately available in their bag next to them and what needs to be readily available within a short walk or drive. Philda De Jager published an excellent review in Continuing Medical Education which we are going to try to summarize as well as supplement and update where appropriate.
The physician must consider the type of sport covered . Covering a marathon, where most pathology involves dehydration, heat related illness, or electrolyte abnormalities requires different preparation and consideration than covering a football game which generally consists of orthopedic injuries and concussions. Each sport has its own pattern of injuries and the astute provider will need to consider that as they build their tool kit for the specific sport or event.
The age of participants will determine certain anticipated injury patterns. For example, when covering youth soccer, you might expect more asthma attacks than an adult men’s soccer league. Conversely, adult athletes are more likely to suffer from serious exertional events such as acute coronary syndrome and exacerbation of other chronic medical conditions.
The provider will need to consider the location and infrastructure of the region where the event will be held. Is this a rural trail running marathon where road access is limited? Is it an urban event where traffic may be prohibitive for timely EMS transit?
If you are experiencing symptoms that may be related to what's in a sport medicine doctor’s bag?, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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