Transcript sports dc

THE SPORTS
CHIROPRACTOR
CONTACT SPORTS
CONTACT SPORTS
SPORTS ARE A HIGH RISK FOR THE
GENERAL PRACTITIONER
 THE STRATIGIES ARE THE SAME
 HOWEVER A HEIGHTENED
AWARENESS IS NEEDED

CONTACT SPORTS
YOU WILL BE HELD AT A HIGHER
STANDARD THAN GENERAL
PRACTICE
 TAKING ON THE ROLE OF TEAM
PHYSICIAN WITHOUT ADVANCED
TRAINING IS NOT ADVISABLE

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
BEFORE ACCEPTING THE
RESPONSIBILITY OF WORKING WITH
A TEAM THE DOCTOR SHOULD
ESTABLISH THE PARAMETERS OF HIS
RESPONSIBILITIES
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YOU MAY BE ASKED TO BE
RESPONSIBLE FOR MORE THAN YOU
CAN HANDLE
 A. TOO MANY PLAYERS
 B. INADEQUATE FACILITY
 C. INADEQUATE EQUIPMENT

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AVOID PROMOTING YOURSELF AS A
SPORTS SPECIALIST.
 USE “CERTIFIED IN SPORTS” (IF YOU
ARE)
 OR “CONCENTRATING IN SPORTS
INJURIES”

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WHO DECIDES IF THE ATHLETE
RETURNS TO THE FIELD?
 THE DOCTOR NEEDS TO RESIST
PRESSURE FROM THE COACH,
PLAYER, OR THE CROWD.

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
CONDUCTING SCREENING
PHYSICALS SHOULD BE DONE
INDIVIDUALLY AND NOT AS A
GROUP.
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
IT IS IMPORTANT TO EXPLAIN TO THE
ATHLETE THE LIMITATIONS OF
SCREENING EXAMS AND GIVE HIM
THE OPPORTUNITY TO SEEK A MORE
THOROUGH EXAM.
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
IF A DOCTOR FAILS TO DETECT A
CONDITION OR PROBLEM THAT
LATER CAUSES AN INJURY, HIS
CONDUCTING FIFTY PHYSICALS IN A
TWO HOUR PERIOD WILL APPEAR
NEGLIGENT.
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GET A COMPLETE HEALTH HISTORY
PRIOR TO CERTIFYING ATHLETE.
 IF THE ATHLETE GETS INJURED AS A
RESULT OF AN EXISTING CONDITION
AND THE EXAMINING PHYSICIAN
DID NOT MAKE AN ATTEMPT TO
OBTAIN THIS INFORMATION, HE
COULD BE HELD LIABLE.

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TEAM PHYSICIANS SHOULD ALSO BE
AWARE OF THE MENTAL STATE OF
HIS ATHLETES.
 IF THE ATHLETE IS A MINOR, THE
PHYSICIAN SHOULD MAKE THE
DECISION AS TO THE ATHLETE’S
FITNESS TO PLAY, PHYSICALLY OR
MENTALLY

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
IN PROFESSIONAL ATHLETES YOU
RUN A RISK OF BEING TOO
CONSERVATIVE AND COULD
INTERFERE IN THE ATHLETE’S
EMPLOYABILITY
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
THE DOCTOR SHOULD DISQUALIFY A
PLAYER WITH CAUTION. EVEN A
HIGH SCHOOL ATHLETE CAN BE
SCOUTED FOR FUTURE TEAMS
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
CONSIDERING THE WIDESPREAD
ABUSE OF DRUGS IN SOCIETY AND
THE PREVELANCE OF STEROIDS IN
ATHLETES, THE DOCTOR MUST ALSO
BE AWARE OF SIGNS OF ABUSE AND
INTERVENE IF NECESSARY
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
TRADITIONAL RISK MANAGEMENT
PRINCIPLES APPLY TO SPORTS
PRACTICES, HOWEVER APPLYING
THOSE PRACTICES MAY BE
PARTICULARLY DIFFICULT IN THE
SPORTS VENUE
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TRANSCRIBING NOTES AND
RECORDING ACTIONS TAKEN IS AN
EXTREMELY HIGH PRIORITY IN
SPORTING EVENTS
 EVEN SIMPLE EVENTS NEED TO BE
DOCUMENTED

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
A SIMPLE AND ACCURATE WAY OF
RECORDING AT AN EVENT IS TO USE
A SMALL RECORDING DEVICE
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HAVING A HEALTH FILE ON EACH
ATHLETE AT THE EVENT IS
EXTREMELY BENEFICIAL
 KNOWING PAST AND PRESENT
INJURIES IS IMPORTANT IN
ASSESSING HIS/HER CURRENT
INJURY

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
CURRENT MEDICATIONS MAY HAVE
A MAJOR EFFECT ON THE ATHLETE’S
PERFORMANCE
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AS WITH YOUR OFFICE GOOD
PERSONAL COMMUNICATION SKILLS
LESSEN THE LIKELYHOOD OF A LAW
SUIT
 IN THE UNDER 18 ATHLETE YOU
MUST COMMUNICATE ALL YOUR
FINDINGS WITH THE COACHES AND
PARENTS

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
KEEPING A GOOD RAPPORT WITH
THE TRAINERS IS ESSENTIAL.
USUALLY THEY ARE A GREAT
SOURCE OF INFORMATION IN
REGARDS TO THE ATHLETE’S
PHYSICAL CONDITION
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
CONSENT ISSUES
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ALL ATHLETES SHOULD HAVE
SIGNED CONSENTS PRIOR TO
ADMINISTERING TREATMENT.
 HOWEVER IF THE PLAYER REFUSES
CARE AT THE TIME OF AN INJURY,
YOU HAVE TO RESPECT HIS
DECISION.

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
YOU SHOULD ALSO RESPECT THE
WISHES OF THE MINOR ATHLETE AS
LONG AS HIS INJURIES ARE NOT LIFE
THREATENING OR LIKELY TO CAUSE
A PERMANENT INJURY.
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
THE TEAM PHYSICIAN AND THE
GOOD SAMARITAN STATUTES
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
GENERALLY, THESE STATUTES
PROVIDE THAT A PERSON WHO
ADMINSTERS EMERGENCY CARE IN
“GOOD FAITH”, AND WITHOUT THE
EXPECTATION OF RECEIVING
PAYMENT, IS NOT LIKELY FOR
DAMAGES RESULTING FROM THAT
AID EXCEPT IN CASES OF
NEGLIGENCE
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
THE IMMUNITY ONLY WORKS UNDER
THE FOLLOWING CIRCUMSTANCES:
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1) THERE MUST BE AN EMERGENCY,
USUALLY LIFE THREATENING
 2) THERE MUST BE NO PAYMENT OR
OTHER CONSIDERATION
 3) THE TREATMENT MUST BE
RENDERED OUTSIDE OF DOCTOR’S
OFFICE, HOSPITAL, OR OTHER
“SUITABLY EQUIPPED FACILITY”.

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
AS A TEAM PHYSICIAN YOU HAVE
CREATED A DOCTOR/PATEINT
RELATIONSHIP AND THE GOOD
SAMARITAN STATUTE USUALLY
DOES NOT APPLY
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
SINCE THE LAWS DO VARY FROM
STATE TO STATE THE DOCTOR
SHOULD BECOME FAMILIAR WITH
HIS STATE. YOU SHOULD ALSO
REALIZE THAT IF YOU ARE
TRAVELING, THE LAWS OF THE
STATE WHERE THE EVENT IS PLAYED
WILL CONTROL
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THE SPORTS PHYSICIAN SHOULD
HAVE A CURRENT CPR
CERTIFICATION
 THE SPORTS PHYSICIAN NEEDS TO
HAVE READY ACCESS TO OTHER
MEDICAL PERSONAL INCLUDING
AMBULANCE AND ER FACILITIES

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
A MAJOR GOAL OF THE SPORTS
PHYSICIAN IS TO PROTECT THE
ATHLETE FROM FURTHER INJURY
AND STABILIZE THE CURRENT
INJURY
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
A SECOND GOAL OF THE SPORTS
PHYSICIAN IS TO ASSIST IN
PREVENTING INJURIES
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A. MAKING SURE THAT THE
ATHLETE’S EQUIPMENT IS UP TO PAR
 B. MAKING SURE THAT THE
EQUIPMENT IS USED PROPERLY
 C. RECOMMENDATIONS ON PROPER
NUTRITION AND PROPER
CONDITIONING ACTIVITIES

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CONFIDENTIALITY
 JUST BECAUSE THE EVENT IS PUBLIC
DOES NOT MEAN THAT THE INJURIES
ARE
 WITHOUT THE PATIENT’S CONSENT
YOU CANNOT GIVE INFORMATION
TO THE PRESS

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
IF THE DOCTOR IS WORKING FOR A
PROFESSIONAL TEAM, HE MAY ALSO
HAVE A DUTY OF CONFIDENTIALITY
TO THE EMPLOYER