Pitch-side Acute Severe Pain Management Decisions in European Elite football

Pitch-side Acute Severe Pain Management Decisions in European Elite football / Maeve Claire Doheny, Gerard Bury. - (International Journal of Sports Medicine (2021) 9 (16 August))

  • PMID: 34399429
  • DOI: 10.1055/a-1588-7931


Abstract

This is the first study on acute severe pain management involving sport and exercise medicine Doctors who are leaders in football medicine in their respective countries. An online survey was designed describing the management of acute severe pain in this expert cohort. The survey captured participant sex, age, years working in sports medicine, core specialty and use of clinical practice guidelines (CPGs). Finally, three clinical vignettes exploring the management of acute pain were presented. Forty-four senior team doctors across 55 European countries completed the survey. There were no consistent guidelines proposed, with 33 (75%) participants indicating they did not use any. Methoxyflurane was proposed by 14 (32%) and 13 (30%) participants for female anterior cruciate ligament rupture and male ankle fracture, respectively. Strong opioids were not used in 17 (39%) and 6 (14%) participants regarding female cruciate injuries and male fractures, respectively. Despite 75% of participants having paediatric life support training, eight (18%) participants expressed uncertainty administering medications in this population, and 15 (34%) would avoid using strong opioids altogether. There is a tendency to undertreat pain and avoid strong opioids for reasons including lack of monitoring equipment, anti-doping concerns and lack of comfort treating paediatric patients with opioids.

Parameters

Science
Study
Date
16 August 2021
People
Bury, Gerard
Doheny, Maeve Claire
Country
Ireland
Language
English
Other organisations
University College Dublin
Doping classes
S7. Narcotics
Medical terms
Legitimate Medical Treatment
Physical injury
Various
Athlete support personnel
Document category
Abstract
Date generated
30 August 2021
Date of last modification
1 September 2021
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  • Doping classes
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