Preparticipation Physical Examinations

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Preparticipation Physical Examinations

• Mass Chaos or Good Health Care?

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Why Do we do PPEs?

• 1.
• 2.
• 3.
• 4.

3
Timing, Setting, Structure

• Qualifications of examiners
• Timing
• Frequency

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Types of Structures

• Office Based PPE

• Station Based PPE

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Stations

• REQUIRED

• OPTIONAL

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Stations for EXAM

• Height
• Weight
• Blood-pressure
• Heart rate
• Body Composition
• Limb girth Length
• Snellen Chart

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The PPE Medical History

• Will identify 75-92 of problems affecting
  patients
• Forms?
• Include 1.
• 2.
• 3.

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Physical Examination

• Cardiovascular
• Murmurs are worrisome if

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Physical Examination

• Musculoskeletal
• The 2 min orthopedic screening exam
• Focused exam on sport specific areas or previous
  injury area

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Important Areas to cover

• Concussions
• Female Patient Concerns

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Clearance

• Considerations (Options for clearance)
• Does the problem increase the risk of injury?
• Is another participant at increased risk for
  injury?
• What other sports may be safe for patient?
• Specific Conditions
• Atlantoaxial instability
• Cardiovascular
• HIV
• Functionally one-eyed patients
• Obesity
• Sickle cell trait
• Missing a paired organ
• Seizure disorder

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American Disabilities Act

• How does this affect us?
• Need to include family in decision making process
  from the start

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Is the PPE worth our time?

• To identify 1000 patients at risk, only 1 of whom
  would die, you would need to screen 200,000!
• Misconceptions of PPE

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Summary

• Station Based vs Office Based
• Physical Examination
• Clearance issues/ADA
• PRACTICE the skills for Exam!!!

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DISQUALIFICATION

• Medical DQ list
• Attached