reference : Challenging return to play decisions: Heat stroke, exertional rhabdomyolysis, and exertional collapse associated with sickle cell trait

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/reference/132a2118-5112-4f76-b641-e9d16fa0435f
Bibliographic fields
reftype Journal Article
Abstract Context:Sports medicine providers frequently return athletes to play after sports-related injuries and conditions. Many of these conditions have guidelines or medical evidence to guide the decision-making process. Occasionally, however, sports medicine providers are challenged with complex medical conditions for which there is little evidence-based guidance and physicians are instructed to individualize treatment; included in this group of conditions are exertional heat stroke (EHS), exertional rhabdomyolysis (ER), and exertional collapse associated with sickle cell trait (ECAST).Evidence Acquisition:The MEDLINE (2000-2015) database was searched using the following search terms: exertional heat stroke, exertional rhabdomyolysis, and exertional collapse associated with sickle cell trait. References from consensus statements, review articles, and book chapters were also utilized.Study Design:Clinical review.Level of Evidence:Level 4.Results:These entities are unique in that they may cause organ system damage capable of leading to short- or long-term detriments to physical activity and may not lend to complete recovery, potentially putting the athlete at risk with premature return to play.Conclusion:With a better understanding of the pathophysiology of EHS, ER, and ECAST and the factors associated with recovery, better decisions regarding return to play may be made.
Author Asplund, Chad A.; Francis G. O’Connor
DOI 10.1177/1941738115617453
Issue 2
Journal Sports Health
Keywords return to play,heat illness,rhabdomyolysis,sickle cell trait
Pages 117-125
Title Challenging return to play decisions: Heat stroke, exertional rhabdomyolysis, and exertional collapse associated with sickle cell trait
Volume 8
Year 2016
Bibliographic identifiers
_record_number 23713
_uuid 132a2118-5112-4f76-b641-e9d16fa0435f