Football Emergency Medicine Manual 2Ed.
152 pág.

Football Emergency Medicine Manual 2Ed.


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Football Emergency
Medicine Manual
2nd Edition
Football Emergency 
Medicine Manual
2nd Edition
EDITORS AND AUTHORS | EMERGENCY MEDICINE MANUAL
Editors
KRAMER Efraim Prof. Dr
University of the Witwatersrand Johannesburg, South Africa
#5.\u12fŒ* )H\u16a´ Prof. Dr 
F-MARC, Schulthess Clinic Zurich, Switzerland
Authors
AL JUFAILI Mahmood S. Dr
Royal Hospital Oman Muscat, Oman
BISHENDEN Wayne S.A. Paramedic
University of the Witwatersrand Johannesburg, South Africa
DOHI Michiko Dr
Medical Center, Japan Institute of Sports Sciences Tokyo, Japan
DREZNER Jonathan Prof.
University of Washington Seattle, USA
PATRICIOS Jon Dr
Morningside Sports Medicine Johannesburg, South Africa
PEDRINELLI André Dr
IOT \u2013 Institute of Orthopedics and Traumatology Sao Paulo, Brazil
SCHMIED Christian PD Dr
University Heart Center Zurich Zurich, Switzerland
ZIDEMAN David A. Dr
Imperial College Healthcare NHS Trust London, UK
EMERGENCY MEDICINE MANUAL | COMMITTEES
FIFA Medical Committee
Chairman D\u2019HOOGHE Michel, Dr Belgium 
Deputy Chairman CHUNG David Papua New Guinea
Members ZERGUINI Yacine, Dr Algeria 
 MADERO Raúl, Dr Argentina 
 PETERSON Lars, Prof. Dr Sweden
 BABWAH Terence, Dr Trinidad and Tobago 
 SINGH Gurcharan, Dr Malaysia
 AHMED Hosny Abdelrahman, Prof. Dr Egypt
 EDWARDS Tony, Dr New Zealand
 MANDELBAUM Bert, Dr USA
 PALAVICINI Carlos, Dr Costa Rica
 CHOMIAK )H\u16a´, Dr Czech Republic
 AL MAADHEED Mohammed Ghanim Al Ali, Dr Qatar
 HERMANN Ecki, Dr Liechtenstein
 DOHI Michiko, Dr Japan
 SEKAJUGO James, Dr Uganda
Special Advisor #5.\u12fŒ* )H\u16a´, Prof. Dr Switzerland
FIFA Medical Assessment and Research Centre (F-MARC)
President D\u2019HOOGHE Michel, Dr Belgium 
Chairman #5.\u12fŒ* )H\u16a´, Prof. Dr Switzerland
Members PETERSON Lars, Prof. Dr Sweden
 MADERO Raúl, Dr Argentina
 ZERGUINI Yacine, Dr Algeria
 CHOMIAK )H\u16a´, Dr Czech Republic
 EDWARDS Tony, Dr New Zealand
 JUNGE Astrid, Prof. Dr Germany
 FULLER Colin, Dr England
 MANDELBAUM Bert, Dr US
 AHMED Hosny Abdelrahman, Prof. Dr Egypt
 KIRKENDALL Donald T, Dr USA
 BIZZINI Mario, Dr Switzerland
 KRAMER Efraim B., Prof. Dr South Africa
 SCHMIED Christian M., Dr Switzerland
 FEDDERMANN-DEMONT Nina, Dr Germany
 D\u2019HOOGHE Pieter, Dr Belgium
Table of Contents
 Editors - Authors
 Contents 
 Preface 
1 Traumatic Injuries in Football 2
1.1 Head and Neck Injuries \u2013excluding concussion 2
1.2 Concussion 7
1.3 Facial Injuries 12 
1.4 Abdominal Injuries 20
1.5 Chest Injuries 21 
1.6 Fractures and Dislocations 23
1.7 Field-of-Play Wound Management 25
2 Medical Emergencies in Football 30
2.1 Prevention and Management of Sudden Cardiac Arrest in Football 30 
2.2 Non Traumatic, Non-Cardiac Chest Pain 36 
2.3 Anaphylaxis 38 
2.4 Acute Exercise-induced Bronchospasm / Asthma 43 
2.5 Generalised Convulsive Seizures 46
2.6 Hypoglycaemia 48
3 Environmental Injuries in Football 52
3.1 Altitude Illness 52 
3.2 Cold Injuries 56 
3.3 Acute Heat Illness 61 
3.4 Lightning 66
4 Gynaecological Injuries 70
5 Mass Gathering Football medicine 72
5.1 Principles of Football Stadium Major Incident Planning 72 
5.2 Principles and Provision of Mass Gathering Medical Services 82
6 The FIFA® Medical Emergency Bag 110
TABLE OF CONTENTS | EMERGENCY MEDICINE MANUAL
EMERGENCY MEDICINE MANUAL | TABLE OF CONTENTS
7 Appendices 114
 Check List: Football Stadium Medical Centres 114 
 Check List: Ambulance 116 
 Check List: Pre-Match Medical Services 118 
 Sudden Cardiac Booklet 
 (Prevention and Management of Sudden Cardiac Arrest in Football) 
Preface 
 PREFACE | EMERGENCY MEDICINE MANUAL
Dear members of the worldwide football community, 
Protecting players\u2019 health has long been FIFA\u2019s priority, 
as manifested in the many initiatives of the FIFA Medi-
cal Committee and the FIFA Medical Assessment and 
Research Centre (F-MARC), which is now in its third 
decade of existence. While our main approach continues 
to be prevention and education, there is no doubt that 
it is also of paramount importance to react immediately 
and in the correct manner to any emergency that may 
occur on or off the field of play. 
This importance is heightened by the recent cases of 
young players tragically succumbing to sudden cardiac 
deaths, a matter which is of grave concern and whose 
causes we are working extremely hard to investigate, as 
well as prevent through a number of different measures. 
In 2012 all FIFA member associations were provid-
ed with a FIFA Medical Emergency Bag to assist their 
response in such situations.
Off the field of play meanwhile, this Football Emergen-
cy Medicine Manual underlines our continued efforts to 
protect the spectators in the stadiums, another aspect of 
FIFA\u2019s comprehensive approach to prevention. Particu-
lar emphasis is given to the importance of careful pre-
event risk assessment, adequate preventive measures, and 
only thereafter the planning and organisation of ade-
quate emergency medical services able to counteract and 
confine the consequences of mass disasters should they 
occur.
I would like to thank the medical experts that have con-
tributed to this 2nd edition of the FIFA Football Emer-
gency Manual for their commitment to ensuring a safe 
environment for football both on and off the pitch, and 
strongly encourage all members of the football commu-
nity to implement the knowledge shared herein.
Joseph S. Blatter
FIFA President
Joseph S. Blatter
FIFA President
During any football match, the stadium and the occu-
pants can be compared, operationally, functionally and 
logistically to any small city. With the presence of tens 
of thousands in and around the football stadium envi-
ronment, whether present professionally, commercially 
or recreationally, the safety, health and welfare of every 
person has to be catered for adequately and appropri-
ately. To this end and purpose, football emergency 
medicine has evolved as a clinical sub-specialty of foot-
ball medicine and mass gathering medicine. Aimed at 
the prevention where possible and management when 
required, of any medical emergency within and around 
the football stadium environment, whatever the illness 
and/or injury, to single or multiple persons, so that rec-
ognition, response, resuscitation and referral are under-
taken within current internationally accepted norms and 
standards, the FIFA Medical Committee and the FIFA 
Medical Assessment and Research Centre (F-MARC) 
promoted the development of the first edition of the 
football emergency medicine manual and accompanying 
training courses in 2009. 
With increasing commitment to research into life-
threatening medical emergencies on the field of play 
and the need for practical consistency in recommended 
management, FIFA set the standard internationally with 
the introduction of the FIFA Medical Emergency Bag 
(FMEB) , equipped at an advanced life support level of 
care, in order to assist those responsible for the health of 
the players and referees on the field of play to manage 
life threatening medical emergencies effectively within 
the first few critical minutes. Used extensively for the 
first time during the FIFA World Cup Brazil 2014\u2122, 
the FMEB has provided the much needed consistency, 
coordination and cooperation between team healthcare 
professionals and providers internationally at events. The 
FMEB, its medical contents and related football medical 
emergency training courses, have all been instrumental 
in the FIFA Medical Committee and F-MARC deci-
sion to incorporate football emergency medicine edu-
cation and training into the FIFA Diploma of Football 
Medicine. This has led to the need to revise the football 
emergency medicine manual into the current evidence 
and international expert panel consensus based 2nd Edi-