{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:59:21Z","timestamp":1777877961143,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,2,9]],"date-time":"2019-02-09T00:00:00Z","timestamp":1549670400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NASN School Nurse"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Illness and injury associated with sport and physical activities may occur in the school setting. Although most sport-related illness and injury in students are considered minor emergencies, life- and limb-threatening illnesses or injuries may occur, such as sudden cardiac arrest, heat stroke, status asthmaticus, catastrophic brain or cervical spine injuries, hypoglycemia, blunt chest\/abdominal injuries, or extremity fractures requiring surgery. It is important for the school nurse to recognize potential life- and limb-threatening emergencies associated with sport and physical activity, to initiate stabilization of the student with life- and limb-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow up at their primary healthcare provider\u2019s office, or directly to the closest emergency department via emergency medical services). This article describes the initial assessment and management of three common emergencies associated with sport and physical activities.<\/jats:p>","DOI":"10.1177\/1942602x18819223","type":"journal-article","created":{"date-parts":[[2019,2,9]],"date-time":"2019-02-09T05:31:15Z","timestamp":1549690275000},"page":"155-161","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["School Nurses on the Front Lines of Medicine: Emergencies Associated With Sport and Physical Activities: Part 1"],"prefix":"10.1177","volume":"34","author":[{"given":"Elizabeth","family":"Brigham","sequence":"first","affiliation":[{"name":"General Pediatrics Resident Physician, Penn State Hershey Children\u2019s Hospital, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodi","family":"Brady","sequence":"additional","affiliation":[{"name":"Attending Physician, Division of Adolescent Medicine, Department of Pediatrics, Penn State Hershey Children\u2019s Hospital, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert P.","family":"Olympia","sequence":"additional","affiliation":[{"name":"Professor, Departments of Emergency Medicine and Pediatrics, Penn State College of Medicine"},{"name":"Attending Pediatric Emergency Medicine physician, Penn State Hershey Medical Center, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,2,9]]},"reference":[{"key":"bibr1-1942602X18819223","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001104"},{"key":"bibr2-1942602X18819223","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-50.9.07"},{"key":"bibr3-1942602X18819223","first-page":"1009","volume":"59","author":"Centers for Disease Control and Prevention","year":"2010","journal-title":"MMWR Morbidity and Mortality Weekly Report"},{"key":"bibr4-1942602X18819223","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1609012"},{"key":"bibr5-1942602X18819223","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.08.016"},{"key":"bibr6-1942602X18819223","doi-asserted-by":"publisher","DOI":"10.1542\/pir.28-7-249"},{"key":"bibr7-1942602X18819223","unstructured":"Kucera K. L., Yau R., Cox Thomas L., Wolff C. (2016). Thirty-third annual report (Fall 1982\u2013Spring 2015). National Center for Catastrophic Sport Injury Research. Retrieved from https:\/\/nccsir.unc.edu\/files\/2013\/10\/NCCSIR-33rd-Annual-All-Sport-Report-1982_2015.pdf"},{"key":"bibr8-1942602X18819223","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldw041"},{"key":"bibr9-1942602X18819223","unstructured":"National Federation of State High School Associations. (2016). 2015-2016 High school athletics participation survey. Retrieved from http:\/\/www.nfhs.org\/ParticipationStatistics\/PDF\/2015-16_Sports_Participation_Survey.pdf"},{"key":"bibr10-1942602X18819223","volume-title":"Conference on sport injuries in youth: Surveillance strategies, 1991","author":"National Institute of Health","year":"1992"},{"key":"bibr11-1942602X18819223","unstructured":"Physical Activity Council. (2017). 2017 Participation report. 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