Neurovascular status is the initial and most important step in evaluating an injured extremity. Once any life-threatening injuries have been addressed, attention should be turned to the evaluation of extremities ( 10). If any problems with the airway, respiratory, circulatory, or central nervous systems are suspected, then appropriate stabilization and emergency transport should be implemented. Neck and spine injuries will be addressed in more detail later in this article. After ruling out any immediate danger with the airway, breathing, and circulatory system, attention should be directed toward any significant brain or neck injury by examining and questioning the athlete appropriately.
When evaluating any injured athlete, a diagnostic plan of "ABCDE" (airway, breathing, circulation, disability, evaluation/extremity) should be the starting point. Using the available research and medical experience, this article offers several approaches to treating injured athletes and allowing them back on the field without aggravating the presenting injury or placing them at greater risk for sustaining another injury. Additionally, one of the most challenging areas of sideline sports medicine, especially without the benefit of imaging, is determining when an athlete can return to play safely, There is very little existing research on sideline management. The need for appropriate and efficient sideline management is crucial. Of these participants, there were approximately 1.4 million injuries, 80% of which were new injuries ( 25). Centers for Disease Control and Prevention's (CDC) most recent available data, during the 2005-2006 school year, an estimated 4.2 million students in the United States participated in the nine high school sports studied.
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