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Article ; Online: Improving Concussion Care for Athletes with Intellectual Disabilities.

Fudge, Jessie R

2020 Volume 19, Issue 4, Page(s) 131–132

MeSH term(s)	Athletes ; Brain Concussion/therapy ; Female ; Humans ; Intellectual Disability ; Male ; Sports for Persons with Disabilities
Language	English
Publishing date	2020-04-13
Publishing country	United States
Document type	Editorial
ZDB-ID	2080040-X
ISSN	1537-8918 ; 1537-890X
ISSN (online)	1537-8918
ISSN	1537-890X
DOI	10.1249/JSR.0000000000000701
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Article ; Online: Preventing and Managing Hypothermia and Frostbite Injury.

Fudge, Jessie

Sports health

2016 Volume 8, Issue 2, Page(s) 133–139

Abstract: Context: Hypothermia and frostbite injuries occur in cold weather activities and sporting events.: Evidence acquisition: A PubMed search was used to identify original research and review articles related to cold, frostbite, and hypothermia. Inclusion ...

Abstract	Context: Hypothermia and frostbite injuries occur in cold weather activities and sporting events. Evidence acquisition: A PubMed search was used to identify original research and review articles related to cold, frostbite, and hypothermia. Inclusion was based on their relevance to prevention and treatment of cold-related injuries in sports and outdoor activities. Dates of review articles were limited to those published after 2010. No date limit was set for the most recent consensus statements or original research. Study design: Clinical review. Level of evidence: Level 5. Results: Frostbite and hypothermia are well-documented entities with good prevention strategies and prehospital treatment recommendations that have changed very little with time. A layered approach to clothing is the best way to prevent injury and respond to weather changes. Each athlete, defined as a participant in a cold weather sport or activity, will respond to cold differently depending on anthropometric measurements and underlying medical risk factors. An understanding of wind-chill temperatures, wetness, and the weather forecast allows athletes and event coordinators to properly respond to changing weather conditions. At the first sign of a freezing cold injury, ensure warm, dry clothes and move to a protected environment. Conclusion: Cold injuries can be prevented, and cold weather activities are safe with proper education, preparation, and response to changing weather conditions or injury.
MeSH term(s)	Cold Temperature/adverse effects ; Frostbite/prevention & control ; Frostbite/therapy ; Humans ; Hypothermia/prevention & control ; Hypothermia/therapy ; Risk Factors ; Wind
Language	English
Publishing date	2016-03-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2508802-6
ISSN	1941-0921 ; 1941-7381
ISSN (online)	1941-0921
ISSN	1941-7381
DOI	10.1177/1941738116630542
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Article ; Online: Injury Trends in Special Olympics Athletes From the 2018 USA Games.

Newman, Bram / Fudge, Jessie / Haskins, Amy / Holt, Christina / Dexter, William

Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine

2022 Volume 32, Issue 6, Page(s) 620–622

Abstract: Objective: To categorize injury types and occurrence among athletes participating in the Special Olympics (SO).: Design: Retrospective cross-sectional cohort study.: Setting: 2018 SO USA Games.: Participants: Athletes participating in 14 sports ...

Abstract	Objective: To categorize injury types and occurrence among athletes participating in the Special Olympics (SO). Design: Retrospective cross-sectional cohort study. Setting: 2018 SO USA Games. Participants: Athletes participating in 14 sports at the 2018 SO USA Games (n = 2251). Independent variables: Individual and team sports. Main outcome measures: Percentage of athletes injured per individual sport, percentage of injury type by sport, rate of injuries per 1000 exposures, and number of injuries per game in team sports. Results: In individual sports, the percentage of athletes injured ranged from 38.5% in gymnastics to 12.9% in golf. Musculoskeletal (MSK) injuries occurred in 53.3% of gymnastics injuries and 58.6% of tennis injuries. For stand-up paddleboard, most injuries were non-MSK (66.7%). The highest rate of MSK injuries occurred in gymnastics (25.6/1000 exposures), whereas the highest rates of non-MSK injuries (95.2/1000 exposures) and minor injuries (47.6/1000 exposures) were among stand-up paddleboard athletes. In team sports, the highest number of injuries per game occurred in softball (1.9 per game). Conclusions: A high percentage of injuries occurred at the 2018 SO USA Games. The high rate of non-MSK injuries is unique to the SO and should be considered when planning medical coverage for future events.
MeSH term(s)	Humans ; Athletic Injuries/epidemiology ; Retrospective Studies ; Cross-Sectional Studies ; Athletes ; Gymnastics/injuries ; Musculoskeletal Diseases ; Incidence
Language	English
Publishing date	2022-04-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1062530-6
ISSN	1536-3724 ; 1050-642X
ISSN (online)	1536-3724
ISSN	1050-642X
DOI	10.1097/JSM.0000000000001033
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Article ; Online: Medical Evaluation for Exposure Extremes: Cold.

Fudge, Jessie R / Bennett, Brad L / Simanis, Juris P / Roberts, William O

Wilderness & environmental medicine

2015 Volume 26, Issue 4 Suppl, Page(s) S63–8

Abstract: Risk of injury in cold environments is related to a combination of athlete preparedness, preexisting medical conditions, and the body's physiologic response to environmental factors, including ambient temperature, windchill, and wetness. The goal of this ...

Abstract	Risk of injury in cold environments is related to a combination of athlete preparedness, preexisting medical conditions, and the body's physiologic response to environmental factors, including ambient temperature, windchill, and wetness. The goal of this section is to decrease the risk of hypothermia, frostbite, and nonfreezing cold injuries as well as to prevent worsening of preexisting conditions in cold environments using a preparticipation screening history, examination, and counseling. Cold weather exercise can be done safely with education, proper preparation, and appropriate response to changing weather conditions.
MeSH term(s)	Cold Temperature/adverse effects ; Exercise ; Frostbite/complications ; Frostbite/prevention & control ; Humans ; Hypothermia/complications ; Hypothermia/prevention & control ; Medical History Taking/methods ; Physical Examination/methods ; Risk Factors ; Sports/physiology
Language	English
Publishing date	2015-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1238909-2
ISSN	1545-1534 ; 1080-6032
ISSN (online)	1545-1534
ISSN	1080-6032
DOI	10.1016/j.wem.2015.09.006
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Article ; Online: Medical Evaluation for Exposure Extremes: Cold.

Fudge, Jessie R / Bennett, Brad L / Simanis, Juris P / Roberts, William O

Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine

2015 Volume 25, Issue 5, Page(s) 432–436

Abstract	Risk of injury in cold environments is related to a combination of athlete preparedness, preexisting medical conditions, and the body's physiologic response to environmental factors, including ambient temperature, windchill, and wetness. The goal of this section is to decrease the risk of hypothermia, frostbite, and nonfreezing cold injuries as well as to prevent worsening of preexisting conditions in cold environments using a preparticipation screening history, examination, and counseling. Cold weather exercise can be done safely with education, proper preparation, and appropriate response to changing weather conditions.
MeSH term(s)	Cold Temperature ; Environmental Exposure ; Frostbite/prevention & control ; Humans ; Hypothermia/prevention & control ; Physical Examination/methods ; Risk Assessment ; Sports ; Wilderness ; Wilderness Medicine ; Wounds and Injuries/prevention & control
Language	English
Publishing date	2015-09
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1062530-6
ISSN	1536-3724 ; 1050-642X
ISSN (online)	1536-3724
ISSN	1050-642X
DOI	10.1097/JSM.0000000000000224
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Article ; Online: Warning symptoms and family history in children and young adults with sudden cardiac arrest.

Drezner, Jonathan A / Fudge, Jessie / Harmon, Kimberly G / Berger, Stuart / Campbell, Robert M / Vetter, Victoria L

Journal of the American Board of Family Medicine : JABFM

2012 Volume 25, Issue 4, Page(s) 408–415

Abstract: Background: Children and young adults with undiagnosed cardiovascular disorders at risk for sudden death may have warning symptoms or significant family history that is detectable through screening. The objective of this study was to determine the ... ...

Abstract	Background: Children and young adults with undiagnosed cardiovascular disorders at risk for sudden death may have warning symptoms or significant family history that is detectable through screening. The objective of this study was to determine the prevalence of warning symptoms and family history in a cohort of children and young adults who suffered sudden cardiac arrest (SCA). Methods: A retrospective survey investigating warning symptoms and family history of cardiovascular disease was completed by families with a child or young adult who suffered SCA. Results: Eighty-seven of 146 families (60%) returned a completed survey. The SCA victims were an average age of 16 years (range, <5-29 years), 69% male, and 68% white. Seventy-two percent of SCA victims were reported by their parents to have at least one cardiovascular symptom before SCA, with fatigue (44%) and near-syncope/lightheadedness (30%) the two most common. Twenty-four percent of SCA victims had one or more (average 2.6; range, 1 to 10) events of syncope or unexplained seizure that remained undiagnosed as a cardiac disorder before SCA. Parents reported that cardiovascular symptoms first occurred, on average, 30 months (range, 19 to 71 months) before SCA; a symptom was brought to the attention of the child's physician in 41% of cases. Twenty-seven percent of families reported a family member had suffered sudden death before age 50 because of a heart condition. Conclusions: Many children and young adults who suffered SCA are reported to have cardiac symptoms or a family history of premature cardiac death. Syncope and unexplained seizure activity are distinct events but often go unrecognized as ominous signs of underlying cardiovascular disease. Physician education and increased public awareness regarding cardiovascular warning signs in the young may improve early detection of those at risk and prevent tragedies.
MeSH term(s)	Adolescent ; Adult ; Cardiovascular Diseases/physiopathology ; Child ; Child, Preschool ; Cohort Studies ; Death, Sudden, Cardiac/prevention & control ; Family Health ; Female ; Humans ; Male ; Medical History Taking ; Primary Prevention ; Retrospective Studies ; Sports Medicine ; United States ; Young Adult
Language	English
Publishing date	2012-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	2239939-2
ISSN	1558-7118 ; 1557-2625
ISSN (online)	1558-7118
ISSN	1557-2625
DOI	10.3122/jabfm.2012.04.110225
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Zs.A 2626: Show issues

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Article ; Online: General Medical Considerations for the Wilderness Adventurer: Medical Conditions That May Worsen With or Present Challenges to Coping With Wilderness Exposure.

Cushing, Tracy A / Roberts, William O / Hackett, Peter / Dexter, William W / Brent, Jeff S / Young, Craig C / Fudge, Jessie R / Hawkins, Seth C / DeLoughery, Thomas G / Thomas, Benjamin J / Tabin, Geoffrey C / Jacoby, Leah E / Asplund, Chad A

Wilderness & environmental medicine

2015 Volume 26, Issue 4 Suppl, Page(s) S20–9

Abstract: Participation in wilderness and adventure sports is on the rise, and as such, practitioners will see more athletes seeking clearance to participate in these events. The purpose of this article is to describe specific medical conditions that may worsen or ...

Abstract	Participation in wilderness and adventure sports is on the rise, and as such, practitioners will see more athletes seeking clearance to participate in these events. The purpose of this article is to describe specific medical conditions that may worsen or present challenges to the athlete in a wilderness environment.
MeSH term(s)	Athletes ; Chronic Disease ; Health Knowledge, Attitudes, Practice ; Humans ; Mental Disorders ; Physical Examination/methods ; Physician-Patient Relations ; Risk Assessment ; Risk Factors ; Sports ; Sports Medicine/methods ; Wilderness
Language	English
Publishing date	2015-12
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1238909-2
ISSN	1545-1534 ; 1080-6032
ISSN (online)	1545-1534
ISSN	1080-6032
DOI	10.1016/j.wem.2015.09.007
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Article ; Online: General Medical Considerations for the Wilderness Adventurer: Medical Conditions That May Worsen With or Present Challenges to Coping With Wilderness Exposure.

Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine

2015 Volume 25, Issue 5, Page(s) 396–403

Abstract	Participation in wilderness and adventure sports is on the rise, and as such, practitioners will see more athletes seeking clearance to participate in these events. The purpose of this article is to describe specific medical conditions that may worsen or present challenges to the athlete in a wilderness environment.
MeSH term(s)	Chronic Disease ; Humans ; Physical Examination ; Risk Assessment/methods ; Safety ; Sports ; Wilderness ; Wilderness Medicine
Language	English
Publishing date	2015-09
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1062530-6
ISSN	1536-3724 ; 1050-642X
ISSN (online)	1536-3724
ISSN	1050-642X
DOI	10.1097/JSM.0000000000000229
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Article ; Online: Cardiovascular screening in adolescents and young adults: a prospective study comparing the Pre-participation Physical Evaluation Monograph 4th Edition and ECG.

Fudge, Jessie / Harmon, Kimberly G / Owens, David S / Prutkin, Jordan M / Salerno, Jack C / Asif, Irfan M / Haruta, Alison / Pelto, Hank / Rao, Ashwin L / Toresdahl, Brett G / Drezner, Jonathan A

British journal of sports medicine

2014 Volume 48, Issue 15, Page(s) 1172–1178

Abstract: Background: This study compares the accuracy of cardiovascular screening in active adolescents and young adults using a standardised history, physical examination and resting 12-lead ECG.: Methods: Participants were prospectively screened using a ... ...

Abstract	Background: This study compares the accuracy of cardiovascular screening in active adolescents and young adults using a standardised history, physical examination and resting 12-lead ECG. Methods: Participants were prospectively screened using a standardised questionnaire based on the Pre-participation Physical Evaluation Monograph 4th Edition (PPE-4), physical examination and ECG interpreted using modern standards. Participants with abnormal findings had focused echocardiography and further evaluation. Primary outcomes included disorders associated with sudden cardiac arrest (SCA). Results: From September 2010 to July 2011, 1339 participants underwent screening: age 13-24 (mean 16) years, 49% male, 68% Caucasian, 17% African-American and 1071 (80%) participating in organised sports. Abnormal history responses were reported on 916 (68%) questionnaires. After physician review, 495/916 (54%) participants with positive questionnaires were thought to have non-cardiac symptoms and/or a benign family history and did not warrant additional evaluation. Physical examination was abnormal in 124 (9.3%) participants, and 72 (5.4%) had ECG abnormalities. Echocardiograms were performed in 586 (44%) participants for abnormal history (31%), physical examination (8%) or ECG (5%). Five participants (0.4%) were identified with a disorder associated with SCA, all with ECG-detected Wolff-Parkinson-White. The false-positive rates for history, physical examination and ECG were 31.3%, 9.3% and 5%, respectively. Conclusions: A standardised history and physical examination using the PPE-4 yields a high false-positive rate in a young active population with limited sensitivity to identify those at risk for SCA. ECG screening has a low false-positive rate using modern interpretation standards and improves detection of primary electrical disease at risk of SCA.
MeSH term(s)	Adolescent ; Death, Sudden, Cardiac/prevention & control ; Echocardiography/methods ; Electrocardiography/methods ; Female ; Humans ; Male ; Physical Examination/methods ; Prognosis ; Prospective Studies ; Sports Medicine/methods ; Syncope/diagnosis ; Wolff-Parkinson-White Syndrome/diagnosis ; Young Adult
Language	English
Publishing date	2014-06-19
Publishing country	England
Document type	Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	600592-5
ISSN	1473-0480 ; 0306-3674
ISSN (online)	1473-0480
ISSN	0306-3674
DOI	10.1136/bjsports-2014-093840
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