Drug-related emergencies in athletes

Drug use among athletes, both amateur and professional, is a problem that will remain with us. Athletes will use the drugs that are considered recreational by the general population as well as some that may help them in their individual sport. Team physicians, coaches, and trainers must be aware of the most frequently used and abused drugs, their side effects, interactions, and emergency management. In addition, they must be aware of their athletes who have a drug-related problem in order to advise them and get appropriate medical help. Remember that an athlete may have a significant drug problem yet continue to function well on the team. Early recognition and intervention may save one or many lives. The following are the responsibilities for coach, trainer, and team physician: (1) know what drugs athletes use and their pharmacology; (2) know one's limitations and how to access community resources; (3) know the laws related to drug/ETOH abuse and treatment; (4) understand the management of acute drug ingestion; and (5) know how to be supportive to the athletes.