Traumatic Bowel Perforation in an Athlete
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Abstract:
Bowel perforations are incredibly rare in athletics. However, athletic trainers must be mindful of a suspected traumatic bowel perforation and be prepared to not only refer accordingly but to advocate for their athlete/patient. This presentation will identify what a bowel perforation is, mechanism of injury, signs and symptoms associated with the injury, and the statistics associated with delayed diagnosis and mortality rate. It will also touch on return to activity and any increased risks associated with this injury as it relates to the case I encountered which spurred my interest in the topic.
Impact on Athletic Training: A bowel perforation is incredibly rare in athletics. It is not something heavily studied in the world of athletic training. It can present hours or days after initial injury, and while delayed identification often occurs, this delay also comes with a significant increase in complications, morbidity, and patient mortality. Attendees of this presentation will be equipped with a better understanding for this rare but incredibly dangerous injury that can occur in athletics at any level.
Objectives:
- Participants will be able to learn the pathology and possible secondary mechanisms associated with a traumatic bowel injury due to trauma.,
- Participants will be able to recognize the etiology, signs, and symptoms of a potential bowel injury due to trauma.,
- Participants will be able to apply the knowledge gained in this presentation to your present day medical practice.,
- Participants will be able to justify advocating for a patient with a suspected bowel injury due to trauma.
Level:
Advanced
Domains:
Domain 2: Assessment Evaluation and Diagnosis
Domain 3: Critical Incident Management
Domain 4: Therapeutic Intervention
CEUs:
1.0 Category A
Keywords: traumatic bowel injury, perforated, complications, trauma, bowel perforation, symptoms, diagnosis
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Courses registered for after February 5, 2025, must be completed by December 31, 2025, at 11:59 p.m. CST.
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James Galdieri, MS, LAT, ATC
James (Jayme) Galdieri is in his sixth year as a member of the ESU athletic training staff after joining the Warriors in August 2017. His sport responsibilities include Football, Baseball, Golf, Men's Cross Country, Women's Cross Country, Tennis, and Swimming. He also serves as a preceptor for the University’s Athletic Training Education Program.
Galdieri comes to ESU from the Geisinger Health System, where he was contracted to Misericordia University since January 2006. From 2012 until his departure, he served as the head athletic trainer for the football program. He had also been a preceptor through King's College. He was twice named Athletic Trainer of the Year at Geisinger Wyoming Valley, in 2010-11 and 2014-15, and was named Geisinger Health System Employee of the Month in August 2007. He also coordinated community outreach events for the sports medicine department. Galdieri has been involved with Special Olympics Pennsylvania as a medical volunteer since 2002, and has been an athletic training coordinator for the organization’s Summer Games since 2012. In the Summer of 2022, Jayme served as the Medical Director for Team Pennsylvania and traveled with them to Orlando for the 2022 Special Olympics USA Games. He is a 2005 graduate of King's College with a Bachelor of Science degree in Athletic Training. He obtained his Master's degree in Health Care Administration in 2009, again from King’s College. In 2019 he obtained a graduate certificate in Sports Psychology from the California University of Pennsylvania. Most recently he received his certification as a Corrective Exercise Specialist (CES) through the National Academy of Sports Medicine (NASM) in 2022.
Galdieri resides with his family in the Wyoming Valley.