The 1996, 1997, and 1998 Connecticut Nutmeg State Games is a 26-sport athletic event that takes place over 6 to 10 days in July or August in New Haven, Middlesex, and Hartford counties. During the course of 3 years, an average of 8330 athletes have competed each year. Each year the sports-medical coverage at the Nutmeg State Games was coordinated by chiropractors. This article reviews the medical contacts involved in four Games. Art average of 86.33 total medical contacts produced an injury incidence rate of 1.04%. Most of the injuries were minor: sprains and strains (31.50%), contusions (40.33%), and abrasions (11.33%). Most injuries occurred in the lower extremities (51.55%). Most iri juries were treated adequately with ice, compression bandages, adhesive bandages, and basic first-aid supplies. Incidence of injury was higher in contact sports. Soccer (38.20%), basketball (14.45%), and lacrosse (10.39%) reported the most injuries per participant. Coverage of these events requires a proficiency in basic first aid cardiopulmonary resuscitation, and treatment of soft tissue injuries, with an emphasis on lower extremity injuries.