Emergency action plans are key components of team and event care. Fortunately life threatening emergencies are relatively rare in the healthy athletes most of us care for on the sidelines and at events. But when an emergency occurs, an established and well-rehearsed plan works best. The Anyone Can Save a Life program (http://www.anyonecansavealife.org/) is free for you to use at your schools and has a formula for establishing an action plan that involves the student athletes. The assumption underlying the program is that the most likely emergency victim will be the coach and if the coach goes down without trained responders (the student-athletes), the outlook is grim. Similarly, if a student athlete collapses with only the coach and no team to respond, a favorable outcome will be less likely. One of the event practices many of us who provide on-site care have adopted is the simple question, "Where is the AED located for this site?" An AED does little good locked in an inaccessible administrator's office or storage locker. For starters check out the invited commentary entitled, "In Place But Not Always Used: Automated External Defibrillators in Amateur Football."
The May/June 2017 issue of Current Sports Medicine Reports covers sideline and event management and training, prevention, and rehabilitation topics, in addition to our regular columns and commentaries. Additionally, this issue contains two important Special Communications, "Psychological Issues Related to Illness and Injury in Athletes and the Team Physician: A Consensus Statement – 2016 Update" and "Call to Action Investigating Regenerative Medicine Therapies in Pediatric/Adolescent Sports Injuries." What seems to be promising interventions in adults does not have the science foundation to extrapolate to child and adolescent athletes. Sometimes it is difficult to reign in the urge to jump on board before the science warrants. We also are launching the new FIMS International Perspectives column, which will be a feature in every issue as part of our publishing partnership with the International Federation of Sports Medicine. The title of the column is "Make Sport Great Again: The Use and Abuse of the TUE Process."
The 2017 Sideline and Event Management section, recruited by new Section Editor Pierre A. D'Hemecourt, MD, FACSM, features section articles that address pre-marathon evaluations and the role for runner pre-race medical screening; coordinating marathon medical teams using a command post administrative structure; and patient presentations and medical logistics at 140.6 mile and 70.3 mile distance triathlons.
When exploring the Training, Prevention, and Rehabilitation segment recruited by Section Editor Jonathan T. Finnoff, DO, FACSM, you will learn the latest about core training with Pilates for low back disorders; prevention and rehabilitation of proximal hamstring tendinopathy; ACL injury return-to-play, function, and long-term considerations for athletes; and the common mechanisms and treatments for shoulder injuries in overhead throwing athletes. You won't want to miss the two case reports in this section either. The first case looks at ultrasonic percutaneous tenotomy for recalcitrant triceps tendinosis in a competitive strongman. The second case report looks at a bedside ultrasound diagnosis of quadriceps tendon rupture and avulsed patella.
The Clinician Profile features James Glazer, MD, FACSM, who is the director of Sports Medicine at Memorial Hospital in North Conway, New Hampshire and has been an ACSM member since 2002. Pearls and Pitfalls looks at thunderstorm asthma, relative anemia, and football carnage; Scanning Sports Medicine covers the latest clinical research published by the American College of Sports Medicine; and Web Alerts reviews several interesting Web sites that may help your practice. CAQ Review covers brachial plexopathy and Clinical Pearls explains how to apply the four pain rules to running participation to determine when it is and isn't safe to run.
This issue comes to you just before the 64th ACSM Annual Meeting featuring the 8th World Congress on Exercise is Medicine® and the World Congress on the Basic Science of Exercise and the Brain. We hope to see you in Denver as the meeting starts following the Memorial Day weekend.
William O. Roberts, MD, MS, FACSM