Welcome to the September 2016 issue of CJSM.
We begin this month with the publication of an important Position Statement from one of our Affiliate Societies, the American Medical Society for Sports Medicine (AMSSM), on the topic of Cardiovascular Preparticipation Screening in Athletes.
This comprehensive Position Statement represents a new, key information source for clinicians involved in preparticipation cardiac screening. It outlines the evidence base and rationale for this preventative strategy and discusses the controversies surrounding cardiac screening, including the use of electrocardiograms (ECGs).
The Position Statement recognizes that there is no single and universally-acceptable screening strategy for all situations, and encourages clinicians to consider the currently-available evidence for the effectiveness of the practice as a preventative measure in the light of their own patient population and working environment.
It is to be hoped that the AMSSM Position Statement will help clinicians and organizations to design and revise (where necessary) their own effective local screening strategies for their patients.
An accompanying podcast interview with Dr Jonathan Drezner, Lead Author of the Position Statement, will be available shortly and we will also be offering accompanying Continuing Medical Education activity to the Statement within the next few weeks.
The use of screening ECGs is also discussed in an Original Research article this issue, where Fuller and colleagues compared rates of abnormal screening ECGs using older, and more updated criteria in a retrospective and prospective review of screening ECGs for 874 athletes over a 5-year period. The authors found that more recent ECG criteria reduced the 'abnormal ECG' rate, reducing the need for further investigation and the problems associated with this.
Those of us who participate in sports activities will recognize only too well the problems caused by foot blisters. In an Original Research article this issue, Lipman and colleagues present the results of a randomized prevention trial assessing the effectiveness of paper tape in preventing foot blisters amongst endurance athletes and find that this simple preventative measure was able to prevent blisters effectively amongst these athletes.
We bring you a wealth of other interesting Original Research articles, four of which focus on the hot topic of concussion in sport including an article by Stache and colleagues focusing on concussion management practice patterns amongst sports medicine physician members of AMSSM.
We also bring you two Brief Reports, and three Case Reports.
Don't forget to check us out on Twitter (@cjsmonline), Facebook, and on our CJSM Blog with James MacDonald, Emerging Media Editor for the Journal.
Enjoy the issue, with best wishes,
Christopher Hughes MBBS MSc