Current sports medicine reports
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Curr Sports Med Rep · May 2015
Comparative StudyDifferences between family and emergency medicine training before sports medicine fellowship.
Residency training clearly impacts physicians' approach toward fellowship in Primary Care Sports Medicine. Although the Accreditation Council for Graduate Medical Education sets strict standards for all programs, family medicine and emergency medicine training differ a great deal in general and provide physicians from both backgrounds varied perspectives and skill sets. ⋯ Furthermore, while the emergency physician may be skilled in procedures such as fracture reduction and diagnostic ultrasound, the family physician is proficient in developing patient rapport and compliance with a treatment plan. Although physicians from different backgrounds may start with many differences, fellowship training is essential in bridging those gaps.
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Curr Sports Med Rep · May 2015
Unexpected disasters at organized sporting events: considerations in preparation and response.
Preparing for the unexpected or unusual occurrence is always a challenge. When you add large collections of athletes and spectators, that challenge is certainly magnified, and proper planning and preparation are even more critical in reducing the damage done. The aim of this article is to stimulate thought toward preparing the medical director and staff in being ready to respond to the unexpected disaster at a sporting event.
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Curr Sports Med Rep · May 2015
Medical planning for very large events: Special Olympics World Games Los Angeles 2015.
Mass gathering events that involve special populations have challenges that require unique medical planning. The key to a successful mass event is in the preparation, planning, and communication. Concerns in communication such as language barriers, age of participants, and intellectual disability should be addressed early in the planning. ⋯ The risk of injury to an athlete varies depending on the event and venue. The sporting venue may require special consideration for access to athletes, crowd control, and ingress/egress of medical personnel and transports. In order to ensure safety and efficient care, it is paramount to have the necessary medical planning and preparedness to manage a large-scale sporting event.
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Curr Sports Med Rep · Mar 2015
ReviewThe lost art of whole blood transfusion in austere environments.
The optimal resuscitation fluid for uncontrolled bleeding and hemorrhagic shock in both pre- and in-hospital settings has been an ongoing controversy for decades. Hemorrhage continues to be a major cause of death in both the civilian and military trauma population, and survival depends on adequacy of hemorrhage control and resuscitation between onset of bleeding and arrival at a medical treatment facility. ⋯ The relative austerity of a treatment setting may be a function of timing rather than just location, as life-saving interventions must be performed quickly before hemorrhagic shock becomes irreversible. Fresh whole blood transfusions in the field may be a feasible life-saving procedure when facing significant hemorrhage.