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Sports Medicine Links
 
  • Sports Medicine Fellowship Training: Standard Application and List of Programs in the U.S. and Canada

  • American College of Sports Medicine (ACSM) Team Physician Consensus Conference
    ACSM has facilitated a number of consensus conferences on guidelines for team physicians. A consensus statement is released annually with the general Team Physician Consensus Statement. Other topics include conditioning, sideline preparedness, the female athlete, and mild traumatic brain injury. Unlike ACEP, the ACSM recommendations do not specifically note the strength of evidence backing each recommendation. However, a recommended reading list of current literature accompanies each document, providing a resource for the physician to examine the evidence.

  • Wheeless’ Textbook of Orthopaedics
    A product of the Duke University Department of Orthopaedics, the textbook provides thousands of entries and illustrations. The predominant focus is on basic orthopedics, with an emphasis on surgical intervention. However, non-operative management of musculoskeletal athletic injury is well represented.

    Highlights of WheelessOnline include the ability to search under body part/system or by specific injury, and a comprehensive anatomy review, discussing muscle, bone, and nerve. Another useful feature is links at the end of each section to relevant research and review articles. While not comprehensive enough to serve as the sole reference for primary care sports medicine, it is a user-friendly and clinically solid online reference for any physician involved in musculoskeletal care.

  • Summary and Agreement Statement of the 2nd International Conference on Concussion in Sport, Prague 2004
    There remains a good deal of confusion among physicians (sports medicine and emergency medicine included) regarding the management of mild traumatic brain injury in athletes. The Prague Conference serves as the most agreed-upon resource for the definition and management of concussion.

    This document is an essential read for emergency physicians as well as sports medicine practitioners.  Understanding the pathophysiology of concussion (a functional rather than structural injury), being able to identify it (no loss-of-consciousness required), and eliminating the use of non-validated grading systems (one cannot prospectively grade a concussion) are critical in caring for the athlete in any setting. Having a grasp on the contents of this document will help team physicians guide return-to-play, and will help emergency physicians cut down on unnecessary CT scans.

  • Prehospital Care of the Spine-Injured Athlete - A Document from the Inter-Association Task Force for Appropriate Care of the Spine-Injured Athlete
    This document is a must-read for physicians who work in the emergency department, provide athletic event coverage, or provide medical oversight to EMS. While the emphasis of the monograph (and the evidence cited) favors care in the field, emergency department management of injured athletes wearing protective gear is covered and the recommendations remain solid.

    The document is available as a PDF courtesy of the NATA, and is also available for purchase. Those interested may also purchase a Spine Injury Management Kit from Human Kinetics (www.humankinetics.com) that includes the monograph, video, and poster. Download the monograph at:
    http://www.nata.org/sites/default/files/PreHospitalCare4SpineInjuredAthlete.pdf

  • Inter-Association Task Force on Exertional Heat Illnesses Consensus Statement
    Familiarity with environmental concerns such as heat illness is essential for the practice of emergency medicine. Even if you are not a team physician, you will see heat illness in the ED, as will the EMS you work with.

    This consensus statement reviews pathophysiology, clinical presentation, and treatment of dehydration, heat cramps, exertional heat stroke, and exertional hyponatremia. Of particular note to any physician involved in prehospital care are the treatment recommendations for exertional heat stroke: ice water immersion and delay of transport until core temperature begins to drop.

  • National Collegiate Athletic Association Sports Medicine Handbook
    Updated annually, the NCAA Sports Medicine Handbook provides a concise overview of key topics in the care of intercollegiate athletes. It provides basic guidelines for physicians on subjects such as medical disqualification, weight loss and dehydration, nutrition, concussion, and skin infection. Also discussed are dietary supplements and banned substances, injectable corticosteroids, and administration of medication in the training room.

    This document should be of interest to any physician who works with student athletes. For any physician practicing sports medicine at the college level, this book serves as the basic medical (and medicolegal) foundation. 

  • World Anti-Doping Agency Prohibited List
    Under the guidance of the International Olympic Committee, the WADA was formed in 1998 as an independent agency to "promote and support the fight against doping internationally." Since then it has provided oversight of the Olympic Games, and their Anti-Doping Code (also available for download at their website) has been accepted as a guide for prevention of doping by a number of international agencies. Several US professional sports have adopted their own modified versions of the code and prohibited, while other organizations have attacked it as difficult to enforce.

    The prohibited list is updated annually, and serves as a primer for sports medicine practitioners, team physicians, and others in medicine who wish to help maintain and level playing field. It identifies substances and methods prohibited during training, competition, and in specific sports. Therapeutic list exemptions may be found through a separate link. Further explanation of the prohibited list, its revision timeline, and links to the list may be found at http://www.wada-ama.org/en/prohibitedlist.ch2

  • 36th Bethesda Conference- Eligibility Recommendations for Competitive Athletes with Cardiovascular Abnormalities
    The Bethesda Conference, sponsored by the American College of Cardiology Foundation, is designed to provide prudent eligibility recommendations for trained athletes with identified cardiovascular abnormalities. Through consensus, their panel lists conditions (along with degree of severity) that put the competitive athlete at risk and…

    The document includes recommendations on critical topics such as preparticipation screening and diagnostic testing, and discusses the physiologic changes of the athlete’s heart in response to training. There are specific recommendations available on congenital heart disease, valve disorders, cardiomyopathies, Marfan’s and other connective tissue disorders, hypertension, coronary artery disease, and other cardiac abnormalities. While cautioning most emergency physicians not to make return-to-play decisions on their own in the emergency department, the conference does serve as a reference that may help guide appropriate follow up care.

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