Return-To-Play Concussion Legislation in American States

I woke up yesterday morning and the sun was shining, the earth still turned………

In the grand scheme of things, the event that occurred on Friday was minor, so all was to be expected with the world at large.  But in my little corner of the world—the world of youth sports medicine in Ohio—things may be changing considerably, and soon.

Friday, April 26 marked the day that Ohio House Bill 143, Ohio’s “Return-To-Play” legislation that addresses how youth sports concussions are managed, went into effect.  And some people predict a flood of sorts is coming.

As many American readers of this blog might know, the legislators of Washington State signed into law the “Zachary Lystedt Law” in 2009.  This law, the first of its type, has become a model for other states to follow.  The legislation came into being in response to an event which occurred in 2006, when a middle-school student-athlete named Zachary Lystedt sustained a severe head injury while playing American Gridiron football.  The injury was found to be due, at least in part, to a concussion the young man had sustained earlier in the same game.  His injuries were catastrophic: Lystedt did not die, but he will be disabled the remainder of his life.

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In 2011, Minnesota Governor signing his state’s concussion bill into law.

The Washington State law contained several provisions addressing issues of education and informed consent, but its centerpiece is a requirement that any athlete playing at any level of youth sport who is suspected of having a concussion cannot return to play without an evaluation by a health care professional and a written, signed statement releasing the individual back to his/her sport.  Over the subsequent four years, 42 states, and the District of Columbia, have established similar laws.

Effective Friday, Ohio has become the 43rd state with such a law in place. Read more of this post

Canadian Academy of Sports and Exercise Medicine, Team Physician Development Course

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Olympic Rings, Whislter, B.C.

The Canadian Academy of Sports and Exercise Medicine (CASEM) begins its annual meeting in beautiful Whistler, B.C. tomorrow.  Events have already begun, with the pre-conference Team Physician Development Course, and my good friend and fellow sports medicine colleague, Kate Wiley, M.D. from Calgary has been in attendance.  She provides us with a guest blog entry from Day 1 of the Team Physician course.  Thanks Kate!

Day 1- Team Physician Development Course, Guest Blog, Kate Wiley, M.D.

The sun is going down here in beautiful Whistler BC where I am attending the annual Canadian
Academy of Sports Medicine Meeting. What a gorgeous place to have a sportsmedicine
conference – awe inspiring mountains, alluring wilderness and a playground for the active
individual.

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Lost Lake, B.C.

I have returned from a run along the trails of Lost Lake, and I have been able to reflect upon the day’s lectures.  I am lucky to have some extra time in the day to get in some personal training for the summer’s upcoming triathlon series.  Despite being a “mature” athlete, a “master”, I am always looking to learn how to be more competitive.  I listen to the lectures with my patients foremost in my mind, but, selfishly, I also think about what I can take for my own use.  How can I get a little faster, recover more quickly, stay injury free?

Read more of this post

AMSSM Meeting In San Diego

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Drs. Julie Wilson, William Meehan and Naomi Brown

I am in the San Diego airport on my way back home to Columbus, Ohio, reflecting on my whirlwind trip to #AMSSM13, the 2013 American Medical Society of Sports Medicine Conference that will wrap up tomorrow.

I spent my 24 hours on the ground connecting with colleagues, attending an Editorial Board Meeting of the Clinical Journal of Sports Medicine, and catching some great talks this morning, three of which I’d like to profile in this post.

Dr. Julie Wilson, from Nationwide Children’s Hospital, and Drs. William Meehan and Naomi Brown, from Boston Children’s Hospital, all presented very interesting research on different aspects of concussion. Their research abstracts are among the collected abstracts of the AMSSM Research Presentations that can be found in the March 2013 edition of CJSM.

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Reaction Time Device

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Public Health and Sports Medicine

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San Diego at night

I am in the Columbus airport on my way to San Diego for the AMSSM Meeting and I’m excited. OK, truth:  I’m on the ground in Columbus and ‘weather’ is preventing our flight taking off to Chicago, where I will, in theory, get my connecting flight to San Diego. And that’s not too exciting.

But, the meeting:  the research abstracts to be presented at the meeting look great, and I’ll be blogging about the event more in the next several days (if I make it there………)

My mind is still thinking of the events that occurred at the Boston Marathon three days ago, and I am looking forward to the London Marathon this weekend, which I hope goes off without a hitch.  I continue to read stories of the heroism of the Boston medical community, from the professionals in the finish line medical tent to the nearby hospitals, where the trauma was nearly overwhelming.  And I have read sobering stories, from the litany of terrorist events that have impacted sport to the analyses that suggest planning for marathons, the ‘most democratic of sporting events,’ may be irrevocably changed.

Many of us in sports medicine are involved in on-site game coverage, including the coverage of mass events, and the roles we play in these venues are, indisputably, exceedingly important.  For some of us, this is our core professional mission.  For me, it is a secondary role.  Most of my days and evenings are spent in clinic, seeing patients referred to me, or teaching students and trainees, or in pursuing medical research.  Nights and weekends will then find me at times covering a basketball or American football game at Bexley High School or Ohio Dominican University.  Over the years I have found myself covering mass events in the medical tents at the Big Sur Marathon, San Jose Half Marathon, the Big Kahuna Triathlon, local wrestling tournaments, and the Boston Marathon.

The Clinical Journal of Sports Medicine has published articles in the recent past on mass event coverage and prevention of illness in athletes, and I commend them to you for your consideration. Read more of this post