Consensus Statement on Concussion in Sport – the 4th International Conference on Concussion in Sport. Video introduction by Dr Willem Meeuwisse

Following on from the AMSSM Position Statement on Concussion in Sport published in the last edition of CJSM, this month sees the publication of the latest Consensus Statement on Concussion in Sport from the 4th International Conference on Concussion in Sport held in Zurich in November 2012.

The 4th Statement takes into account the most up-to-date research on the topic of concussion in sport, and is accompanied by the new Sports Concussion Assessment Tool (SCAT3), Child SCAT, and the Concussion Recognition Tool (CRT) for patients and parents. Printable copies of the new tools can be downloaded via the links provided on the CJSM website.

In this video, Concussion in Sport Group Member Dr Willem Meeuwisse, former Editor-in-Chief of the Clinical Journal of Sport Medicine, presents an introduction to the new statement and discusses the main new features therein including the new SCAT3, child SCAT3 and Concussion Recognition tools.

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CJSM on your iPad – New CJSM iPad App

Freely available from the Apple iTunes store, the CJSM iPad app finally allows readers to download and read the journal on the iPad format. The app optimizes the best in digital technology to enhance a print-like reading experience with seamless multimedia integration, easy navigation and more.

Once editions are downloaded, they can be read offline and subsequently stored on your iPad or archived for future downloading should you wish to view in the future.

The iPad version of the journal is written in an intuitive format, and allows readers to read the journal in a similar way as if reading the hard copy using horizontal swipe motion to access different articles, and vertical swipe motion to advance pages within a particular article. In addition, there is a menu access which allows direct access to individual articles or pages within articles, together with a menu bar access at the bottom of the page which appears on tapping the page.

Articles may be favourited and added to your favourites list. Article links can easily be emailed to colleagues by using the mail icon next to the article presentation bar, and corresponding authors can be emailed directly by tapping the underlined email links at the bottom of each article.

Text size is easily adjustable by using the pinch and zoom feature. In addition, there will be more exciting multimedia content including videos, images, and supplements as these become available which will bring your edition of CJSM to life.

Supplemental data will be available by via links to the main CJSM website.

You can currently enjoy limited-time complementary access to download and view journal content using the CJSM iPad app without a sign-in.

The app is available via the link at the iTunes website. Give it a try, and don’t forget to let us know what you think of it.

2012 Olympics – the author’s experience

Things have been particularly busy for myself and for around 70,000 other Games Maker volunteers  working at London 2012 during the last few weeks, and I thought I’d share some of my experiences with you.

Having never been involved in an Olympics before, London 2012 represented  a wonderful opportunity for me and for many others to become a part of the numerous medical teams providing care for the Olympic athletes and their support staff.

My journey to the Games began, like that of many others, with an application process over a year ago and involved submitting an online application to the Games Maker website where information about previous experience and qualifications was sought. Following this, prospective volunteers were selected for interview, and I was one of the lucky ones to be given the chance to shine. This was a fairly straightforward process, and following this I was selected to become a member of one of the medical teams.

I was initially scheduled to be providing medical care for the triathlon and road cycling, but following a conversation with some of the senior medical staff and after some arm twisting, I found myself in my preferred, familiar position as part of the field-of-play team providing medical care for the soccer tournament.

After finding out about my placement, I attended role-specific training and then further venue-specific training at my main venue, Wembley Stadium in London, where the finer points of the aspects of medical care provision specific to that venue were detailed.

In addition to providing care at Wembley on match days, I was also one of those responsible for providing medical care at several soccer training venues throughout London. These venues were situated in a number of different locations within easy reach of the Olympic Village, and were well prepared and stocked with all of the equipment necessary for providing an excellent standard of immediate medical care.

Most of the soccer teams had physiotherapy and medical support within their ranks, and the job of the football medical support team was mainly to provide additional support as necessary, including emergency medical support for serious injuries.

Shift times at the various venues were varied, as was the skill-mix and team members on each day, although there was continuity with the team leaders at the main venue.

On each match day, following familiarisation and a daily orientation and planning meeting, the field-of-play team practised on-pitch and pitch-side management including immediate medical management and retrieval, simulating various scenarios including the unconscious patient with suspected spinal cord injury, cardiac arrests, head injuries and major limb injuries.

Following each of the events, a debriefing session was held where aspects of the care provided that day were discussed, and lessons were learned where they needed to be learnt.

Memorable points for me were the friendliness and camaraderie of the members of the field-of-play team and the other volunteers, the enthusiastic and overwhelmingly positive crowds, and the high-quality of soccer on show from both the mens’ and womens’ teams.

The final matches for both events attracted over 86,000 spectators, and were particularly memorable for the medal ceremonies afterwards.

Although I didn’t get to see the Olympic Park or to the polyclinic in person, I was fortunate enough to speak to several other medical colleagues based at these venues and they all commented on what a fantastic experience the Games had been for them, and how well organised the medical care was throughout the many different venues.

All-in-all, this was a magical event in which to be involved as a Sports Physician. I made new friends, learned some useful medical tips and hints, saw some excellent quality soccer, and had fun. The key word for me throughout the events was teamwork, and this really shone through from the field-of-play team.

Now for the 2012 Paralympics starting on the 29th of August, where an estimated 4,200 athletes will be competing in 503 events in 21 different sports.This will be the biggest Paralympic games in history, and this time I’ll be looking forward to relaxing whilst spectating rather than providing medical cover at the events.

Pictures :

Top – the author at Wembley prior to game-time ; Middle – Wembley Stadium ; Bottom – Field-of-Play team practising pitch-side retrieval

The Greatest Show on Earth gets off to a flier – London 2012 Olympics Opening Ceremony

And so to the Games of the XXX Olympiad – London 2012. The self-styled ‘Greatest Show on Earth’ was declared open by Her Majesty Queen Elizabeth the Second following a spectacular opening ceremony culminating in a fireworks display.

Having been shrouded in secrecy prior to the opening night, there had been much debate and rumour as to the nature of the ceremony, and in particular who would be lighting the cauldron. Danny Boyle, a local resident to Olympic Park and perhaps more famous for his movies including blockbusters such as Slumdog Millionaire, was tasked as artistic director of the opening ceremony. His previous experience as a theatre director was probably more relevant and useful to his role in shaping the vision for the ceremony, and this was conducted with a British flavour and sense of humour.

 

Watched by billions of people around the World, the so-called ‘Isles of Wonder’ ceremony was a triumph. Particular highlights for me included the forging of the Olympic rings during the Industrial Revolution sequence,  the dancing doctors and nurses section highlighting the important role of the NHS and the work of the World-famous pediatric hospital Great Ormond Street, Mr Bean and the ‘Chariots of Fire,’ a skydiving James Bond and ‘Her Majesty the Queen,’ the historical walk through Britain’s music, and a quite beautiful sequence of the lighting of the Olympic cauldron which was performed by seven young future Olympic hopefuls – each sponsored by a British Olympic medalist. The cauldren itself was made up of 204 copper petals representing the number of competing Nations in the Games.

The vast majority of the performers during the Ceremony were Games Maker volunteers, and the diversity of representation made the overall performance very special, as this truly was an inspired welcome from the British people to the World.

Now the serious business of the Games themselves begins. There have already been some powerful performances, including a World record for Kiwi rowing men’s pair Hamish Bond and Eric Murray who demolished the previous World’s best time held by Great Britain rowers Matthew Pinsent and James Cracknell by almost 6 seconds – a huge margin in this event.

On a sadder note, the first doping offences of the Games have already led to withdrawals for two athletes. World indoor High Jump Champion, Dimitris Chondrokoukis, one of Greece’s top hopes for an athletics medal, tested positive for stanozolol. Although he denies ever taking this substance, he withdrew himself from the team. In addition, Hungary’s 2004 Olympic silver medallist Zoltan Kovago refused to take an out-of-competition test. Kovago becomes the second Hungarian discus thrower this year to commit a doping offence, following the news of Robert Fazekas testing positive.

Hopefully, these will be the first and last doping offences of the Games, and the Spirit of the Olympic Games will prevail.There is much to look forward to, and the host Nation, Great Britain, is hoping for a record haul of medals.

Alongside many other medical Games Maker volunteers, I will be working together with my colleagues to provide medical support for the athletes during the Games. This is a great opportunity for Sports Physicians in the UK to be involved with the provision of care during a home Games, and one that I am looking forward to relishing.

The last word on the Games here goes to Baron Pierre de Coubertain, second  President of the International Olympic Committee from 1896-1925, who said that “The most important thing in the Olympic Games is not winning but taking part; the essential thing in life is not conquering but fighting well.”

Enjoy London 2012.

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