Concussions around the globe

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Brandenburg Gate, Berlin

How do you get from Bethesda, MD to San Francisco to Berlin all in a month, during the busiest time of your year?

I don’t know — but my good friend Christina Master does.

Dr. Chistina Master is an esteemed colleague from Children’s Hospital, Philadelphia (CHOP), whom I am privileged to see at some medical conferences we both frequent, including the American Medical Society for Sports Medicine (AMSSM) and Pediatric Research in Sports Medicine (PRISM) meetings.   She is an associate professor of clinical pediatrics at the Perelman School of Medicine at the University of Pennsylvania, a prolific researcher, and a busy clinician with a focus on pediatric sports medicine.

She is also an avid runner and, it seems, world traveler.  A definite ‘must follow’ on Twitter if you want to stay up to date on pediatric sports medicine (or just enjoy her many photos of the beautiful trails on which she runs, or the great dining spots she hits on her travels). #OnTheMove may be the hashtag that best describes her!

Not being able to attend any one of the three fantastic meetings she hit this October, I asked her to share with the CJSM readership her reflections on the current state of concussion understanding from around the globe.  What follows are her first hand reports from the proceedings of the National Institutes of Health (NIH) Pediatric Concussion Workshop (Bethesda), the American Academy of Pediatrics (AAP) Council on Sports Medicine & Fitness meeting (San Francisco), and the “Concussion in Sports Group” (Berlin)

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Dr. Christina Master (2nd from left) with some friends from CHOP

October is usually a busy month for concussions with all the fall sports in full swing. This October was also busy for concussions in a different way, with three important meetings focusing on the topic.  In mid October, the NIH convened a Pediatric Concussion Workshop, gathering an interdisciplinary group of researchers, clinicians and stakeholders together in Bethesda, MD to discuss the current state of the evidence in our understanding of pediatric concussion, particularly in those younger than high school.  It was an honor to present along with Bill Meehan and Kevin Guskiewicz among other experts at this workshop.  Topics addressed included Read more of this post

ECG for the PPE? A conversation with Dr. Jonathan Drezner

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Dr. Jonathan Drezner in South Africa. Photo courtesy Alison Brooks.

Highlighting the just-published issue of CJSM is the new American Medical Society for Sports Medicine (AMSSM) position statement on cardiovascular preparticipation screening in young athletes.  The position statement is an invaluable contribution to the ongoing discussion over the pros and cons of adding the ECG to the preparticipation evaluation/examination (PPE) to prevent sudden cardiac death/arrest (SCD/SCA).

Those familiar with this debate will be familiar as well with the lead author of the statement, Dr. Jonathan Drezner. Dr. Drezner is a Professor in the Department of Family Medicine at the University of Washington and a team physician for the Seattle Seahawks of the NFL.  Dr. Drezner has published frequently in our pages, most often on the subjects of the PPE and screening for SCD/SCA.

The debate over the role of ECG in the PPE is one of the more contentious in sports medicine.  We look forward to seeing how the AMSSM statement will contribute to the direction that debate will take.  jsm-podcast-bg-1

You can gain added perspective on the statement and the controversy by listening to our newest podcast — a conversation with Dr. Drezner himself.  You can access the podcast both on iTunes and you can find it on our CJSM website as well.

Enjoy the discussion, and be sure to check out the statement itself, freely available in the 2016 September CJSM.

 

Dietary Supplements in Sports

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Texas — site of upcoming AMSSM annual meeting [Dallas, 4/15 – 4/20]

One of the studies in our March 2016 CJSM which has generated substantial interest is original research from the Department of Military and Emergency Medicine, Uniformed Services University of the USA: “Dietary Supplements: Knowledge and Adverse Event Reporting among American Medical Society for Sports Medicine (AMSSM) Physicians.

The AMSSM, one of our affiliated societies, is having its annual meeting coming up in Dallas April 15 – 20, and we’re looking forward to joining in those proceedings [the official hashtag of the meeting is #AMSSM16 — keep that in mind you Twitter folks].  The physician membership is not infrequently surveyed about a variety of matters of interest to practicing sports medicine clinicians; the results of these surveys often provide invaluable data to researchers who have published in the CJSM pages.

Examples of this include “Concussion Practice Management Patterns among Sports Medicine Physicians” and “Cardiovascular Preparticipation Screening Practices of College Team Physicians.” 

Regarding the study on dietary supplements (DS), the authors looked at a variety of issues.  Of note, they found that majority of survey respondents (71%) reported that athletes under their care had experienced an adverse event associated DS use.

Not all of us who read this blog or subscribe to the journal are AMSSM members, of course, and so I thought it might be time for a poll, asking this very question: have you ever taken care of an athlete who has experienced an adverse DS event?  Please, take the poll, and if you can, send us a comment on this blog identifying the DS, the adverse outcome, and possibly the sport in which your athlete was participating.

We hope to see you in Dallas!

Systematic Review Competition

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Surfer’s Paradise: The venue for this year’s ACSP conference — it really is paradise.

As the Australasian College of Sports Physicians (ACSP) has kicked off, I have been reflecting on the relationship CJSM has with that  organization, as well as the relationship we have with our other affiliated societies: our founding society [Canadian Academy of Sports and Exercise Medicine (CASEM)], the American Osteopathic Academy for Sports Medicine, and the American Medical Society for Sports Medicine (AMSSM). We are so happy to work with this collection of inspiring and influential societies, taking care of athletes and active people around the globe.

One of the current initiatives we have launched to engage members of these societies (especially those in training, the residents, fellows, and registrars of the different organizations) is a 2016 Systematic Reviews competition.

In our January issue, our Executive Editor Chris Hughes announced this competition: ‘We are excited to announce our new Systematic Reviews competition which will run until the end of this year. Authors are invited to submit their systematic reviews on relevant sports medicine topics to CJSM. The authors of the winning systematic review will receive a cash prize of US$1500, and will see their work published in the Journal. Those of you who submit high-quality reviews but who do not quite make the prize will also see their work published in the Journal, so there is a great incentive for everyone to submit your reviews.”

For full instructions, click here.

And for more that’s coming from the 2016 ACSP conference, be sure to follow us on twitter @cjsmonline

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