| Servicios medicos durante la Olimpiada: un reto enorme |
Medical services at the Olympics: a monumental challenge.
Amiri N, Chami G.
CMAJ. 2010 Mar 23;182(5):E229-30. Epub 2010 Feb 8.
For years, Canadians have been regaled with ongoing tales about the challenges of staging the 2010 Winter Olympics in Vancouver, British Columbia, from Feb. 12-28. Can the roads handle the anticipated surge in traffic? Can the city fulfill the social pledges that helped it win the bid in the first place? Will security be adequate? Will there be snow in Whistler?
Rarely, though, has the attention been focused on the monumental task of organizing and providing health and medical services for the anticipated 5500 Olympians and officials, 1350 Paralympians, 10 000 media representatives, 25 000 volunteers, along with the untold tourists who will descend on the province.
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| Tratamiento de los atletas con concusión |
Management of the athlete with concussion.
Su JK, Ramirez JF.
Perm J. 2012 Spring;16(2):54-6.
Abstract
The approach to and management of the athlete with concussion can be a challenging endeavor to physicians who care for athletes who have suffered a head injury-this group includes family physicians, pediatricians, internists, emergency medicine physicians, primary sports medicine physicians, orthopedic surgeons, neurologists, and neurosurgeons. Sometimes questions regarding the need for neurologic, psychological, or radiographic imaging can make the decision for return to play unclear. New legislation will undoubtedly increase physician visits for these athletes to return to play. Thus, the goal of this article is to review the latest guidelines regarding concussion management to help all physicians who care for athletes do so appropriately.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3383163/?tool=pubmed
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| Lesiones médicas deportivas en los atletas juveniles: manejo de emergencia |
Medical sports injuries in the youth athlete: emergency management.
Merkel DL, Molony JT Jr.
Int J Sports Phys Ther. 2012 Apr;7(2):242-51.
Abstract
As the number of youth sports participants continues to rise over the past decade, so too have sports related injuries and emergency department visits. With low levels of oversight and regulation observed in youth sports, the responsibility for safety education of coaches, parents, law makers, organizations and institutions falls largely on the sports medicine practitioner. The highly publicized catastrophic events of concussion, sudden cardiac death, and heat related illness have moved these topics to the forefront of sports medicine discussions. Updated guidelines for concussion in youth athletes call for a more conservative approach to management in both the acute and return to sport phases. Athletes younger than eighteen suspected of having a concussion are no longer allowed to return to play on the same day. Reducing the risk of sudden cardiac death in the young athlete is a multi-factorial process encompassing pre-participation screenings, proper use of safety equipment, proper rules and regulations, and immediate access to Automated External Defibrillators (AED) as corner stones. Susceptibility to heat related illness for youth athletes is no longer viewed as rooted in physiologic variations from adults, but instead, as the result of various situations and conditions in which participation takes place. Hydration before, during and after strenuous exercise in a high heat stress environment is of significant importance. Knowledge of identification, management and risk reduction in emergency medical conditions of the young athlete positions the sports physical therapist as an effective provider, advocate and resource for safety in youth sports participation. This manuscript provides the basis for management of 3 major youth emergency sports medicine conditions.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3325640/pdf/ijspt-07-242.pdf
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| ¿Los Juegos Olímpicos y la reducción de daños? |
The Olympics and harm reduction?
Kayser B, Broers B.
Source
Institute of movement sciences and sports medicine, University of Geneva, 10, rue du Conseil Général, 1205, Geneva, Switzerland.bengt.kayser@unige.ch.
Harm Reduct J. 2012 Jul 13;9(1):33.
Abstract
ABSTRACT: The current anti-doping policy ('war on doping') resembles the 'war on drugs' in several aspects, including a zero-tolerance approach, ideology encroaching on human rights and public health principles, high cost using public money for repression and control, and attempts to shape internationally harmonized legal frameworks to attain its aim. Furthermore, even if for different reasons, both wars seem not to be able to attain their objectives, and possibly lead to more harm to society than they can prevent.The Olympic buzz is mounting and we can expect multiple headlines in the media on doping and anti-doping stories related to this event. In this article we describe current anti-doping policy, reflect on its multiple unplanned consequences, and end with a discussion, if lessons learned from harm reduction experiences in the illicit drugs field could be applied to anti-doping.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3398855/pdf/1477-7517-9-33.pdf
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| Efectos cardiovasculares del ejercicio |
Cardiovascular benefits of exercise.
Agarwal SK.
Agarwal Health Center, East Orange, NJ, USA.
Int J Gen Med. 2012;5:541-545. Epub 2012 Jun 22.
Abstract
Regular physical activity during leisure time has been shown to be associated with better health outcomes. The American Heart Association, the Centers for Disease Control and Prevention and the American College of Sports Medicine all recommend regular physical activity of moderate intensity for the prevention and complementary treatment of several diseases. The therapeutic role of exercise in maintaining good health and treating diseases is not new. The benefits of physical activity date back to Susruta, a 600 BC physician in India, who prescribed exercise to patients. Hippocrates (460-377 BC) wrote "in order to remain healthy, the entire day should be devoted exclusively to ways and means of increasing one's strength and staying healthy, and the best way to do so is through physical exercise." Plato (427-347 BC) referred to medicine as a sister art to physical exercise while the noted ancient Greek physician Galen (129-217 AD) penned several essays on aerobic fitness and strengthening muscles. This article briefly reviews the beneficial effects of physical activity on cardiovascular diseases
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3396114/pdf/ijgm-5-541.pdf
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