{"id":5743,"date":"2014-02-27T23:24:00","date_gmt":"2014-02-27T22:24:00","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=5743"},"modified":"2014-02-28T09:18:00","modified_gmt":"2014-02-28T08:18:00","slug":"crash-reel-movie-lystedt-zurich-and-sochi-sports-medicine-challenges","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2014\/02\/27\/crash-reel-movie-lystedt-zurich-and-sochi-sports-medicine-challenges\/","title":{"rendered":"“Crash Reel” movie, Lystedt, Zurich and Sochi…Sports medicine challenges"},"content":{"rendered":"

Guest blog by @DMacA – Dr Domhnall MacAuley<\/strong><\/p>\n

\u201cYou cannot do concussion trials in humans.\u201d mused Mike Turner, discussing the Zurich concussion guidelines at a recent conference. (OK, who said why not?)\u00a0 Concussion, he said, causes functional disturbance with no structural damage, nothing to see on imaging, and resolves spontaneously in 7-10 days. It was, he suggested, just like your computer rebooting. But the Zurich guidelines are just as they say, guidelines (http:\/\/bjsm.bmj.com\/content\/47\/5\/250.short) <\/a>with consensus reached from expert opinion based on the best available evidence.<\/p>\n

The Lystedt Law, however, legislation first introduced 2009 in the state of Washington and named after Zackery Lystedt who had a serious brain injury playing football, has been adopted in most states across the US.\u00a0 (http:\/\/www.cdc.gov\/media\/subtopic\/matte\/pdf\/031210-Zack-story.pdf<\/a> ).\u00a0 Legislation, \u00a0guidelines\u2026..or the courts. The message is that concussion is now being taken seriously.\u00a0 It puts\u00a0 doctors in a difficult position of pulling athletes out of competition but its good to see the macho, \u201cplay on\u201d attitude disappearing. And, the athlete should be the last person to make that call.<\/p>\n

Michael Schumacher\u2019s ski related acute traumatic brain injury made international headlines. Others with similar injuries may go unnoticed. Athletes simply slip off the start lists. Few have the courage of Shaun White, the celebrated double gold medallist US snowboarder, who shouldered considerable criticism when he pulled out of the Olympic Slopestyle event on a course he considered too dangerous.\u00a0 But, did you see the photographs (http:\/\/uk.eurosport.yahoo.com\/blogs\/thesochinetwork\/scary-pictures-broken-helmet-show-sochi-dangers-110750900.html<\/a>) \u00a0of the fractured helmet of\u00a0 the Czech Republic rider Sarkar Pancochova, who may have lost a medal but walked away just a little dazed. Briton, Rowan Cheshire, who spent a night in hospital after being knocked out while training for the Ski Halfpipe was badly bruised and amnesic when interviewed a few days later. Plaudits to GB Chief Medical Officer, who was quoted \u201cWith a concussion injury there needs to be a rest period followed by a graduated return to play phase. The time scale is unfortunately too tight for Rowan”. These, and other injuries, must worry the IOC and International Sports Federations.<\/p>\n

As Shaun White copes with the later disappointment of his fourth position in the Halfpipe event in Sochi, it could be worse.\u00a0 Kevin Pearce, his closest US rival, crashed into a coma in a training injury in the lead up to Vancouver Olympic Games in 2010.\u00a0 \u201cCrash Reel\u201d, a recently released documentary (http:\/\/thecrashreel.com\/about-the-film\/) <\/a>tells his story, the tortuous recovery, the angst of his parents, the pivotal role of his brothers. But, it is a true life medical drama illustrating the risk of injury, immediate care, the challenge of rehabilitation, the importance of communication, managing expectations, and the long term medical and personality implications of traumatic brain injury. And, we could all learn lessons from watching our medical colleagues.<\/p>\n

The film also features an appearance by Sarah Burke, the Canadian Freestyle skier who, during the period of filming, died tragically in a training accident. Dara Howell, Canada\u2019s gold medal winner in Sarah\u2019s event in Sochi, dedicated her medal to her memory. If you didn\u2019t catch this documentary in the cinema, buy it. Medicine and sport; often fun, occasionally harmful, sometimes lethal. \u00a0\u201cCrash Reel\u201d, the best sports medicine film ever made?<\/p>\n

\"untitled\"<\/a>Domhnall\u00a0MacAuley<\/strong> is a\u00a0Consultant-Associate Editor at Canadian Medical Association Journal (CMAJ),\u00a0Professor at University of Ulster and\u00a0Sports Medicine Specialist, Family Doctor at Hillhead Family Practice, and has had various Editorial roles at BMJ \u00a0 <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Guest blog by @DMacA – Dr Domhnall MacAuley \u201cYou cannot do concussion trials in humans.\u201d mused Mike Turner, discussing the Zurich concussion guidelines at a recent conference. (OK, who said why not?)\u00a0 Concussion, he said, causes functional disturbance with no structural damage, nothing to see on imaging, and resolves spontaneously in 7-10 days. It was, […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5743","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\n"Crash Reel" movie, Lystedt, Zurich and Sochi...Sports medicine challenges - BJSM blog - social media's leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2014\/02\/27\/crash-reel-movie-lystedt-zurich-and-sochi-sports-medicine-challenges\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\""Crash Reel" movie, Lystedt, Zurich and Sochi...Sports medicine challenges - BJSM blog - social media's leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"Guest blog by @DMacA – Dr Domhnall MacAuley \u201cYou cannot do concussion trials in humans.\u201d mused Mike Turner, discussing the Zurich concussion guidelines at a recent conference. 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