AMSSM Sports Medcasts

An In-Depth Discussion on Exertional Heat Illness with Dr. Doug Casa and Dr. Fran O’Connor

On this week’s podcast, Dr. Douglas Casa PhD, ATC and Dr. Francis O’Connor MD, MPH, FAMSSM join Dr. Seth Smith MD, PharmD on AMSSM’s Sports Medcast to discuss exertional heat illness with an emphasis on exertional heat stroke.

 

In this conversation, Dr. Casa and Dr. O’Connor will address the following topics:

• What is the basic paradigm for the prehospital care of exertional heat stroke (EHS)?
• How to develop a thorough emergency action plan (EAP) for recognition and management of EHS?
• What steps can be taken to help reduce the occurrence of EHS?
• What future items may be used to help guide return to activity for patients who have suffered an EHS?

 

Dr. Casa is a Professor in the Department of Kinesiology, College of Agriculture, Health and Natural Resources, University of Connecticut where he serves as the Chief Executive Officer of the Korey Stringer Institute.  He leads a team of experts who study sport safety, sudden death in sports, and exertional heat illness/exertional heat stroke.  He has published over 200 peer-reviewed publications/book chapters, presented over 400 times, and has been a lead or co-author on over 15 position/consensus statements on exertional heat illness/sudden death. He is widely recognized as one of the leading authorities worldwide on exertional heat illness.

 

Dr. O’Connor is Professor and Chair, Military and Emergency Medicine and Associate Director for Consortium for Health and Military Performance, Uniformed Services University of the Health Sciences where he leads sports performance and sports medicine research for over 20 years.  He has authored over 75 peer-reviewed publications/book chapters, been on the board of American College of Sports Medicine and former president of the American Medical Society for Sports Medicine. He is a Colonel in the United States Army and graduate of the United States Military Academy at West Point.

 

 

National Athletic Trainers’ Association Position Statement on Exertional Heat Illness

Casa DJ, DeMartini JK, Bergeron MF, et al. National Athletic Trainers’ Association position statement: Exertional heat illnesses. J Athl Train. 2015; 50 (9): 986-1000.

 

Consensus Statement: Prehospital Care of Exertional Heat Stroke

Belval LN, Casa DJ, Adams WM, et al. Consensus statement – Prehospital care of exertional heat stroke. Pre Emer Care. 2018; 22 (3): 392-397.

 

American College of Sports Medicine: Roundtable on Exertional Heat Stroke

O’Connor FG, Casa DJ, Bergeron MF. American College of Sports Medicine roundtable on exertional heat stroke – Return to duty/return to play: Conference proceedings. Curr Sports Med Rep. 2010; 9 (5): 314-321.

Cardiac Concerns in College Sport with Drs. Jon Drezner and Michael Ackerman

What is COVID myocarditis and how strong is the data to create a link between COVID and potential arrhythmias? Was COVID myocarditis the leading factor in the recent decisions of some American athletic conferences to shut-down the fall sports season? What are the criteria to start participation again?

On this episode of the AMSSM Sports Medcast, host Devin McFadden, MD is joined by sports medicine physicians and internationally renowned experts on Sports Cardiology Jonathan Drezner, MD, FAMSSM and Michael Ackerman, MD, who have both been influential in the debate on whether a Collegiate Athletic season can safely occur in the midst of the ongoing COVID-19 Pandemic.

Dr. Jonathan Drezner is a Professor from the Department of Family Medicine and Director of the University of Washington Center for Sports Cardiology, past president of the AMSSM, team physician for the Seattle Seahawks, UW Huskies, and OL Reign and deputy editor of the BJSM. Dr. Michael Ackerman is a Professor of Medicine, Pediatrics, and Pharmacology at the Mayo Clinic College of Medicine and Science. He is the Director of the Windland Smith Rice Genetic Heart Rhythm Clinic and Windland Smith Rice Sudden Death Genomics Laboratory, as well as the president of the Sudden Arrhythmia Death Syndromes (SADS) Foundation.

In this 40 minute conversation Drs. Drezner and Ackerman addressed the following topics:

• What is COVID myocarditis and why is it so concerning?
• How strong is the link between COVID-19 and was this a driving factor in the cancelling of the FALL sports season by some collegiate conferences?
• What metrics need to be satisfied in order to safely return to play, and will that occur this year?

Health and Well Being Considerations for PAC-12 Institutions: Guidance for Local Planning for Return to Sporting Activity https://xs.pac-12.com/2020-08/Pac-12%20Covid-19%20Return%20to%20Play%20Considerations%2008.10.2020.pdf Puntmann VO, Carerj ML, Weiters I. Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19) https://jamanetwork.com/journals/jamacardiology/fullarticle/2768916 Baggish A, Drezner JA, Kim J, et al. Resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes https://bjsm.bmj.com/content/early/2020/06/18/bjsports-2020-102516 Maron BJ, Zipes DP, Kovacs RJ, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: a scientific statement from the American Heart Association and the American College of Cardiology. Copublished in Circulation and the Journal of the American College of Cardiology 2015. https://www.acc.org/~/media/fb92803045d249ae91b715650dd0ebe4.pdf Pelliccia A, Solberg EE, Papadakis M, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). European Heart Journal 2019;40:19.

https://academic.oup.com/eurheartj/article/40/1/19/5248228

AMSSM Journal Club Podcast - Returning to Learning Following a Concussion

In this Journal Club Podcast episode, host Dr. Julia Kammel speaks with Dr. John Leddy about "Returning to Learning Following a Concussion", which was published in Pediatrics.

Original Article:

https://pediatrics.aappublications.org/content/132/5/948

Ketogenic Diet – Fad or Future?

Host Dr. Chris Hicks is joined by AMSSM Past Presidents Dr. John DiFiori and Dr. Jon Divine to discuss the ketogenic diet and how it affects athletes and their performance.

In this entertaining podcast, we will be discussing the following topics:

• What is a Ketogenic Diet?
• What are the ratios of fats, carbohydrates and proteins that define the Ketogenic Diet?
• What does the high-fat content in Ketogenic Diet mean for athletes’ overall health?
• Are there any negatives that accompany this diet?
• Does the Ketogenic diet offer any enhancements in athletic performance?
• What are the overall recommendations for athletes and Ketogenic Diet?

REFERENCES:

Hyun-seung Rhyu, et al. The effects of a ketogenic diet on oxidative stress and antioxidative capacity markers of Taekwondo athletes. Journal of Exercise Rehab. 2014;10(6):362-366.

Seidelmann, Sara B. et al. Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis. Lancet Public Health. 2018(18)2468-2667.

Paoli, Antonio et al. Ketogenic diet does not affect strength performance in elite artistic gymnasts. Journal of the International Society of Sports Nutrition. 2012, 9:34.

Urbain, Paul et al. Impact of a 6-week non-energy-restricted ketogenic diet on physical fitness, body composition and biochemical parameters in healthy adults. Nutrition and Metabolism. 2017, 14:17.

Wilson, Jacob M. et al. The effects of ketogenic dieting on body composition, strength, power and hormonal profiles in resistance training males. Journal of Strength and Conditioning.

Holdsworth, David A. et al. A ketone ester drink increases postexercise muscle glycogen synthesis in humans. Medicine and Science in Sports and Exercise. 2017.

Burke, Louise M. et al. Low carbohydrate, high fat diet impairs exercise economy and negates the performance benefit from intensified training in elite race walkers. J. Physiol 000.00(2017) 1-23.

Should I clear this athlete … with a suspected cardiac abnormality? Prof Sanjay Sharma.

Has the principle of shared decision making in athletes with known cardiac abnormalities placed our athletes, teams, and medical system at risk? Are there situations where accepted medical standards and risk management trump patient autonomy? What further steps can we take to generate the data needed to ensure that the athletes we clear in the future are safe to participate? On this episode of the AMSSM Sports Medcast host Devin McFadden, MD is joined by internationally recognized expert Sanjay Sharma, MD to discuss the risks and benefits encountered while making clearance decisions in athletes with known cardiac abnormalities.

 

Optimizing Athletic Recovery—The Importance of Sleep (Part 2)

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the second of this two-part episode, Krys Bigosinski, MD and Cindy Chang, MD converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care.

Optimizing Athletic Recovery—The Importance of Sleep (Part 1)

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the first of this two-part episode, Krys Bigosinski, MD and Cindy Chang, MD converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care.

Dr. Chang is currently a Clinical Professor in the Departments of Orthopaedics and Family & Community Medicine at UCSF. Prior to this, she has served as president of AMSSM, was the head team physician for UC-Berkeley, and has published many papers and textbook chapters in sports medicine, including co-authoring a chapter titled The Role of Sleep in the Psychological Well Being of Athletes in the book Mental Health in the Athlete: Modern Perspectives and Novel Challenges For The Sports Medicine Provider. She was also active in writing the section on the effect of sleep on mental health in the upcoming AMSSM position statement on Psychological Issues in Athletes.

Journal Club Podcast - Lower GI Distress in Endurance Athletes

Garry Ho, MD joins host Nate Milburn, MD on the Journal Club Podcast to discuss the article on Lower Gastrointestinal Distress in Endurance Athletes.

More information about this article can be found here: https://insights.ovid.com/crossref?an=00149619-200903000-00013

CrossFit: Dangerous Fad or Fitness Panacea?

Few topics in sports draw such universally strong opinions from medical providers as that of CrossFit. Most seem to love or hate it, but are their strong opinions justified? Does current data back-up the concerns many of us have regarding the safety of this sport? What are the common injury patterns that are found? Host Devin McFadden, MD is joined by Sean Rockett, MD and Robert Oh, MD to explore these topics and more on the AMSSM Sports Medcast.

Dr. Sean Rockett is an Associate Professor of Orthopedic Surgery at Tufts University School of Medicine, president of Orthopedics New England and author of 321GoMD.com an injury prevention website for CrossFitters. He is head of the Orthopedic division for the Medical team for The CrossFit Games. Dr. Robert Oh, Sports Medicine physician and CrossFitter for 12 years. He’s the Chief of the Family Medicine Dept at Madigan Army Medical Center and Fellowship director for the Leader and Faculty Development at Madigan.

AMSSM Journal Club: Looking back at 2018

What are your favorite sports medicine research articles from 2018? This week, we are excited to share an AMSSM Sport Medcast hosted by Scott Young, MD and Meghan Raleigh, MD. In this episode, Drs. Raleigh and Young highlight some of the latest and most interesting research from the past year.