Medical ethics clashes with team priorities Jose Mourinho’s actions in criticising Dr Eva Carneiro and physiotherapist Jon Fearn for attending an injured player on the pitch at Chelsea must be vigorously challenged. The General Medical Council’s ‘Good Medical Practice’ states that the doctor must make the care of the patient the first concern and take prompt […]
Category: Debates
Guest post by @DrJohnOrchard. On Andre Villas-Boas, the unreasonable pressure on coaches/managers, and why player health should be in clinicians’ hands
A month is a long time in football On November 21st, I was one of three sports physicians who wrote a Blog at BJSM on the topic of concussions in football & managerial interference in medical decisions. I tried to assess the risks involved for all of the participants in the Hugo Lloris concussion […]
Guest Blog @PeterBrukner SOME FURTHER THOUGHTS ON THE HUGO LLORIS CONCUSSION INCIDENT
(A full version of the Daily Mail publication, page 75, November 7). The Daily Mail @DailyMailUK is doing a tremendous service to improve concussion awareness and player management. Kudos Daily Mail. Now that the dust (if not Hugo Lloris’ scrambled brain) has settled on the Spurs keeper’s knock to the head on Sunday, let’s review […]
A responsible key-holder: is it time for legislation on medical provision for athletes at the sports ground?
Sport and Exercise Medicine: The UK trainee perspective (A BJSM blog series) By Stefan Kluzek and Rose Penfold UK sports grounds typically have a stock of emergency medications, supplied and prescribed by a club doctor. Recently, a physiotherapy colleague told me that Professional Sport Association pitch- side trainers informed her that medications, especially emergency medications, should […]
Applicability of muscle injury classification system in The Munich Consensus Statement? (Letter to the Editor)
By Drs. Del Buono, Best and Maffulli Letter to the Editor In response to: Terminology and classification of muscle injuries in sport: The Munich consensus statement. Mueller-Wohlfahrt HW, Haensel L, Mithoefer K, Ekstrand J, English B, McNally S, Orchard J, van Dijk CN, Kerkhoffs GM, Schamasch P, Blottner D, Swaerd L, Goedhart E, Ueblacker P. Br J Sports […]
BJSM Social Media Contributes to Health Policy Re-Think: A success story in Hertfordshire
By Christine Neyndorff and Dr. Richard Weiler There was an unprecedented response following our last BJSM blog to the draft consultation for the Hertfordshire Health & Wellbeing Board strategy for the coming years. The remarkable response following this BJSM blog deserves an update (thanks Ed.). We also wanted to thank everyone for their contributions. The original […]
CT scans and X-rays increase risk of cancer – changing the goal posts in sports medicine
By John Orchard and Jessica Orchard Two jaw-dropping papers from The Lancet 1 and BMJ 2 published in the past month should have a major effect on the practice of sports medicine. They have clearly demonstrated that radiating scans in young people actually do lead to an increased risk of cancer later in life. Perhaps until […]
Return to play decision making – Reducing clinician ‘personality bias’ with a call for objective clinical testing
Guest blog by Phil Coles (@PhilColesPhysio) Making the decision of when an athlete should return to play after an injury is one of the most challenging parts of a sports clinician’s role. This is especially so when working with professional sporting teams, where the pressures can be immense. Ideally, a clear decision making process should […]
Closing soft tissue wounds rapidly at pitchside – A role for metal skin staples without anaesthesia?
Guest Blog by Drs Christopher Fowell and Phillip Earl *Please also see the commentary from @DrJohnOrchard on this blog here * You can vote on whether you think metal staples are a good idea via the BJSM ‘Current Issue’ page here: You are working pitchside and your player receives a facial laceration. What are […]
The legality of Pistorius: why ethics is more relevant than biomechanics. Guest blog @DrJohnOrchard
by @DrJohnOrchard I’m pleased to see Professor Lippi’s opinion piece on Oscar Pistorius in BJSM’s Online first [1], as it is a very important topic and the BJSM is a very appropriate forum to publish on this debate. Much of the article is a good neutral overview of the parameters of this debate. However I […]