Council on Scientific Affairs, American Medical Association, Chicago, IL.
J Athl Train. 1999 Jul;34(3):272-6.
In June 1997, the American Academy of Pediatrics introduced a resolution asking the American Medical Association (AMA) to support efforts to place certified athletic trainers in all secondary schools. The AMA Council on Scientific Affairs studied that resolution and presented this report to the AMA House of Delegates in June 1998.
To identify the professional responsibilities, educational requirements, and current use of certified athletic trainers in the prevention and care of high school sports injuries.
MEDLINE and HealthSTAR databases were searched for English-language articles published from 1980 to 1998. Additional references were derived from references in pertinent articles, communication with experts, and the Internet sites of athletic training and sports medicine associations.
One in 5 of approximately 6 million adolescents who participate in high school sports each year sustains a sport-related injury. Most of these injuries are minor and occur during practices rather than competitions. Approximately 1 of every 100000 high school athletes will sustain a catastrophic injury. About 35% of US high schools use the services of a certified athletic trainer, who, under a physician's supervision, is responsible for the prevention and care of athletic injuries and coordination of the school athletic health program.
CONCLUSIONS/RECOMMENDATIONS: Emphasis should be given to ensuring the health, safety, and well-being of participants in high school sports. Whereas most high school sports injuries are minor, adequately trained personnel should be present on site to ensure that such injuries are recognized early, treated immediately, and allowed to heal properly, thereby reducing the risk of more serious injury or reinjury. For such care, team physicians and coaches should have the assistance of a certified athletic trainer.
1997 年 6 月，美国儿科学会提出一项决议，要求美国医学会（AMA）支持在所有中学配备认证运动训练师的努力。美国医学会科学事务理事会研究了该决议，并于 1998 年 6 月向 AMA 代表大会提交了这份报告。
确定认证运动训练师在预防和治疗高中体育损伤方面的专业职责、教育要求和当前使用情况。
检索了 1980 年至 1998 年发表的英文文章的 MEDLINE 和 HealthSTAR 数据库。从相关文章的参考文献、与专家的交流以及运动训练和运动医学协会的互联网网站中获得了其他参考文献。
每年约有 600 万参加高中体育的青少年中，有 1/5 遭受与运动相关的伤害。这些损伤大多数是轻微的，发生在练习而不是比赛中。每 10 万名高中生中约有 1 人会遭受灾难性的损伤。约 35%的美国高中使用认证运动训练师的服务，他们在医生的监督下，负责预防和治疗运动损伤以及协调学校运动健康计划。
结论/建议：应重点确保参加高中体育的参与者的健康、安全和福祉。虽然大多数高中运动损伤是轻微的，但应在场有足够训练的人员，以确保及早识别此类损伤，立即进行治疗，并允许其适当愈合，从而降低更严重的损伤或再损伤的风险。为此，团队医生和教练应得到认证运动训练师的协助。
