Kane Steven M, White Richard A
Department of Orthopaedic Surgery, Atlanta Medical Center, 303 Parkway Drive NE, Box 442, Atlanta, GA 30312, USA.
Clin Orthop Relat Res. 2009 Feb;467(2):412-9. doi: 10.1007/s11999-008-0589-5. Epub 2008 Nov 7.
More individuals are participating in athletics today than ever before. Physicians treating athletes confront unique diagnostic and treatment challenges and an increased risk of legal liability. The key areas regarding liability are preparticipation examinations, determination of eligibility, evaluation of significant on-field injuries, and information disclosure. The issues surrounding preparticipation physicals and determination of eligibility are closely linked. Physicians must be prepared to seek guidance from specialists, particularly when there are cardiac, spinal, or neurologic issues. Appropriate on-field evaluation of potential concussions, spinal injuries, and heat stroke are key areas of concern for the physician. Privacy issues have become more complex in the age of federal regulation. Physicians and all athletic staff should be aware of privacy laws and ensure proper consent documentation is obtained from all athletes or their parents. All athletic programs should develop a plan that details roles and procedures to be followed in a medical emergency. Sports caregivers must take affirmative steps that better protect their patients from harm and physicians from legal liability.
如今，参与体育运动的人比以往任何时候都多。治疗运动员的医生面临着独特的诊断和治疗挑战，以及法律责任风险的增加。责任的关键领域包括赛前检查、资格确定、重大场上伤病评估和信息披露。围绕赛前体检和资格确定的问题紧密相连。医生必须准备好向专家寻求指导，尤其是在出现心脏、脊柱或神经问题时。对潜在脑震荡、脊柱损伤和中暑进行适当的场上评估是医生关注的关键领域。在联邦监管时代，隐私问题变得更加复杂。医生和所有体育工作人员都应该了解隐私法，并确保从所有运动员或其父母那里获得适当的同意文件。所有体育项目都应该制定一个计划，详细说明在医疗紧急情况下应遵循的角色和程序。体育护理人员必须采取积极措施，更好地保护他们的患者免受伤害，并保护医生免受法律责任。
