Tonino Pietro M, Bollier Matthew J
Department of Orthopedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL, 60153, USA.
Phys Sportsmed. 2004 Feb;32(2):37-40. doi: 10.3810/psm.2004.02.123.
Football has the highest injury rate among high school sports, yet few studies have assessed medical staffing of high school games and practices.
To gather information from Chicago public high schools to evaluate medical supervision of varsity football games and practices.
Athletic directors of all 77 Chicago public high schools were faxed questionnaires to complete. If questionnaires were not returned, investigators called athletic directors, and the survey was then completed over the telephone and the results tallied.
A total of 59 (76.6%) of the surveys were completed by the schools. Of the 47 schools with football programs, 10.6% had a physician on the sideline at games, 8.5% had an athletic trainer present, and 89.4% had a paramedic available. No high school reported having a physician or paramedic present at football practice, and only one school had an athletic trainer available. Hence, in all but one school, coaches were the only staffers available at practice to deal with medical problems. In 89.4% of the schools with football teams, coaches were certified in first aid and cardiopulmonary resuscitation.
Comparison of this study with a similar one done in 1980 reveals that, despite greater recognition of athletic injuries, appropriate medical supervision during games and practices for high school athletes is still lacking. Better care of high school football players may be achieved by the use of certified athletic trainers. In addition, physician involvement may be improved by increasing musculoskeletal training for physicians in medical school and family medicine training.
在高中体育项目中，橄榄球的受伤率最高，但很少有研究评估高中比赛和训练中的医疗人员配备情况。
从芝加哥公立高中收集信息，以评估校际橄榄球比赛和训练中的医疗监督情况。
向芝加哥所有77所公立高中的体育主管传真问卷以使其填写。如果问卷未被返还，调查人员会致电体育主管，然后通过电话完成调查并统计结果。
共有59所（76.6%）学校完成了调查。在47所设有橄榄球项目的学校中，10.6%在比赛时有医生在场边，8.5%有运动训练师在场，89.4%有护理人员可供使用。没有高中报告在橄榄球训练时有医生或护理人员在场，只有一所学校有运动训练师可供使用。因此，除了一所学校外，在其他所有学校中，教练是训练时唯一可处理医疗问题的工作人员。在89.4%设有橄榄球队的学校中，教练具备急救和心肺复苏认证。
将本研究与1980年进行的一项类似研究相比较发现，尽管对运动损伤的认识有所提高，但高中运动员在比赛和训练期间仍缺乏适当的医疗监督。通过使用具备认证的运动训练师，或许可以更好地照顾高中橄榄球运动员。此外，通过增加医学院校医生的肌肉骨骼训练和家庭医学培训，可能会提高医生的参与度。
