Intended for healthcare professionals

Rapid response to:

Letters Field of play resuscitation

Do not move player requiring resuscitation on field until return of spontaneous circulation

BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e2448 (Published 02 April 2012) Cite this as: BMJ 2012;344:e2448

Rapid Response:

Re: Do not move player requiring resuscitation on field until return of spontaneous circulation

Lyon and Wiggings very successful in the letter focused on key aspects of the protocol in cases where CPR is needed. But we have to clarify some aspects. Cardiovascular problems that may end with a sudden death in athletes can be prevented with screening protocol which includes an ECG(1). This type of problem is not unique to elite athletes but in a sporting event may be affected amateur(2) athletes and spectators(3). It is therefore necessary basic training and updating of de coaches, physical education teachers..., so they cam act quickly(4), and know how to properly use the equipment for which there is no interruption in CPR before arrival of ambulances. During this action should be taken measures to protects patients and physicians from legal liability(5), and that both patient and physician have enough privacy, using a box in the field, similar to those used in the locker room tunnel. To make the right decisions for action is necessary to review how manage a CPR studying the cases ocurred(6), and finally determine a protocol that is widely reported.
References
1. Thunenkotter T, Schmied C, Dvorak J, Kindermann W. Benefits and limitations of cardiovascular pre-competition screening in international football. Clin. Res. Cardiol. 2010;99(1):29-35.
2. Stratil P, Sterz F, Haugk M, Wallmuller C, Schober A, Horburger D, et al. Exercise related cardiac arrest in amateur athletes on the tennis court. Resuscitation 2011;82(8):1004-07.
3. Leeka J, Schwartz BG, Kloner RA. Sporting Events Affect Spectators' Cardiovascular Mortality: It Is Not Just a Game. Am. J. Med. 2010;123(11):972-77.
4. Casa DJ, Guskiewicz KM, Anderson SA, Courson RW, Heck JF, Jimenez CC, et al. National Athletic Trainers' Association Position Statement: Preventing Sudden Death in Sports. J. Athl. Train. 2012;47(1):96-118.
5. Kane SM, White RA. Medical Malpractice and the Sports Medicine Clinician. Clin. Orthop. Rel. Res. 2009;467(2):412-19.
6. Kramer E, Dvorak J, Kloeck W. Review of the management of sudden cardiac arrest on the football field. Br. J. Sports Med. 2010;44(8):540-45.

Competing interests: No competing interests

16 April 2012
Andres B. Fernandez-Revelles
Professor
Departmen Physical Education and Sport; Faculty of Sport Science; University of Granada; Spain
Caretera de Alfacar s/n 18011; Granada