ASMMR Newsletter Vol 3 Issue 1
Total Page：16
File Type：pdf, Size：1020Kb
Volume 3, Issue 1 June 2011 The Australasian Society for Motorsports Medicine and Rescue Contents Race control Clinical review Recent race results Caught by the cameras Race control So 2011 is long started and I’m only now getting around to putting out the first issue of the year. It’s been a busy start (new job, first kid starting school, oh, and a bunch of motor sports stuff), so I’m going to use that as my excuse for slacking. If anyone wants to see a portion of what I’ve been up to, visit www.intensivecarenetwork.com Formula 1 is off to a cracking start, with Sebastian Vettel establishing early dominance. Is he the next Schumacher (and will he get used to leading from way out in front and also forget how to race amongst the pack when he has to)? One thing seems certain and that is the mixture of technical developments, tyre compounds and regulations determining how everything can be used, along with a bunch of newer drivers keen to make a name for themselves, appears to be contributing to some really exciting racing; which makes a nice change. The WRC is also away and Loeb is also off to his usual solid start. Mikko started well, like last year, but there’s still a hint of self-doubt about him. Ogier, Solberg and Latvalla will be strong challengers. It’ll be interesting to see how the IRC 2010 champion, Kris Meeke, fares alongside Danni Sordo, in the Minis. Additionally, Australian’s Molly Taylor and Brendan Reeves are running alongside the WRC boys in the WRC academy event. And the V8s, MotoGP and other racing categories have also screamed away from the start line of 2011. As for the ASMMR, the year has started with some additions and plans. There is now an ASMMR Twitter feed (http://twitter.com/#!/TheASMMR), for those who like snappy, digital info. There is also a new e-mail address: [email protected] I’m working on setting up an ASMMR website soon, as the newsletter is a bit limited in what it can achieve, and is subject to spam filtering. It might take a bit of time, in between all of the other stuff to be done. In this issue, I’ve had a crack at doing a “trial”, attempting to answer the question, how many Copyright Matthew Mac Partlin, 2010 Page 1 of 14 useful motor sport medicine and rescue resources and how many of them can I access for free? Maybe I’m over-reaching a bit, but have a read and see what you think. Good luck. Matthew Mac Partlin Clinical review – A trial Clinical and rescue resources for land based motorsports – Where to start? Aim: To determine the quantity and accessibility of clinical and rescue resources that cater specifically for land based motor sports. Method: Two forms of searches were conducted. First, a formal Medline search using a series of keywords and search terms aimed at identifying articles and journals that dealt specifically with motor sports medical and rescue issues. Second, a more general Google search, again using a series of keywords and search terms, aiming to identify other sources that deal with motor sport medical and rescue topics. Results: The Medline search produced 41 articles of which 26 (63%) were relevant to motor sports and 20 (48.7%) were specifically written with motor sports as the primary focus. The Google search produced an enormous quantity of results, of which the great majority were official news sites, fan sites and manufacturer sites. Very few dealt with medical or rescue topics with an aim of education or adding new knowledge. Conclusions: The majority of motor sports medical and rescue practice seems to have been extrapolated from hospital and pre-hospital emergency service practice, with little or no validation. There are a small number of groups that are looking specifically at the motor sport environment, however accessing their findings is not always easy and usually requires some form of membership. Introduction At the heart of any specialty is having the correct information. Medical and rescue practice in the motor sports environment is no different. It has seen an evolution over the past 20 to 30 years, having commenced as a number of individuals with an interest turning up to events and providing assistance on a relatively ad hoc basis and progressed to the development of dedicated rescue services, extrication teams and medical support agencies servicing local club and high level international events. Over that time, an enormous amount of experience has been gathered and practices have been modified to suit the required tasks. There is prior experience of extrapolating practices from one roughly similar practice to another only to find that they don’t work as predicted, or at all. Trauma practices applicable to large high level centres don’t necessarily translate to regional centres. The use of certain equipment doesn’t Copyright Matthew Mac Partlin, 2010 Page 2 of 14 always show the same benefits when transferred to other specialties (e.g. BIS monitors in anaesthesia have been fraught with difficulties when applied to ICU populations). These discrepancies may be due to differences in populations, resources, experience or environments. To provide the best service to our population of interest, we should at least attempt to ensure that what we do is valid. Additionally, disseminating that information with as few barriers as possible has a number of benefits, including: avoiding individuals having to re-invent the wheel assisting new, or less experienced, practicioners to improve their service improving the specialty’s reputation amongst peers In order to begin to identify possible gaps in care, the first step is usually to identify what already exists. So, this study was conducted as an initial attempt to fill some of this void. Methods A dual Medline and Google search was conducted in order to identify the nature and accessibility of information regarding medicine and rescue topics in the arena of motor sports. Key search terms were developed to detect articles and content that related specifically to medical and rescue practices within land-based motor sport. Water and air based motor sports were excluded, in order to narrow the search focus. Articles were identified by their titles and abstracts. Once collected, abstracts were reviewed to determine their relevance to motor sport and further separated into those in which a motor sport population was the primary focus and those in which a motor sport population contributed to a larger study population or was mentioned only in passing. The search result are presented below in Tables 1 and 3. Table 1. - Medline search terms Search terms Articles identified “motor sport” 10 “motorsport” 3 “track side” 2 “trackside” 3 “race car” 13 “saloon car” 3 “rally car” 3 “HANS device” 0 “roll cage” 0 “sand trap” 3 “gravel trap” 0 “crash barrier” 1 Total 41 Relevant 26/41 (63%) Copyright Matthew Mac Partlin, 2010 Page 3 of 14 Focus (Primary study population were engaged 20/41 (48.7%) in a motorsporting event) Mentioned in passing (represented a portion of 6/41 (14.6%) the overall study population, but not key to the study outcomes) The time taken to find and sort through these Medline articles was not particularly long, being completed within an hour. The articles appeared in select types of journal, as shown below. Journal type Basic sciences: 3 Sports physiology & medicine: 8 Clinical: 4 Other:5 The topics dealt with by these articles were: Injury pattern: 6 Medical service provision: 3 Physiology & competitor training: 6 Technical: 1 Other: 4 Only 3 papers specifically mentioned participants other than immediate competitors; i.e. support crew, officials, spectators. Only one article was freely available (see Table 2. - Medline motor sports article search). All of the others required paid subscription or purchase of the individual article. In NSW, the development of the Clinical Information Access Program (CIAP – www.ciap.com.au) has greatly improved clinicians’ access to useful journals, but even by this route, only 4 of the 41 articles could be freely accessed. A reference to an Australian Journal of Motorsports Medicine and Safety was found, via a referenced article (22), however, the journal could not be found on either Medline, Pubmed nor Google and has presumably been discontinued and removed from subscription lists. Table 2 - Medline motor sports article search Title Journal Free publication Open-wheel race car driving: Journal of Strength & Conditioning Yes energy cost for pilots. Research. 24(11):2927-32, 2010 Nov. Trunk extensor and flexor Journal of Sports Sciences. No strength of long-distance race car 28(11):1183-7, 2010 Sep. drivers and physically active controls. Tobacco advertising through Journal of Public Health. 32(2):184-90, No French TV in 2005: frequent 2010 Jun. illicit broadcasting; its impact on Copyright Matthew Mac Partlin, 2010 Page 4 of 14 teenagers and young adults. Visual acuity in young elite Physical Therapy in Sport. 11(2):47-9, No motorsport athletes: a preliminary 2010 May. report. Diabetes at 100 mph. Catching up Diabetes Forecast. 62(10):42-3, 2009 Oct. No with Charlie Kimball, a race car driver with type 1. Cardiovascular data acquisition in Aviation Space & Environmental No a dynamic motion environment. Medicine. 79(4):416-9, 2008 Apr. The effect of biofeedback training Journal of Sports Sciences. 26(7):761-73, No on affective regulation and 2008 May. simulated car-racing performance: a multiple case study analysis. Responses of motor-sport athletes International journal of sports physiology No to v8 supercar racing in hot & performance. 2(2):182-91, 2007 Jun.