When thinking about elite sport, most conjure up an image of victory. However, athletes are at risk of experiencing indirect trauma after witnessing a critical event. Examples include cardiac arrest, significant injuries and crashes.1 This concept is vicarious trauma: ‘Harmful changes that occur in an individual’s view of themselves, others, and the world as a result of exposure to graphic or traumatic events’ . 1 ,2 In our experience of professional sport, many sporting organisations do not have a plan in place to support athletes in these circumstances. Critical events leave those who witness them vulnerable to psychological consequences. How these events are managed by clinicians, sporting teams and organisations will impact how the athlete(s) and team recover. At present, some sports organisations may offer a professional or welfare officer who could discuss concerns with an athlete should they occur but this is often not done formally. In this editorial, we propose recommendations for developing a post-traumatic protocol and suggest that elite sports should have a protocol in place to help support athletes and the wider team should a critical incident occur. The support required after being involved in or witnessing a traumatic event will change over time;3 we propose a time-based management approach with immediate-term, short-medium, medium-long and longer-term suggestions. Each of these …

中文翻译：

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精英运动中的重大事件和创伤事件：就运动医学团队在创伤后时期应如何照顾受影响的个人、团队和更广泛的社区提出 5C 方法


当想到精英运动时，大多数人都会想到胜利的形象。然而，运动员在目睹重大事件后有可能遭受间接创伤。例子包括心脏骤停、严重伤害和碰撞。这个概念是替代性创伤：“由于暴露于血腥或创伤事件，个人对自己、他人和世界的看法发生有害变化”。1 ，2 根据我们的职业体育经验，许多体育组织没有制定计划来支持在这种情况下的运动员。重大事件使目睹事件的人容易受到心理后果的影响。临床医生、运动队和组织如何管理这些事件将影响运动员和团队的恢复方式。目前，一些体育组织可能会提供一名专业或福利官员，如果发生问题，他们可以与运动员讨论问题，但这通常不是正式的。在这篇社论中，我们提出了制定创伤后协议的建议，并建议精英体育应该制定一个协议，以帮助在发生重大事件时支持运动员和更广泛的团队。参与或目睹创伤事件后所需的支持会随着时间的推移而变化;3 我们提出了一种基于时间的管理方法，包括短期、短期、中期、中期和长期建议。这些中的每一个 ...