If you are an instructor and/or school owner you especially need to be aware of this. You should be asking incoming students if they have any kind of medical condition you need to know about. This excerpt below was generated through a discussion I had with Dr. Rowe about a student in California who has a pacemaker and defibrillator.
Lee- here is a link that includes recommendations that are well accepted for competitive sports but specifically reference activities that may result in bodily trauma. I include their special considerations below. Once these statements are published in respected refereed journals people who choose to not follow their recommendations are place in a legally awkward position.
Marc
http://content.onlinejacc.org/cgi/content/full/45/8/1318 the 36th Bethesda Conference report is presented here in the context of measured and prudent recommendations—intended neither to be overly permissive nor restrictive—and which should not be regarded as an absolutely rigid dictum. Indeed, the managing physician with particular knowledge regarding a given athlete’s cardiovascular abnormality, psychological response to competition, and other medically relevant factors may choose to adopt somewhat different recommendations in selected individuals.
The rest of the e-mail is found on my site in the free articles section. http://www.leewedlake.com/articles.asp
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