The King-Devick test appears to be a promising tool in screening for concussions. However, limited evidence exists on the baseline associations between the K-D test and age and baseline screening tools used after concussion. Additionally, there are no published reference values for the K-D test in high school football players. The K-D test, the Balance Error Scoring System, and the Limits of Stability (LOS) test were administered to 157 high school football players. Additionally, a subsample of 62 participants completed the test twice to examine the reliability of K-D test. There was no relationship between the K-D test and the BESS, or the reaction time and directional control of LOS test. Students aged between 16 and 18 years demonstrated faster K-D test performance compared to students between 13 and 15 years of age. However, there was no association between K-D test and history of concussion. The reliability of the K-D test was (ICC2,1 = 0.89), and the minimal detectable change was 6.10 s. Normative reference values for high school football players are presented in this study.

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Although the instrumented BESS may appear to demonstrate concurrent validity against the original BESS, instrumentation did not improve its reliability. Future research should examine if the instrumented BESS demonstrates validity against laboratory level force plates and if it is able to overcome the ceiling effect reported for the clinical BESS test.

SummaryThere is evidence that administration of lipid emulsion improves outcome in cardiovascular collapse secondary to local anaesthetic toxicity. We sent a questionnaire to the lead consultant anaesthetist in every consultant-led labour ward in the UK asking about local guidelines for treatment of cardiac arrest, and whether or nor lipid emulsion was available on the labour ward and included in the guideline. We received replies from 195 (86%) labour wards. One hundred and seven (55%) reported having a guideline for the treatment of cardiovascular collapse secondary to local anaesthetic toxicity. Of these guidelines, lipid emulsion was included in 78 (40%). Lipid emulsion was readily available on 95 labour wards (49%). Of the remaining units, there were plans to make lipid available in the near future in 46 (46%). Of the 95 labour wards where lipid emulsion was readily available, 80 (84%) had a recommended dose regimen for its administration. Around three-quarters of labour wards in the UK either have lipid emulsion available or plan to obtain it. This uptake should ideally be 100%.

Introduction. Mutual benefit to participants and recipients of international service-learning (ISL) is often assumed by academic institutions when bringing medical/health care and education to underserved countries. Research documenting feedback from host communities is needed in all disciplines, including physical therapy. Overall, host communities seem to appreciate collaborations with ISL visiting teams; however, these communities may endure hardships unbeknownst to visiting partners such as reinforcement of negative attitudes, disruption of community relations and dynamics, interactions with culturally insensitive visitors, and poor quality care. The purpose of this study was to collect and document feedback from a host community after a 2-week ISL experience with Doctor of Physical Therapy (DPT) students and faculty. Methods. Twelve community leaders who interacted daily with DPT students and faculty were interviewed. Individual interviews were completed and transcribed. The constant comparative method was used to generate themes. Results. Overall, the community felt that their the interactions with the ISL team 1) improved local cultural attitudes about disability, 2) improved awareness of the role of physical therapy, 3) fostered strong, respectful relationships between the community and team, and 4) strengthened the desire to sustain the partnership. Discussion and Conclusion. The host community was very satisfied with the partnership and wished to strengthen relationships for long-term sustainability. Recommendations for the ISL curriculum in physical therapist education were identified or reinforced from this study.