{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:36:26Z","timestamp":1777390586256,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4_suppl","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:p> Preparticipation evaluations (PPEs) are common in team, organized, or traditional sports but not common in wilderness sports or adventures. Regarding ethical, legal, and administrative considerations, the same principles can be used as in traditional sports. Clinicians should be trained to perform such a PPE to avoid missing essential components and to maximize the quality of the PPE. In general, participants\u2019 privacy should be observed; office-based settings may be best for professional and billing purposes, and adequate documentation of a complete evaluation, including clearance issues, should be essential components. Additional environmental and personal health issues relative to the wilderness activity should be documented, and referral for further screening should be made as deemed necessary, if unable to be performed by the primary clinician. Travel medicine principles should be incorporated, and recommendations for travel or adventure insurance should be made. <\/jats:p>","DOI":"10.1016\/j.wem.2015.09.013","type":"journal-article","created":{"date-parts":[[2015,11,26]],"date-time":"2015-11-26T10:30:16Z","timestamp":1448533816000},"page":"10-14","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Ethical, Legal, and Administrative Considerations for Preparticipation Evaluation for Wilderness Sports and Adventures"],"prefix":"10.1177","volume":"26","author":[{"given":"Craig C.","family":"Young","sequence":"first","affiliation":[{"name":"Departments of Orthopaedic Surgery"},{"name":"Community and Family Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin (Dr C. C. Young)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron D.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Family and Sports Medicine, University of Utah, Salt Lake City, Utah (Dr Campbell)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Lemery","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado (Dr. Lemery)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Colorado, Denver, Colorado (Dr D. S. Young)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"bibr1-j.wem.2015.09.013","volume-title":"PPE Preparticipation Physical Evaluation","author":"Bernhardt D.T.","year":"2010","edition":"4"},{"key":"bibr2-j.wem.2015.09.013","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000159896.64076.72"},{"key":"bibr3-j.wem.2015.09.013","volume-title":"Wilderness Medicine","author":"Auerbach P.S.","year":"2012","edition":"6"},{"key":"bibr4-j.wem.2015.09.013","doi-asserted-by":"publisher","DOI":"10.1136\/jramc-157-01-21"},{"key":"bibr5-j.wem.2015.09.013","unstructured":"Wilkerson J.A. Medicine for Mountaineering & Other Wilderness Activities. 5th ed. Seattle, WA: The Mountaineers Books, 2001 366."},{"key":"bibr6-j.wem.2015.09.013","unstructured":"UIAA. Mountain ethics declaration. 2009. http:\/\/www.alpineclubofcanada.ca\/environment\/forms\/UIAA_Mountain_Ethics_Declaration_web.pdf. Accessed March 30, 2014."},{"key":"bibr7-j.wem.2015.09.013","doi-asserted-by":"publisher","DOI":"10.1542\/pir.32.5.e53"},{"key":"bibr8-j.wem.2015.09.013","unstructured":"Nord D. To lie or not to lie? Alert Diver. 2010. Web Site. http:\/\/www.alertdiver.com\/To_Lie_or_Not_to_Lie. Accessed February 28, 2014."},{"key":"bibr9-j.wem.2015.09.013","first-page":"1081","volume":"81","author":"Bruett K.","year":"1998","journal-title":"Marq L Rev"},{"key":"bibr10-j.wem.2015.09.013","first-page":"100","volume":"76","author":"Mitten M.","year":"2002","journal-title":"St Johns L Rev"},{"key":"bibr11-j.wem.2015.09.013","first-page":"113","volume":"40","author":"Jones C.","year":"1992","journal-title":"Buffalo L Rev"},{"key":"bibr12-j.wem.2015.09.013","first-page":"129","volume":"55","author":"Mitten M.","year":"1993","journal-title":"Univ Pittsburg L Rev"},{"key":"bibr13-j.wem.2015.09.013","unstructured":"Alaska Mountaineering School. Applying for an AMS expedition. http:\/\/www.climbalaska.org\/apply-expeditions.html. Accessed June 14, 2015."},{"key":"bibr14-j.wem.2015.09.013","unstructured":"National Park Service, U.S., Department of the Interior. Denali national park service clmbing registration. 2014. http:\/\/www.nps.gov\/dena\/planyourvisit\/registrationinfo.htm. Accessed July 3, 2014."},{"key":"bibr15-j.wem.2015.09.013","unstructured":"American Academy of Pediatrics. Preparticipation evaluation forms. http:\/\/www.aap.org\/en-us\/professional-resources\/practice-support\/pages\/Preparticipation-Physical-Evaluation-Forms.aspx. Accessed April 5, 2014."},{"key":"bibr16-j.wem.2015.09.013","unstructured":"American Academy of Family Physicians. Preparticipation physical evaluation: physical evaluation form. 2014. http:\/\/www.aafp.org\/dam\/AAFP\/documents\/patient_care\/fitness\/ppephysicalexamform2010.pdf. Accessed June 14, 2015."},{"key":"bibr17-j.wem.2015.09.013","first-page":"39","volume":"13","author":"Hughes C.","year":"2006","journal-title":"Fam Pract Manag"},{"key":"bibr18-j.wem.2015.09.013","unstructured":"Centers for Disease Control and Prevention. Traveler\u2019s health. http:\/\/wwwnc.cdc.gov\/travel\/destinations\/list\/?s_cid=cdc_homepage_topmenu_ 003. Accessed July 3, 2014."}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603215003300?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603215003300?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2015.09.013","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1016\/j.wem.2015.09.013","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2015.09.013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T22:45:52Z","timestamp":1741646752000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1016\/j.wem.2015.09.013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":18,"journal-issue":{"issue":"4_suppl","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1016\/j.wem.2015.09.013"],"URL":"https:\/\/doi.org\/10.1016\/j.wem.2015.09.013","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12]]}}}