,,iv  #aad? ,,congress  #b;d ,session   
,h4 ,,res4 #fee  ,,9 ,,! ,,h\se ,,(     
,,repres5tatives  ,m>* #ba1 #bjaf ,ms4  
,ros-,leht95 7= h]self & ,mr4 ,curbelo (
 ,florida7 submitt$ ! foll[+ resolution2
 :i* 0 ref]r$ to ! ,committee on        
,education & ! ,work=ce1 & 9 addition to
 ! ,committee on ,en]gy & ,comm]ce1 = a 
p]iod to be subsequ5tly det]m9$ by !    
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,,resolution        
,express+ conc]n reg>d+ ! prev5table    
loss ( life associat$ ) sports-relat$   
sudd5 dea? ( /ud5t a?letes 9 ! ,unit$   
,/ates1 & emphasiz+ ! importance (      
rigor\s1 evid5ce-bas$ pre-p>ticipation  
physical exam9ations = /ud5t a?letes4   
,:]eas a pre-p>ticipation exam9ation is 
an ess5tial compon5t ( ensur+ safe &    
heal?y sports p>ticipation2 ,:]eas a    
pre-p>ticipation physical exam9ation may
 be ! sole s\rce ( m$ical evaluation = a
 significant %>e ( ,am]ican *ildr5 &    
adolesc5ts ea* ye>2 ,:]eas              

pre-p>ticipation physical exam9ations   
are important to help+ /ud5t a?letes &  
_! p>5ts und]/& a /ud5t a?lete's unique 
individual risks ( pot5tial injury or   
illness relat$ to _! p>ticipation 9     
a?letics2 ,:]eas m$ical1 practition]1 & 
sci5tific pr(essional society           
recomm5dations1 z well z !              
recomm5dations ( ,f$]al & ,/ate task    
=ces1 repres5t invaluable contributions 
to ! /&>d ( c>e provid$ dur+            
pre-p>ticipation physical exam9ations2  
,:]eas sci5tific rese>* & innovation 9  
heal?c>e has l$ to ! developm5t (       
n[-widely available tools1 includ+      
electroc>diogram 7,,ekg71 e*oc>diogram1 
positron emission tomography 7,,pet71   
magnetic resonance imag+ 7,,mri71 &     
next-g5]ation g5etic sequ5c+ 7,,ngs71 & 
w cont9ue to advance ! developm5t (     
future te*nologies1 design$ to diagnose 
pot5tial m$ical problems2 ,:]eas m$ical 
pr(essionals1 /ud5t a?letes1 & p>5ts (  
/ud5t a?letes mu/ act 9 p>tn]%ip to c>ry
 out a successful pre-p>ticipation      

physical exam9ation1 includ+ %>+ conc]ns
 & appropriately weigh+ individualiz$   
risk factors2 ,:]eas local s*ool        
di/ricts1 y\? sports associations1 &    
college & univ]sity a?letic dep>tm5ts h 
a responsibility to educate /ud5t       
a?letes1 p>5ts ( /ud5t a?letes1 or bo?  
su* a?letes & p>5ts ab\t sports-relat$  
heal? risks1 raise aw>5ess ab\t /ud5t   
a?lete heal?1 & develop responsible     
policies & recomm5dations to enc\rage   
heal?y sports p>ticipation2 ,:]eas an   
e/imat$ #abj /ud5t a?letes pass$ away   
dur+ sports-relat$ activities 9 #bjad1 &
 ! risk ( sudd5 dea? = /ud5t a?letes is 
e/imat$ at "o out ( #bjj1jjj p] ye>1    
?\gh sev]al rec5t /udies indicate t !   
actual figure may be significantly      
high]2 & ,:]eas ea* & e /ud5t a?lete's  
dea? f a prev5table cause dur+ an       
organiz$ a?letic practice or competition
 is a trag$y ) sev]e emotional1         
physical1 & f9ancial consequ5ces =      
families1 s*ools1 & communities3 ,n[1   
!re=e1 be x  ,t ! ,h\se (               

,repres5tatives enc\rages local s*ool   
di/ricts1 y\? sports associations1 &    
college & univ]sity a?letic dep>tm5ts to
 regul>ly update _! pre-p>ticipation    
physical exam9ation policies1 9         
accordance ) evid5ce-bas$ be/ practices 
& ) respect = special p>5tal            
consid]ations1 9 ! foll[+ areas--  7#a7 
m$ical & family hi/ory surveys2  7#b7   
physical exam9ation practices2  7#c7    
c>diovascul> scre5+s2  7#d7 neurologic  
scre5+s2  7#e7 or?opa$ic scre5+s2  7#f7 
g5]al m$ical scre5+s2  7#g7 m$ication & 
supplem5t use surveys2  7#h7 nutritional
 & diet>y assessm5ts2  7#i7 heat &      
hydration-relat$ illness risk           
assessm5ts2  7#aj7 m5tal heal?          
consid]ations2  7#aa7 ! adm9i/ration (  
pre-p>ticipation physical exam9ations2  
7#ab7 ! ref]ral ( cases = fur!r         
evaluation & int]v5tion2 &  7#ac7 !     
det]m9ation ( cle>ance =1 or exclusion  
f1 sports p>ticipation4