In briefThe sports medicine unit at Wake Forest University organized medical and paramedical personnel to care for the medical needs of 1,800 athletes competing in the 1981 Junior Olympic Games. Based on these experiences, the unit offers recommendations for sports medicine care at future large-scale sports competitions of an intensive short duration, including physician coverage at all competitive wrestling, judo, and boxing events; separation of throwing and running events in track-and-field competition; and communication among H all medical, ambulance, and security personnel. In addition, at least 20 certified athletic trainers are needed for events of this size.