always a risk for the officials who handle these bilateral relationships day to day that you follow the impulse to manage or even smooth over an issue, rather than stepping back and recognizing it as something serious that needs to be confronted," said a former senior Obama administration official. "That is especially true with countries where our interests or values don't align."

Several former officials emphasized that FBI and CIA personnel in Saudi Arabia had a powerful sense of responsibility to protect Americans from terrorist attacks. But Fawn Lengvenis, the mother of the 15-year-old girl struck and killed in Portland, Fallon Smart, said the government had left her family and other Americans vulnerable to a different kind of threat.

"It's heartbreaking to learn that our government has, for over astudy, a 2-sided, single-page injury surveillance form was developed based on prior criteria recommended and established in the literature.^[@bibr24-2325967119832878],[@bibr29-2325967119832878],[@bibr36-2325967119832878],[@bibr44-2325967119832878],[@bibr48-2325967119832878]^ Demographic features and predictors included athletic identification number, ATC, date of injury, personnel determining the injury, athlete weight, high school, type of playing surface, surface quality, time period of injury, year and skill level of athlete, and game location where the injury occurred. Outcomes of interest included injury severity, injury category, primary type of injury, specific body location of injury, player position, cleat design, turf age, and environmental factors. The injury surveillance form was initially emailed to the head ATCs during the summer prior to the start of the football season. Communication was maintained by the author to discuss potential concerns and ensure accuracy of collection, comprehensiveness of information,