Transcript Basic Injury Management - Western Region Soccer League

Basic Injury Management
Mike Robinson R.Kin CAT(C) ATC MS
Certified Athletic Therapist
Certified Athletic Trainer
Precision Fitness & Performance Centre
1510 Woodcock Street, London, Ontario
T: (226) 289-2070
C: (519)-636-8285
[email protected]
http://www.robinsonsportsmedicine.com
About Me
• Bachelor of Applied Health Science in Athletic Therapy (Sheridan)
• Certified Athletic Therapist
• Masters in Athletic Training (Ohio University)
• Licensed Athletic Trainer (Ohio)
• Registered Athletic Trainer (WV)
• PhD Student (Western)
• Psychometric Properties of Concussion Assessment Tools
• Sports Medicine Experience
• Soccer (CSL, League One, CCAA/OCAA), Rugby (club and national level),
Hockey (provincial level), High School (WV), Wrestling (Olympic qualifying
camp), Karate Canada, Skate Canada…
Agenda
• Fifa 11+
• Emergency Action Plan
• Basic Injury Management
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Concussions
Sprains, strains
PIER
Medications
Ice vs Heat
• Questions
Fifa 11+
• Injury prevention program developed by FIFA’s Medical Assessment
and Research Centre (F-MARC), the Oslo Sports Trauma Research
Center and the Santa Monica Orthopedic and Sports Medicine
Research Foundation
• Scientifically validated via a randomized control trial
• Requires no extra equipment or specialized knowledge
• Before each training session and before matches
• Athletes of all ages and skill levels should participate
• Canadian Soccer Association is rolling out Fifa 11+ coaching programs
over the next 3 years to all CSA clubs across Canada
Fifa 11+ - Impact
• Completing the Fifa 11+ program 1.5 times a week reduces knee and
ankle injury rates by up to 43% over one season
Fifa 11+ - More Information
• http://www.f-marc.com/
• http://www.robinsonsportsmedicine.com/11-injury-preventionprogram/
• http://www.canorth.org
Emergency Action Plan
• “Medical Time Out”
• Pre-game meeting between both team’s medical staff/staff and match officials to
discuss the emergency action plan
• Emergency Action Plan
• Formal written document or informal verbal plan
• Defines individual’s roles during an emergency
• Charge Person
• Typically a member of the team’s medical staff or designated team “trainer”
• Call Person
• Designated individual to contact 911 and direct them to the field
• Control Person
• The Control Person is responsible for controlling the crowd and other participants to
ensure that the EAP is executed effectively.
Basic Injury Management - Concussions
• The appropriate response for a layperson when they suspect a player
has suffered a concussion is permanent removal from that game
• “When in doubt sit them out”
• Medical imaging (CT, MRI) cannot diagnose or clear a concussion
• A player can suffer a concussion WITHOUT hitting their head
• Any player with concussion or suspected concussion should be
immediately and permanently removed from training or play.
• Appropriate emergency management procedures must be followed
especially if a neck injury is suspected.
Basic Injury Management - Concussions
• Potential Immediate Symptoms
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Seizure (fits)
Loss of consciousness – confirmed or suspected
Unsteady on feet or balance problems or falling over or poor coordination
Confused
Disorientated – not aware of where they are or who they are or the time of day
Dazed, blank or vacant look
Behavioral changes e.g. more emotional or more irritable
Lying motionless on ground
Slow to get up off the ground
Grabbing or clutching of head
Injury event that could possibly cause concussion
Basic Injury Management - Concussions
• Patient Reported Symptoms
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Headache
Dizziness
Mental clouding, confusion, or feeling slowed down
Visual problems
Nausea or vomiting
Fatigue
Drowsiness/feeling like “in a fog“/difficulty concentrating
“Pressure in head”
Sensitivity to light or noise
Basic Injury Management - Concussions
• Management
• Rest
• They do not need to be woken up every hour!
• Instead, a responsible adult should check on them visually.
• Activity
• Refrain from strenuous physical activity
• Refrain from any activity that causes symptoms
• Medical Care
• They do not need to go to the ER unless
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Have a headache that gets worse
Are very drowsy or can’t be awakened
Can’t recognize people or places
Have repeated vomiting
Behave unusually or seem confused; are very irritable
Have seizures(arms and legs jerk uncontrollably)
Have weakness or numbness in their arms or legs
Are unsteady on their feet; have slurred speech
• Should be seen by a HCP trained in concussion management (MD, AT, PT)
• Resources
• http://playerwelfare.worldrugby.org/content/getfile.php?h=d66f98b9815023
fbf00e8ef28b20cdb6&p=pdfs/World_Rugby_Concussion_Guidance_EN.pdf
• http://concussionsontario.org/
Basic Injury Management – Sprains/Strains
• Sprain
• A sprain is a stretching or tearing of ligaments (the tough bands of fibrous
tissue that connect two bones together in your joints)
• Strain
• A strain is a stretching or tearing of muscle or tendon (the fibrous cord of
tissue that connects muscles to bones)
Basic Injury Management – PIER
• Pressure
• Tensor bandage
• Helps control swelling
• Ice
• Crushed ice, damp towel between ice and skin
• Commercial ice packs can cause injury as they are below 0oC
• Helps relieve pain and lower cellular metabolism (preventing cell death due to a lack
of oxygen)
• Elevation (above the level of the heart)
• Aids with lymphatic drainage
• Pillow under the mattress at the end of the bed
• Rest
Basic Injury Management – Medications
• Day 0 – 7
• Tylenol
• No NSAID, Advil, Naproxen etc.
• Day 7+
• NSAID, Advil, Naproxen etc.
Basic Injury Management – Ice vs. Heat
• Day 0 – 7
• Ice
• Day 7+
• Heat
• Once the inflammatory process has run its course ice is no longer beneficial,
heat will accomplish the same goals as ice