serious sports injuries

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Sports Injuries Summary Information
Any minor injury can become serious if not managed correctly. This list is not meant to be all-inclusive or limiting. As a
coach, your responsibility is to maintain your concussion training, CPR and first aid certifications, and refer any illness or
injury to the school medical staff for management and referral.
Condition
Prevention
Recognition
Treatment
Exertional
Heat Stroke
Heat Acclimatization
Proper Rest/Hydration
Adequate Work: Rest Ratios
Practice restriction for heat
Pre-Season acclimatization
CNS dysfunction
rectal Core T > 105 F
Cold Water Immersion
(keep head above water)
cold towel rotation
cool to 102 F rectal
before transport
Activate EMS
Exertional Sickling
Testing for sickle cell trait
Collapse with complaint of
cramping/tightness/pain
without muscle contraction
Supplemental Oxygen
Activate EMS
Cardiac Arrest
Pre-participation Exam
AED on site; CPR/AED
education: MD evaluation
of dizziness/fainting w exercise
Knowledge of commotio cordis
collapse with no respiration
no pulse
Start CPR/AED use
Activate EMS
Head Injury
Pre-participation Exam
Not allowed to play
With concussion symptoms
Baseline testing
(cognitive and balance)
Proper technique/equipment
(fit and maintenance)
headache, balance problems
dizziness, nausea, groggy
sensitive to light, noise
memory problems, confusion
Assess CNS dysfunction
Removal from play
Loss of consciousness/
increase in symptoms >
Activate EMS
Asthma
Patient/Coach Education
Adherence to treatment
Wheezing, coughing
Shortness or breath
Chest tightness
Warm up and Cool down
Difficulty breathing
Administer
inhaler per
Inhaler per plan
Activate EMS if
symptoms not
resolved
Anaphylaxis
Adhere to child’s individual
treatment plan
Hives, itching, swollen
tongue, difficulty
Swallowing/breathing
Use EpiPen
activate EMS
Diabetic Emergency
Adhere to child’s individual
Treatment plan
hunger, shakiness, pale skin
Irritability, behavior changes,
Sweating, unconsciousness
Administer sugar
if can swallow;
Activate EMS if no
Improvement
Skin Lesion
Hand washing; not sharing
equipment, regular cleaning
of uniforms and equipment
tender, hot, red bumps
Cover all wounds
Refer wounds for
evaluation
Seizure Emergency
Adherence to Treatment Plan
Jerking movements of arm
leg, or body; report of aura
Protect athlete
Do not restrain;
or insert anything
into mouth
Activate EMS
Spinal Fracture/
Loss of Function
Pre-participation Exam
Correct activity/technique
taught/performed
correct equipment use
Severe pain, loss of sensation, or Immobilize in position
numbness/tingling in extremities
found, maintain airway,
CPR/AED as needed
Activate EMS
Overuse Injury
Correct exercise progression
Correct activity/techniques
Chronic pain that persistently
Affects child’s participation
Discontinue activity and
refer for medical
Taught/performed
In practice/competition for
More than 2 weeks
evaluation
Source:
http://www.amaasportsmed.org/Assets/American+Medical+Athletic+Assoc+Digital+Assets/Boston+2011+Meeting+Materials/
Presentation+Handouts/Casa_Exertional+Heat+Stroke+Article.pdf
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