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John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT.

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Presentation on theme: "John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT."— Presentation transcript:

1 John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

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3 My 2 goals tonight – My 2 goals tonight – We may not present many new ideas, but we hope to change the way you look at things and plan your practices & games. We may not present many new ideas, but we hope to change the way you look at things and plan your practices & games. This course is risk and safety management for This course is risk and safety management for you and the league – CYA. you and the league – CYA.

4 1 in 5 Emergency Room Visits are result of sports, recreation, or exercise – 3.65 million/yr (CDC) 1 in 5 Emergency Room Visits are result of sports, recreation, or exercise – 3.65 million/yr (CDC) Injuries to children 15 & under, playing 29 most popular sports cost US public $49 billion/yr (The Consumer Products Safety Council) Injuries to children 15 & under, playing 29 most popular sports cost US public $49 billion/yr (The Consumer Products Safety Council) An athletes injury has an effect on his/her parents, coaches, the team, his schooling, health care professional, teammates An athletes injury has an effect on his/her parents, coaches, the team, his schooling, health care professional, teammates

5 Everybody playing from same rule book. Everybody playing from same rule book. Male/female roles Male/female roles Why get involved? Why get involved? To give my child a chance to play To give my child a chance to play Because I was an athlete and love the sport Because I was an athlete and love the sport Because the league needed more coaches Because the league needed more coaches Bonding opportunity with my child Bonding opportunity with my child Because my wife/husband told me to Because my wife/husband told me to

6 Supervision Supervision General vs. Specific General vs. Specific Selection and Conduct of Activities Selection and Conduct of Activities Screening Screening Instruction Instruction Warnings Warnings Mismatches Mismatches Protective measures Protective measures Equipment Equipment Environment/Facilities Environment/Facilities

7 Emergency Action Plan Emergency Action Plan What do I do when a kid is hurt What do I do when a kid is hurt Follow Communication with Parent Follow Communication with Parent Documentation!!!!! Documentation!!!!! Return to Play? Return to Play? First Aid Kit First Aid Kit League or Personal League or Personal Regular Ice vs. Chemical Packs Regular Ice vs. Chemical Packs EMS access EMS access What have I done to prepare? What have I done to prepare? First aid/CPR training First aid/CPR training Coaching clinics Coaching clinics

8 1. Stay Calm. Can you handle the problem? Do you need help? 1. Stay Calm. Can you handle the problem? Do you need help? a. Determine if the injury is Simple or Serious. a. Determine if the injury is Simple or Serious. b. If you can handle the situation, proceed with proper First Aid. b. If you can handle the situation, proceed with proper First Aid. c. If the injury is serious be sure to call for others on the field to help! c. If the injury is serious be sure to call for others on the field to help! d. Call 911 to activate the local EMS service. d. Call 911 to activate the local EMS service. ·· Be sure to have someone meet the ambulance ·· Be sure to have someone meet the ambulance 2. Reassure and try to calm the injury player. 2. Reassure and try to calm the injury player. 3. Provide supervision for the other players. Should practice or the game continue? 3. Provide supervision for the other players. Should practice or the game continue? 4. If the parents are not at the field, call them ASAP. 4. If the parents are not at the field, call them ASAP. 5. If athlete will be going to the hospital be sure to send their parent contact form 5. If athlete will be going to the hospital be sure to send their parent contact form a. Players cannot go to a hospital without a coach or parent. a. Players cannot go to a hospital without a coach or parent. 7. Make an accurate record of the injury. Be sure to note the following: 7. Make an accurate record of the injury. Be sure to note the following: · Time when injury occurred · Time when injury occurred · Who, What, When, Where, Why the injury occurred · Who, What, When, Where, Why the injury occurred · Treatment given · Treatment given 8. Please fax, deliver, or e-mail a report to Safety Officer, within 24-48 hours. 8. Please fax, deliver, or e-mail a report to Safety Officer, within 24-48 hours. 9. Be sure to follow up with the parents. 9. Be sure to follow up with the parents.

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10 Psychological Aspects of Coaching Psychological Aspects of Coaching Sportsmanship Sportsmanship For what purpose? For whose benefit? For what purpose? For whose benefit? Defining success Defining success Establishing your priorities Establishing your priorities

11 What is going on in kids life What is going on in kids life Remember, they are kids Remember, they are kids How much practice can they handle? How much practice can they handle? Dont live your athletic life through your child. Dont live your athletic life through your child. Enhancing self-confidence Enhancing self-confidence Using Praise Effectively Using Praise Effectively Less is More Less is More

12 Encourage regardless of success, skill level, PT Encourage regardless of success, skill level, PT Show respect for coaches and teammates Show respect for coaches and teammates Highlight teamwork – No I in Team Highlight teamwork – No I in Team Enjoyment = Continued Involvement – Cherish Participation Enjoyment = Continued Involvement – Cherish Participation Recognize developmental stages Recognize developmental stages Enhancing self-confidence Enhancing self-confidence Using Praise Effectively Using Praise Effectively Less is More Less is More

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14 Specialize or Multi-sport Specialize or Multi-sport When make the commitment When make the commitment Over use – itis Over use – itis What will get child athlete a scholarship What will get child athlete a scholarship Travel teams vs high school teams Travel teams vs high school teams

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17 Field Conditions Field Conditions Equipment Equipment Weather Conditions Weather Conditions Supervision Supervision Emergency Action Plan Emergency Action Plan

18 Field Conditions Field Conditions Divots, Bare Spots, & Mole Holes Divots, Bare Spots, & Mole Holes Equipment left on field Equipment left on field Proper lighting Proper lighting Fencing (padding) Fencing (padding) Access Access Busy fields Busy fields

19 Equipment Equipment Worn out/broken equipment Worn out/broken equipment Is it used properly? Is it used properly? Is it installed properly? Is it installed properly? Proper assembly Proper assembly Safety equipment Safety equipment

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21 Weather Conditions Weather Conditions

22 Supervision Supervision

23 Personnel Personnel Rules Rules Equipment Equipment Planning Planning Arena Arena Rehearsal Rehearsal Evaluate and Educate Evaluate and Educate

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25 First, a word about training

26 First Aid Kit Types

27 Some Rules… Some Rules… Bring it with you! Bring it with you! Check the kit often Check the kit often Dont use it as a catch all Dont use it as a catch all Have enough supplies Have enough supplies Have the right tools for the right job Have the right tools for the right job Take care of it Take care of it

28 Bandages -- sheer and flexible Bandages -- sheer and flexible Non-stick pads -- assorted sizes Non-stick pads -- assorted sizes Soft gauze bandages Soft gauze bandages Oval eye pads Oval eye pads Triangular bandage Triangular bandage Tape Tape Elastic bandage Elastic bandage Antiseptic wipes Antiseptic wipes First aid or antibiotic cream First aid or antibiotic cream Cold packs* Cold packs* Scissors Scissors Tweezers Tweezers Flexible Splint Flexible Splint First aid guide First aid guide Contents card Contents card Disposable gloves Disposable gloves

29 Medication? Medication? Athletes Emergency Information Athletes Emergency Information Emergency Contact Information Emergency Contact Information Medical History Medical History Consent to Treat Consent to Treat Cell Phone Cell Phone

30 A concussion is a type of traumatic brain injury, or TBI, caused by a bump, blow, or jolt to the head or another part of the body. Even what seems to be mild bump or blow to the head can be serious. A concussion is a type of traumatic brain injury, or TBI, caused by a bump, blow, or jolt to the head or another part of the body. Even what seems to be mild bump or blow to the head can be serious.traumatic brain injurytraumatic brain injury Concussions can occur in any sport or recreation activity. Concussions can occur in any sport or recreation activity.

31 Some Observable Signs Appears dazed, confused or stunned Appears dazed, confused or stunned Forgets an instruction / assignments Forgets an instruction / assignments Is unsure of game, score, or opponent Is unsure of game, score, or opponent Moves clumsily Moves clumsily Answers questions slowly Answers questions slowly Loses consciousness (even briefly) Loses consciousness (even briefly) Shows mood, behavior, or personality changes Shows mood, behavior, or personality changes Cant recall events prior to hit or fall Cant recall events prior to hit or fall Cant recall events after hit or fall Cant recall events after hit or fall

32 Concussions Symptoms Reported by Athlete Headache or pressure in head Nausea or vomiting Balance problems or dizziness Double or blurry vision Sensitivity to light and/or noise Feeling sluggish, hazy, foggy, or groggy Concentration or memory problems Confusion Does not feel right or is feeling down

33 Proper technique!!!!! Proper technique!!!!! Education Education Awareness Awareness Stress the Importance of reporting the concussions to your athletes Stress the Importance of reporting the concussions to your athletes

34 Decrease demand on the body Decrease demand on the body Limit pitching/excessive throwing Limit pitching/excessive throwing Limit/prevent stressful pitches (curves, slider) Limit/prevent stressful pitches (curves, slider) Use proper throwing and sliding mechanics Use proper throwing and sliding mechanics Increase bodys ability to meet demands Increase bodys ability to meet demands Increase strength Increase strength Increase endurance Increase endurance Increase flexibility Increase flexibility Increase balance/body control Increase balance/body control

35 Arm /shoulder Arm /shoulder Lower Body Lower Body Trunk / mid-section Trunk / mid-section

36 Dont train like the pros or an adult Dont train like the pros or an adult No heavy weightlifting prior to puberty No heavy weightlifting prior to puberty Variety is important Variety is important Make it FUNctional Make it FUNctional Similar movement/motions Similar movement/motions FUN FUN

37 Run, sprint Run, sprint Explosive Activities Explosive Activities Jumping Jumping Other Sports Other Sports Strength Exercises Strength Exercises Lunges Lunges Bodyweight squats Bodyweight squats Abdominal/core Abdominal/core Push-ups / pull ups Push-ups / pull ups

38 Other Sports Other Sports Martial arts Martial arts Gymnastic Gymnastic Yoga Yoga Throwing mechanic drills Throwing mechanic drills Jumping jacks Jumping jacks Skipping Skipping Jump Rope Jump Rope Therapy Ball exercises Therapy Ball exercises

39 Dont overstress the arm Dont overstress the arm Flexibility and Strengthening exercises Flexibility and Strengthening exercises Gradual build up to throwing Gradual build up to throwing

40 Flexibility / Stretching Exercises

41 Rotator Cuff Rotator Cuff Shoulder blade muscles Shoulder blade muscles Arm/Forearm Arm/Forearm Each Exercise 30-50 times Controlled smooth motion Muscle burn ok – No pain

42 BAND PULL IN BAND PULL OUT

43 FRONT RAISE SIDE RAISE

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45 WRIST EXTENSION WRIST FLEXION

46 PRONATIONSUPINATION

47 Why necessary? Why necessary? Maintain health & safety of athlete Maintain health & safety of athlete Detect conditions that may predispose to injury Detect conditions that may predispose to injury Medical/Family history Medical/Family history Life Threatening? Life Threatening? Who to contact in case of Emergency? Who to contact in case of Emergency? Prevent injury and illness Prevent injury and illness Assess general fitness level Assess general fitness level

48 Safety considerations Safety considerations Allergies – Team Snacks Allergies – Team Snacks Adapt slower to exercise Adapt slower to exercise Less efficient body temperature regulation Less efficient body temperature regulation Wait to weight-train Wait to weight-train Meet legal & insurance requirements Meet legal & insurance requirements

49 Sports Medicine Team Sports Medicine Team Physicians Physicians MD/DO/DC/DPM MD/DO/DC/DPM Specialties Specialties Pediatrics Pediatrics Sports Medicine Sports Medicine Orthopedics Orthopedics Athletic Trainer Athletic Trainer Physical Therapist Physical Therapist EMTs/Paramedics EMTs/Paramedics ER vs. Physicians Office ER vs. Physicians Office

50 www.atsnj.org www.atsnj.org www.littleleague.org/ www.littleleague.org/ http://youthsports.rutgers.edu http://youthsports.rutgers.edu http://www.cdc.gov/concussion/ http://www.cdc.gov/concussion/ www.redcross.org www.redcross.org www.peqll.com www.peqll.com

51 John Davis, MS, ATC Head Athletic Trainer Montclair State University davisj@mail.montclair.edu Robb Rehberg, PhD, ATC, CSCS, NREMT Coordinator of Athletic Training Clinical Education William Paterson University robb@atsnj.org Michael Prybicien, MA, ATC, NREMT Head Athletic Trainer Passaic High School mikep@atsnj.org mikep@atsnj.org


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