1. Middle School Coaches September 10, 2019
COMMON INJURIES/WOUND CARE/KIT CONTENT

2. COMMON INJURIES

3. What is a Concussion?
Head injury that occurs when a blow or jolt to the head disrupts the normal functioning of the brain
-- Sufficient force that impacts metabolic functioning --
Causes physical, cognitive, sleep, and emotional symptoms that last for varying amounts of time
Sometimes delayed onset, but may not appear or be noticed for hours and possibly days after injury
The number and severity of symptoms, the speed of recovery, and the impact of symptoms on academic functioning or other activities will be different for each student.

4. Concussion Symptoms May or may not experience in any combination of the 4 clusters
Physical
Headache/Neck pain
Fatigue
Dizziness/Vertigo
Ocular Dysfunction
Balance problems
Sensitivity to light and/or noise
Nausea/Vomiting
Cognitive
Difficulty remembering
Difficulty concentrating
Feeling slowed down
Feeling mentally foggy
Emotional
Irritability
Sadness
Feeling more emotional
Nervousness /Anxiety
Lack of motivation
Sleep/ Energy
Drowsiness
Sleeping less than usual
Sleeping more than usual
Trouble falling asleep

5. Red Flags Call your doctor or go to your Emergency Department with sudden onset of any of the following:
Headaches that worsen
Look very drowsy, can’t be awakened
Repeated vomiting
Unusual behavior change
Seizures
Can’t recognize people or places
Increased confusion
Significant irritability
Neck pain
Weakness or numbness in arms or legs
Slurred speech
Loss of consciousness
These typically occur during the first 48 hours after an injury and could represent a more serious injury.

6. Concussion Institute Next steps?
Suspected Concussion
Refer to the Concussion Institute
Subspecialty referral if needed
Treatment Plan
Next steps?
Do not attempt to do a screening for a concussion.
If you suspect a concussion, remove the athlete from play and refer to a specialist.
Athletes should NOT return to play until cleared by a medical professional.

7. Cervical Spine Injuries
Never attempt to move an athlete who you think may have suffered a cervical spine/neck injury.
Call 911 and keep them calm and still
If there is a certified athletic trainer or EMS personnel on site, listen to their direction and help them as necessary

8. Ankle Sprains Ankle sprains are injuries to ankle ligaments.
Common mechanisms:
Rolling an ankle
Stepping on someone else's foot

9. Knee Injuries Meniscus Injury Pre-patellar Bursitis
Ligament Sprains/Tears
ACL
MCL
LCL
PCL
Pre-patellar Bursitis
Common Mechanisms:
Pivot
Rotation
Falling directly on top of knee

10. Knee and Ankle Injuries
Signs/Symptoms
Treatment
Swelling
Bruising
Inability to walk
Walking with limp
Obvious deformity
Remove from play
Ice
Compression
Elevation
Referral

12. WOUND CARE/KIT CONTENT

13. Common Types of Wounds
Abrasion (scrape)
Laceration (deep cut)

14. Abrasion Causes: Sliding on grass/tar “floor burn” Treatment:
Wash with antiseptic towelettes
Apply triple antibiotic
Cover with band aid or gauze/pre-wrap/tape
Instruct athletes to go home and rewash wound with warm soapy water once practice/game is done to further prevent infection

15. Supplies Needed

16. Laceration Treatment: Stop bleeding Wash out debris
Cover with butterfly closure strips
Use caution, may need to refer to doctor for stitches

17. Common Laceration Sites
Eyebrow
Cheek
Nose
Chin
Scalp
Elbow

18. Supplies Needed

19. Butterfly Closure Strip Examples
Wrist

20. Wound Irrigation
Wound irrigation is the steady flow of a solution (water or saline) across an open wound surface to achieve wound hydration and to remove debris

21. Wound Irrigation
Wound irrigation is helpful to clean dirt, turf rubber and grass from wounds.
Although you may not get everything, cleaning the wound as much as possible reduces rate of infection

22. Wound Irrigation Step by Step
Stop bleeding
Wash wound
Pat dry
Cover with gauze/pre-wrap/tape
Refer to doctor if wound exhibits signs of infection

23. Bloody Nose A bloody nose doesn’t always mean its broken
To stop a bloody nose do not tilt head back
Lean forward and pinch bridge of nose
Apply nose plug

24. Bloody Nose
Do not allow patient to blow nose until the bleed has clotted
Assess the situation – bloody noses may be as a result to a hit
Remove from play and refer to physician if a hit to the head has occurred with risk of concussion
Refer to doctor if the nose has an obvious deformity

25. ALWAYS USE GLOVES Gloves are personal protective equipment
Always wear gloves when dealing with blood & bodily fluids

26. Any Questions?