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On Field Management
of Injuries
Preparation
- Access
to communication, cell phone and
911 availability
- On-site
transportation, access to ambulance
- Emergency
equipment, back-board, tape, c-collar
- Inspect
playing surface, is it safe?
- Personnel
equipment in good working order, helmets, mouthguards
Rules on the Field
- Do
not move an injured player if unconscious or complaining of neck pain or
numbness until medical help arrives
- When
in doubt leave the helmet on
- ABC
rules, Airway, Breathing, Circulation
- Airway
– head tilt, chin lift, open mouth, remove mouthguard
- Breathing
– if not breathing, mouth - to - mouth
- Circulation
– check for pulse, if no pulse CPR
Exam
- Stabilize
the spine first, no movement of the head, hold head stable
- Leave
helmet and shoulder pads on unless airway is bad
- If
airway in question, cut away facemask
- If
unconscious, neck pain, or numbness in extremities, stabilize head
- Athlete
is strapped and taped to backboard, head stabilized with pillows
- Elevate
body in children to avoid forward flexion of helmet
- Evaluate
for signs of concussion and follow concussion guidelines
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