Hockey Safety HEATHER CORLISS CAT(C), BSC.KIN, CPT DIRECTOR OF ATHLETIC THERAPY AND MEDICAL SERVICES OKANAGAN HOCKEY ACADEMY

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1 Hockey Safety HEATHER CORLISS CAT(C), BSC.KIN, CPT DIRECTOR OF ATHLETIC THERAPY AND MEDICAL SERVICES OKANAGAN HOCKEY ACADEMY

2 Presentation Overview Credentials Pre-game Bench Cool Warm ups Management down Documentation

3 Credentials Certified Athletic Therapists Governed by the Canadian Athletic Therapists Association (CATA) Minimum of 4 year bachelors degree at an accredited institution Must complete Emergency Medical Responder certification or equivalent and 40 hour taping course Requires 600 hours of practical clinical experience and 600 hours of practical on field experience to qualify to take National Board Exams Minimum of 70% on written, practical clinical and practical field exam to obtain Certified Athletic Therapist credential CAT(C)

4 Credentials Trainers and Hockey Canada Safety Persons In the USA Athletic Therapists are called Athletic Trainers and are governed by the National Athletic Trainers Association (NATA) Minimum of 4 year degree at an accredited institution to obtain Certified Athletic Trainer credential ATC In Canada any person working in a team safety position can be deemed a Trainer as this is not a protected title In BC all safety people are required to complete the Hockey Canada Safety Person Online course as well as Respect in Sport

5 Responsibilities Dressing room set up Pre-Game Warm up Bench management and safety Emergency Action Plans Injury management Cool downs Documentation

6 The Dressing Room Often athletes have never been in an organized team dressing room Teaching athletes to set up their room as soon as they arrive at the rink helps develop discipline and pride in their club Decreases chances that the athlete will be missing equipment 5 min before game time If the dressing room can be kept for multiple days, proper set up can help the equipment dry and decrease skin abrasions, rashes and blisters

7 Pre-Game Warm ups Warm ups should include the following components: Aerobic light jog or cycle Dynamic movement / stretching Leader should attempt to include movements to activate all major muscle groups and joints Try to mix quick movement with slow to keep heart rate elevated Graduated explosive movements and sprints Neural preparation Include exercises or movements that require coordination of brain and body activation Athletes should be sweating by the end of their warm up!

8 Example Jog 5 min High knees, butt kicks, straight leg kicks, walking quadriceps stretch, swoops, carioca trunk rotation, figure 4 hip stretch, sumo squat, side shuffle, side lunge, carioca knee drive, hip openers, skipping arm circles forward and backward Graduated build to sprint 75%, 85%, 100% Can include jumps, turns, transitions etc. Fast feet, slow arms; leader cued movements Always emphasis arm movement and posture Right, left, jump, down, spin Give athletes 2 3 minutes to work on specific areas of need

9 Bench Management and Safety While athletes are changing into their equipment the safety person should do a quick scan of the bench Clean up any garbage, tape, hardware or water bottles left on the bench Decreases damage to skate blades Check that gates open easily and that there are no other hazards Encourage athletes to bring individual water bottles and spare sticks to the bench Organize them in a safe location

10 Bench Safety and Management Any time the athletes are on the ice the gates should be closed to minimize risk of injury, this includes practices and pre-game warm ups As athletes enter the ice surface safety person should be scanning to make sure all equipment is present and fits correctly Ie. Mouth guards, neck guards, chin straps Athlete monitoring Between periods encourage athletes to refill water bottles and check in to make sure no minor injuries have occurred

11 Emergency Action Plan (EAP) Every time the safety person arrives to a new rink an EAP must be created The EAP establishes what each staff members role will be in the event of an injury to minimize confusion during an emergency If possible a medical binder including athlete health care numbers and addresses should be with the team in case the parent is not present at the time of injury

12 Emergency Action Plan (EAP) 1. Find and record the rink address 2. Locate AEDs and spine boards (if available) and find out the protocol with rink staff in the event of an emergency 3. Make sure cell phones have service when on the ice surface, locate the nearest landline if no service is available 4. Determine staff roles Charge person Safety person or person with highest level of medical training 2. Call person typically the assistant coach, responsible for making the 911 call 3. Control person Keeps bystanders away, helps with equipment, rolls and can help direct ambulance to the scene Determine who will accompany the athlete to the hospital if parents are unavailable

13 Injury Management In the event of an injury it is the safety person s responsibility to respond and management the situation safely and efficiently (Charge Person) ALL return to play decisions need to be made within the scope of practice of the responder and is completely dependent on your level of training Failure to do so could cause further injury to the athlete and potentially result in the first responder being found negligent in a law suit If you are being paid to provide coverage for a team you have a duty to act in the event of an injury and you are no longer protected by the Good Samaritan's Act

14 Injury Management Spinal Injuries Spinal injuries include injuries to the neck, mid back and low back and can be cause by a variety of mechanisms If the mechanism of injury (MOI) could indicate a spinal injury and if the athlete is complaining of pain in that injury an ambulance should be called unless your scope of practice allows you to clear c-spine If a spinal injury is suspected, c-spine must be maintained until the athlete can be properly secured and assessed C-spine should be held surrounding the helmet not on the helmet as hockey helmets are not tight enough to provide a solid stabilization the helmet should not be removed unless you have been trained to do so

15 Injury Management Head Injuries Basic training in the identification of a concussion is a must for safety people and coaches Symptoms such as headaches, dizziness, blurred vision, confusion, feeling slowed down or in a fog no matter how minor are all indicators of a concussion Sideline tools such as the SCAT 3 are available to everyone and can be an excellent resource to aide in the recognition of a concussed athlete When in doubt the safety person must always err on the side of caution Head and spinal injuries often occur together!

16 Post-Game Cooldown Helps with muscle recovery Light aerobic activity helps flush lactate out of system Static stretching Leader should try to hit all major muscle groups decreased muscle soreness Increased muscle length Static stretches are held for a minimum of 15seconds to allow increase length of the muscle to occur Foam rolling Helps decrease adhesions in fascia

17 Sport Concussion Management In our 7th season. Concept developed after realizing that athletes were relying on Healthcare providers that may not be up to date with current research. Key part of our program is MANAGEMENT of concussions. Baseline assessments form part of the decision to return to play. Over 7000 athletes covered Our protocols are based on the consensus statement from the International Conference on Concussion in Sport held most recently in Multi-faceted comprehensive baseline established pre-season. Completed in group setting. Assessments are used throughout recovery Neurocognitive computerised testing (NCT) Symptom scale Standardized Assessment of Concussion (SAC) Balance assessment Eye tracking assessment Daily communication and advice on how to advance through days and protocol. 7 day a week service during season.

18 Sport Concussion Management Every concussive event is treated uniquely. Management contact by daily s/texts/phone calls/skype. Advice on re-introduction of physical and cognitive activities. Constant communication with coaches/managers/teachers/ Healthcare providers Remote management and advice. Face to face meetings as needed. One time fee at beginning of season. No monetary restraints to seek help and maintain contact. High compliance rate.

19 Documentation Medical Cards and Medical Information sheets Hockey Canada Injury Forms Notes / Injury Log Insurance

20 Questions??

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