Gwinnett Medical Center. Sports Medicine Program Skills Guide

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1 Gwinnett Medical Center Sports Medicine Program Skills Guide

2 To find information about this event, including speakers and digital copies of this skills guide, visit: gwinnettmedicalcenter.org/sportsclinics Concussion Institute 3855 Pleasant Hill Road Suite 130 Duluth, GA

3 For Parent Distribution (copy as needed) To find information about this event, and digital copies of this skills guide, visit: gwinnettmedicalcenter.org/ sportsclinics To find information about this event, and digital copies of this skills guide, visit: gwinnettmedicalcenter.org/ sportsclinics To find information about this event, and digital copies of this skills guide, visit: gwinnettmedicalcenter.org/ sportsclinics To find information about this event, and digital copies of this skills guide, visit: gwinnettmedicalcenter.org/ sportsclinics To find information about this event, and digital copies of this skills guide, visit: gwinnettmedicalcenter.org/ sportsclinics To find information about this event, and digital copies of this skills guide, visit: gwinnettmedicalcenter.org/ sportsclinics To find information about this event, and digital copies of this skills guide, visit: gwinnettmedicalcenter.org/ sportsclinics To find information about this event, and digital copies of this skills guide, visit: gwinnettmedicalcenter.org/ sportsclinics

4 What Is In Your Kit? Basic Supplies You May Need: 2 Sting Relief Swabs 1 Pre-Wrap 2 Rolls of Tape 1 Ace Bandage 4 Band-Aids 2 Butterfly Closure Strips 2 Gauze Pads 4 Sets of Gloves 2 Triple Anti-Biotic Packets 4 Ice Bags 2 Antiseptic Towelettes Nose Plugs

Ankle Taping Materials needed: Tape adherent, heel and lace pad, 1 roll of pre-wrap, 1 roll of

Apply tape adherent and allow time to dry sufficiently. 2.

side of the ankle slightly above the heel. 3. Apply pre-wrap.

5 Ankle Taping Materials needed: Tape adherent, heel and lace pad, 1 roll of pre-wrap, 1 roll of 1.5-inch tape Athlete should sit on the table with the injured leg extended off the table and the foot at a 90-degree angle. The foot needs to stay at 90 degrees for the duration of the tape job. 1. Apply tape adherent and allow time to dry sufficiently. 2. Apply heel and lace pads, one over the anterior side of the ankle, the other over the posterior side of the ankle slightly above the heel. 3. Apply pre-wrap. Begin distally and move proximally finishing 5-6 inches above the malleolus. 4. Apply three anchors at the proximal end, each overlapping the previous one by half. Place another anchor around the base of the base of the fifth metatarsal (not too tight).

Ankle Taping Be sure circulation to taped extremity is checked before and after tape is applied. 5. Apply a stirrup.

ending on the lateral side of the anchor, pulling the ankle into eversion. 6. Apply a horseshoe.

Repeat steps 5 and 6 three times total, overlapping the previous tape of each step by half. 7. Apply one heel lock on each side.

Continue the tape underneath the arch of the foot around the heel, underneath the ankle and end up back on top of the ankle where the strip began.

6 Ankle Taping Be sure circulation to taped extremity is checked before and after tape is applied. 5. Apply a stirrup. Begin stirrup on the medial side of the leg at the anchor, travel distally covering the malleolus, continuing underneath the foot, covering the lateral malleolus and ending on the lateral side of the anchor, pulling the ankle into eversion. 6. Apply a horseshoe. Begin the horseshoe on the medial side of the foot anchor, travel around the back of the ankle covering both malleoli, ending on the lateral side of the foot anchor. Repeat steps 5 and 6 three times total, overlapping the previous tape of each step by half. 7. Apply one heel lock on each side. Begin at the top of the ankle leading toward the medial side of the foot. Angle the tape downward towards the arch of the foot. Continue the tape underneath the arch of the foot around the heel, underneath the ankle and end up back on top of the ankle where the strip began. Repeat this step going laterally. (See next page.) 8. Apply one figure eight. Begin on the top of the ankle angling the tape medially. Continue underneath the arch of the foot and round back to the anterior surface of the ankle. Continue around the medial side of the ankle looping around to the lateral malleoli and end back on the anterior side of the ankle. (See next page.)

7 Ankle Taping Be sure area to be taped is clean, dry and any open wounds are covered. 9. Apply closing strips from the end point of the figure eight up to the anchor strips. Heel Lock Figure Eight Step 1 Step 1 Step 2 Step 2 Step 3 Step 3 Top View Top View

Buddy Taping Materials needed: White tape 1.

8 Buddy Taping Materials needed: White tape 1. Using the white tape, tear the tape down the middle. 2. Tape above and below the joint, and tape each piece to finger nearest injury site. 3. The painful area or injury site should be in the middle of the two fingers. Then check circulation and function.

Wrist Taping Be sure circulation to taped extremity is checked before and after tape is applied.

5 inch tape Basic Wrist Position athlete with palm facing down and fingers spread to assist in keeping proper

Apply pre-wrap starting at the base of the wrist and traveling proximally for three inches. 2.

9 Wrist Taping Be sure circulation to taped extremity is checked before and after tape is applied. Materials needed: 1 roll of pre-wrap and 1 roll of 1.5 inch tape Basic Wrist Position athlete with palm facing down and fingers spread to assist in keeping proper neurovascular circulation. 1. Apply pre-wrap starting at the base of the wrist and traveling proximally for three inches. 2. Using the tape, begin at the base of the wrist, starting on the palm side, pulling upward and around both sides of the wrist. End the strip where it began. 3. Continue using the same pattern, overlapping each preceding strip by at least half the width of the tape. Three strips in total should be applied.

Ankle Compression Wrap Materials needed: Coban Self-Adhesive Wrap The ankle should be at about a 90-degree angle. 1. Start where the toes meet the body of the foot.

After the first wrap, slowly start circling your way around the arch of the foot and continue up the ankle until you have covered several inches above the ankle. 3.

10 Ankle Compression Wrap Materials needed: Coban Self-Adhesive Wrap The ankle should be at about a 90-degree angle. 1. Start where the toes meet the body of the foot. Hold the loose end of the bandage at the side of the foot. Wrap the bandage around the ball of the foot once, only pulling at about half the tensile strength of material. 2. After the first wrap, slowly start circling your way around the arch of the foot and continue up the ankle until you have covered several inches above the ankle. 3. Most compression wraps are self-fastening or come with clip fasteners. If not, use tape to secure the end. The wrap should be snug but should not cut off circulation to the foot. Check the toes. If they become purplish or blue, cool to the touch, numb or tingly, the wrap is too tight and should be loosened.

Groin Wrap Materials needed: 6 inch double ace wrap, QDA, 1.5-inch athletic tape, 1.

slightly bent, hip internally rotated and up on the toes.

Start in the middle of the quadriceps and wrap the ace bandage around the quad two times, then pull

11 Groin Wrap Materials needed: 6 inch double ace wrap, QDA, 1.5-inch athletic tape, 1.5-inch stretchy tape Have the athlete take a half step forward, all weight on uninjured side, knee slightly bent, hip internally rotated and up on the toes. (He or she can put a roll of tape under the heel to help.) 1. Start in the middle of the quadriceps and wrap the ace bandage around the quad two times, then pull across the front of the injured hip towards the uninjured hip then continue around the back. 2. Make sure the ace bandage makes an X at the hip joint. 3. Go over the ace bandage with the stretchy tape and anchor with athletic tape.

12 Basic Splinting Materials needed: 6-inch double ace wrap, 1.5-inch athletic tape, 1.5-inch stretchy tape 1. Check distal circulation, sensation and movement. 2. Choose appropriate splint and splint in position found. 3. Support injured site. 4. Place splint under injured site, splinting above and below injured site. 5. Attach splint with appropriate material. 6. Recheck distal circulation, sensation and movement.

Finger Splinting Materials needed: Tongue depressor,

Check distal pulse, movement and capillary refill. 2.

Support injured site and place the splint under

13 Finger Splinting Materials needed: Tongue depressor, white tape, scissors 1. Check distal pulse, movement and capillary refill. 2. Use a tongue depressor to measure the length of the finger. Cut the tongue depressor and tape around the cut end. Support injured site and place the splint under injured site, splitting the joint above. 3. Tape above and below the joint. 4. Recheck distal circulation, sensation and movement.

Magazine Splinting Materials needed: Magazine, 6-inch ace wrap and 1.

14 Magazine Splinting Materials needed: Magazine, 6-inch ace wrap and 1.5-inch athletic tape 1. Check distal pulse, movement and capillary refill. 2. Take the magazine and smooth it. Support injured site and place the magazine under injured site, splitting the joint above and below injury. 3. Affix with ace bandage or by taping above and below the injury site. Recheck distal circulation, sensation and movement before transporting the athlete.

Suck the air from the bag and tie a knot high on the bag.

15 Ice Packs Materials needed: Ice bag, ice, exoclear or ace bandage 1. Fill an ice bag with enough ice to cover body part. Suck the air from the bag and tie a knot high on the bag. Then flatten the ice inside the bag. 2. Apply to the skin and form the area. Secure the bag with the appropriate wrap (exoclear or ace bandage). Then check circulation of distal body part.

16 Notes

LESSON ASSIGNMENT. After completing this lesson, you should be able to:

LESSON ASSIGNMENT. After completing this lesson, you should be able to: LESSON ASSIGNMENT LESSON 6 Roller Bandages. LESSON ASSIGNMENT Paragraphs 6-1 through 6-10. LESSON OBJECTIVES After completing this lesson, you should be able to: 6-1. Identify the functions of roller bandages.