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

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

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. This course is risk and safety management for you and the league CYA.

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) An athlete s injury has an effect on his/her parents, coaches, the team, his schooling, health care professional, teammates

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

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

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

1. Stay Calm. Can you handle the problem? Do you need help? a. Determine if the injury is Simple or Serious. 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! d. Call 911 to activate the local EMS service. 2. Reassure and try to calm the injury player. 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. 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. Be sure to have someone meet the ambulance 7. Make an accurate record of the injury. Be sure to note the following: Time when injury occurred Who, What, When, Where, Why the injury occurred Treatment given 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.

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

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

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

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

Field Conditions Equipment Weather Conditions Supervision Emergency Action Plan

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

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

Weather Conditions

Supervision

Personnel Rules Equipment Planning Arena Rehearsal Evaluate and Educate

First, a word about training

First Aid Kit Types

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

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

Medication? Athlete s Emergency Information Emergency Contact Information Medical History Consent to Treat Cell Phone

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. Concussions can occur in any sport or recreation activity.

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

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

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

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

Arm /shoulder Lower Body Trunk / mid-section

Don t train like the pro s or an adult No heavy weightlifting prior to puberty Variety is important Make it FUNctional Similar movement/motions FUN

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

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

Don t overstress the arm Flexibility and Strengthening exercises Gradual build up to throwing

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

BAND PULL IN BAND PULL OUT

FRONT RAISE SIDE RAISE

WRIST EXTENSION WRIST FLEXION

PRONATION SUPINATION

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

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

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

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

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