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On field Management of Injuries

Injuries on a football field are one of the risks involved with playing football, from youth leagues all the way up to professional football.  Understanding how to deal with the initial injury can be critical in lessoning the severity of the injury.

Preparation

Preparation before the game begins is one of the important aspects of lessening on field injuries.  It is important to have access to communication with a cell phone and 911 availability.  If possible access to an ambulance on site is a great benefit.  Emergency equipment including a back board, tape, c-collar, and splints should be available  at youth football fields.  Before the game inspect the playing surface to determine if it is safe to play on.  Also check to be sure that football equipment including helmets and mouthguards are in good working order.

Rules on the Field

When a player is injured on the field, never move a player if he is unconscious or complaining of neck pain, or has numbness in his arms or legs until medical help arrives.  The most important thing is to keep him calm and prevent him from moving his head or neck.  If there is any doubt leave the helmet on.  Remember the rules of basic CPR, A(airway), B(breathing), C(circulation).  First check the airway, tilt head slightly, lift chin, open mouth, remove mouthguard, ensure he is breathing.  Second if not breathing start mouth-to-mouth recessatation.  Third check circulation/pulse.  If no pulse start CPR.  This is a worst case situation but you need to be prepared just in case.

On field Exam

After ensuring the athlete is breathing, check for unconsciousness, ask about neck pain or numbness in the extremities.  If any of these are present stabilize the head and spine.  Allow no movement of the head or neck.  Leave the helmet and shoulder pads on unless the athlete is not breathing.  If the airway is in question cut away the facemask.  The athlete should be strapped and taped to a backboard, with the head stabilized with pillows.  Check for signs of a concussion, dazed, slow to answer questions, disoriented, slurred speech, memory problems, incoordination.  New guidelines state that if an athlete has suffered any type of concussion he should not be allowed back in the game that day.  Any type of obvious injury to an arm or leg should be splinted on the field before moving the athlete to the sidelines.  If there is any doubt about an injury on the field always be over cautious or wait until medical help arrives.

For appointments, call Hoffman Family Practice Associates at 817-916-5180.

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