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GUNGAHLIN COLLEGE. Human Movement SPORTS INJURIES Head, Spinal and Concussion. HEAD INJURY PREVENTION. There are a number of protective devices available for the head region, depending upon the sport: HELMETS: baseball/softball batters, horse riding, ice hockey
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GUNGAHLIN COLLEGE Human Movement SPORTS INJURIES Head, Spinal and Concussion
HEAD INJURY PREVENTION • There are a number of protective devices available for the head region, depending upon the sport: • HELMETS: baseball/softball batters, horse riding, ice hockey • FACE MASKS: baseball/softball catchers, hockey and ice hockey goal keepers • MOUTHGUARDS: worn by all athletes playing contact sports • EYE PROTECTION: squash, racquet ball, water polo, boxing
ALL HEAD INJURIES MUST BE REFERRED TO A DOCTOR FOR ASSESSMENT AND MANAGEMENT.
Head, Neck & Spinal Injuries Head • Potentially dangerous • Always require medical attention Fractures • Indirect/Direct • Base of the skull • Severe – multiple cracking
Head • Brain – about 1.4kg men & 1.25kg women The brain is protected by: The skull • A complex layer of connective tissue coverings between the brain and the skull • A layer of fluid between these connective tissue coverings and the skull • There are also blood vessels between the surface of the brain and the skull
Head Injuries Concussion – memory loss or reduced level of consciousness • It is the result of the brain being excessively shaken • Caused by blow to the head or neck Compression • Excess pressure on part of the brain • Caused by: • Depressed skull fracture • Build up of fluids Contusion • Various degrees of bruising on the brain. Symptoms are similar to those of concussion but tend to last longer
Signs and Symptoms of Brain Injury • Symptoms of a brain injury • Headache • Disorientation • Drowsiness • Nausea • Altered responses to commands/touch • Wounds to face/scalp • Fluid escaping nose/ears • Blurred vision/pupils Signs of a brain injury • Loss of consciousness • Vomiting • Seizures • Slurred speech
Spinal Injuries Caused by: • Falls from height • Direct blow to the spine • Penetrating injury • Diving/surfing activities • High speed accidents • Sudden acceleration/deceleration injuries • Being hit from falling/travelling object
Signs and Symptoms of Spinal Injuries • Symptoms • Back or neck pain • Tenderness over site of injury • Tingling or lack of feeling in the limbs • Muscle spasm in the neck and back • Headache Signs • Breathing difficulties • Profuse bleeding from the head • Dilated pupils • Fluid – ears • Abnormal BP • Shock • Loss of consciousness
Management • Treat all cases as life threatening: • DRABC • Immobilisation
Mouth and tooth injuries Direct blows, falls, bitten lips or tongue, stings around mouth, incorrect fitting of mouth guards
Signs and symptoms • Bleeding from the mouth, gums, lips, tongue or tooth socket • Broken or displaced tooth • Swelling / Pain
Managment • Assess the injury • Blood going down throat / possible swelling / loose tooth etc • Control any bleeding promptly • Apply firm pressure with sterile dressing to the socket. Cut lip use moist dressing • Teeth that are reinserted into their socket within 20 minshave the best chance of surviving
If tooth has been knocked out... • Rinse clean and replace holding the crown – then bite into clean gauze or hold with finger • If not possible, keep moist and clean – • 1 - Bathed in athlete’s saliva • 2 - Milk • 3 - Water • Obtain urgent dental assistance
If a baby tooth has been knocked out, ignore previous advice – However, see a dentist in case damage has occurred to the permanent tooth in the jaw.
Concussion • “a clinical syndrome characterised by immediate and transient post-traumatic impairment of neural function, such as alteration of consciousness, disturbance of vision and equilibrium due to brain stem involvement” • A wide variety of neurological symptoms may be experienced, but none are permanent. • It is not necessary that loss of consciousness occurs.
Classification of Concussion • GRADE 1. (mild). • No LOC with post traumatic amnesia (PTA) of less than 30 min. • GRADE 2. (moderate). • LOC less than 5 min or PTA greater than 30 min. • GRADE 3. (severe). • LOC greater than 5 min or PTA greater than 24 hours. • PTA is the period of loss of memory of the concussive event and subsequent events until full recall of recent events is regained.
Concussion Rules • Athletes who have lost consciousness should: • Receive a medical clearance before resuming training or comp • Once cleared – follow a plan of graduated return to gentle exercise non contact contact. Any headache – reassessment • Pass a skills test before returning to full training and comp