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SPORTS SAFETY: TEN THINGS EVERY COACH/PARENT SHOULD KNOW 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

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Page 1: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

SPORTS SAFETY:TEN THINGS EVERY COACH/PARENT

SHOULD KNOWJohn Davis, MA, ATC

Mike Prybicien, MA, ATC, NREMTRobb Rehberg, PhD, ATC, CSCS, NREMT

Page 2: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT
Page 3: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

My Experiences as a Youth Coach?

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.

Page 4: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Sports Safety:Ten Things Every

Coach/Parent Should Know ?

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

Page 5: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

My Experiences as a Youth Coach?

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

Page 6: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Volunteer Coaches Duties

Supervision General vs. Specific

Selection and Conduct of Activities Screening Instruction Warnings Mismatches Protective measures Equipment

Environment/Facilities

Page 7: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Volunteer Coaches Duties

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

Page 8: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Emergency Action Plan 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.

· · Be sure to have someone meet the ambulance

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.

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.

Page 9: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Pre-season Preparation

Page 10: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Dealing With The Athletic Child

Psychological Aspects of Coaching

Sportsmanship

For what purpose? For whose benefit?

Defining success

Establishing your priorities

Page 11: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Dealing With The Athletic Child

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

Page 12: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Tips for Parents/Coaches

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

Page 13: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT
Page 14: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Sport Specialization

Specialize or Multi-sport

When make the commitment

Over use – “itis”

What will get child athlete a scholarship

Travel teams vs high school teams

Page 15: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT
Page 16: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Preventing Injuries: Is your field safe?

Page 17: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Preventing Injuries: Is your field safe?

Field Conditions Equipment Weather Conditions Supervision Emergency Action

Plan

Page 18: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Preventing Injuries: Is your field safe?

Field Conditions Divots, Bare Spots, & Mole

Holes Equipment left on field Proper lighting Fencing (padding) Access ‘Busy’ fields

Page 19: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Preventing Injuries: Is your field safe?

Equipment Worn out/broken

equipment Is it used properly? Is it installed properly? Proper assembly Safety equipment

Page 20: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT
Page 21: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Preventing Injuries: Is your field safe?

Weather Conditions

Page 22: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Preventing Injuries: Is your field safe?

Supervision

Page 23: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Emergency Action Plan:P.R.E.P.A.R.E.

Personnel Rules Equipment Planning Arena Rehearsal Evaluate and

Educate

Page 24: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

First Aid Kits: What to Bring to the Game

Page 25: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

What’s in your first aid kit?

First, a word about training

Page 26: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

What’s in your first aid kit?

First Aid Kit Types

Page 27: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

What’s in your first aid kit?

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

Page 28: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

The Essentials

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

Page 29: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Other Items to Consider

Medication? Athlete’s Emergency Information

Emergency Contact Information Medical History Consent to Treat

Cell Phone

Page 30: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Traumatic Brain Injury/ Concussion

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.

Page 31: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Concussions

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

Page 32: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

ConcussionsSymptoms 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”

Page 33: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

What can the Parent or Coach do to help

• Proper technique!!!!!• Education• Awareness• Stress the

Importance of reporting the concussions to your athletes

Page 34: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

To Help Prevent Injury in Baseball and Softball

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

Page 35: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Proper Conditioning Involves Training the Entire Body

Arm /shoulder Lower Body Trunk / mid-section

Page 36: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Strength and Endurance Exercises

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

Page 37: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Strength & Endurance Activities

Run, sprint Explosive Activities Jumping Other Sports

Strength Exercises Lunges Bodyweight squats Abdominal/core Push-ups / pull ups

Page 39: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Arm Care for Youth Baseball & Softball

Don’t overstress the arm Flexibility and Strengthening exercises Gradual build up to throwing

Page 40: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Flexibility / Stretching Exercises

Page 41: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Strength / Endurance

Rotator Cuff Shoulder blade muscles Arm/Forearm

Each Exercise 30-50 timesControlled smooth motionMuscle burn ok – No pain

Page 42: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Basic Rotator Cuff

BAND PULL IN BAND PULL OUT

Page 43: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Basic Rotator Cuff

FRONT RAISE SIDE RAISE

Page 44: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Shoulder Blade Squeezes

Page 45: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Wrist / Forearem Exercises

WRIST EXTENSION WRIST FLEXION

Page 46: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Wrist/Forearm Exercises

PRONATION SUPINATION

Page 47: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Pre-Participation Physical

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

Page 48: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Pre-Participation Physical

Safety considerations Allergies – Team Snacks Adapt slower to exercise Less efficient body temperature regulation “Wait to weight-train”

Meet legal & insurance requirements

Page 49: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

When an athlete is hurt, who should they see?

Sports Medicine Team Physicians

MD/DO/DC/DPM Specialties

Pediatrics Sports Medicine Orthopedics

Athletic Trainer Physical Therapist EMTs/Paramedics ER vs. Physician’s Office

Page 50: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

Links www.atsnj.org

www.littleleague.org/

http://youthsports.rutgers.edu

http://www.cdc.gov/concussion/

www.redcross.org

www.peqll.com

Page 51: John Davis, MA, ATC Mike Prybicien, MA, ATC, NREMT Robb Rehberg, PhD, ATC, CSCS, NREMT

For More Information

John Davis, MS, ATCHead Athletic TrainerMontclair State [email protected]

Robb Rehberg, PhD, ATC, CSCS, NREMTCoordinator of Athletic Training Clinical EducationWilliam Paterson [email protected]

Michael Prybicien, MA, ATC, NREMTHead Athletic TrainerPassaic High School [email protected]