This should include clear delineation of people’s roles, location of equipment (spine boards, AEDs, etc), and clear communication between all parties involved. Make sure to introduce yourself to the EMS providers at games.
Presence of the following findings, alone or in combination, heightens suspicion of C-Spine injury
Movement causes increased pain
Physically difficult to reposition
Patient expresses apprehension
If the helmet doesn’t fit properly
If equipment prevents neutral alignment of the cervical spine or airway access
Rescuer 1 stabilizes c-spine
3 rescuers straddle athlete (torso/hips/legs)
Rescuers 2-4 lift athlete about 6” off ground while rescuer 5 slides board beneath athlete
Remove chin strap and then cheek pads.
The rescuer at the head removes helmet while stabilization is done from the front under the chin.
Once helmet is removed a cervical collar is placed on the athlete
Jersey is cut away – cut through midline as well as out through each sleeve
Cut through strings or disconnect or cut through plastic buckles.
Can be slid out by rescuer at head while stabilization is transferred to another rescuer
Can be cut in back and then separated and slid out on each side.
PREVENTING WRESTLING INJURIES
Wrestling is one of the world’s oldest sports and is offered at various levels of competition. Athletes are paired against each other according to their weight class. This decreases the risk for injury. The most common injuries that occur are to the knee, shoulder, skin, and head.
Most Common Injuries
· Knee and Shoulder injuries occur with more severity and are responsible for the most lost time, surgeries, and treatment
Cauliflower ears - Caused by severe bruising of the ear structure. When this occurs the injury may need to be drained and the ear wrapped in a casting material. Wearing properly fitted headgear is the best way to prevent this injury.
Concussions – Wearing headgear with a frontal pad can help minimize the impact of the forehead and can help prevent concussions. Wearing a mouth guard can not only prevent tongue and tooth injuries, but can also help to prevent concussions.
Prepatella Bursitis – Inflammation of the bursa sac in the front of the kneecap. This injury is a result of constant contact with the mat. This can result in sharp pain and swelling. This is treated with NSAID’s such as ibuprofen, ice, and rest. The use of knee pads can help to prevent this injury or make it more manageable once it occurs.
Ligament Injuries – Most common are to the MCL or LCL. These injuries are the result of the knee twisting outward from the midline of the body. A 1st degree sprain can be treated with Rest, Ice, Compression, and Elevation. Often times an athlete can return to play quickly as the pain subsides. If the sprain is more severe, the athlete will need to be treated by a physician, although surgical intervention is rare. Prevent these injuries by maintaining good quad and hamstring strength, as well as flexibility.
Skin Infections – Wrestlers can suffer from skin infections, and they can spread from all the skin-to-skin contact. Some of the main infections in wrestling are herpes simplex, ringworm, and impetigo. However, MRSA, which is much more serious, can also occur.
Minimize the risk of a skin infection by:
If you suspect an infection, see your athletic trainer. If it is an infection, you will need to see your physician promptly to get a prescription for antibiotics. When infected, should avoid bodily contact until it is resolved.
Monitoring Weight Control – This can be achieved through proper control of diet and sound nutritional advice. New York goes through minimum weight certifications in order to establish a weight that is safe for each wrestler to participate at. This is calculated based on weight and percent body fat. All wrestlers must pass a hydration test prior to certification.