PPT 55 Rehberg.pdf

SIDELINE MANAGEMENT
SIDELINE MANAGEMENT
OF EMERGENCIES
OF EMERGENCIES
Robb S. Rehberg, PhD, ATC, CSCS, NREMT
Assistant Professor and Coordinator of Clinical Education
Assistant Professor and Coordinator of Clinical Education
Athletic Training Education Program
William Paterson University, Wayne NJ
Founding Partner
The Rehberg Konin Group, LLC

OBJECTIVES
OBJECTIVES
OBJECTIVES
OBJECTIVES
 Understand the importance of preparation for
 Understand the importance of preparation for
sports emergencies
 Identify key personnel responding to
y y p p g
emergencies (“sports emergency care team”)
 Identify the key factors involved in the
y y
emergency planning process
 Understand the critical elements of an
Emergency Action Plan (EAP) using the
PREPARE acronym

PREPARE for Sports Emergencies

 Personnel
 Personnel
 Rules
 Equipment
 Equipment
 Planning
 Arena
 Arena
 Rehearsal
E l l t /Ed t
 Evalulate/Educate

Personnel
Personnel

Athletic Trainers
Athletic Trainers

Emergency Medical Services Personnel
Emergency Medical Services Personnel
 First Responders
 EMT-Basic
 EMT-Basic
 EMT-Intermediate
 EMT Paramedic
 EMT-Paramedic

Physicians
Physicians

Hospital Staff
Hospital Staff

Coaching Staff
Coaching Staff

Athletic Training Students
Athletic Training Students

Athletics Staff
Athletics Staff

Athletes
Athletes

Rules
 Inter-Association Task Force for the Appropriate
Care of the Spine-Injured Athlete
 NATA Position Statement on Management of the
Spine-Injured Athlete
Spine Injured Athlete
 EMT-Basic: National Standard Curriculum
 Zurich Consensus Statement on Concussion in
Sport
Sport

 Airway Adjuncts
y j

 Backboards

 Splints
p

 Communications
Equipment

 Transportation
p
Devices

 Resuscitation
Equipment

 Facemask Removal
Tools

 Diagnostic Tools
g

 Lifesaving
g
Medications

Planning
Planning
 Emergency Action Plan

Arena
 Condition of the court
or field
 Location of emergency
exits
 Location of ambulance,
or entrance where EMS
personnel will arrive
personnel will arrive
 Location of emergency
equipment
q p

Rehearsal
Rehearsal

Evaluate and Educate
Evaluate and Educate

Considerations for
Considerations for
C Sid li E i
C Sid li E i
Common Sideline Emergencies
Common Sideline Emergencies
 Spinal Injuries
 Spinal Injuries
 Concussion
 Exertional Heat Stroke
 Exertional Heat Stroke
 Respiratory Difficulty/Arrest
 Cardiac Arrest
 Cardiac Arrest
 Fractures

Spinal Injuries
Spinal Injuries
Spinal Injuries
Spinal Injuries
 Considerations:
 Considerations:
 Airway, Breathing, Circulation take precedence
 Neuro Exam
 Consider spinal immobilization
 Helmet removal vs. non-removal
 Facemask removal

Concussion
Concussion
Concussion
Concussion
ANY signs/symptoms of concussion
ANY signs/symptoms of concussion
=
NO same-day return to play
NO same-day return to play.
Period
Period.

Exertional Heat Stroke
 Preventable!
 Preventable!
 Monitor environmental conditions
 Major Signs and Symptoms
 Major Signs and Symptoms
 Hot, flushed skin
 Lack of perspiration
p p
 Altered level of consciousness
 Immediate cold water immersion

Respiratory Difficulty/Arrest
 Causes:
 Causes:
 Head trauma
 Asthma
 Allergic reaction (anaphylaxis)
 Considerations
 Medications
 Oxygen
 Airway Adjuncts

Sudden Cardiac Arrest
 Hypertropic cardiomyopathy
 Hypertropic cardiomyopathy
 Congenital heart defects
 Prevention through thorough PPE
 Prevention through thorough PPE
 Always have an Automated External
Defibrillator (AED) available
Defibrillator (AED) available

Fractures and Dislocations
 Considerations for immobilization
 Considerations for immobilization
 Splinting materials
 Reduction in the field
 Reduction in the field

Thank You
Thank You
Thank You
Thank You
For more information, contact:
For more information, contact:
Assistant Professor
Assistant Professor
Coordinator of Athletic Training Clinical Education
Coordinator of Athletic Training Clinical Education
William Paterson University
William Paterson University
Wayne, NJ 07470
Wayne, NJ 07470
Wayne, NJ 07470
Wayne, NJ 07470
Tel. 973
Tel. 973-
-720
720-
-2267
2267
Rehbergr@wpunj.edu
Rehbergr@wpunj.edu

PPT 55 Rehberg.pdf

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PPT 55 Rehberg.pdf