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AFL Coaching Manual - Western Bulldogs Football Club

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the coach<br />

chapter 8 – prevention & management of injuries<br />

FIRST<br />

AID FOR<br />

INJURIES<br />

In managing an injury,<br />

the main aim is to do no<br />

further damage.<br />

When an injury occurs, there are<br />

many decisions to be made. The<br />

most important of these for the<br />

coach is whether the player should<br />

continue to play or not. Coaches<br />

should always err on the side of<br />

caution as resuming play may cause<br />

further damage to an injury.<br />

Unconscious player<br />

If the player is unconscious, it is a life-threatening situation and the DRSABCD<br />

of first aid should be used by an accredited sports trainer.<br />

D DANGER<br />

Check for danger to:<br />

pp<br />

You.<br />

pp<br />

Others.<br />

pp<br />

The injured player.<br />

R RESPONSE<br />

Is the player conscious?<br />

pp<br />

Can you hear me?<br />

pp<br />

Open your eyes.<br />

pp<br />

What is your name?<br />

S<br />

A<br />

AIRWAY<br />

send for help<br />

Call triple zero (000) for an ambulance.<br />

Make sure the airway is:<br />

pp<br />

Clear of objects.<br />

pp<br />

Open.<br />

B BREATHING<br />

pp<br />

Check if the player is breathing by observing chest<br />

movements and/or air passing in or out of the mouth.<br />

pp<br />

If not, give two initial breaths and begin CPR.<br />

C CPR<br />

pp<br />

CPR involves giving 30 compressions at a rate of around<br />

100 per minute followed by two breaths.<br />

pp<br />

Continue CPR until the patient recovers<br />

or professional help arrives.<br />

p p Stop any bleeding by placing firm pressure over<br />

the injury site.<br />

D Defibrillation<br />

pp<br />

Attach a defibrillator (if available).<br />

pp<br />

Follow voice prompts.<br />

Conscious player<br />

With all injuries, it is important to have a set procedure to follow. The following S.T.O.P. procedure<br />

allows the coach to assess the severity of the injury and determine whether the player should continue or not:<br />

STOP<br />

STOP the player from<br />

participating or moving.<br />

STOP the game if<br />

necessary.<br />

DON’T PANIC ...<br />

STAY COOL<br />

TALK<br />

TALK to the injured player.<br />

What happened?<br />

How did it happen?<br />

What did you feel?<br />

Where does it hurt?<br />

Does it hurt anywhere else?<br />

Have you injured this<br />

part before?<br />

PROVIDE A FEW WORDS<br />

OF ENCOURAGEMENT<br />

1. SEVERE INJURY<br />

Suspected head, facial,<br />

spinal, chest, abdominal<br />

injuries, fractures or<br />

major bleeding.<br />

OBSERVE<br />

OBSERVE while talking<br />

to the player.<br />

General<br />

Is player distressed?<br />

Is the player lying in an<br />

unusual position/posture?<br />

Injury Site<br />

Is there any swelling?<br />

Is there any deformity?<br />

Is there any difference<br />

when compared to the<br />

other side/limb?<br />

Is there tenderness<br />

when touched?<br />

Does it hurt to move the<br />

injured part?<br />

PREVENT<br />

PREVENT further injury<br />

(three options)<br />

IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS<br />

IS YES, SEEK AN SMA ACCREDITED SPORTS TRAINER<br />

OR QUALIFIED FIRST AID SUPPORT<br />

GET HELP RICER REGIME PLAY ON<br />

GET HELP<br />

Get professional help ...<br />

don’t move the player.<br />

pp<br />

Keep onlookers away.<br />

pp<br />

Comfort the player until<br />

professional help arrives.<br />

pp<br />

Immobilise and support.<br />

2. LESS SEVERE<br />

Soft tissue injuries such<br />

as sprains, strains and<br />

muscle bruises.<br />

RICER REGIME<br />

The first 48 hours are<br />

vital in the effective<br />

management of soft tissue<br />

injuries.<br />

pp<br />

Rest.<br />

pp<br />

Ice.<br />

pp<br />

Compression.<br />

pp<br />

Elevation.<br />

pp<br />

Referral.<br />

3. MINOR INJURY<br />

Bumps and bruises<br />

which do not impair<br />

performance.<br />

PLAY ON<br />

A few words of<br />

encouragement will help.<br />

pp<br />

Monitor any such injuries.<br />

pp<br />

Minor injuries should also<br />

be managed using the<br />

RICER regime.<br />

88<br />

89

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