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Sports Medicine Basics In

The Judo Athlete

(Part 1)

Sports Medicine Basics In

Sports Medicine Basics In

The Judo Athlete

The Judo Athlete

(Part 1)

(Part 1)

Robert S. Nishime, M.D.

USA Judo Sports Medicine Subcommittee

Robert S. Nishime, M.D.

Robert S. Nishime, M.D.

USA Judo Sports Medicine Subcommittee

(2)

Judo Sports Medicine Seminar

Judo Sports Medicine Seminar

Judo Sports Medicine Seminar

This course is meant to be an

educational & informative seminar

about sports medicine issues in

the judo athlete

Officials, coaches, athletes,

parents, and judo enthusiasts in

general are all welcome

This course is meant to be an

This course is meant to be an

educational & informative seminar

educational & informative seminar

about sports medicine issues in

about sports medicine issues in

the judo athlete

the judo athlete

Officials, coaches, athletes,

Officials, coaches, athletes,

parents, and judo enthusiasts in

parents, and judo enthusiasts in

general are all welcome

general are all welcome

(3)

Contents

Contents

Contents

Purpose

Important Symptoms

Head Injuries & Concussions

Emergency Mat-side Care

Spine Injuries

Chokes & Arm-locks

Blood & Bodily Fluids

Purpose

Purpose

Important Symptoms

Important Symptoms

Head Injuries & Concussions

Head Injuries & Concussions

Emergency Mat

Emergency Mat

-

-

side Care

side Care

Spine Injuries

Spine Injuries

Chokes & Arm

Chokes & Arm

-

-

locks

locks

(4)

Goals & Roles

Goals & Roles

Goals & Roles

Become familiar with the basics

Promote and facilitate a healthy

athletic lifestyle through safe judo

participation

Understand your limitations as a

health provider or caregiver

Priorities: Safety & health of the

athlete is the top priority

Become familiar with the basics

Become familiar with the basics

Promote and facilitate a healthy

Promote and facilitate a healthy

athletic lifestyle through safe judo

athletic lifestyle through safe judo

participation

participation

Understand your limitations as a

Understand your limitations as a

health provider or caregiver

health provider or caregiver

Priorities: Safety & health of the

Priorities: Safety & health of the

athlete is the top priority

(5)

Don’ts

Don

Don

ts

ts

Do NO Harm!

Do NOT Diagnose or Treat!

Do NOT Manipulate

Do NOT Move: Especially an

unconscious athlete or one with

potential significant spinal injury

and/or complaints

Do NO Harm!

Do NO Harm!

Do NOT Diagnose or Treat!

Do NOT Diagnose or Treat!

Do NOT Manipulate

Do NOT Manipulate

Do NOT Move: Especially an

Do NOT Move: Especially an

unconscious athlete or one with

unconscious athlete or one with

potential significant spinal injury

potential significant spinal injury

and/or complaints

and/or complaints

(6)

Judo Is A Contact-Collision Sport!

Judo Is A Contact

Judo Is A Contact

-

-

Collision Sport!

Collision Sport!

Full spectrum of injuries & problems

Probable similar injury profile and

incidence as wrestling

The Sports Medicine Subcommittee is currently

conducting research to further understand the true incidence of judo injuries & problems, as well as potential effective treatments and

ways to improve physical performance

Potential long term damage & disability

Full spectrum of injuries & problemsFull spectrum of injuries & problems

Probable similar injury profile and Probable similar injury profile and

incidence as wrestling

incidence as wrestling

The Sports Medicine Subcommittee is currently The Sports Medicine Subcommittee is currently

conducting research to further understand the

conducting research to further understand the

true incidence of judo injuries & problems, as

true incidence of judo injuries & problems, as

well as potential effective treatments and

well as potential effective treatments and

ways to improve physical performance

ways to improve physical performance

(7)

Important Symptoms

Important Symptoms

Important Symptoms

Pain and Swelling:

Severity & persistence

Numbness, Tingling, Weakness:

Possible nerve or spinal cord injury

Range of Motion and/or Dysfunction:

Possibly broken, torn, pinched, or dislocated

Pain and Swelling: Pain and Swelling:

Severity & persistenceSeverity & persistence

Numbness, Tingling, Weakness:Numbness, Tingling, Weakness:

Possible nerve or spinal cord injuryPossible nerve or spinal cord injury

Range of Motion and/or Dysfunction:Range of Motion and/or Dysfunction:

(8)

Head Injuries

Head Injuries

Head Injuries

Head Contusion (Bruise)

Concussion

Structural Brain Injuries

Brain Contusion or Swelling Intra-Cranial Hemorrhage

(bleeding in or around the brain)

Skull Fracture

Head Contusion (Bruise)

Head Contusion (Bruise)

Concussion

Concussion

Structural Brain Injuries

Structural Brain Injuries

Brain Contusion or SwellingBrain Contusion or Swelling

IntraIntra--Cranial Hemorrhage Cranial Hemorrhage

(bleeding in or around the brain) (bleeding in or around the brain)

(9)

Concussions

Concussions

Common & Significant

Enigmatic

Controversial

Wide variations in seriousness, long

term damage, and disability

Return to play (RTP) decisions

potentially very difficult

(10)

Sports Related Concussions

Sports Related Concussions

Sports Related Concussions

2-5% of all athletic injuries

Contact-collision sports

Football: >100,000 cases per year

20% high school football players per year

Statistics in judo players

unknown but incidence probably high & proportionate

to other contact-collision sports

22--5% of all athletic injuries5% of all athletic injuries

ContactContact--collision sportscollision sports

Football: >100,000 cases per Football: >100,000 cases per year

year

20% high school football20% high school football players per year

players per year

Statistics in judo playersStatistics in judo players

unknown but incidence

unknown but incidence

probably high & proportionate

probably high & proportionate

to other contact

(11)

Goals of Concussion Management

Goals of Concussion Management

Goals of Concussion Management

Accurate diagnosis

Damage control

Screen for associated injuries (i.e. neck)

Allow safe return to play

Accurate diagnosisAccurate diagnosis

Damage control Damage control

Screen for associated injuries (i.e. neck)Screen for associated injuries (i.e. neck)

(12)

Concussions:

A Diagnostic Dilemma

Concussions:

Concussions:

A Diagnostic Dilemma

A Diagnostic Dilemma

Vague symptoms

Confusion, dizziness, clouded thinking Altered consciousness & amnesia

Difficult to identify those at risk for complications or permanent damage

Currently, there is not much scientific evidence and knowledge to support any one return to play guideline

Limited time for evaluation on mat

Vague symptomsVague symptoms

Confusion, dizziness, clouded thinking Confusion, dizziness, clouded thinking 

Altered consciousness & amnesiaAltered consciousness & amnesia

Difficult to identify those at risk for Difficult to identify those at risk for complications or permanent damage

complications or permanent damage

Currently, there is not much scientific Currently, there is not much scientific evidence and knowledge to support

evidence and knowledge to support

any one return to play guideline

any one return to play guideline

(13)

Definition of Concussion

Definition of Concussion

Definition of Concussion

“A complex pathophysiological

process affecting the brain, induced

by traumatic biomechanical forces”

Summary & Agreement Statement of the First International Conference on Concussion in Sport, Vienna 2001

A complex pathophysiological

A complex pathophysiological

process affecting the brain, induced

process affecting the brain, induced

by traumatic biomechanical forces

by traumatic biomechanical forces

Summary & Agreement Statement of the First International

Summary & Agreement Statement of the First International

Conference on Concussion in Sport, Vienna 2001

(14)

Classic Concussion Characteristics

Classic Concussion Characteristics

Classic Concussion Characteristics

Altered Consciousness

Memory Problems & Amnesia

Confusion & Disorientation

Poor Concentration & Thinking

Dizziness & Balance Disturbances

Delayed Reflexes & Reaction Times

Altered Consciousness Altered Consciousness

Memory Problems & AmnesiaMemory Problems & Amnesia

Confusion & DisorientationConfusion & Disorientation

Poor Concentration & ThinkingPoor Concentration & Thinking

Dizziness & Balance DisturbancesDizziness & Balance Disturbances

(15)

Potential Bad Outcomes

After Concussion

Potential Bad Outcomes

Potential Bad Outcomes

After Concussion

After Concussion

Death

Severe brain swelling after multiple

concussions

Wrong diagnosis (i.e. severe intra-cranial

hemorrhage)

Cumulative Brain Damage

“Punchiness”

Paralysis

Missed concomitant severe spinal injury

Death

Death

Severe brain swelling after multiple Severe brain swelling after multiple concussions

concussions 

Wrong diagnosis (i.e. severe intra-Wrong diagnosis (i.e. severe intra-cranial cranial hemorrhage)

hemorrhage)

Cumulative Brain Damage

Cumulative Brain Damage

““PunchinessPunchiness””

Paralysis

Paralysis

(16)

Chronic Traumatic Brain Injury

Chronic Traumatic Brain Injury

Chronic Traumatic Brain Injury

Possible Risk Factors

Duration of exposure

Numerous injuries

Permanent, variable brain

damage that occurs in

certain individuals after

head injury(s)

?Genetic Predisposition

Possible Risk Factors

Possible Risk Factors

Duration of exposureDuration of exposure

Numerous injuriesNumerous injuries

Permanent, variable brain

Permanent, variable brain

damage that occurs in

damage that occurs in

certain individuals after

certain individuals after

head injury(s)

head injury(s)

(17)

Emergency Mat-Side Care

Emergency Mat

Emergency Mat

-

-

Side Care

Side Care

Always follow your Basic Life

Support/CPR ABC’s in an

unconscious or unresponsive athlete

Airway

Breathing Circulation

Always follow your Basic Life

Always follow your Basic Life

Support/CPR ABC

Support/CPR ABC

s in an

s in an

unconscious or unresponsive athlete

unconscious or unresponsive athlete

 AirwayAirway  BreathingBreathing  CirculationCirculation

(18)

Emergency Mat-Side Care

Emergency Mat

Emergency Mat

-

-

Side Care

Side Care

NEVER MOVE AN UNCONSCIOUS ATHLETE!

He/she can’t tell you if their neck was seriously

injured and are in pain if they’re not awake

Care of the spine takes precedence over head

injury evaluation in the unconscious athlete

This athlete should only be moved if breathing is

significantly compromised or if other medical

professionals experienced in spinal injury care are available to assist

NEVER MOVE AN UNCONSCIOUS ATHLETE!NEVER MOVE AN UNCONSCIOUS ATHLETE!

He/she canHe/she can’t tell you if their neck was seriously ’t tell you if their neck was seriously injured and are in pain if they

injured and are in pain if they’’re not awakere not awake 

Care of the spine takes precedence over head Care of the spine takes precedence over head

injury evaluation in the unconscious athlete

injury evaluation in the unconscious athlete

This athlete should only be moved if breathing is This athlete should only be moved if breathing is significantly compromised or if other medical

significantly compromised or if other medical

professionals experienced in spinal injury care are professionals experienced in spinal injury care are

available to assist available to assist

(19)

Log Roll

(20)

Hospital Transport For Head Trauma

Hospital Transport For Head Trauma

Hospital Transport For Head Trauma

Significant headache

Significant loss of consciousness

Persistent or worsening concussion symptoms

Post head injury convulsions, twitching, or seizure

Persistent visual disturbance

Suspected significant spine or nerve injury

Significant headache Significant headache

Significant loss of consciousnessSignificant loss of consciousness

Persistent or worsening concussion Persistent or worsening concussion symptoms

symptoms

Post head injury convulsions, twitching, Post head injury convulsions, twitching, or seizure

or seizure

Persistent visual disturbancePersistent visual disturbance

Suspected significant spine or nerve Suspected significant spine or nerve injury

(21)

Concussion:

The Return To Play Dilemma

Concussion:

Concussion:

The Return To Play Dilemma

The Return To Play Dilemma

Lack of consensus: not well understood or agreed upon

Not much medical or scientific research

available on concussions to aid in concussion management and validate our current

methods

Difficult to practically predict which athletes are at risk for significant long term

complications or damage

Lack of consensus: not well understood or Lack of consensus: not well understood or agreed upon

agreed upon

Not much medical or scientific research Not much medical or scientific research

available on concussions to aid in concussion

available on concussions to aid in concussion

management and validate our current

management and validate our current

methods

methods

Difficult to practically predict which athletes Difficult to practically predict which athletes are at risk for significant long term

are at risk for significant long term

complications or damage

(22)

Lack of Consensus

Lack of Consensus

Lack of Consensus

When presented with a

certain head injury scenario,

sports medicine doctors

differed significantly on

their return to play

recommendations________

 Swenson EJ Jr, McKeag DB. Minor head injury

evaluation: current state-of-the-art: results of survey completed by the AMSSM membership in 1994. AMSSM annual meeting, Orlando, FL, June 1996

When presented with a

When presented with a

certain head injury scenario,

certain head injury scenario,

sports medicine doctors

sports medicine doctors

differed significantly on

differed significantly on

their return to play

their return to play

recommendations________

recommendations________

 Swenson EJ Jr, McKeag DB. Minor head injury Swenson EJ Jr, McKeag DB. Minor head injury evaluation: current state

evaluation: current state--ofof--thethe--art: results of art: results of survey completed by the AMSSM membership in

survey completed by the AMSSM membership in

1994. AMSSM annual meeting, Orlando, FL, June

1994. AMSSM annual meeting, Orlando, FL, June

1996

(23)

Return To Play Recommendations

(Immediate Post Head Injury)

Return To Play Recommendations

Return To Play Recommendations

(Immediate Post Head Injury)

(Immediate Post Head Injury)

Any symptomatic athlete must be held from play

Loss of consciousness or prolonged (>15 min) symptoms usually precludes return to play (RTP) that day

Have concussed athletes sit & monitored

Check every 5 minutes for at least 15 min

Medical evaluation following injury with medical supervision for stepwise RTP

Any Any symptomaticsymptomatic athlete must be held athlete must be held from play

from play

Loss of consciousness or prolonged (>15 Loss of consciousness or prolonged (>15 min) symptoms usually precludes return to

min) symptoms usually precludes return to

play (RTP) that day

play (RTP) that day

Have concussed athletes sit & monitoredHave concussed athletes sit & monitored

Check every 5 minutes for at least 15 minCheck every 5 minutes for at least 15 min

Medical evaluation following injury with Medical evaluation following injury with medical supervision for stepwise RTP

(24)

The USA Judo Sports Medicine

Subcommittee recommends that all

judo athletes with a concussion or

significant head injury be evaluated

and cleared by an experienced

physician prior to return to practice

or competition.

The USA Judo Sports Medicine

The USA Judo Sports Medicine

Subcommittee recommends that all

Subcommittee recommends that all

judo athletes with a concussion or

judo athletes with a concussion or

significant head injury be evaluated

significant head injury be evaluated

and cleared by an experienced

and cleared by an experienced

physician prior to return to practice

physician prior to return to practice

or competition.

(25)

Concussion Return To Play Protocol:

Stepwise Process

Concussion Return To Play Protocol:

Concussion Return To Play Protocol:

Stepwise Process

Stepwise Process

1. No activity, complete rest;

(For each stage, once the athlete is

asymptomatic, proceed to the next level)

2. Light aerobic exercise

3. Sports specific low impact training 4. Non-contact training drills

5. Full-contact training after medical clearance

6. Game play________________________ Adapted from the Summary & Agreement Statement of the First

International Symposium on Concussion in Sport, Vienna 2001

1.

1. No activity, complete rest; No activity, complete rest;

(For each stage, once the athlete is (For each stage, once the athlete is

asymptomatic, proceed to the next level) asymptomatic, proceed to the next level)

2.

2. Light aerobic exerciseLight aerobic exercise 3.

3. Sports specific low impact trainingSports specific low impact training 4.

4. NonNon--contact training drillscontact training drills 5.

5. FullFull--contact training after medical contact training after medical clearance

clearance

6. Game play________________________

6. Game play________________________

Adapted from the Summary & Agreement Statement of the First Adapted from the Summary & Agreement Statement of the First

International Symposium on Concussion in Sport, Vienna 2001 International Symposium on Concussion in Sport, Vienna 2001

(26)

Concussion RTP Judo Specific Protocol:

Stepwise Process

Concussion RTP Judo Specific Protocol:

Concussion RTP Judo Specific Protocol:

Stepwise Process

Stepwise Process

1.

No activity, complete rest

2.

2. Light aerobic exercise

3.

Sports specific low impact training

1. Light Judo calisthenics 2. Shadow Uchikomi

4.

Non-contact training drills

1. Newaza Uchikomi

2. Light Tachiwaza Uchikomi (No Lifting)

5. Full-contact training after medical clearance 6. Game play________________________

Adapted from the Summary & Agreement Statement of the First International Symposium on Concussion in Sport, Vienna 2001

1.

1.

No activity, complete restNo activity, complete rest

2.

2.

2.2. Light aerobic exerciseLight aerobic exercise

3.

3.

Sports specific low impact trainingSports specific low impact training

1.

1. Light Judo calisthenicsLight Judo calisthenics 2.

2. Shadow Shadow UchikomiUchikomi

4.

4.

NonNon--contact training drillscontact training drills

1.

1. NewazaNewaza UchikomiUchikomi 2.

2. Light Light TachiwazaTachiwaza UchikomiUchikomi (No Lifting)(No Lifting)

5.

5. FullFull--contact training after medical clearancecontact training after medical clearance 6. Game play________________________

6. Game play________________________

Adapted from the Summary & Agreement Statement of the First Inte

Adapted from the Summary & Agreement Statement of the First International rnational Symposium on Concussion in Sport, Vienna 2001

(27)

Post Head Injury Precautions

(1st 24 Hrs)

Post Head Injury Precautions

Post Head Injury Precautions

(1st 24 Hrs)

(1st 24 Hrs)

Seek immediate medical care if:

Loss of consciousness recurs Severe or worsening headache Persistent nausea/vomiting

Progressive lethargy (drowsiness) Strange or inappropriate behavior

Observation checks

Seek immediate medical care if:

Seek immediate medical care if:

Loss of consciousness recursLoss of consciousness recurs 

Severe or worsening headacheSevere or worsening headache 

Persistent nausea/vomitingPersistent nausea/vomiting 

Progressive lethargy (drowsiness)Progressive lethargy (drowsiness) 

Strange or inappropriate behaviorStrange or inappropriate behavior

(28)

Spine Injury

Spine Injury

Spine Injury

NEVER MOVE AN UNCONSCIOUS ATHLETE!

Potential Serious Spinal Injuries

Fracture

Unstable Spinal Segments or Dislocation

Significant Spinal Cord or Nerve Compromise/Damage Significant Herniated Disc

Most spinal injuries require further evaluation by a physician

Medico-Legal Issues

NEVER MOVE AN UNCONSCIOUS ATHLETE!NEVER MOVE AN UNCONSCIOUS ATHLETE!

Potential Serious Spinal InjuriesPotential Serious Spinal Injuries

FractureFracture 

Unstable Spinal Segments or DislocationUnstable Spinal Segments or Dislocation 

Significant Spinal Cord or Nerve Compromise/DamageSignificant Spinal Cord or Nerve Compromise/Damage 

Significant Herniated DiscSignificant Herniated Disc

Most spinal injuries require further Most spinal injuries require further evaluation by a physician

evaluation by a physician

(29)

Chokes & Strangle Holds

Chokes & Strangle Holds

Chokes & Strangle Holds

Generally Safe

Essentially cuts off blood flow to the brain when applied persistently

Flailing or seizure like activity may occur but are usually benign in the vast

majority of cases

Crush injuries to neck & throat not commonly seen

Generally SafeGenerally Safe

Essentially cuts off blood flow to the Essentially cuts off blood flow to the brain when applied persistently

brain when applied persistently

Flailing or seizure like activity may occur Flailing or seizure like activity may occur but are usually benign in the vast

but are usually benign in the vast

majority of cases

majority of cases

Crush injuries to neck & throat not Crush injuries to neck & throat not commonly seen

(30)

Strangle Holds:

Dangerous Situations

Strangle Holds:

Strangle Holds:

Dangerous Situations

Dangerous Situations

Cranking: Forced neck bending or twisting

Crushing: Potentially harmful with kata-juji-jime with tori on top and with hadaka-kata-juji-jime

Prolonged strangulation

Abnormal bodily posturing (back arching) after choked unconscious

The occurrence of any of the above dictates further evaluation by an experienced

medical professional

Cranking: Forced neck bending or twisting Cranking: Forced neck bending or twisting

Crushing: Potentially harmful with kataCrushing: Potentially harmful with kata--jujijuji- -jime with tori on top and with hadaka

jime with tori on top and with hadaka--jimejime

Prolonged strangulationProlonged strangulation

Abnormal bodily posturing (back arching) Abnormal bodily posturing (back arching) after choked unconscious

after choked unconscious

The occurrence of any of the above dictates The occurrence of any of the above dictates further evaluation by an experienced

further evaluation by an experienced

medical professional

(31)

Prolonged Strangulation

How Long Is Too Long?

Prolonged Strangulation

Prolonged Strangulation

How Long Is Too Long?

How Long Is Too Long?

Not much scientific research available on

possible complications specifically from judo choking techniques

Brain cell death occurs after 6 minutes of cerebral anoxia (lack of oxygen)

Although an exact duration of strangulation or time rendered unconscious deemed

unsafe cannot be quoted, most healthy (no medical problems, diseases, syndromes)

athletes can tolerate prolonged compromise of blood flow to the brain

Not much scientific research available on Not much scientific research available on

possible complications specifically from judo

possible complications specifically from judo

choking techniques

choking techniques

Brain cell death occurs after 6 minutes of Brain cell death occurs after 6 minutes of cerebral anoxia (lack of oxygen)

cerebral anoxia (lack of oxygen)

Although an exact duration of strangulation Although an exact duration of strangulation or time rendered unconscious deemed

or time rendered unconscious deemed

unsafe cannot be quoted, most healthy (no

unsafe cannot be quoted, most healthy (no

medical problems, diseases, syndromes)

medical problems, diseases, syndromes)

athletes can tolerate prolonged compromise

athletes can tolerate prolonged compromise

of blood flow to the brain

(32)

Chokes & Strangleholds

Chokes & Strangleholds

Follow Basic Life Support: A,B,C

Follow Basic Life Support: A,B,C

s

s

Safe

Safe

position is side lying

position is side lying

-

-

partial prone

partial prone

position

position

Requires immediate professional medical

Requires immediate professional medical

attention if any potentially dangerous

attention if any potentially dangerous

situation arises

situation arises

Crushing, neck cranking, prolonged Crushing, neck cranking, prolonged

strangulation, abnormal body posturing

(33)

Armlocks

Armlocks

Armlocks

Stress applied to elbow joint may result in injury to ligaments, nerves or

cartilage/bones/joint

Inability to fully extend (straighten) the elbow joint may indicate significant injury

Majority of injuries need further evaluation by a physician

Stress applied to elbow joint may result in Stress applied to elbow joint may result in injury to ligaments, nerves or

injury to ligaments, nerves or

cartilage/bones/joint

cartilage/bones/joint

Inability to fully extend (straighten) the Inability to fully extend (straighten) the elbow joint may indicate significant injury

elbow joint may indicate significant injury

Majority of injuries need further evaluation Majority of injuries need further evaluation by a physician

(34)
(35)

Blood & Bodily Fluids:

Follow Universal Precautions

Blood & Bodily Fluids:

Blood & Bodily Fluids:

Follow Universal Precautions

Follow Universal Precautions

ALWAYS WEAR CLEAN, LATEX GLOVES when handling blood, bodily fluids, or open wounds

Uniform and mat clean up with proper disinfectants

Cover affected areas and wounds sterilely whenever possible

Proper disposal into separate infectious waste bags or containers

ALWAYS WEAR CLEAN, LATEX GLOVES when ALWAYS WEAR CLEAN, LATEX GLOVES when handling blood, bodily fluids, or open wounds

handling blood, bodily fluids, or open wounds

Uniform and mat clean up with proper Uniform and mat clean up with proper disinfectants

disinfectants

Cover affected areas and wounds sterilely Cover affected areas and wounds sterilely whenever possible

whenever possible

Proper disposal into separate infectious waste Proper disposal into separate infectious waste bags or containers

(36)

Bleeding

Bleeding

Bleeding

Gloves & disinfectants

Pressure, pressure, pressure!

Barriers: Attempt to cover wound

sterilely after bleeding controlled

Proper disposal

Significant or complex wounds should

be further evaluated and managed by

a medical professional

Gloves & disinfectants

Gloves & disinfectants

Pressure, pressure, pressure!

Pressure, pressure, pressure!

Barriers: Attempt to cover wound

Barriers: Attempt to cover wound

sterilely after bleeding controlled

sterilely after bleeding controlled

Proper disposal

Proper disposal

Significant or complex wounds should

Significant or complex wounds should

be further evaluated and managed by

be further evaluated and managed by

a medical professional

a medical professional

(37)

Nose Bleeds

Nose Bleeds

Nose Bleeds

Most are benign

Nose plugs or packing, along with gentle, constant pressure (just distal to the bridge of the nose) usually sufficient

Brisk or profuse bleeding or significant pain may indicate a facial bone fracture or other serious problem

Always wear gloves!

Most are benignMost are benign

Nose plugs or packing, along with gentle, Nose plugs or packing, along with gentle, constant pressure (just distal to the bridge

constant pressure (just distal to the bridge

of the nose) usually sufficient

of the nose) usually sufficient

Brisk or profuse bleeding or significant pain Brisk or profuse bleeding or significant pain may indicate a facial bone fracture or other

may indicate a facial bone fracture or other

serious problem

serious problem

(38)

Blood & Bodily Fluids:

Follow Universal Precautions

Blood & Bodily Fluids:

Blood & Bodily Fluids:

Follow Universal Precautions

Follow Universal Precautions

Bite Wounds

Treat & clean any bleeding accordingly

(universal precautions)

Considered a “dirty wound”

Tetanus prevention & antibiotic treatment

may be warranted

Requires appropriate & timely professional

medical evaluation & treatment

Bite Wounds

Bite Wounds

Treat & clean any bleeding accordingly Treat & clean any bleeding accordingly

(universal precautions)

(universal precautions)

Considered a Considered a ““dirty wounddirty wound””

Tetanus prevention & antibiotic treatment Tetanus prevention & antibiotic treatment may be warranted

may be warranted

Requires appropriate & timely professional Requires appropriate & timely professional medical evaluation & treatment

(39)

Blood & Bodily Fluids:

Follow Universal Precautions

Blood & Bodily Fluids:

Blood & Bodily Fluids:

Follow Universal Precautions

Follow Universal Precautions

Possible Blood Borne Exposure

In case of any potential blood exchange

between individuals:

1) Clean & treat any wounds or bleeding accordingly

2) The involved parties should each be advised to contact their personal physicians ASAP for further evaluation & recommendations

Possible Blood Borne Exposure

Possible Blood Borne Exposure

In case of any potential blood exchange

In case of any potential blood exchange

between individuals:

between individuals:

1) Clean & treat any wounds or bleeding 1) Clean & treat any wounds or bleeding accordingly

accordingly

2) The involved parties should each be advised to 2) The involved parties should each be advised to contact their personal physicians ASAP for further contact their personal physicians ASAP for further evaluation & recommendations

(40)

Procedures To Establish Medical

Procedures To Establish Medical

Staffing At National Judo Events

Staffing At National Judo Events

Provide a in state licensed sports medicine Provide a in state licensed sports medicine

experienced physician who shall be responsible for: experienced physician who shall be responsible for:

 All medical personnel actions, recommendations, & careAll medical personnel actions, recommendations, & care

 Being familiar with & educating all medical staffing with Being familiar with & educating all medical staffing with IJF judo medical rules

IJF judo medical rules 

 Keeping medical records of the injuries sustained and Keeping medical records of the injuries sustained and treated at the venue

treated at the venue

Provide certified athletic trainersProvide certified athletic trainers

Have available in case of emergency, an ambulance Have available in case of emergency, an ambulance on standby or an immediately accessible means of on standby or an immediately accessible means of

communication to initiate the emergency medical communication to initiate the emergency medical

system system

(41)

Recommended Medical Supplies

At Judo Tournaments

Recommended Medical Supplies

Recommended Medical Supplies

At Judo Tournaments

At Judo Tournaments

Ice & ice baggies

Gloves & paper towels

Disinfectant solution & spray

bottles

Infectious waste disposal bags

Band-aids, athletic tape, cotton

nose plugs/nasal tampons

Injury documentation forms

Local hospital directions flyers

Ice & ice baggies

Ice & ice baggies

Gloves & paper towels

Gloves & paper towels

Disinfectant solution & spray

Disinfectant solution & spray

bottles

bottles

Infectious waste disposal bags

Infectious waste disposal bags

Band

Band

-

-

aids, athletic tape, cotton

aids, athletic tape, cotton

nose plugs/nasal tampons

nose plugs/nasal tampons

Injury documentation forms

Injury documentation forms

(42)

Judo Maxims

Judo Maxims

Judo Maxims

Maximum efficiency with minimum effort

Mutual welfare and benefit for all

Maximum efficiency with minimum effort

Maximum efficiency with minimum effort

References

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