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
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
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
•
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
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
Judo Is A Contact-Collision Sport!
Judo Is A Contact
Judo Is A Contact
-
-
Collision Sport!
Collision Sport!
Full spectrum of injuries & problemsProbable 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
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:
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)
Concussions
Concussions
•
Common & Significant
•
Enigmatic
•
Controversial
•
Wide variations in seriousness, long
term damage, and disability
•
Return to play (RTP) decisions
potentially very difficult
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 playersunknown 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 yearyear
•
•
20% high school football20% high school football players per yearplayers per year
•
•
Statistics in judo playersStatistics in judo playersunknown but incidence
unknown but incidence
probably high & proportionate
probably high & proportionate
to other contact
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)•
Concussions:
A Diagnostic Dilemma
Concussions:
Concussions:
A Diagnostic Dilemma
A Diagnostic Dilemma
•
Vague symptomsConfusion, 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 damagecomplications or permanent damage
•
•
Currently, there is not much scientific Currently, there is not much scientific evidence and knowledge to supportevidence and knowledge to support
any one return to play guideline
any one return to play guideline
•
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
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•
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
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)
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
AirwayBreathing 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
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
Log Roll
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 symptomssymptoms
Post head injury convulsions, twitching, Post head injury convulsions, twitching, or seizureor seizure
Persistent visual disturbancePersistent visual disturbance
Suspected significant spine or nerve Suspected significant spine or nerve injuryConcussion:
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 researchavailable on concussions to aid in concussion management and validate our current
methods
•
Difficult to practically predict which athletes are at risk for significant long termcomplications or damage
•
•
Lack of consensus: not well understood or Lack of consensus: not well understood or agreed uponagreed upon
•
•
Not much medical or scientific research Not much medical or scientific researchavailable 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 termare at risk for significant long term
complications or damage
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 injuryevaluation: 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
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 playfrom play
Loss of consciousness or prolonged (>15 Loss of consciousness or prolonged (>15 min) symptoms usually precludes return tomin) 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 RTPThe 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.
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
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 rest2.
2. Light aerobic exercise3.
Sports specific low impact training1. Light Judo calisthenics 2. Shadow Uchikomi
4.
Non-contact training drills1. 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 rest2.
2.
2.2. Light aerobic exerciseLight aerobic exercise3.
3.
Sports specific low impact trainingSports specific low impact training1.
1. Light Judo calisthenicsLight Judo calisthenics 2.
2. Shadow Shadow UchikomiUchikomi
4.
4.
NonNon--contact training drillscontact training drills1.
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
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
•
Spine Injury
Spine Injury
Spine Injury
NEVER MOVE AN UNCONSCIOUS ATHLETE!
Potential Serious Spinal InjuriesFracture
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 physicianevaluation by a physician
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 vastmajority 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 persistentlybrain when applied persistently
•
•
Flailing or seizure like activity may occur Flailing or seizure like activity may occur but are usually benign in the vastbut 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 seenStrangle 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 experiencedmedical 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 hadakajime with tori on top and with hadaka--jimejime
•
•
Prolonged strangulationProlonged strangulation•
•
Abnormal bodily posturing (back arching) Abnormal bodily posturing (back arching) after choked unconsciousafter choked unconscious
•
•
The occurrence of any of the above dictates The occurrence of any of the above dictates further evaluation by an experiencedfurther evaluation by an experienced
medical professional
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 onpossible 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 deemedunsafe 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 onpossible 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 deemedor 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
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
Armlocks
Armlocks
Armlocks
•
Stress applied to elbow joint may result in injury to ligaments, nerves orcartilage/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 orinjury 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 injuryelbow joint may indicate significant injury
•
•
Majority of injuries need further evaluation Majority of injuries need further evaluation by a physicianBlood & 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 woundshandling blood, bodily fluids, or open wounds
•
•
Uniform and mat clean up with proper Uniform and mat clean up with proper disinfectantsdisinfectants
•
•
Cover affected areas and wounds sterilely Cover affected areas and wounds sterilely whenever possiblewhenever possible
•
•
Proper disposal into separate infectious waste Proper disposal into separate infectious waste bags or containersBleeding
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
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 bridgeconstant 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 othermay indicate a facial bone fracture or other
serious problem
serious problem
•
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
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
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 medicineexperienced 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
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Provide certified athletic trainersProvide certified athletic trainers•
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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 ofcommunication to initiate the emergency medical communication to initiate the emergency medical
system system