Lecture 2 Risk management

Question 1

Sport and exercise medicine (SEM) Team

Answer 1

• AKA: Integrated support team (IST)
• Multi-disciplinary team of sport
  science, sport medicine and sport
  performance professionals.
• The goal is to ensure that athletes
  are healthy, fit and mentally ready
  for optimal performance.

Question 2

SEM team

Answer 2

Physician, therapist, strength and conditioning coach, exercise physiologist, sport psychologist, biomechanist, nutritionist, other

Question 3

Physician

Answer 3

Diagnosing the athletes condition and prescribing the treatment

Question 4

Athletic therapist

Answer 4

Prevention, management, treatment and rehabilitation of injuries

Question 5

Physiotherapist

Answer 5

Rehabilitation of more serious injuries/ rehabilitation after surgery

Question 6

Strength and conditioning coach

Answer 6

Establishing and maintaining a strength and conditioning program

Question 7

Exercise physiologist

Answer 7

exercise prescription and testing

Question 8

Sport psychologist

Answer 8

Helping athletes to cope with competitive fear, mental skills, preparing for RTS, how to handle emotions after setbacks etc.

Question 9

Biomechanist

Answer 9

Biomechanics assessments to enhance performance and prevent injury

Question 10

Nutritionist

Answer 10

Education of athletes and support staff on how nutrition can enhance performance, recovery and health

Question 11

SEM specialists must…

Answer 11

Follow the scope of practice and standard of care

Question 12

Scope of practice

Answer 12

Scope of practice describes the services that a qualified healthcare professional is deemed competent to perform and permitted to undertake – in keeping with the terms of their professional license.

Question 13

Standard of care

Answer 13

Medical treatment guideline.
It specifies appropriate treatment based on scientific evidence and collaboration between medical and/or psychological professionals involved in the treatment of a given condition.

Question 14

SEM Team- Teamwork

Answer 14

• Goal is to facilitate health and performance
• Athlete and coach are the most important relationship in order to not fallout
• Coach can supervise the injury prevention programs

Question 15

What could be the consequences of poor team-work?

Answer 15

• Team and individual performance can decline.
• Might lose their jobs, can get sacked.
• Inter-personal conflicts, you and the player or you and a member of the team.
• Set-back in rehab, longer RTP, Injury/re-injury, reduced performance, medical-legal, trust, career, mental health

Question 16

How might this look for a youth community club?

Answer 16

The parent or athlete explaining it to the coach about the injury. Need to see your own physio, can cost lots of money if no insurance.

Question 17

Risk management levels

Answer 17

within/across sport
Club/team level
Individual level

Question 18

Process of identifying risks

Answer 18

Assessment-evaluation-control

Question 19

Risk assessment

Answer 19

is a process of measurement/estimation of risks to teams and athletes

Question 20

Risk evaluation

Answer 20

involves determining the significance and acceptability of the risks

Question 21

Risk control

Answer 21

is a process of identifying and implementing methods to control the risks and the consequences

Question 22

Creating an effective risk management system for a team

Answer 22

Injury surveillance, season analysis, preseason screening, monitoring “at risk” team members, return to sport, education, equipment and facilities, emergency action plan (EAP)

Question 23

Everyday risk management

Answer 23

Environment- field and surroundings, weather conditions, EAP
Equipment- protective equipment, special training equipment, first aid kit, AED
Athlete- medical issues, previous injuries, training history, age, sex

Question 24

Risk compensation

Answer 24

• Risk compensation is a term which have been used to describe a possible
  change in behaviour in an athlete when they use protective equipment.
• The theory is that the person will assess the level of risk, and if they assess that the protective equipment reduces that risk, they will simply undertake more extreme activities to return the risk to a level they are comfortable with.

Question 25

What to do when a medical problem arises?

Answer 25

• BE PREPARED!
• EAP is critical to facilitate a rapid and effective response to an emergency
• EAP should be prepared for practice and completion sites

Question 26

Emergencies

Answer 26

Sudden cardiac arrest
exertion heat stroke
spinal injuries
head injuries
traumatic injuries

Question 27

EAP

Answer 27

• Charge person
• Call person
  * Cell phone
  * Important phone numbers (EMS, facility manager)
  * Instructions to EMS how to reach the facility
• First Aid Kit
• Automated External Defibrillator (AED)
• Ambulation aid (crutches, wheelchair, spine board)

Question 28

First aid kit

Answer 28

1. Communication sheet (plasticized)
2. Information where AED, spine board etc. are located
3. Player/staff medical profile cards

Question 29

Activate EAP immediately, if the person..

Answer 29

• Is not breathing
• Does not have a pulse
• Is bleeding profusely
• Has impaired consciousness
• Has injured the back, neck or head
• Has a visible major trauma
• Cannot move arms or legs (or has lost feeling in them)

Question 30

EAP for sudden cardiac arrest in sport

Answer 30

• EAP coordinator
• Immediate AED access
• Trained personnel and annual practice
• communication system
• Venue-specific EAP
• Medical timeout before each competition
• Maintenance and monthly checks of AED’s (and document it!!)

Question 31

SOAP Note

Answer 31

• method of documentation: standardized way to store medical information
• S- subjective information/history
  -O- objective information
  -A- assessment
  -P- plan