Acute injuries are those that happen quickly and are caused by sudden impacts or trauma to the body. This will results in immediate pain and tenderness. There may also be a loss of function and swelling to the injured area.
Chronic injuries are those that develop over a long period of time are caused by continued and repeated stress to a particular area of the body.
With an abrasion there is always damage to the skin (e.g. cuts and grazes). These types of injury are typically caused from a trip, a fall or collision. Any broken skin must be cleaned to avoid the risk infection to the area. Any heavy bleeding should be bandaged and treated accordingly.
Blisters typically occur on the feet and toes. Damage to the skin is caused due to ill-fitting clothes or equipment causing rubbing and friction. A blister should be left to heal naturally. If a blister is popped, this can increase the risk of infection to the fresh skin underneath due to bacteria entering through the broken skin.
Concussion is caused by an a large impact force to the head. This will cause the brain shake within the skull. Loss of consciousness, vomiting, temporary amnesia and dizziness are all signs that somebody is suffering from concussion. If you suspect someone is suffering from concussion then they should stop participating and medical attention should be sought.
A contusion is another name for a bruise. These are typically caused by a collision with an external object (e.g. a piece of equipment or another person). This injury may require RICE to manage to pain and decrease the chances of inflammation and swelling in the affected area.
Cramp is an involuntary, painful contraction of the muscle. This is sometimes referred to as a muscle spasm. This will occur due to a lack of water/salt and a build up of lactic acid within the muscle.
A fracture will occur when there are high impact forces to the bone. With a closed fracture, the bone will break but it will remain within the skin (the skin is not broken). Deformity and instant swelling are signs that a bone is broken.
An open fracture is also sometimes referred to as a compound fracture. With this type of fracture, the bone breaks and pierces through the skin. This will cause an open wound which will increases the risk of infection and bleeding.
A sprain will normally occur when a joint is overstretched beyond its natural range of movement. The ligaments surrounding the joint will be damaged or torn. This will result in immediate pain and swelling. This will be treated initially using RICE and with a splint or bandage to add support.
A strain is when a muscle has been overstretched. The muscle fibres themselves have been damaged or torn. Strains can occur in different grades which indicated the severity of the strain (i.e. Grade 1 results in limited fibres being damaged, Grade 2 is more severe and approximately half the muscle fibres are damaged and Grade 3 is a severe tear which represents a complete rupture). The initial treatment of a muscle strain will be RICE. After 72 hours heat therapy may be used to promote healing and relieve tightness and soreness in the muscle.
Achilles tendonitis is caused by continual and repetitive fast, sharp and powerful movements such as running and jumping. Pain will be located at the rear of the leg around the heel and calf area, particularly the along the achilles tendon. It will be difficult the perform activities that use the gastrocnemius muscle and put strain on the achilles tendon. RICE, particularly rest, is the most effective way to treat achilles tendon.
Golfer's elbow is caused by the repetitive action of hitting a golf ball and is common among performers that play golf (hence the name!). This will cause pain and tenderness on the inside (medial) portion of the elbow joint as the tendon has become inflamed. Again, RICE is the most effective form of treatment for this injury.
Tennis elbow is caused by repetitive action of hitting the ball and is common among performers that play tennis (hence the name!). This will cause pain and tenderness on the outside (lateral) portion of the elbow joint as the tendon has become inflamed. Similarly to golfer's elbow, RICE will be the most effective way to treat this injury.
Jumper's knee is caused by repetitive fast, sharp and powerful movements such as running and jumping. Pain will occur at the front of the knee, particularly along the patella tendon. Sometimes it will be difficult to use the injured knee. You guessed it, RICE will be the most appropriate treatment method for this injury.
Shin splints is caused by repetitive load from running, jumping and landing. It will cause pain, tenderness or a dull ache along the shin bone. This, as with the other chronic conditions can be treated with RICE, particularly rest. However, some gentle stretching exercises will also support with treating this condition.
There are certain conditions that are a combination of overuse and growing. These conditions are prevalent in children who participate regularly in physical activity and still growing. The symptoms are exacerbated due to the growth of the human body and the extra strain that physical activity is placing upon it. There are two main conditions linked to growing and overuse; Osgood-Schlatter's Disease and Sever's Disease.
Osgood-Schlatter's is a condition caused by a rapid growth spurt which causes the tendon from the quadriceps muscle to pull on the tendon causing pain just below the knee. This is very common in young people that play sports with lots of explosive movement and jumping (i.e. football, running and basketball). A painful and swollen area/bump just below the knee. It will get worse with activity but better when rested.
Sever's Disease is a bone disorder involving the growth plate at the heel of the foot. The heel bone will grow faster than the muscles and tendon. This is common in young people that play sports that involve explosive, powerful movements such as football, gymnastics, basketball and sprinting. This will cause pain, swelling and tenderness on the heel bone. The can also cause the muscles and tendon can become tight and over stretched.
SALTAPS is a method of assessing the type of injury and the severity as soon as an injury has occurred. Each letter of the acronym signifies a different stage of the assessment process. Not all stages need to be carried out and the process can be stopped at any time depending on the injury. Below are the stages of SALTAPS:
Did you see how the injury occurred? If you didn’t, ask if anyone else saw how the injury occurred. Check the participant’s facial expressions and body language.
Ask the injured player where it hurts exactly and ask them to point to it. Ask them how it feels and how painful it is (usually on a 0-10 scale).
Look for signs of an injury. Does the area look deformed or are there immediate signs of swelling? Is there any blood or bleeding from the area?
Touch the injured site where appropriate. What does it feel like? Are there any lumps/bumps? Does it feel to touch? Does the pain increase when you touch it?
Can the person actively move the limb or joint themselves? Can they move it without any assistance from you? Does this change the pain?
Can you as the first responder move the limb or joint? How does the movement feel? Can you feel any clicking or grinding? Does this change the pain?
Can they use the muscles around the joint? Are the muscles still strong enough to protect the joint? Are the muscles weak? Can they stand up and weight bear?
RICE is a method of treating a soft tissue injury such as a sprain or muscle strain. Each letter of the acronym signifies a different treatment of the injury.
Rest the injured area of the body. Do not participate in activities or sport until the injured around has healed.
Put ice on the injured area. This will help to reduce swelling and inflammation, as well as helping to reduce pain.
Apply some compression or pressure to the injured area. This can be done using an elastic bandage . This will help to reduce the swelling and add some support to the injured area.
Elevate the injured area above your heart. This can be easily done when laying down resting. This will help to remove any swelling around the injury.
Stretching and massage will be used to treat muscle injuries. These treatment methods will help to remove waste products from the injured area, reduce swelling, work out knotted muscle and stimulate the healing process for torn muscle fibres. Massage will normally be performed by a qualified physiotherapist, sports therapist or massage therapist. They will use their hands to warm the muscle fibres and relieve tension and reduce DOMS (delayed onset muscle soreness) by increasing blood flow to the area.
A bandage is a piece of material used to help treat an injured area. It can be used to cover or stem bleeding, add compression to help stop swelling and reduce blood flow or be used to keep an ice pack in place. Taping, sometimes referred to as strapping, will often be used to support a weak or injured joint to prevent further injury and manage the performer's pain.
A splint is a piece of rigid material used to support and immobilise a joint (stop an area moving). It allows the injured area to rest. This type of treatment is usually used for injuries such as acute fractures or severe sprains to ligaments and joints.
A sling will be used to stop movement at area of the body (usually the arm, wrist or shoulder) that has been injured. It can also be used to elevate the injured area to reduce swelling or keep it above the heart if it is bleeding. This will typically be used for acute injuries such as a broken clavicle (collarbone), a broken arm or wrist and a sprained wrist.
Cold therapy is the application of something cold, typically an ice pack, to an injured area. This treatment will be used immediately after an injury to reduce swelling and inflammation and then continued for the first 24-72 hours post injury. An ice pack should be applied for no longer than 20 minute intervals or further damage can occur to the soft tissue.
Heat treatment is the application of something warm, usually be a hot water bottle or heat bag, to the injured area. This will be used to increase blow flow and reduce pain and stiffness. This will taken place when any swelling has gone. Heat treatment is typically used for muscle injuries, such as a strain, after 72 hours post injury. If this is applied too soon after the injury then the increase in blood flow can also lead to an increase in swelling to the affected area.
An Emergency Action Plan in a prearranged plan put in place in case an emergency situation occurs. Coaches will use Emergency Action Plans to help them respond in a responsible and clear-headed way if an emergency occurs. An EAP should be prepared for the playing area where you normally hold practices or fixtures.
This will be who you will notify in the event of an emergency situation. This person will usually be a qualified first aider, first responder or a person in a position of responsibility.
This how you will contact the correct person in case of an emergency. Everyone will need to know where the nearest telephone is, who they will need to contact (a first aider/999), and where are the appropriate numbers stored.
This any specific equipment that can be used during an emergency situation. This will include things such as a first aid kit, fire extinguishers, a defibrillator, an evacuation chair and any medical supplies. The EAP will need to specify the exact location of all equipment so it can easily be collected in the case of an emergency.