By Thomas Phillips
The incident occurred in the second last game of a large junior football league in suburban Melbourne, age group U16’s.
The Colbrow Medic location was on the sidelines with the sports trainers, who were volunteer parents of the junior players.
The game was close scoring and in the last quarter there was a heavy contest on the opposite side of the ground. It was difficult at distance to see what was happening as lots of players were involved. When the play moved on, there was a player lying prone and not moving on the ground.
It is important to watch a few seconds behind the play during the match for this reason. Please note this does happen often in junior football and players will often get up after a few seconds on the ground.
The sports trainers ran straight out with water as soon as he was seen.
After 15 seconds or so the player remained unmoved, so I decided to respond.
The trainers had put the player in the recovery position and said that he wasn’t breathing.
The patient presented unresponsive and centrally cyanosed with a snore and laboured, ineffective breathing. This is a common presentation for patients with loss of consciousness due to loss of tone in the airways. This is a life threatening complication. There was no response with significant nail bed pressure.
I instructed the trainers to roll the patient on his back. They had some concerns about spinal injuries and moving the patient but I explained that airway management must take precedence. A bystander was instructed to call the ambulance and report a GCS of 4.
Normally when there is an unknown mechanism for a loss of consciousness we take spinal precautions just in case. Therefore the triple airway manoeuvre (chin lift, head tilt, jaw thrust) to restore effective breathing is reduced to a double airway manoeuvre (without the head tilt to the cervical spine). A double airway manoeuvre was ineffective on this patient due to jaw trismus (locking of the jaw muscles). This usually happens when a patient sustains a significant head injury.
Having no other choice I performed a triple airway manoeuvre with an aggressive head tilt as the patient’s mouthguard was further complicating the situation. Due to trismus it could not be removed. I had an air-viva bag valve mask ready to breathe for the patient but with this manoeuvre his breathing was restored to normal. The patient was still unresponsive.
After a couple of minutes of proper breathing the patient began to respond and the jaw trismus ceased. We carefully removed the mouthguard to prevent obstruction. Conscious state assessment was GCS 9.
At this point the patient became agitated and tried to fight us off. It was important to reassure him and try to prevent movement in case of a spinal injury. The head had to be held still butcomfortable.
A couple of minutes later the patient had almost returned to normal. They were asking questions about what had happened. This was when the Ambulance Victoria Paramedics arrived, who immobilised the patient and transported the patient to hospital safely. The ambulance crew suspected a traumatic brain injury.
This case highlights the potential for serious injury in junior football. There are frequently high mechanisms of impact at a time when the body and brain are still developing.
The airway obstruction seen in this patient may have been life threatening. The recovery position and basic first aid were not enough to restore adequate breathing and advanced techniques were required. The patient had suffered a traumatic head injury, which is a serious condition. This explains the typical conscious state changes and jaw trismus seen. Without intervention this patient may have had ongoing neurological damage from hypoxia or in the worst case actually died.
The experience taught me not to underestimate the potential for injury in junior football and sport in general. Watching behind the play of the game helps to spot incidents early. Early recognition and early 000 call meant ambulance support within 15 minutes of the injury.
While medical services at junior football events may be more costly, the potential for serious injury provides obvious justification for the additional expertise and frees up club officials to manage the scene, contact emergency services and be reassured that the player is receiving a high level of pre-hospital healthcare.
We’re happy with the amount of choices you may have at your disposal https://www.football-shirtssale.com/ with our ‘design your individual’ software, but we’re also dedicated to offering high quality grownup football uniforms which are both comfortable and durable. I have tried factories in each Thailand and China to manufacture buy cheap football kits sportswear, health clothing and football shirts for my on-line store and profitable brand. Contact, flag or intramural play, Power Picture has you Manchester City Home Football Shirt 2018/2019 lined with custom football t-shirts, shirts and more. We’re proud of the standard shirts from Manchester City Away Football Shirt 2018/2019 our on-line retailer, so take a look for your self and be one step closer to kitting your club Manchester City 3rd Away Football Shirt 2018/2019 out with stylish and comfy clothing. We acquired black A4 shirts with golden yellow cheap Liverpool football shirts design for our flag football workforce. It’s time to get ready with trendy customized football hoodies and customized womens shirts. Whether or not you’re heading Liverpool Home Football Shirt 2018/2019 to the big recreation or simply wish to wear your loyalty on your chest, the very best number of Navy t-shirts, tank tops, and more is correct here on the official Navy Store Liverpool Purple Away Football Shirt 2018/2019 the place your buy supports Navy Athletics. The Boombah INK 7 on 7 Soccer Extremely Efficiency Quick Sleeve Compression shirts includes a superb minimize Extremely Efficiency blended knit fabric that gives an incredible Liverpool 3rd Away White Football Shirt 2018/2019 compression fit with locked-down protection.
At Cisco Athletic, we create and manufacture youth and grownup flag football shirts to outfit cheap Tottenham Hotspur football shirts flag football gamers with quality gear whereas on the sphere. Regardless of whether or not you want customized lengthy-sleeve or short-sleeve shirts or shirts, sweatshirts Tottenham Hotspur Away Football Shirt 2018/2019 or jackets for men , women or your youth football team, flock or flex print – with our online software Tottenham Hotspur Home Football Shirt 2018/2019 it takes simply 4 simple steps to design your staff gear.
Customized football shirts products are most popular in North America, Western Europe, and Oceania. Following custom Tottenham Hotspur 3rd Away Football Shirt 2018/2019 group shirts on your reference. With our straightforward to make use of ‘design your own’ instrument you possibly can create gorgeous men’s custom football shirts that Everton home Football shirt 2018/2019 will final you for years to come back. Pink Lily’s cute football shirts are available many fabulous colors and styles, so discovering a tee that’s completely in sync with your fashion and pays homage cheap Real Madrid football shirts to your favourite sport is straightforward.