Injury management involves identifying an injury, treating it appropriately and ensuring a safe return to sport. Players should be fully rehabilitated before resuming play.
To assess injuries, use the TOTAPS approach.
In the Event of an Injury
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Check if any doctors or trained first aiders are present.
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Call an ambulance on 000 and then Hatzolah on 9527 5111 if required.
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Provide first aid.
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Complete an injury report form.
TOTAPS
T – Talk
Ask the player what happened. Where does it hurt? What type of pain is it?
O – Observe
Look at the injured area for redness, swelling or deformity. Is the injured side different from the other side?
T – Touch
Gently feel the area. Increased warmth may indicate inflammation. Touch can also help identify pain.
A – Active Movement
Ask the player to move the injured body part without assistance.
P – Passive Movement
If the player can move the injured part, carefully move it through its full range of motion.
S – Skill Test
If active and passive movements do not cause pain, ask the player to stand and demonstrate basic skills from the game carefully. If pain occurs at any stage, remove the player from activity immediately.
HARM
Avoid HARM for the first 72 hours after an injury:
H – Heat
Avoid hot showers, baths, saunas, heat packs and liniments, as heat increases bleeding and swelling.
A – Alcohol
Alcohol increases bleeding and swelling, delays healing and may mask pain, preventing appropriate treatment.
R – Running
Avoid running or exercise, as this may cause further damage. Do not resume exercise within 72 hours unless cleared by a medical professional.
M – Massage
Avoid massage during the first 72 hours, as it may increase bleeding and swelling and delay recovery.
RICER
RICER is used to manage soft tissue injuries and reduce pain, swelling and long term damage. It should be applied as soon as possible after injury.
R – Rest
Rest the injured area and avoid weight bearing where possible.
I – Ice
Apply a cold pack wrapped in a towel for 20 minutes every two hours during the first 48 to 72 hours. Do not apply ice directly to the skin. Take extra care with children and those with circulatory issues.
C – Compression
Apply a compression bandage over the injured area, including the area above and below. Ensure the bandage is firm but not too tight.
E – Elevation
Elevate the injured area on a pillow or support to reduce swelling.
R – Referral
Refer the injured person to a qualified health professional such as a doctor or physiotherapist for assessment and ongoing management.