Sideline management of sports injuries can be a very difficult task at any age. The results of some injuries don’t show up right away. Players often underreport or fail to report symptoms in an effort to return to the game sooner.
It’s best to have someone with your team who has training in emergency medical care. Heat stroke, unknown heart conditions, fracture, dislocations, and blunt-force trauma require immediate medical attention.
Basic first aid for musculoskeletal injuries follows the RICE principle. R is for rest. The player is removed from the activity and the injured part is protected or splinted. I is for ice, which is applied to the injured or swollen area. C refers to compression. An ace bandage or other type of wrap may be used to help control swelling. And finally, E for elevation: the limb should be kept above the level of the heart when resting.
Head injuries can be difficult to assess on the sideline. A quick mental status test of memory and concentration can be done. The player is asked questions such as: Which team are we playing? What quarter is it? Who did we play last week?
Anytime there is doubt or question about the seriousness of an injury, medical attention should be sought after. Many coaches are pressured by players and parents to keep the athlete in the game. They may be unaware of how serious an injury really is. Careful monitoring by all concerned (parents, player, trainers, coaches) is always the best approach to any injury.