Sports Concussion Recognition and Management Rider Medical Cards - - PowerPoint PPT Presentation

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Sports Concussion Recognition and Management Rider Medical Cards - - PowerPoint PPT Presentation

Jun 27, 2023 103 likes •472 views

Sports Concussion Recognition and Management Rider Medical Cards Results of Discussions Dr Peter Whitehead Chair, Medical Committee, FEI Dr Peter Whitehead MSc MFSEM(uk) MBBS DA FEI Medical Committee Chair 2012 British Equestrian Federation

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Sports Concussion

Recognition and Management

Rider Medical Cards

Results of Discussions

Dr Peter Whitehead Chair, Medical Committee, FEI

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Dr Peter Whitehead MSc MFSEM(uk) MBBS DA

FEI Medical Committee Chair 2012 British Equestrian Federation CMO from 2002 British Eventing CMO from 1998 CMO at many international competitions Sports physician and General Medical Practitioner

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Definition/Confusion?

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Concussion

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Symptoms and Signs

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Delayed Concussion

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Sports concussion

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Why is Concussion important?

 Common  USA; 1.6 – 3.8 million sports concussions reported to

team doctors annually. Estimated unreported + 6-10 X higher

 Australia – horse racing 40 concussions/1000 riding

  • hours. NB long careers, increased chronic problems
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Chronic symptoms

 Dysarthria, Parkinson’s Disease, Dementia, Alcohol

sensitivity, emotional lability

 > 3 concussions results in

5x risk of Mild Cognitive Impairment 3x risk of memory problems 3x risk of depression

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RTP

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What can sports do?

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Australian Rules Football

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Guidelines

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Sideline Assessment

 Standardised Assessment Tool 2013

Medical staff Coaches Parents Riders

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Assessment Tools

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Cogsport testing

 Limited use – teams

need for baseline computer testing When utilised – valuable adjunct

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Education

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Reducing risk

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Assessing the Prevalence

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Rider Medical Cards

Rider medical armband introduced >15 years ago Identification and medical summary Medical suspensions

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Do we still need a medical card?

 Unanimous decision - Yes  Study of existing cards – need to change  What contents do we need/what can be removed

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Current problems

Illegibility – several at every competition Inaccuracy – how can we assess? Different formats ( + poor uptake of FEI armband) CMO – logistical difficulties at many competitions Photocopying

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Solutions

Discussions centered around: Content of card – medical and personal details Electronic data storage and armband generation (possible ultimate goal) Ease of use for rider and sports officials.

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Content of card

Competitor Name, FEI number, date of birth Rider cellphone, Cellphone number of accompanying groom/family. NOK contact Current medications, Allergies, current medical conditions, significant past medical history (illnesses and/or surgery) Signature of rider declaring contents are accurate

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A Method of Use

 Approved rider card on FEI website  Download to home computer  Complete all permanent fields and save  Print two copies for competition, completing contacts for the

competition day. One to be inserted in armband, one to be given to organiser on arrival

 Organiser copy to be given to CMO who can check, call

rider if necessary, hold for competition then destroy

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Future?

 Use of electronic database for armband production

Benefits; Accurate injury surveillance Control of medical suspension especially concussion