Monmouth Young Rugby Medical/First Aid Policy

Version 2

UPDATED for 2011-12 SEASON – Previous version should be destroyed.

Reference:
A. WRU Rugby Pathway – Minis to Millennium. For all players U7 to U19 in 2011-2012 Version 2.8.11 (link)

Introduction
Monmouth Young Rugby (MYR) aims to promote the development of rugby through the guidance and principles laid out in Reference A.

MYR has teams from U7 to U16. This is allows the development of individuals and teams through a graduated introduction to the modern adult game. The stated aims are:

  • Aim 1: Exciting and enjoyable
  • Aim 2: Skilful, sportsmanship, teamwork, confidence, self-discipline, SAFETY and respect.
  • Aim 3: Modified games with age specific games to develop individual and team skills.

The differences can be seen with U7-8 playing “tag” rugby in a 20 minute game on a small pitch whereas U16 play 70 minuets, on a full size pitch, with contested scrums and line outs. Managers, coaches First Aiders (AND not forgetting parents) need to be fully aware of their age group’s specific rules.

First Aid
First aid is the use of specific taught skills, knowledge and equipment as necessary to prevent loss of life and limb and also limiting any damage caused by the injury. This should be supplemented by preventative measures to avoid injury in the first place (e.g. medical screening).

First Aid in MYR
Each team in MYR is to have a nominated and qualified First Aider. They SHOULD NOT be the coach and IDEALLY NOT the manager due to the differing perspectives and pressures in coaching and managing a team. The latter may be acceptable if there are no other suitable individuals. The pro-active, mutually respectful, co-ordinated interplay and communication of the coach, manager and first aider in the delivery of a safe environment for the players can not be understated.

The team First Aider has responsibility to provide first aid to his team, the opposition team, the officials and the supporters as necessary. They should identify themselves to the opposition First Aider, coach and referee before the game. If there is medical support situated at the location (e.g. voluntary services (St John’s or Red Cross) at a rugby festival) contact is recommended before the start of play to ascertain their role and capability.

First Aiders are to wear Hi-Vis identification armbands supplied by MYR. First Aiders should have the means to communicate to the emergency services if required. The use of the 112 number on mobile phones is strongly recommended not 999 (112 allows GPS-linkage at emergency services control room to identify your location). The location of the local hospitals and emergency departments should be considered on away games for the “walking wounded” who do not require ambulance transport. This should be done before the injury! The “what if…..” principle is recommended.

First Aid Qualifications
The WRU has developed a rugby specific first aid course (AE Number: 33248) with St John Wales.
This course has been designed to teach the basics of First Aid as well as how to treat some of the most common sporting injuries.
What is covered?

  • Primary Survey 
  • Recovery Position
  • Log Roll - Neck Trauma 
  • Head Injuries - Concussion, Compression, Fractured Skull
  • Dislocation - Shoulder, Elbow, Thumb, Finger
  • Sprains & Strains - Thigh, Knee, Lower Leg, Ankle
  • Fractures - Leg
  • Cardio Pulmonary Resuscitation (CPR) 

It is the CURRENT policy of MYR that this is this should be the standard minimum qualification for First Aiders. Any questions about the suitability of other qualifications should be addressed to the MYR Chairman with advice taken from MYR Sports doctor.

This qualification should be formally renewed every 3 years unless informed. Specific updates from MYR Sports Doctor will be undertaken as required BUT will not constitute recertification.

The approval and appointment of team First Aiders lies with the Chairman, with advice from the Sports doctor. The Chairman, with appropriate advice, may cancel this appointment without a notice period.

First Aiders are to wear Hi-Vis armbands to easily identify them to players, officials and supporters.

MYR secretary is to maintain a list of First Aiders and qualification dates.

There is an expectation that First Aiders whose course is paid for by MYR are available to support there team. The Chairman may seek to recoup costs for those who do not fulfil this obligation.

CRB Checks
All First Aiders MUST have an in-date enhanced CRB check from MYR in line with WRU policy.

First Aid Kits
The WRU does not have any specific recommendations regarding the provision of first aid kits (FAKs). MYR has instituted a policy of provision of FAKs in line with the recommendations of RFU. Each team has been supplied with an appropriate FAK bag and contents – see Appendix 1.

The use of non-MYR supplied first aid items and kit is unnecessary and not approved by the Chairman and committee.

First Aiders are NOT to use prescription or “over the counter” treatments medicines or medicaments – this would include analgesics (paracetamol and ibuprofen/”nurofen”) and any “complimentary”, “alternative” or “natural” remedies.

  • FAKs should be supplemented with 2x emergency gum shields.
  • FAKs must be replenished after each game. Re-supply items will be available from MYR Doctor. Re-stocking of the central supply is the responsibility of the MYR Doctor or nominated deputy.
  • The FAK should contain a list of all squad members, their contact details and any declared medical problems.
  • The FAK should contain a copy of Sports Concussion Assessment Tool – 2
    (SCAT-2) and a follow up head injury advice sheet (see attached). See later for use.

Medical Screening
Medical screening at MYR is based on a parental declaration of current medical problems, medication and any allergies at initial registration. It is parental responsibility to update the team manager in any changes. A list of all players, with contact details, medical issues, allergies and medication should be contained in the FAK. Each First Aider should make themselves familiar with their squad players and any specific medical problems – this is a particularly important issue for asthma-like conditions and diabetes. Any required medication is the responsibility of the parent to supply and administer NOT the First Aider. It may be appropriate for the First Aider to carry an asthma inhaler on behalf of a player BUT not to administer – the parent (or child) is responsible.

There is no pre-participation screening medical examination. Any questions as to suitability for participating in physically demanding contact sports should be addressed to the MYR sports doctor and Chairman. If there is a specific concern raised MYR sports doctor may consider contacting the child’s GP, with parental consent to clarify the situation. The decision to participate ultimately lies with the Chairman.

Parents are required to give consent for any treatment. This is taken as read if they sign the appropriate box on the medical form. They may in certain circumstances not give full consent BUT if they exercise this right then the onus for any treatment required falls upon them and they would be expected to be present at all training sessions or games to do this. Life saving treatment does NOT need specific consent.

Principles of First Aid
The basic principles of sport first aid are based on life, limb and eye saving procedures. This is supplemented by minimising the effects of injuries. The majority of injuries will be “soft tissue” injuries – NOT involving damage to bones, nerves and major blood vessels – for more information see Appendix 2.

Injury Reporting
For all but very minor bumps and scrapes, all injures should be recorded. The use of an electronic reporting form is to be the standard format – see Appendix 5 (download link). These should be completed for all players who are injured or unable to complete a game. They should be e-mailed to MYR Doctor within the succeeding week. They will be reviewed and collated by the MYR doctor and information fed back to the Chairman anonymously regarding injury trends. All injuries should be formally reported to the child’s parent by speaking directly if they are present, or by mobile phone if not. This should happen before the child gets home. The team manager and coach should also be informed. Follow up formal contact should be made after 48h with the parent to see how the player is. This may be done by the First Aider or team manager. This contact with date should be recorded on the electronic form.

Return To Play
There are no hard and fast rules regarding return to play (RTP) apart from concussion. MYR policy, in line with IRB Regulation 10.1.1, is that a player with concussion “shall not participate in ANY match or training session for a MINIMUM period of three weeks from the time of injury, and then may only do so when symptom free and declared fit after proper medical examination”. This is MANDATORY in age-graded rugby. Team mangers, coaches, parents and players ALL have responsibilities in ensuring this rule is followed in ALL sporting environment the player may be involved in. Advice may be sought from MYR Doctor as required.

RTP, in general should be a staged process involving light cardiovascular training initially then increasing in intensity, progressing to non contact ball skills, to full contact training and finally competitive games. This ideally should be co-ordinated with all teams the child plays in – school or county and in all sports. Discussion with the coaches, and or team manger, with parents and player should then ensue to plan a safe return to play considering any advice from GP (if appropriately qualified) or hospital specialists. Advice may be sought from MYR doctor as required.

AttachmentSize
MYR Medical Policy 29 Aug 2011 draft2301.35 KB
MYR Injury Reporting Form 201149.77 KB
Pocket SCAT2212.51 KB

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