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  • Clay: We here at the DadLabs. We're big sports fans. Our kids are among the 30-35 million

  • American children that participate in organized sports. We really like them. Unfortunately,

  • with sports, they're gonna come some injuries. The CDC reports that 3.5 million kids under

  • the age of 14 require medical treatment as a result of sports injuries. Now over half

  • of those result from unsupervised activities like bike riding but still, there's a lot

  • of injuries that are happening out there. So as parents, dads, we're on the sidelines,

  • we need to be prepared in case our kid gets hurt. And we need to know how to act. So,

  • we've brought in Nurse Mark. We pulled him out of the ER. I hope there's somebody there

  • taking your place. Mark: I hope there is too Clay.

  • Clay: Pulled Nurse Mark out of the ER to come talk to us about sports injuries. Mark, as

  • a former coach, you know all about these things. Tell us, what do we need to know about sports

  • injuries on the sidelines? Mark: Well, the most common sports injuries

  • that we're gonna see are gonna be sprains and strains and possible broken bones and

  • bruises. So we see those a lot, so we have to know how to deal with them.

  • Clay: So how do you know? Kid falls down, maybe twists his ankle a little bit. Happens

  • all the time on a basketball court, soccer field. When do we need to go into the doctor's

  • office? Mark: Well Clay that's a great question. And

  • the answer to that really you can't tell if it's a break or a sprain until you get an

  • x-ray. So how do I know when I'm thinking it's bad enough to get an x-ray? Well, if

  • we see any discoloration or we see any deformity, swelling, pain on palpation, so if you touch

  • the are and it's very painful, that's a good indication you might have a break and you're

  • gonna want to bring them in. Clay: So, we hear a lot about these stress

  • injuries or repeat use injuries that they're really on the rise. What's that all about?

  • Mark: Well that's the greatest increase in activity in pediatrician's offices are seeing

  • these types of injuries. Clay: People are taking their 8 year olds

  • and they're doing nothing but throwing a baseball from the fall to the summer all year long.

  • Is that what's causing these injuries? Mark: Well not really.

  • Clay: Has everybody gone nuts? Is that what these injuries are all about?

  • Mark: No, it's not that overzealous dad that wants the next Roger Clemens to be their kid.

  • Really what it's a result of is repetitive action without much warmup or without any

  • proper training. So often you see a kid just joined a team and they start practicing three

  • or four times a week. And after a month or two of that, their ankles are sore if they're

  • doing soccer. They're running. Their elbows are sore if they're playing baseball. If they're

  • swimming, it's their shoulders. Gymnastics, it's gonna be their hands or their wrists.

  • And so in those cases, you just want to start slowly. You don't want to practice 3 to 5

  • times a week. And most importantly, if your child is complaining about it hurting, let

  • them rest. Let them take some time off. Clay: So you've got a minor injury. How do

  • we treat these minor injuries? Mark: Well Clay that's another good question.

  • We use the acronym RICE to help us remember how we're gonna treat these as home.

  • Clay: So if a kid's hurt, you feed them rice? Mark: No you remember RICE because it's easy

  • to remember. And we use that acronym to remember Rest, Ice, Compression, and Elevation. So

  • rest, you just don't want them to be on that injured area. You don't want them to use it.

  • If it's an arm, that's pretty easy to do. Just say do everything left handed if it's

  • the right wrist that hurts. If it's a lower, a knee or an ankle or a foot, you want to

  • try to stay off that. So that's rest. Ice, you want to put ice for 20 minutes at a time.

  • And you want to do that every couple of hours for the first two days. After 48 hours, the

  • ice is not effective. Clay: That's a tough one. My kids, the young

  • kids particularly, they won't hold still for that ice. It's too cold.

  • Mark: Well what you want to do is just tell them it's only gonna be 20 minutes. Put it

  • on with some elastic wrap. Keep it there. They can watch TV. The elevation part of RICE,

  • you want to keep it elevated so that all the white blood cells and all the blood that's

  • rushing down to that area that's helping produce that pain is gonna be going the opposite way

  • with gravity. What you see in front of me here are some compression devices that we'd

  • give in the hospital. Simply, we could use tape or elastic wrap but we also have some

  • of these more formal devices that are gonna allow compression to keep that area from being

  • swollen, being painful. Clay: Okay so we've got fractures, strains.

  • What are the other sports related injuries that we should be concerned about that cause

  • you concern in the ER? Mark: Well the thing that you worry the most

  • about that could be catastrophic is a head injury.

  • Clay: So how do we decide? Happens all the time on the field. Somebody's bonking heads,

  • somebody's falling down. How do we decide we're gonna go to the hospital with an injury

  • that's to the head? Mark: Well the most important thing was any

  • level of consciousness changes. Did the child lost consciousness? Did they black out? Do

  • they have any amnesia? Can they not remember what happened? Clay, anytime, any of those

  • symptoms, you immediately go to the hospital. Clay: How about if you just got a really dumb

  • kid? How do you tell? Like really stupid to begin with.

  • Mark: Maybe that's a different conversation. Clay: Also you need to watch our for if somebody

  • gets sick. A kid is throwing up. Mark: Right so obviously any loss of consciousness

  • that's big. But if you find that your child is not behaving normally, if their baseline

  • is not being met, ask some simple questions. If you're dealing with a young child, give

  • me the days of the week. If you know they can do it and they can't after a head injury,

  • that's symptomatic. Also we worry about vision changes if they start seeing spots, any kind

  • of blacking out, that type of thing. And if they get sick, if they're vomiting, nauseous,

  • that's indicative of a head injury? Clay: How about a headache? Kids complain

  • about a headache that evening. Is that something to worry about?

  • Mark: No a headache is gonna be pretty normal. Actually there are a lot of reasons why that

  • young athlete might have a headache including dehydration. if the headache is bad enough

  • that it bothers them, then that's bad enough for you to see a doctor.

  • Clay: The other thing I hear is with a head injury, you need to wake that kid up and check

  • them every couple of hours. So let's say that two kids bonk their heads. It doesn't seem

  • like you need to take them to the hospital, maybe he's got a little bit of a headache.

  • Do I need to wake that kid up every 2 hours and check him?

  • Mark: No you don't. So if you've watched them closely and they don't have any of the other

  • symptoms that I've mentioned, the nausea, the vomiting, the level of consciousness changes.

  • They're alert, they're oriented, they're able to do the things they normally do and they

  • have a little headache, no we don't need to take those children up at night. And the bottom

  • line is Clay, concussions are fairly common in sports. And what we worry about is if they

  • actually have a brain bleed. And the only way to diagnose that is to have a cat scan.

  • And you can't do that at most local doctor's offices. You've got to bring them to an emergency

  • room to get that taken care of. Clay: So we've learned a lot about head injuries,

  • and sprains and strains. Thanks a lot for coming in and giving us the information on

  • these sports injuries. We love sports. Keep playing out there. But keep those kids safe.

  • Thanks a lot.

Clay: We here at the DadLabs. We're big sports fans. Our kids are among the 30-35 million

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スポーツでの怪我を避ける方法 - DadLabsの動画 (How to Avoid Sports injuries - A DadLabs Video)

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    Pedroli Li に公開 2021 年 01 月 14 日
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