Lesson #6: Safety, injury, bleeding, and concussion

by Stephen Lorimor / Axis of Stevil

Watch this lesson on YouTube

Last updated: June 12, 2018

This is a simplified list of safety practices. See the WFTDA Risk Management Guidelines for more information.

Safety

  • All games must have two dedicated emergency medical providers.

    • They may not have a secondary job in the game (skater, NSO, etc.)

    • At least one must be watching the track at both times. Gameplay must halt if both are attending to a patient until at least one can resume watching the game.

  • The vast majority of games must comply with the WFTDA Risk Management Guidelines

    • The outside safety lane must be 10 feet wide (5 with a 3-foot high raised fixed barrier)

    • Columns / posts (even padded) may not be within 5 feet of the inside track boundary or 10 feet from the outside safety boundary

    • I strongly encourage officials refuse to work games (and skaters to play games) in venues that fail to meet minimum safety standards.

      • This includes walking out of a game before it starts.

    • Some non-sanctioned games outside the USA played under other insurance company safety guidelines may have different requirements.

      • Discuss this with your league if it applies to you.

  • Safety gear should be worn at all times while standing on skates (see lesson #5).

  • Skaters, refs, and NSOs may not participate in a game while under the influence of alcohol or narcotics.

    • Immediately report even suspected violations to the game head officials.

Injury

  • Minor (no immediate danger to self or others)

    • Examples: broken finger, sprained knee, having the “wind knocked out of you”

    • Skaters may withdraw from a jam and/or resume play at their discretion

    • Skaters in the box may be subbed out between jams at their discretion

  • Serious (potential danger to self or others, skater unable to continue)

    • Jam may be called at the ref’s discretion.

    • Skater unable to continue play should be directed off the track.

      • If fails to exit the track before active gameplay nears the skater, the jam may be called at the referee’s discretion.

    • Skater should be brought to the medics (or vice-versa) as appropriate

  • Major (immediate danger to oneself or others)

    • Jam must immediately be called

    • Medics should be summoned to the skater

  • Impaired / confused skaters

    • Jam may be called at the referee’s discretion

    • Speak directly to the skater

      • Tip: Ask the skater, “can you continue?” and not “are you okay?”, as skaters will often say they’re okay even when they are not.

      • If the skater does not respond or is disoriented, treat as a major injury.

Bleeding

  • A Skater who is bleeding must be removed from play

    • The skater may return to gameplay (even in the same jam) if these conditions are all met:

      • The bleeding has stopped

      • The wound is appropriately dressed

      • There is no visible blood on their gear and uniform

  • Blood on uniforms must be washed and disinfected, covered with duct tape, or cut out

  • Blood on gear must be cleaned and disinfected

  • Call the jam if…

    • … the skater has significant bleeding

    • … there is blood on the track, safety lanes, penalty box, etc. – even a single drop
      • Gameplay may not resume until affected areas are cleaned and disinfected

Concussion

  • A concussion is a traumatic brain injury cause by a shake, blow, or jolt to the head.

  • A skater who is potentially concussed is no longer able to consent to playing in a game.

    • The skater must be cleared by the medics before they are allowed to return to play

    • A skater may refuse the medics’ evaluation, but is barred from participating for the remainder of the game

    • A skater whom the medics determine has no signs or symptoms of concussion may return to play

      • If this occurred in the first half of the game, the skater must be re-evaluated before the start of the second half.

      • If this occurred in the second half of the game, the skater must be re-evaluated at the end of the game.

    • Medics may request skaters return for re-evaluation at later times as well.

      • Example: before the skater’s next game of a multi-game event.

  • Common symptoms of concussion include blacking out, headaches, abnormal behavior, confusion/disorientation, difficulty balancing, nausea, agitation, and sensitivity to light.

  • For more information, see the CDC’s information program on concussions in youth sports at https://www.cdc.gov/headsup/youthsports/training/index.html.