APB WSB Ringside Physicians Course Day 2 .pdf



Nom original: APB WSB Ringside Physicians Course - Day 2.pdf
Titre: PowerPoint Presentation
Auteur: P.Jun

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INJURIES MANAGEMENT AND
THERAPY IN AIBA APB/WSB
COMPETITIONS

CUTS
Box - Stop Box
Tarsal Plate
Tear duct – InfraOrbital Nerve
SupraOrbital Nerve / Artery
Vermillion Border Lips
Bridge of nose
Cheekbone
Eyebrows
Cuts impairs vision
Eyelid
Therapy – Stitches – SteriStrips – Topical Skin Adhesive

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NOSEBLEEDS
Anatomy
Moderate Bleeding
Epistaxis
Bridge of nose (fracture)
Acute Nasal fracture
How to stop bleeding
Septal Hematoma Drainage - Therapy

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EYES
Anatomy
Black eye
Swollen eye
When to stop a bout
Double vision
Blood on the surface
Media wall orbital fracture
Orbital blow out fracture – Syndrome – Therapy
Afferent pupillary reflex
Seeing spots

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ABRASIONS
Skin abrasion
Corneal abrasion – box or stop box

EARS
Anatomy
Tympanic Membrane – rupture - treatment
Hematoma
Cauliflower ear – Causes – Therapy
Cauliflower drainage (video)

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FRACTURES
Nose fracture
Bridge of nose
Medical therapy – Surgical therapy
Saddle nose (Boxer’s nose)
Jaw (mandible) fracture
Management – Therapy
Hand fracture
Boxer’s fracture
Scaphoid fracture
Bennett’s fracture
Rolando
Boxer’s knuckle – diagnosis – treatment
Gamekeeper’s thumb – anatomy – signs – therapy
Subungual hematoma – anatomy – drainage – therapy
Mallet finger
Boutonniere deformity
Jersey finger
Sore hand
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DISLOCATIONS
Shoulder – anatomy – types – management – reduction
Elbow – anatomy – types – management – reduction
Jaw – anatomy – management – reduction
Tooth luxation
Avulsed tooth –management – treatment
Lip laceration with tooth – treatment

SWALLOWING TONGUE
Causes – management (video)

SLIDE AND SLAM PHENOMENA (SSP)
LOG ROLL (video)
DEATH IN THE RING (video)
SECOND IMPACT SYNDROME (video)
BRAIN INJURY (video)
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Second most common injury in Boxing
It is important for AIBA that a Ringside Doctor could handle
cuts
Cuts-Laceration should be evaluated properly

Deep and severe cut STOP BOX
Surface cut BOX

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TARSAL PLATE

BOX OR STOP BOX?
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TARSAL PLATE

BOX OR STOP BOX?
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TEAR DUCT – INFRAORBITAL NERVE

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TEAR DUCT – INFRAORBITAL NERVE

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TEAR DUCT – INFRAORBITAL NERVE

BOX OR STOP BOX?
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SUPRAORBITAL NERVE / ARTERY

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SUPRAORBITAL NERVE / ARTERY

BOX OR STOP BOX?
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SUPRAORBITAL NERVE / ARTERY

BOX OR STOP BOX?
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VERMILLION BORDER LIPS

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VERMILLION BORDER LIPS

BOX OR STOP BOX?
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VERMILLION BORDER LIPS

BOX OR STOP BOX?
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BRIDGE OF NOSE / FRACTURE

BOX OR STOP BOX?
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CHEEKBONE

BOX OR STOP BOX?
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EYEBROWS

BOX OR STOP BOX?
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CUTS IMPAIRS VISION

BOX OR STOP BOX?
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EYELID (Vertical cut)

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EYELID (Vertical cut)
SURGERY

Align the lid margin
Reapproximate the tarsus
Achieve a smooth margin
Use 6-0 Nylon
Use 5-0 Vicryl (absorbable)
Check tear duct injury

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EYELID (Vertical cut)
2 months after surgery

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THERAPY
Stitches

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STERI-STRIPS

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SUBCUTICULAR SUTURES

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THERAPY
Topical Skin Adhesive (for straight cuts)

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THERAPY

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SKIN ADHESIVE

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THERAPY

ANTIBIOTICS
ANTI – INFLAMMATORY
ANTI TETANUS SERUM
TABL. VITAMIN C

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Most common injury in Boxing
A Ringside Doctor have to evaluate the kind of bleeding
(venus or arterial)
A Ringside Doctor have to determine the presence of a
fracture
A Ringside Doctor have to check (with tongue depressor and
penlight), if there is bleeding in the posterior pharynx
A Ringside Doctor have to check the presence of Septal
Hematoma, if there is one, it must be drained
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NOSE ANATOMY

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Moderate Bleeding

Blood running into throat
Red Pulsatile Arterial
Heavy Venous Bleeding
Acute Fracture

BOX

STOP
STOP
STOP
STOP

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MODERATE BLEEDING

BOX
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EPISTAXIS

STOP BOX
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BRIDGE OF NOSE FRACTURE

STOP BOX
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ACUTE NASAL FRACTURE

STOP BOX
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HOW TO STOP BLEEDING

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SEPTAL HEMATOMA DRAINAGE - THERAPY
Antibiotics
Gauges

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Eye injuries are very rare in Boxing
Only in severe injury, the bout must be stopped (STOP BOX)

If a boxer can not see with swollen or black eye, the bout must
be stopped (STOP BOX)
In corneal abrasion, if the boxer can keep his eye open, he
can continue
Most of the time a “black eye” looks bad but it’s not dangerous
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ANATOMY

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ANATOMY

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BLACK EYE

BOX OR STOP BOX?
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BLACK EYE

BOX OR STOP BOX?
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BLACK EYE

BOX OR STOP BOX?
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