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1.35 million kids seen in ER for sports-related injuries

Posted on Wednesday, August 14, 2013 at 9:00 am

According to Tennessee Secondary Schools Athletic Association rules, if a football player loses his helmet during play, he has to come out of the game for at least one play. (Photo by Jeff Reed/

According to Tennessee Secondary Schools Athletic Association rules, if a football player loses his helmet during play, he has to come out of the game for at least one play. (Photo by Jeff Reed/

Every 25 seconds, or 1.35 million times a year, a young athlete suffers a sports injury severe enough to go to the emergency room, according to a new research report released Tuesday by Safe Kids Worldwide. Sports safety experts at Monroe Carell Jr. Children’s Hospital at Vanderbilt, the lead organization for Safe Kids Cumberland Valley, offer strategies to help prevent injuries this sports season.

The report, “Game Changers,” takes an in-depth look at data from the U.S. Consumer Product Safety Commission’s National Electronic Injury Surveillance System (NEISS) to explore what type of injuries are sidelining young athletes.

According to the report that studied the 14 most popular sports, concussions account for 163,000 of those ER visits, or 12 percent. There is a concussion-related ER visit every three minutes. Surprisingly, it is not just high school athletes suffering concussions; athletes ages 12 to 15 make up almost half (47 percent) of the sports-related concussions seen in the ER, a statistic made even more disturbing by the knowledge that younger children with concussions take a longer time to recover than older children.

Fresh off a win in the Tennessee state legislature with a new youth sports concussion law, the state athletic trainers association is embarking on a long-term effort to require all schools to have trainers.

The Tennessee Athletic Trainers Society is taking an incremental approach by pushing for high schools to have a trainer on hand at varsity football games beginning in 2014. The most recent survey by the organization found that 119 schools, about 32 percent of the membership in the Tennessee Secondary Schools Athletic Association, don’t have athletic trainers.

In 2011, the sport with the most injuries was football, which also has the highest concussion rate. Wrestling and cheerleading have the second and third highest concussion rate. The sport with the highest percent of concussion injuries is ice hockey.

“With the absence of our ability to prevent most concussions from actually occurring, our next and present best line of defense is the prompt recognition and response to concussions in order to minimize severity and prolonged impairment,” said Alex Diamond, D.O., assistant professor of Orthopaedics and Rehabilitation and Pediatrics. “This is where we really see the value of education as we rely heavily on those in the community trenches such as parents and coaches to have a high index of suspicion and sit their athlete out if there is any concern for a concussion.”

The report also revealed that knee injuries account for one in 10 sports-related injuries. Knee injuries, specifically tears to the anterior cruciate ligament (ACL), are disproportionately affecting young female athletes, who are up to eight times more likely to have an ACL injury than male athletes.

Game-Changing Strategies

Children’s Hospital and Safe Kids Cumberland Valley are calling on community members, coaches, parents, sports leagues and athletes to implement four overarching strategies that are making a difference:

n Get educated, then pass it forward. Attend a Safe Kids sports clinic or go to <> to find out how to keep children safe, then tell your friends.

n Teach athletes injury prevention skills. Instill smart hydration habits, warm-up exercises and stretches to prevent common injuries. Understand stress placed on muscles particular to the sport (pitching arm, knees, etc.) and target exercises to those areas. Encourage young athletes to get plenty of rest.

n Encourage athletes to speak up about injuries. Athletes can feel like they are letting down their teammates, coaches or parents if they ask to sit out due to an injury. Encourage athletes to speak up about their injuries to help prevent further injury.

n Support coaches in injury prevention decisions. A Safe Kids Worldwide 2012 survey found half of coaches admit to being pressured by a parent or athlete to keep an injured athlete in the game. Coaches need to be educated and supported in making decisions that protect the immediate and long-term health of young athletes.

“We all play a role in the well-being of our young athletes,” Diamond said. “Therefore, we feel it is vital to empower every individual in the community to help bring about a safer sporting environment and culture for their young athletes, but also for us to provide them with the tools they need to be able to make that difference.”

Vanderbilt’s Program for Injury Prevention in Youth Sports (PIPYS) and Safe Kids Cumberland Valley have received a sports safety grant from Safe Kids for the last three years to help promote youth sports prevention efforts. A portion of the grant money helped to fund the most recent PIPYS conference for parents, teachers, coaches and healthcare personnel.