Communication - The Missing Link in the Safety of Your Child
- Dr. Steven Horwitz
- Jun 30, 2016
- 4 min read
Below are three stories which clearly demonstrate the need for proper documentation and communication.
Story #1: Robert Back
The following story is a horrible tragedy and the result of poor communication. Below is a brief chronology of events based on several articles in the news. (1, 2, 3)
Sept 5, 2014 (Friday): Robert Back played in a high school football game
Sept 6, 2014: Robert experienced nausea and headaches and was brought to an Emergency Room. He was diagnosed with a 'minor closed head injury.'
Sept 7 – 9, 2014(?): Robert stayed home from school.
Sept 10, 2014(?): Robert saw a doctor. The doctor diagnosed him with a concussion. The doctor gave him a note that said he could not return to football until Sept 15, 2014.
Sept 10, 2014: Robert handed the doctor’s note to his football coach. The coach instructed the trainer to give Robert the IMPACT Test. Robert took the test (the IMPACT test is supposed to be performed as a PRE-INJURY test to be used as a baseline in case of a future concussion).
Sept 11, 2014: the trainer reviews the test and states that Robert passed the test (No one passes this test. Again, it is a baseline indicator which is compared against future testing to determine if there is still a problem).
Sept 12, 2014: Robert is cleared by the coach/trainer to play in that night’s game. He plays in the game. The father is in attendance! Robert “did not sustain any big hits,” yet he collapsed on the sidelines after halftime. He was taken to the hospital and had an emergency craniotomy.
The "lawsuit says Graham [football coach] or a trainer verbally "cleared" Back to play in the next game. He collapsed on the sideline." "The response says Graham did not receive a medical note or any information from the boy's doctor and did not clear Back to play the night he collapsed." (4)
The chronology of events points to one thing - a lack of communication and proper documentation.
All stakeholders - parents, coaches, trainers, school principal, school athletic director - must be informed of the Remove From Play and Return To Play decisions immediately.
All stakeholders must use the same method of communication. Phone calls, text messages, Facebook messages, emails, written and verbal communication can easily be misplaced, confused, and have little likelihood of being organized and recorded.
Documentation of Remove From Play and Return To Play is necessary for both health and legal reasons.
Stakeholder acknowledgement of each decision must be documented.
Story #2: Shawn Nieto
Here is another story of a player that was hit hard in a football game, was removed from the game, and held out of the state championship game the following week.
The parents sued in order to allow him to play!
Have a crystal clear concussion policy
Have a documentation and communication system on which all stakeholders participate
If there was a clear concussion policy and the injury was documented immediately and the stakeholders were immediately notified, there would be no questions.
Story #3: William Shogran, Jr.
William Shogran, Jr. died after a football practice in August 2014. See this story:
This timeline of events brings up many questions:
Shogran and the football team arrived at Camp Blanding for training about 6 p.m. Tuesday and conducted about 45 minutes of training.
Shogran participated in this training. They had dinner and then “lights out” at 11 p.m.
Was an athletic trainer present at all these practices?
Was there a pre-established Emergency Action Plan made?
Was there a pre-established heat injury policy?
From about 6:15 a.m. to just before 7 a.m. Wednesday, Shogran had weight conditioning before breakfast.
About 8:45 a.m., the team went to the field and “different team members participated in activities at different times according to their field position,” a Clay County Sheriff’s release states.
Teammates heard Shogran say that he didn’t feel well, but the head and assistant coaches indicated they were unaware of these statements.
Were all athletes educated on the importance of communication with the coaches with regard to possible injury?
A short time later, Shogran was observed walking toward the sidelines where water was located. When the head coach asked if was he OK, Shogran replied that he was dizzy. The head coach advised that he began providing him water and removing his shoulder pads and other equipment.
At exactly what time did the dizziness start?
The actions taken by the coach were insufficient and indicate a lack of training and preparedness.
The head coach said Shogran said he felt as if he were going to pass out.
At what time did this occur?
The coach called emergency officials at 10:47 a.m., and made mention of heat issues and said the had player vomited.
Emergency officials arrived within about 5 minutes of the call. As public safety officials started to arrive Shogran became “lethargic and unresponsive.”
CPR was performed and Shogran was taken to a hospital in Bradford County, where he was pronounced dead.
Sheriff’s officials were called at 1:21 p.m. by rescue officials at the hospital and told that Shogran had died.
The school system has a Parent/Coach Communication pamphlet. What if all stakeholders used the same communication method and it was all documented?
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