If these serious injuries remain a possibility, the athlete should be transported off the field on a spine board. Obtain a more detailed history and physical examination on the sidelines or in the locker room or training room. Mild injuries are treated on site according to first-aid principles. Moderate injuries may preclude immediate return to play. Referral to a specialist is indicated for dental or eye trauma or if there is any question about the type or severity of an injury.
Severe injuries require prompt transport to a medical facility for further assessment and care.
These conditions include respiratory arrest or irregular breathing, severe chest or abdominal pain, excessive bleeding from a major artery, suspected spinal injury, head injury with prolonged loss of consciousness, fractures or dislocations with no pulse, and any signs of shock or internal hemorrhage. The first responder at the scene of an athletic injury needs to be able to recognize a life-threatening condition, provide emergency care, and facilitate transportation to a medical facility when indicated. An orderly, logical primary assessment on the field can help identify serious conditions promptly and guide further evaluation and treatment. Emergency assessment of the injured athlete, in Athletic Training and Sports Medicine. Orthopedic Physical Assessment, ed 3.