Page 256 - New Silat Rules 2020

and must undergo an examination in the Medical Room before being sent to hospital for
further examination.

Treatment Unconscious Convulsing Athlete in the Arena:

1. Enter the Arena
2. Remove body protector and mouth guard (if any)
3. If possible – Clear airways
4. Observe athlete while convulsing
5. If convulsion is approaching 5 minutes – danger of status epilepticus – Athlete needs
sedative
6. IV Diazepam! Buccal Midazolam
7. Cervical protection – inline cervical protection – Log Roll
8. Roll Athlete back onto Backboard – Secure – Transfer supporting neck and airway

Removing a Seriously Injured Athlete from the Arena
Perform any necessary lifesaving treatment in the Arena. If the patient is stable, then secure
and immobilize the patient before transporting out of the Arena directly to the ambulance.
Repeat a full Primary Survey in the ambulance before departing. Ensure that an IV line has
been inserted. There is no point in taking a seriously injured athlete to the Venue Medical
Room as this will just delay treatment. If a spinal injury is suspected, then extra attention must
be given to spinal immobilization. If the patient is unconscious ask the coach, trainer,
teammates or bystanders if they have any relevant information before leaving the venue.

Do not, under any circumstances, be pressurized by team officials into moving a seriously
injured patient if you believe that movement would compromise life or limb however a rapid
and safe extrication to a safe area is usually the best course of action. If an Athlete is unable
to walk from the Arena, then assistance should be offered, or the Athlete should be carried.
Athlete will usually decide themselves if they are incapable of walking unassisted but should
be encouraged to lie down and wait for the stretcher if there is the potential for serious injury
or lower extremity fracture. Carrying a casualty from the Arena needs training and repeated
practice if it is to be carried out without injury to the athlete or the carrying team. Ensure that
the equipment to be used is adequate for the size and weight of the athlete to be evacuated
and that the team carrying the athlete is physically capable of lifting and carrying the casualty.

The Field of Play (FOP) medical team leader must coordinate and supervise the evacuation.
The evacuation route must be as direct as possible and must not include stops to allow the
carrying team rests or changes of position, as necessary.

Knock-Out (KO) or Technical Knock-Out (TKO)
All athletes who have lost by KO or TKO, unless they have been transferred to hospital, must
report to the Medical room for a medical examination. The Medical Team will decide if a Sport
Concussion and Assessment Tool (SCAT) 5 evaluation needs to be performed.

Knock-Out is a fight-ending, winning criterion in several full-contact combat sports, which
involves striking (valid or legal). The term is often associated with a sudden traumatic loss of
consciousness caused by a physical blow.
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