THURSDAY, Dec. 29 (HealthDay News) — On Aug. 22, 2008, sophomore Matt
Gfeller, 15, played in his first varsity high school football game at R.J.
Reynolds High School in Winston-Salem, N.C.
“We were all there,” Lisa Gfeller, his mother, recalled. “There’s a
sort of privilege in that.”
She recalled the hit that caused the concussion: “The other boy was a
bit bigger, but Matthew wasn’t small. He wasn’t carrying the football,
neither was the other boy. It was a trap block. One tremendous blow —
helmet to helmet. I know the boy did not mean to hurt him,” she added.
“Matt sustained a massive brain injury and never woke up,” his mother
said. He died two days later, on Aug. 24.
She said it was “chaos” on the field that evening, with a delay getting
Matt to the hospital caused in part by the need to call a second, critical
care ambulance.
Kevin Guskiewicz is a certified athletic trainer and professor at
University of North Carolina at Chapel Hill. An expert in traumatic brain
injury, he and the Gfellers connected not long after Matt’s death.
“We don’t know if getting Matt to a medical facility 15 or 20 minutes
sooner would have saved his life,” Guskiewicz said, “but we want to be
sure that the next time a case like that occurs, that proper planning is
in place to get that child to a medical center in time.”
Earlier this month, medical experts and concerned parents appeared on
Capitol Hill for a summit on young athletes suffering critical injuries on
the playing field. Among them were bereaved parents such as Lisa Gfeller,
who have turned personal tragedies into advocacy efforts to prevent others
from facing similar losses.
At the summit, hosted by the Youth Sports Safety Alliance, members of
the National Athletic Trainers’ Association (NATA) called for better
prevention, recognition and treatment of emergencies at sporting events
and practices, outlined proper management for specific conditions and
warned of the risks of mismanagement.
Catastrophic sports injuries killed 50 young athletes in 2010,
according to NATA, and every year sports injuries put 30,000 high school
athletes in the hospital. At present, only 42 percent of high schools have
access to an athletic trainer.
NATA and parents say certified athletic trainers belong at all high
school sporting events, to respond in emergencies both by treating the
child and acting as the point person at the scene.
They say every school should have an emergency action plan that covers
a variety of medical scenarios like concussion, cardiac arrest, heat
stroke, asthma attack and blood sickling (in athletes with sickle cell
trait) on exertion.
In June, North Carolina passed the Gfeller-Waller Concussion Law, named
after Matt and another young man who died. One requirement is that all
public high schools and middle schools have an emergency action plan in
place, Guskiewicz said, noting that 31 states now have concussion
laws.
In 2010, the Matthew Gfeller Sport-Related Traumatic Brain Injury
Research Center opened its doors on the UNC-Chapel Hill campus. Guskiewicz
is the co-director.
The Matthew Gfeller Foundation, of which Lisa Gfeller is vice president
and treasurer, is involved in many initiatives, including a Wake Forest
University event where National Football League players and coaches
demonstrated safe blocking and tackling.
At the Washington, D.C. summit, Gfeller met Beth Mallon, co-founder of
Advocates for Injured Athletes (AIA), based in San Diego. Her son took a
hit during a May 2009 lacrosse game at Santa Fe Christian High School.
“I saw other players were taking a knee, and I realized it was my son,
Tommy,” Mallon recalled. “He’s a really tough kid but it was clear after
the first couple of minutes he wasn’t getting up.”
On an AIA video, Tommy’s coach later said it looked like a “mellow
hit,” and his mother agreed. “It was a freak accident,” Mallon said.
Unrealized at the time, Tommy had suffered a tear of the vertebral
artery — a major blood vessel in the back of the neck — and a clot was
forming, which could have led to a stroke. The top disc in his neck was
fractured, putting him at risk of death or paralysis if a fragment severed
his spinal cord.
“The trainer was on her knees to evaluate him,” Mallon said. “Tom
wanted to get up — he hated a delay of game — and she kept urging him
not to move.”
Riki Kirchhoff, the certified athletic trainer, picked up a subtle sign
of spinal nerve involvement. She, the coach and a physician family friend
who happened to be at the game, quickly collaborated.
“The three of them made the decision to call 911,” Mallon said. “They
made the right decision — we’re extremely lucky.”
Tommy had a long, complicated recovery, including clot-busting therapy
in intensive care and having his head and shoulders immobilized in a halo
apparatus.
Today, “he’s good, lucky to be alive and walking,” his mother said.
Tommy Mallon has since spoken about sports injury at many high schools and
he, too, spoke to legislators on Capitol Hill.
“Two things I would tell parents,” Gfeller said. “I would not allow my
children to play without a certified athletic trainer. And know about the
emergency action plan at your child’s school. I was really naive. I would
have a lot more questions now.”
“I know it’s very difficult for parents who have lost their children,”
Mallon said. “That’s one reason why we’re doing this — having been given
that second chance.”
More information
Visit the U.S. National Institutes of Health to learn about sports injuries.
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