What Does Totaps Stand For? Touch, Observe, 5c1u3p

What does TOTAPS stand for? Touch, Observe, Talk, Active, Movement, ive Movement, Skill Test (injury management) TOTAPS • TOTAPS is used to assess the extent of the injury and to see if medical attention is required or if they can resume their activity

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Talk

o o o •

Observe

o o •

Find out what happened Ask questions (where does it hurt, hear any cracking sounds etc) Immobilise if the injury is serious Look for deformities/swelling Compare the two sides of the body

Touch

o o o

Gently feel for swelling/deformity Try to pin point the pain Observe distress

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Active movement o Ask them to perform a range of movements eg flexion/rotation without pain

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ive movement o Assessor physically moves the t about a ROM o To identify the painful area and instability

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Skills test

o o

Perform a skill required in the game eg run, side step, jump If complete without pain, resume play

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• TOTAPS - injury diagnosis TOTAPS is a process for injury diagnosis that can be used with relative safety for the sideline management of a sprain or sprain. It is NOT for injuries to the neck or back, or for head injuries or athletes that are unconscious. In these cases First Aids ABC is the procedure to use If at any stage injury is detected, don’t proceed to the next level and commence treatment

T Talk to the athlete:

- find out about the pain - sharp, dull, aching, throbbing - how the injury occurred - cause and mechanism - site of injury - deformity - abnormal sounds - grating, snap, pop, compare with other injuries

O Observe:

- mental state - consciousness - position of the body - size - position - shape - colour - athlete's pupils and facial expression

T Touch:

- feel - lumps, depression, swelling, heat, points of tenderness - skin - soft tissues - bones

A Active Movement:

- Functional tests - for muscles and ts - Ask to athlete to move their limb. Can they move through a full range. - Is there pain through part or all of the range - Assess their willingness to move

P ive Movement:

- Gently put the t or part through a normal range of movement - Move the limb for them. Watch for reactions to pain - Check for instability

S Skill Test:

- If none of these produce pain, then test the athlete to ensure he/she may return to play.

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At this point consider:

- Transport - Medical advice - Physical comfort, safety - Reduce shock - Psychologically the athlete

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When to refer to a doctor:

DO NOT RUSH- examine and assess each injury separately

- Doubt - Loss of consciousness - Head injury - Chest/abdominal - Fracture or dislocation - Neck or back pain - Laceration

Diagnosis:

- For the doctor, however the trainer may need to converse with the doctor to discuss:- history - signs - symptoms