Injury Reports

Tracking of injuries in our program allows for caring followups to students, pointing out potentially dangerous equipment/setups/drills, and establishing a statistically valid injury rate for parkour training

The bar for reporting is whether an injury is bad enough to keep a student from rejoining the class/session (even if it happens near the end). This is either up to the student or chosen/enforced by the coach. If an incident is unusual or involves equipment failure, please also report.

When possible, always report at the end of the class/session in which the incident took place with front desk. Front desk can fill out the form for you and ask the required questions you might miss on your own like what equipment was used, what heights were involved, and who on staff saw or responded to the injury.

All injuries that occur and are reported must be followed up on within a week, and results must be recorded in the injury report.

If a student returns to class before we follow up, we simply update the report with “student back in class as of DATE.” and ask what we need to determine severity.

For all injuries, we should attempt to find out how many times they went to the hospital (if at all) and adjust the assigned severity and other fields involving hospital visit details. Finding out how long the injury put them out of action can also help in deciding severity.

Severity lvl 4+ injuries (and potential lvl4) should be marked for extra followups on a longer term basis.

Severity levels are set based on the impact to the student’s life and ability to continue training. Since you won’t always know this we’re proxying it through number of doctor/medical visits, length of time away from classes / healing time, and guidelines on typical severity for different injuries. For setting the severity first prioritize the number of hospital visits for the minimum severity and then look at heal time, if they missed classes (or left), and type of injury to move up the scale.

We understand that some people will go to an ER for what we consider a very minor injury or those who can’t or won’t go to the ER even for a major injury. Some people may even go into scary shock-like symptoms for light ankle sprains, yet be fine the next week. Through followups, we’ll attempt to learn how much of an impact the injury had on a person’s ability to continue parkour as well as how much medical attention they sought and adjust the rating as needed.

See Injury severity ratings for detailed information on how we rate injuries. Summary:

Level 0 (no full injury report needed) - If an injury isn’t bad enough to take someone out of class we can optionally record it on the quicksheet attached to the first aid cabinet.

Level 1 (quick heal) - Level 1 injuries do not normally require doctor visits. Usually, students are moving under their own power without pain by the end of their class session, but cannot continue participating in class for that day (or are instructed by the coach not to).

Level 2 (minor) - Level 2 injuries require professional medical attention, but only 1 or 2 visits and/or could take a person away from training for up to a week.

Level 3 (major) - Level 3 injuries require professional medical attention sustained over more than 2 visit (follow ups, referrals to specialists, physical therapy, etc.) and/or could take a person away from training for more than a week.

Level 4 (long-term) - Level 4 injuries require professional medical attention sustained over time (specialists, physical therapy, surgery, etc.) and/or could take a person away from training for three months or more.

Level 5 (crippling) - Level 5 injuries require immediate professional medical attention and are potentially life-threatening or crippling.

It can be very useful to look at a student’s visit history in order to differentiate between a lvl2 and lvl3 injury. If a student is coming 1x per week regularly and the injury doesn’t disrupt their schedule then it is likely a lvl2. If they do take a few classes off then that can be indicative of a more serious lvl3 injury (with a heal time of more than one week).

For those that don’t come back to class use their followup to determine severity. If they don’t respond to the followup then it’s better to potentially overestimate their injury at lvl2 or lvl3 as the injury likely had something to do with them not coming back.

We’ve chosen to use 2 metrics for injury rate reporting and calculation. We’ve chosen them because they are the most common metrics used in academic literature on activity injury. The injury rate is based on total number of injuries compared to total number of visits (exposures). The injury risk is based on total number of injured students compared to the total number of students.

Injury rate per 1000 athlete-exposures: Take total number of incidents at a certain severity and above (or all who went to the hospital) during a time period. Divide by total number of visits during the same time period (MB staff performance report can do this quickly - add up total attendance number). Multiply by 1000.

Format: “2.3 injuries per 1000 athlete-exposures during [time period].”

NOTE: PKV’s numbers count each class, open gym, private lesson, etc. as a separate athlete exposure, even if an athlete attends multiple things per day (e.g. on Monday, Bob takes a private lesson, a class, and stays for open gym. This is counted as 3 athlete-exposures.).

Other sports may count athlete exposures differently (e.g. A player comes to practice and a game later in the day, this may count as 1 athlete-exposure).

Injury risk: Find number of students injured (at certain level or everything, you have to take out duplicates from students with multiple reports) during a time period. Divide by total number of (unique) students who visited during the same time period (creating a tag list from a MB Last Visit report can do this). Multiply by 100 for the percentage.

Format: There is/was a 1.8% chance that someone coming to the gym would end up on an injury report during [time period].

[student name]

Age: 13

Date of injury: 1/8/2015

Short description: Broken and displaced wrist. Twisted ankle

Timestamp: 1/8/2015 17:45:36

Location: Gym

Sex: Male

Student level: intermediate

Instructor on duty at time of injury: Colin, on front desk, saw injury

What class/open gym did the injury occur in: Open Gym

Was professional medical attention required? Yes

How the injury happened: From what Colin could see from the front desk, [Student] was swinging on the high bar by the “one-way” sign and peeled off on his backswing. He landed with his upper body on a crash mat and his legs on the ground. I suspect he struck his left wrist on the low part of the sdf structure as he fell, causing the break. He had only just arrived at the gym and started playing around.

Response to injury: [Student] was right next to his mother when he fell.Tyson, Brandee, and Colin assessed injury, saw that it was an obvious break, and recommended his parent take him immediately to the Swedish ER. Brandee slung the arm in a hoodie and Eric accompanied family to the ER where [student] was passed into care.

Followup: Parent called in day after. [Student] fractured arm and dislocated wrist. He is recovering at home and doing better. They will go back in in a week to check whether the growth plate has slipped. This will determine whether or not surgery is required. Followup: Eric saw [student] on 2/13: cast is off, no damage to growth plate, all is well.

Did this require an emergency hospital visit? Yes. Another student or spouse took them

Severity: 3