I wanted to share something that happened today because it really shook me up. I'm a gymnastics coach and today at practice one of my gymnasts broke her humerus, just above her elbow. She's going into surgery tonight to have pins put in. I've been involved in gymnastics for over a decade as a gymnast and coach. I've seen countless injuries: broken arms, backs, necks, and legs; sprained wrists, and ankles; torn ACLs, etc etc. I've been fortunate enough never to have experience any traumatic injury myself or have any of the girls I coach experience a traumatic injury while under my supervision.
However, tonight, this poor girl's foot slipped as she was jumping up on the low bar. She had a very large, soft mat, directly underneath her but as she was falling toward it her arm struck the bar breaking it. I saw the accident and I keep hearing the bone crack over and over in my head.
I keep thinking too myself... Did I follow the proper progressions when I was teaching the skill (in other words, did I teach it step by step in the proper sequence, not skipping over any important learning steps). Were there proper safety precautions in place? Was there proper supervision?
I feel like I did everything right. She had been working on the skill at ground level on a ground bar for many weeks. I hand spotted her on the skill before she tried it on her own. She had successfully performed the skill on her own before and there was a large, large safety mat positioned underneath her. Furthermore, she was instructed to work on that skill and wasn't off task or unfocused. Also, I was watching her when it happened.
I guess what makes it really horrible is that she's only been back in gymnastics for about two months after having broken the radius and ulna of the same arm at recess during school. She worked so hard to keep up her strength when she had her cast on from that incident and then worked so so hard to get caught up to and eventually exceed the other girls after she got her cast off. She loves gymnastics so much and her first question after the doctors verified that it was broken was if she would be able to come back to gymnastics. It just breaks my heart that this happened and I can't help but feel guilty even though it was just one of those fluke things...the risks of participating in gymnastics.
The only thing I'm not sure about is what actually broke the arm. I could have sworn that I heard the bone break when her arm struck the bar. From my vantage point it seemed like she landed flat on her back on the soft mat. But it all happened so fast that I can't rule out the possibility that she didn't land flat on her back and that the arm was twisted underneath her on the mat when she landed... which is what actually broke it, and not the impact on the bar. I guess at this point it's not important. But I really want to know because I feel if I know maybe I can do something in the future to help avoid it. There is another coach that I coach that team with and she thought that just striking the arm on the bar wouldn't be enough to break it since the height of the fall was rather trivial. But I think that if the impact with the bar occurs in just the right way and all the forces ad up just right it's more than possible. Anyone have any thoughts on this? I know most of you don't have any gymnastics experience and may have trouble visualizing the incident.
Anyway, she's resting now and has been given IV morphine and will probably be going into surgery tonight. I am a volunteer at the hospital where she was taken so I am going to see her tomorrow. This shook me up so much that I worry about my ability to handle these kinds of situations when I become a doctor (UTMSH '11). Maybe it just shook me up because she was my gymnast and so it's kind of personal. But I think that having a patient for years who then becomes ill or a young patient who develops cancer (just to name a few examples) would be just as difficult for me. Ive always wanted to go into pediatrics and whenever anything bad happens to a child its really difficult for me to cope with it. I keep replaying the accident in my head, and I hear the break and her scream.
I'm sorry this got so long. I just had to get it out.