Rob Stevenson, MD CCFP FRCPC National Safety Officer, Canadian - - PowerPoint PPT Presentation

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Rob Stevenson, MD CCFP FRCPC National Safety Officer, Canadian - - PowerPoint PPT Presentation

Aug 26, 2023 239 likes •670 views

Rob Stevenson, MD CCFP FRCPC National Safety Officer, Canadian Eventing 09 November 2014 (CEC) 24 January 2015 (FEI) Horse and Train Alex Colville 1954 I dont intend to be menacing, but I do think of life as being essentially

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Rob Stevenson, MD CCFP FRCPC National Safety Officer, Canadian Eventing 09 November 2014 (CEC) 24 January 2015 (FEI)

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Horse and Train Alex Colville 1954

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“I don’t intend to be menacing, but I do think

  • f life as being

essentially dangerous. We never know what’s going to happen from

  • ne day to the next”

Alex Colville Colville (2014)

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Outline

  • Risk versus performance
  • Stall to stall to stall…
  • The “J curve” of risk
  • Concussion redux
  • The needle in the haystack
  • Indoor eventing-like competitions
  • Audit (evaluation) process
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Clif Bar

A Letter to the Climbing Community

Source: http://www.clifbar.com/text/a-letter-to-the-climbing-community

“Over the past few days, there’s been a heated dialogue about our recent decision to withdraw sponsorship of several climbers…. …Climbing has been a part of our company’s DNA from the

  • beginning. Over a year ago, we started having conversations

internally about our concerns with B.A.S.E. jumping, highlining and free-soloing. We concluded that these forms

  • f the sport are pushing boundaries and taking the element
  • f risk to a place where we as a company are no longer

willing to go.”

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“They had a chance to modify [their game] but they’re selling a game of violence”

  • Dr. Paul Echlin, Globe and Mail 4 Feb 2014
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Giuseppe’s Risk Continuum

Permanent Injury/Death Horse/Rider Injury Horse Falls Falls Bad Riding Good Riding

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From stall to stall to stall…

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258/6157 1/24 4.2%

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“The J Curve”

2 4 6 8 10 12 PE E PT T P * ** *** **** 6 4 3.6 4.5 3.6 4.6 5.1 6.2 10.5

% Falls Starter Level of Competition

EC FEI

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Concussions

No athlete with concussion symptoms should be allowed to return to play on the same day (risk of second impact syndrome)

Heads up to Concussions

McCrory P, et al. Br J Sports Med 2013; 47:250-258

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Concussions

Heads up to Concussions

Helmets DO NOT Protect Against Concussion

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Sudden Cardiac Death in Athletes: humans and horses

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  • Dr. Wilson
  • “Do you have a test rider complete the course

in advance?”

  • “Do you have a safety team inspect the site of

all serious falls and file a standardized report?

  • “You mean you jump these obstacles on an

angle?”

  • “I like the idea of collapsible jumps.”
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Highlights from

  • Dr. Wilson conversation con’t
  • It is impossible to design a “safe highway,” we

speak in terms of a “reasonable level of safety…”

  • How to design a safety audit:

– Don’t call it an audit, rather a “safety evaluation” – Take the top people in the sport, teach them how to audit and create a small team

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Summary

Without risk, we do not progress, without progress, there can be no performance…

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Conclusions

  • The best performance should confer the

lowest acceptable risk

  • We need to acknowledge all activities where

risk is increased and respond accordingly

  • Concussions are a big deal
  • Near misses cannot be missed
  • Utilize rules, officials, coaches, outcomes,

review, repeat…

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FEI Risk Management Seminar: Bromont 2017???

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Acknowledgements:

  • Fleur Tipton, Manager Eventing
  • Crystal Labelle, Assistant to Manager Eventing
  • Amanda Leblanc, assistant to RSS
  • Giuseppe Della Chiesa (ITA)
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Questions?

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“The J Curve”

2 4 6 8 10 12 PE E PT T P * ** *** **** 6 4 3.6 4.5 3.6 4.6 5.1 6.2 10.5

% Falls Starter Level of Competition

EC FEI

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The Risk Continuum

Permanent Injury/Death Horse/Rider Injury Horse Falls Falls Bad Riding Good Riding

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Declaration of conflicts

  • None
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Heads up to Concussions