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From the Herald Sun's Jon Ralph: Melbourne Demons in the clear over handling of Petracca injury on King’s Birthday

Melbourne’s treatment of Christian Petracca’s MCG injury was given a tick of approval by multiple reviews conducted by the AFL and the AFL Doctors’ Association, despite his anger at the club’s treatment of his King’s Birthday accident. 

The reviews found that while it was regrettable Petracca had been put back on the ground, the actual processes put in place by Melbourne’s doctors had not been flawed.

The Demons used the AFL’s emergency clinician at the MCG for a second opinion, with the review finding even initial consultation in hospital was unable to diagnose his spleen concern.

It comes with confusion among AFL fans about whether players are able to return to the field while carrying rib injuries after the Petracca incident.

The Demons champion was so ill upon his return to the ground even Collingwood players asked him if he should be on the field, with the 28-year-old nearly dying with a lacerated spleen and four broken ribs.

AFL Doctors Association boss and Gold Coast club doctor Barry Rigby is also an intensive care doctor.

He runs the yearly briefing over rib and internal injuries for AFL and AFLW doctors so they can better diagnose broken ribs or internal trauma.

He said on Monday it was almost impossible for club doctors to diagnose whether ribs were bruised or broken without a complex CT scan, with even MRI scans or a simple chest X-ray often not detailed enough.

Rigby said the AFL was satisfied with the current procedures for caring with patients with rib damage.

“The priority is clinical assessment but it can be quite difficult with blunt force chest trauma. You can have significant pain, but you might not have fractured a rib,” he said.

“Chest X-rays are often not that good at picking up chest fractures, and they can miss a small pneumothorax, which is a contusion which causes air to escape from the lungs.

“To do a CT scan, which continues a significant amount of radiation, for every player who has a bump to the chest, isn’t a practical approach to the problem. It gets back to the clinical assessment for club doctors and it can be very difficult.

“We need to be careful we don’t change the whole landscape which is working pretty well for 99 per cent of the issues. Safety is always our top priority. There is good support from an emergency physician who sits behind the bench if we need assistance,” he said.

Rigby has run his emergency care course on assessing players with potential torso chest or abdominal trauma for over five seasons at AFL level.

He says the general rule is that if a doctor suspects a player has broken his rib he will not be allowed to return to the field

“We have looked at Christian’s circumstances closely and done a constructive critique on what did or didn’t happen. Hindsight is a wonderful gift in some respects. But there was an adequate assessment done. The decision in retrospect (for him to return to the ground) was the wrong one, but we don’t want to criticise the process,” he said.

“There was a review done by the AFL and (chief medical officer) Michael Makdissi. The doctors collectively reviewed the whole situation as well. In our professional life we are always reviewing for things we can do better. 

“All of those boxes were ticked, the process was followed. The emergency physician was involved. The club doctor and hospital were involved. Even in hospital the (damage) wasn’t clear and obvious in the early stages. So I don’t think changing processes would have got us a different outcome.”

“There are hundreds of games played every year and the number of people who end up in hospital with rib fractures, you could count on one hand.”

Edited by Grapeviney
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5 hours ago, Sir Why You Little said:

I find it staggering that the MFC cannot employ some IT kids part time to run all the Socials 

It really should be part of this review 

Get Ben Gibson back on board!!!

Its actually not that simple. The Social media approach needs to be an extension of the marketing / brand strategy. 

Bottom line is our club, whilst thriving with history and tradition, doesn't appeal to the average working class Joe. We are still the Old Melbourne club, that loves to ski at Hotham / Buller with our cheese platters, driving our German 4WD. It is soo cliched, but we have done zilch to rid ourselves of this.  

We need a mastermind to turn the ship, one that can reinvent the club's image and bring in a new wave of supporters. Premierships help, but as we have all seen, they are but a blip on the membership radar and supporters can fall away just as quick as they can accumulate. 

 

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2 minutes ago, Sir Windsor said:

The Social media approach needs to be an extension of the marketing / brand strategy. 

Or the social media approach can lead the shaping/re-shaping of the brand, ala GWS. Their brand has taken shape from the actions of one person and started to endear them to a different audience.
 

Anyway. Just be better at it Dees.

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The timing of this stinks. Why is it only now that the AFLPA are getting involved? I don’t want to throw up conspiracy theories, however Caro’s almost throwaway line at the end re “story Christian telling the AFLPA isn’t pretty” makes you wonder…

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I'm curious about the bit about him going to the Epworth instead of the Alfred. The implication is that the paramedics weren't given the correct information but at the same time the assessment seems to be that the doctors didn't or couldn't diagnose him correctly at the time. What information did the Paramedics miss that could have gotten him to the Alfred sooner?

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4 minutes ago, KozzyCan said:

The report here is that the AFLPA aren't satisfied with the AFL's assessment.

AFLPA are a joke. If it was Disco Turner they would have a different opinion.

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Just now, biggestred said:

Do they know better than the afl doctors?

https://www.theaustralian.com.au/subscribe/news/1/?sourceCode=TAWEB_MRE170_a_RED&dest=https%3A%2F%2Fwww.theaustralian.com.au%2Fsport%2Fafl%2Fmelbourne-demons-in-the-clear-over-handling-of-petracca-injury-on-kings-birthday%2Fnews-story%2Fa13d653c356260e15b3c17e984869bce&memtype=anonymous&mode=premium&v21=LOW-Segment-2-SCORE&V21spcbehaviour=append

 

Melbourne’s treatment of Christian Petracca’s MCG injury was given a tick of approval by multiple reviews conducted by the AFL and the AFL Doctors’ Association, despite his anger at the club’s treatment of his King’s Birthday accident.

The reviews found that while it was regrettable Petracca had been put back on the ground, the actual processes put in place by Melbourne’s doctors had not been flawed.

The Demons used the AFL’s emergency clinician at the MCG for a second opinion, with the review finding even initial consultation in hospital was unable to diagnose his spleen concern.

It comes with confusion among AFL fans about whether players are able to return to the field while carrying rib injuries after the Petracca incident.

The Demons champion was so ill upon his return to the ground even Collingwood players asked him if he should be on the field, with the 28-year-old nearly dying with a lacerated spleen and four broken ribs.

AFL Doctors Association boss and Gold Coast club doctor Barry Rigby is also an intensive care doctor.

He runs the yearly briefing over rib and internal injuries for AFL and AFLW doctors so they can better diagnose broken ribs or internal trauma.

He said on Monday it was almost impossible for club doctors to diagnose whether ribs were bruised or broken without a complex CT scan, with even MRI scans or a simple chest X-ray often not detailed enough.

Rigby said the AFL was satisfied with the current procedures for caring with patients with rib damage.

“The priority is clinical assessment but it can be quite difficult with blunt force chest trauma. You can have significant pain, but you might not have fractured a rib,” he said.

“Chest X-rays are often not that good at picking up chest fractures, and they can miss a small pneumothorax, which is a contusion which causes air to escape from the lungs.

“To do a CT scan, which continues a significant amount of radiation, for every player who has a bump to the chest, isn’t a practical approach to the problem. It gets back to the clinical assessment for club doctors and it can be very difficult.

“We need to be careful we don’t change the whole landscape which is working pretty well for 99 per cent of the issues. Safety is always our top priority. There is good support from an emergency physician who sits behind the bench if we need assistance,” he said.

Rigby has run his emergency care course on assessing players with potential torso chest or abdominal trauma for over five seasons at AFL level.

He says the general rule is that if a doctor suspects a player has broken his rib he will not be allowed to return to the field

“We have looked at Christian’s circumstances closely and done a constructive critique on what did or didn’t happen. Hindsight is a wonderful gift in some respects. But there was an adequate assessment done. The decision in retrospect (for him to return to the ground) was the wrong one, but we don’t want to criticise the process,” he said.

“There was a review done by the AFL and (chief medical officer) Michael Makdissi. The doctors collectively reviewed the whole situation as well. In our professional life we are always reviewing for things we can do better.

“All of those boxes were ticked, the process was followed. The emergency physician was involved. The club doctor and hospital were involved. Even in hospital the (damage) wasn’t clear and obvious in the early stages. So I don’t think changing processes would have got us a different outcome.”

“There are hundreds of games played every year and the number of people who end up in hospital with rib fractures, you could count on one hand.”

Jon Ralph

Yes, I read it the first time it was posted.

I don't know, maybe they do, maybe they don't. It's not like the AFL haven't covered their [censored] in the past over stuff like this. Obviously there are still aggrieved parties who feel they have been wronged. We should be taking this very seriously.

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2 minutes ago, KozzyCan said:

Yes, I read it the first time it was posted.

I don't know, maybe they do, maybe they don't. It's not like the AFL haven't covered their [censored] in the past over stuff like this. Obviously there are still aggrieved parties who feel they have been wronged. We should be taking this very seriously.

Apologies, I didn't realise it had already been posted.

Agree we have to take it seriously. But the answer to the aflpa is this: None of them or us or anyone, including CP, knows better than the doctors.

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1 hour ago, Grapeviney said:

From the Herald Sun's Jon Ralph: Melbourne Demons in the clear over handling of Petracca injury on King’s Birthday

Melbourne’s treatment of Christian Petracca’s MCG injury was given a tick of approval by multiple reviews conducted by the AFL and the AFL Doctors’ Association, despite his anger at the club’s treatment of his King’s Birthday accident. 

The reviews found that while it was regrettable Petracca had been put back on the ground, the actual processes put in place by Melbourne’s doctors had not been flawed.

The Demons used the AFL’s emergency clinician at the MCG for a second opinion, with the review finding even initial consultation in hospital was unable to diagnose his spleen concern.

It comes with confusion among AFL fans about whether players are able to return to the field while carrying rib injuries after the Petracca incident.

The Demons champion was so ill upon his return to the ground even Collingwood players asked him if he should be on the field, with the 28-year-old nearly dying with a lacerated spleen and four broken ribs.

AFL Doctors Association boss and Gold Coast club doctor Barry Rigby is also an intensive care doctor.

He runs the yearly briefing over rib and internal injuries for AFL and AFLW doctors so they can better diagnose broken ribs or internal trauma.

He said on Monday it was almost impossible for club doctors to diagnose whether ribs were bruised or broken without a complex CT scan, with even MRI scans or a simple chest X-ray often not detailed enough.

Rigby said the AFL was satisfied with the current procedures for caring with patients with rib damage.

“The priority is clinical assessment but it can be quite difficult with blunt force chest trauma. You can have significant pain, but you might not have fractured a rib,” he said.

“Chest X-rays are often not that good at picking up chest fractures, and they can miss a small pneumothorax, which is a contusion which causes air to escape from the lungs.

“To do a CT scan, which continues a significant amount of radiation, for every player who has a bump to the chest, isn’t a practical approach to the problem. It gets back to the clinical assessment for club doctors and it can be very difficult.

“We need to be careful we don’t change the whole landscape which is working pretty well for 99 per cent of the issues. Safety is always our top priority. There is good support from an emergency physician who sits behind the bench if we need assistance,” he said.

Rigby has run his emergency care course on assessing players with potential torso chest or abdominal trauma for over five seasons at AFL level.

He says the general rule is that if a doctor suspects a player has broken his rib he will not be allowed to return to the field

“We have looked at Christian’s circumstances closely and done a constructive critique on what did or didn’t happen. Hindsight is a wonderful gift in some respects. But there was an adequate assessment done. The decision in retrospect (for him to return to the ground) was the wrong one, but we don’t want to criticise the process,” he said.

“There was a review done by the AFL and (chief medical officer) Michael Makdissi. The doctors collectively reviewed the whole situation as well. In our professional life we are always reviewing for things we can do better. 

“All of those boxes were ticked, the process was followed. The emergency physician was involved. The club doctor and hospital were involved. Even in hospital the (damage) wasn’t clear and obvious in the early stages. So I don’t think changing processes would have got us a different outcome.”

“There are hundreds of games played every year and the number of people who end up in hospital with rib fractures, you could count on one hand.”

Caroline Wilson begs to differ and is obsessed in throwing the club under the bus at any occasion 

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4 minutes ago, biggestred said:

Apologies, I didn't realise it had already been posted.

Agree we have to take it seriously. But the answer to the aflpa is this: None of them or us or anyone, including CP, knows better than the doctors.

Doctors aren't a monolith though and they won't agree on everything. Doctors working in a high performance sport environment are going to approach injuries differently than a doctor in another environment might. I think the AFLPA are investigating it because they are concerned that either the correct processes weren't followed or the processes followed aren't correct.

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