Dr Matt Hislop @drmatthislop Twitter profile

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Dr Matt Hislop

@drmatthislop

10 months

Shout out to the Storm medical staff and ambulance officers who did a great job with Paps last night. Also big thanks to Dr Ben Forster (Ankle surgeon) for coming in late to sort him at hospital.

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Dr Matt Hislop

@drmatthislop

2 years

Behind the scenes of the medical team, looking after the Queensland Maroons: Now that the celebrations have winded down, I thought I would share what we do to support the Qld team in trying to win the series.

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Dr Matt Hislop

@drmatthislop

2 years

Billy’s summary: You played like Queenslanders tonight! 1 down. #StateofOrigin2022 #QLDER

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Dr Matt Hislop

@drmatthislop

4 years

How good is this team. How good is this state! #QLDER #qrl #nrl

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Dr Matt Hislop

@drmatthislop

5 years

@nrlphysio Hi everyone. Please understand I am bound by patient confidentiality so can’t comment on treatment etc. Moses has released an accurate statement on QRL website. He should be praised for reporting promptly once he was unwell, as these conditions can and do deteriorate quickly.

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Dr Matt Hislop

@drmatthislop

2 years

With permission: Te Maire Martin sustained blunt trauma to his back in a tackle Sat night. He had respiratory distress and went to Emergency where a Pneumothorax was confirmed. It is small and a chest drain was not needed, but he cannot fly until it and he is cleared.

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Dr Matt Hislop

@drmatthislop

2 years

After a week off, we readjust and plan for Games 2 and 3. Although it sounds like a lot of work, I can honestly say I feel privileged to work with the mighty Maroons and such an awesome medical team- best job in the world!

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Dr Matt Hislop

@drmatthislop

4 years

@nrlphysio Just wanted to correct the report that Munster ‘failed’ his HIA assessment in the medical room. He passed (compared to baseline) but that doesn’t matter. He was Cat 1 based on poor balance as demonstrated on the replay, meaning regardless of his HIA he could not return tonight

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Dr Matt Hislop

@drmatthislop

2 years

Thanks for the well wishers regarding Flegs. He sustained a throat injury and was in significant discomfort. Scans at Emergency showed soft tissue injury only, and thankfully he was discharged late last night.

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Dr Matt Hislop

@drmatthislop

2 years

Coach Billy Slater said that was the hardest fought Maroon victory in 42 years of Origin.

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Dr Matt Hislop

@drmatthislop

2 years

I thought I would address some (justified) questions about Selwyn Cobbo's transfer last night. Selwyn has knocked unconscious in a collision with Pat Carrigan's hip, and our trainer sensibly got inline control of his C-spine as soon as he got there.

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Dr Matt Hislop

@drmatthislop

2 years

Qld team dinner and jersey presentation at our house #qlder

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Dr Matt Hislop

@drmatthislop

2 years

@peterp79 The mechanism of the tackle was dangerous to all who looked at it. Thankfully the Eels player flexed his neck. If direct axial compression it could have had a catastrophic result.

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Dr Matt Hislop

@drmatthislop

1 year

Big night for medical team. Dislocated shoulder, couple HIA’s, nasty hip pointer but team got the win! #QLDER

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Dr Matt Hislop

@drmatthislop

2 years

Noteworthy case: Patient presents with left sided exercise induced paraesthesia to sole of foot. Axial MRI shows the usual 3 medial long flexors + accessory muscles and tendons, effectively 'crowding' neuromuscular bundle and creating a Tarsal Tunnel Syndrome.

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Dr Matt Hislop

@drmatthislop

1 year

Tonight our thoughts are with NFL player Damar Hamlin. Opinion seems to be that Commotio Cordis is the most likely cause of his collapse.

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Dr Matt Hislop

@drmatthislop

3 years

Meanwhile in Brisbane….. #NRL #Bronxnation

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Dr Matt Hislop

@drmatthislop

10 months

At the end of the day as medical staff we happily help each other. Player welfare and safety is paramount.

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Dr Matt Hislop

@drmatthislop

3 years

Full credit to NSW on series win- but never underestimate a Queenslander! #QLDER

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Dr Matt Hislop

@drmatthislop

11 months

Thanks to the awesome Queensland medical team. No success without we as a group. Ubuntu!

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Dr Matt Hislop

@drmatthislop

1 year

How it started.......

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Dr Matt Hislop

@drmatthislop

2 years

He was driven home yesterday and will receive further medical review. He is comfortable- thanks for people's concern.

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Dr Matt Hislop

@drmatthislop

3 years

Manly medical team ready to go in Mackay ⁦ @NRL ⁩ ⁦⁦ @SeaEagles ⁩

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Dr Matt Hislop

@drmatthislop

1 year

How it's going.

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Dr Matt Hislop

@drmatthislop

2 years

Shout out to my good mate Steve ‘Chicken’ Sartori, awesome Physio. Thanks for a great campaign!

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Dr Matt Hislop

@drmatthislop

9 months

Off to the Grand Final. What a night for Brissy!

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Dr Matt Hislop

@drmatthislop

2 years

@nrlphysio So much wrong in that article. Murray’s 2nd concussion this year (and it is a concussion regardless of his HIA result) and 9 day turnaround. Rules state MUST have independent clearance. So far from a certainty to play it is not funny.

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Dr Matt Hislop

@drmatthislop

1 year

Queensland have adopted the Zulu word Ubuntu- there is no “I” rather success belongs and is earned by all.

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Dr Matt Hislop

@drmatthislop

4 years

Medical team ready to fly to Adelaide for Origin game 1. #Origin #nrl #qrl

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Dr Matt Hislop

@drmatthislop

5 years

@JasonNRL Michael was checked on the field to exclude a C-spine injury. He was taken to the rooms and carefully watched for any deterioration. He was Cat 1, meaning he would never be returning to the field of play that night.

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Dr Matt Hislop

@drmatthislop

2 years

Last session before we move to enemy territory. Good looking team. #QLD #StateofOrigin

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Dr Matt Hislop

@drmatthislop

1 year

Some misinformation on the morning media regarding NRL and concussion management today. I'll try to correct a couple of errors I heard: (1) NRL does not have a minimum stand down period following concussion.

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Dr Matt Hislop

@drmatthislop

2 years

So sorry to hear of Paul Green’s passing. I only worked with him in Origin, but got to know him well. Thoughts and wishes go to his wife and young family.

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Dr Matt Hislop

@drmatthislop

3 years

@nrlphysio @TheShaunChand Sorry but if the player had reported those symptoms during the HIA assessment they would have had no option but to remove him from play, as that is a concussion.

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Dr Matt Hislop

@drmatthislop

2 years

With permission. Fairly abrupt onset debilitating lateral knee pain after trekking. Isolated severe popliteus tendinopathy. Inflammatory markers all clear. Trial NSAID's, otherwise guided corticosteroid injection.

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Dr Matt Hislop

@drmatthislop

5 years

Gives great insight to what information is available to doctors on sideline. Recent criticism of HIA assessment by commentators concerning. Perhaps they should receive the same mandatory training we have, to get better understanding of how concussion diagnosis is made...

NRL PHYSIO

@nrlphysio

5 years

Great look into the Injury Surveillance Bunker (ISB), technology brought in this season by the NRL to assist in identifying potential injuries that occur (particularly head knocks). Details the process spotters/club Dr’s go through

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Dr Matt Hislop

@drmatthislop

2 years

@nrlphysio Not sure how the bunker ruled but a Cat 1 sign is ‘no protective action in the fall to the ground’. It seems he was already concussed from the high tackle…

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Dr Matt Hislop

@drmatthislop

3 years

Booster done. Thanks to the wonderful admin staff and nurses.

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Dr Matt Hislop

@drmatthislop

2 years

Unusual Cause of Exertional Leg Pain in a Runner (thread + discussion) 41 year old long distance runner, training for upcoming Marathon. 10 month history of right sided exertional foot, calf and thigh symptoms.

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Dr Matt Hislop

@drmatthislop

4 years

In 2011, during the Brisbane floods, Doug Hislop (my dad) & Peter Fenton heard a 3000 tonne walkway had ripped away and was heading downstream. Without being asked and at enormous risk they took a tug and diverted the walkway from causing serious damage to the Gateway bridge.

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Dr Matt Hislop

@drmatthislop

2 years

Maroons fan day in Warwick. Means a lot to the players to see the support and love from the great state of Qld.

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Dr Matt Hislop

@drmatthislop

3 years

@nrlphysio Just wanted to correct erroneous reports of Xavier ‘failing his HIA’. He was taken off for HIA assessment where it became clear there was potential serious neck injury. He was taken to hospital for precautionary scans of his C-spine- no concussion.

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Dr Matt Hislop

@drmatthislop

2 years

@MickHillier79 That’s a whole separate thread @MickHillier79

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Dr Matt Hislop

@drmatthislop

3 years

Nice to see a responsible article outlining the risk of vaccine complication compared real life risks we take every day. EVERY intervention has some inherent risk- it should be up to doctors and their patients to discuss so INFORMED decisions can be made.

Risk of AstraZeneca blood clots revealed

As mixed messaging about AstraZeneca vaccine access reaches fever pitch this week, new graphics have emerged comparing the risk of death from the vaccine to other scenarios.

www.news.com.au

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Dr Matt Hislop

@drmatthislop

3 years

35th Olympic Games in Brisbane! Congrats to everyone who worked so hard to get them. I know my home town will do us proud.

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Dr Matt Hislop

@drmatthislop

4 years

@nrlphysio To clarify: NRL rules are very clear. Munster will need to pass all concussion protocols before he can be medically cleared to return to sport. The coach is merely confident that Munster can do this and be available to play Game 3.

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Dr Matt Hislop

@drmatthislop

2 years

Post-match: Every player is reassessed at full time, sutures inserted, and braces and ice applied as necessary. The physio and I send a player summary to each club- this typically occurs after midnight given the usual late start for Origin.

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Dr Matt Hislop

@drmatthislop

9 months

We at BSEMS are proud to be representing the city of Brisbane for the mighty Lions and Broncos this weekend in the Grand Final #AFLGF #NRLGF .

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Dr Matt Hislop

@drmatthislop

2 years

I said it before- how good is this team, how good is this state! #qlder

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Dr Matt Hislop

@drmatthislop

3 years

Big thanks to my friend and colleague @v_run_desilva for his local know how as we play NRL in the top end. #nrl #Darwin

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Dr Matt Hislop

@drmatthislop

1 year

What a privilege to work with Billy Slater over the years. Great player, fantastic coach, amazing human being.

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Dr Matt Hislop

@drmatthislop

3 years

Big congratulations to my colleague and friend @DrSherwinGoh who is now officially a Fellow of the Australasian College of Sport and Exercise Physicians! Welcome to the club- well done on all your hard work so far. @ACSEP_ @BrisbaneBullets

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Dr Matt Hislop

@drmatthislop

3 years

Awesome to see our Aussie athletes doing us an amazing job in Tokyo. I have seen the enormous hurdles many have to go through to represent their country at the highest level. Well done! #Olympics #TeamAustralia

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Dr Matt Hislop

@drmatthislop

1 year

@nrlphysio Well said mate. Headgear does not prevent concussion. Helmets in sports like gridiron may increase the moment arm of a shearing injury and increase concussion risk. Way too much emotion and way too little science in this discussion.

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Dr Matt Hislop

@drmatthislop

4 years

I have had some great questions posed regarding concussion in sport, so I thought I would share some knowledge. Every 3-4 years, experts from all over the world meet to assess current research and studies into concussion, and to see what can be done better.

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Dr Matt Hislop

@drmatthislop

2 years

I arrange for an Orthopaedic Surgeon and Anaesthetist to be at each game, in case urgent surgery is required that night (thankfully uncommon). Injured players are assessed during the match and we ascertain whether we can get them back on the field or if they cannot return.

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Dr Matt Hislop

@drmatthislop

4 years

I feel for Dr Higgins- followed all the guidelines, did the right thing and tested for Covid-19- and notified those he inadvertently may have exposed. His reward- to be named and shamed in an atrocious manner.

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Dr Matt Hislop

@drmatthislop

3 years

Another great article outlining relative risks of COVID infection, and the benefits of vaccination. Don't wait- get vaccinated as soon as you can!

Doing the maths on AstraZeneca

If our brains are so bad at assessing risk, how do we rationally decide whether to have AstraZeneca’s vaccine?

www.smh.com.au

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Dr Matt Hislop

@drmatthislop

2 years

I also organise my 2nd doctor for the games, preferring to use local Sports Physicians who have knowledge and access to further specialist care as needed where we are playing.

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Dr Matt Hislop

@drmatthislop

5 years

WA sure knows how to build a stadium! First class facilities, amazing ground. Thanks for having us! Look forward to the decider.

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Dr Matt Hislop

@drmatthislop

2 years

Weeks before Camp 1: I contact all NRL chief medical officers to touch base with injuries in potential Qld players in their team, reviewing concussions they have suffered to date, and vaccine status.

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Dr Matt Hislop

@drmatthislop

3 years

Thank you to my Vascular Surgeon Colleagues for asking me to talk about a Sport Physician's approach to exertional leg pain, and the results of our non-operative treatment of functional PAES. #ANZSVS21

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Dr Matt Hislop

@drmatthislop

2 years

We know in advance where the games are being played, and where we are staying in camp. I organise Radiology cover to ensure that if any injuries occur we can scan players ASAP.

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Dr Matt Hislop

@drmatthislop

2 years

Recovery in Camp: In my opinion Origin is unique as we take ‘battered’ players in the middle of an NRL season and aim to get them ready for some of the biggest games they may play.

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Dr Matt Hislop

@drmatthislop

5 years

2nd concussion in one season mandates these extra measures. Contact sport will always carry some risk, but extra levels to protect players should be applauded and not derided.

NRL PHYSIO

@nrlphysio

5 years

@drmatthislop As always comprehensive management plan from both the Maroons and Cowboys, with Morgan’s health the number 1 priority.

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Dr Matt Hislop

@drmatthislop

4 years

Others like @nrlphysio have covered on field, and medical room assessments- which are basically looking for signs of these symptoms. In the NRL we can use video analysis, trainer on-filed assessments, and of course our HIA in the rooms.

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Dr Matt Hislop

@drmatthislop

2 years

Funny who you meet at the footy! Good mate @bendesbrow fighting for the opposition. #NRL

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Dr Matt Hislop

@drmatthislop

3 years

@nrlphysio Thanks @nrlphysio . Concussion understanding is ever evolving. Contact sport will always have inherent risk, which is why consistent policies to safeguard players are important.

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Dr Matt Hislop

@drmatthislop

2 years

A well-stocked medical kit is essential, as I need to be able to deal with injuries, pain relief, anti-inflammatories and all medical issues, particularly viral infections and illness which has the potential to decimate half of the team.

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Dr Matt Hislop

@drmatthislop

6 years

Happy to be chairing GP Sports Medicine conference in Brisbane today and spreading the word of Exercise Prescription!

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Dr Matt Hislop

@drmatthislop

2 years

Game day: At the game we have or chief medical officer (me), our head physio, trainers, massage therapist, and the 2nd doctor. Fortunately most of us work with NRL clubs, and are well schooled in injury and concussion management.

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Dr Matt Hislop

@drmatthislop

4 years

@nrlphysio If a player has suffered a second concussion in the season the NRL mandate an assessment by an independent concussion expert. This may require further comprehensive’neuropsychological’ tests.

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Dr Matt Hislop

@drmatthislop

2 years

Players had a full time Massage therapist available, as well as regular attendance from additional therapists. They also could use ice baths, pools and a sauna for recovery. Players are well fed, and mornings off are planned. Coffee plays a big part!

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Dr Matt Hislop

@drmatthislop

2 years

Weekend before Camp: This is where the pressure starts! Every potential player is reviewed by their team CMO post-match, injuries are triaged to ones that rule them out; to ones that will possibly impact on ability to train; to no issues.

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Dr Matt Hislop

@drmatthislop

1 year

Different view of Suncorp Stadium. Let’s go Ed Sheeran!

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Dr Matt Hislop

@drmatthislop

5 years

Well said John. I have seen many great sports doctors fantastic at their job treated atrociously because they put player welfare first. I’d also like to remember my friend Dr Mike McLean who lost a battle to mental illness.

John Orchard

@DrJohnOrchard

5 years

A legacy of Ken Crichton (from SEM) and to all the doctors who have been lost to mental illness must to heed to great work of @gdtoogood . Talk openly about our mental health & the challenges and pitfalls of your profession. Be kind to each other & do the #DoctorDash this weekend

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Dr Matt Hislop

@drmatthislop

2 years

If self testing with a rapid antigen test the way you perform the test directly reflects the reliability of the result!

Dr Eric Levi

@DrEricLevi

2 years

Happy 2022. May you swab your nose anatomically correctly this year.

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Dr Matt Hislop

@drmatthislop

4 years

So wraps up another year if Brisbane International. Congrats to Karolina. Big thanks to the hard working BSEMS doctors who worked past midnight most sessions, and the great physio’s and massage for their help.

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Dr Matt Hislop

@drmatthislop

4 years

Great thread. Good to analyze the evidence rather than go on ‘hunches’. Shows that like much in life most things aren’t simple or straightforward.

NRL PHYSIO

@nrlphysio

4 years

Plenty of discussion about reducing the interchange with reference to injury rates, fatigue and “bringing back the little man”. Wanted to discuss what evidence suggests a reduction in interchange would do to injury prevalence (spoiler: it’s not set in stone). Thread ⬇️

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Dr Matt Hislop

@drmatthislop

2 years

Players welfare is monitored daily and they enter data into a Smartabase app. Red flags are addressed as needed. GPS data allows us to know precise training load and volume.

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Dr Matt Hislop

@drmatthislop

2 years

COVID screening: We were also told of the NRL COVID protocols which entailed twice daily RAT testing, and social distancing where possible. While the RAT’s excluded two of our best players before Game 3, it potentially could have ruled out many more if COVID spread unchecked.

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Dr Matt Hislop

@drmatthislop

2 years

Before Game 1, clubs were actively vaccinating against influenza A, and we were able to review COVID vaccine status and recent infections. Our physio also contacts team physio’s.

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Dr Matt Hislop

@drmatthislop

2 years

This information is conveyed to our Head Coach as soon as it is available. This is re-evaluated before each camp.

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Dr Matt Hislop

@drmatthislop

9 months

27 degrees for Captains run. Will be warmer tomorrow.

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Dr Matt Hislop

@drmatthislop

3 years

I took part in a great event today- the Yatala to Byron Bay MND and me ride. Raising money to combat a horrible disease (hard ride too...) #MND

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Dr Matt Hislop

@drmatthislop

5 years

@nrlphysio 5 weeks should not be considered the new ‘normal’ for return post tight rope repair. Every case dependent on numerous factors like preexisting damage to ankle. DCE turn around remarkable nonetheless.

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Dr Matt Hislop

@drmatthislop

4 years

@nrlphysio Thankfully the NRL concussion protocols put player welfare and safety first, even if (unfortunately) it means one of your teams best players comes off after 3 minutes!

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Dr Matt Hislop

@drmatthislop

2 years

@nrlphysio Not the massive deal changer media are making it out to be- this will aid club doctors where an experienced doctor in the bunker can analyse the injury and make Cat 1 calls- no return. Cat 2 signs/symptoms still to assessed and managed by on field doc.

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Dr Matt Hislop

@drmatthislop

3 years

What a win! #NRLRoostersBroncos

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Dr Matt Hislop

@drmatthislop

1 year

Bunker doctors are trained in sign recognition, and must err on the side of caution. HIA's are rarely convenient and rightly take at least 15 minutes to perform properly.

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Dr Matt Hislop

@drmatthislop

3 years

Indigenous round. Broncos v Storm. #NRLBroncosStorm #IndigenousVoices

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Dr Matt Hislop

@drmatthislop

2 years

Our S & C has the entire week planned in advance (and individual clubs will usually provide their players planned resistance programmes), with weights, field and contact sessions organised.

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Dr Matt Hislop

@drmatthislop

2 years

Stuck at home with COVID and can’t be with the Broncos for magic round. Glad they are putting on a good show! #Broncos #nrl

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Dr Matt Hislop

@drmatthislop

6 years

Close game Storm v Titans. Great working alongside my good mate Corey Cunningham. Legend!

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Dr Matt Hislop

@drmatthislop

3 years

BSEMS medical staff representing at the NRL finals! #NRLStormManly

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Dr Matt Hislop

@drmatthislop

1 year

@DrJN_SportsMed Sadly many practitioners attribute all exertional leg pain to CECS. (This case so clearly not it is laughable). Taking a proper history, and targeted examination should at least point you in the right direction.

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Dr Matt Hislop

@drmatthislop

2 years

I go through the medical kit from the previous year, discarding out of date material, and ordering current stock.

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Dr Matt Hislop

@drmatthislop

4 years

Concussion is at the lower end of the spectrum of Traumatic Brain Injuries (TBI). Higher spectrum TBI’s occur in things like motor vehicle accidents, with structural damage to the brain like skulls fractures or bleeds in the brain, whereas concussion results in functional deficit

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Dr Matt Hislop

@drmatthislop

2 years

@nrlphysio Rabbioths doctors extremely experienced and professional. They will have the player’s welfare first and foremost.

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