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Equipment
Medical Release Forms
First aid supplies
Baseball injuries
911 User Manual
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• Catchers Gear
BPF 1.15
• On ALL Website
under General Info
tab on the left
• Consider adding
insurance company
name and medical
record number
• Dentist 24/7
emergency contact
information?
Located at Fields
Icepacks
Save-A- Tooth
4x4s
Ace bandage
Band-Aids
Tape
Non-latex powder free
examination gloves
• Ziploc bags for ice from
coolers
• Antiseptic Wipes
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• Infectious Germs Carried in the Blood
i.e. Hepatitis B&C and HIV
• Can be Transmitted Through Contact Via
Cuts, Abrasions and Mucous Membranes
• What is MRSA (Methicillin-resistant
Staphylococcus Aureus or a “Staph”
bacteria resistant to antibiotics
• Follow Standard Precautions & Hand washing
– Treat all blood, body fluids, secretions, excretions
(except sweat), regardless of whether or not they
contain visible blood, nonintact skin and mucous
membranes as if contaminated with a blood borne
pathogen
– Wash your hands often! Wash after removing gloves,
before & after contact with body fluids
• Wipe Up Blood Spills
– Use Exam Gloves
– Clean up with a 10% bleach
solution or disinfectant
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Head and neck
Knee / ankle
Hand / fingers
Eye
Teeth
Abrasions/ bruises/lacerations
Muscle
Heat Related
CPR IN THREE SIMPLE STEPS
1. CALL
Check the victim for unresponsiveness. If there is no response, Call 911 and
return to the victim. In most locations the emergency dispatcher can assist
you with CPR instructions.
2. BLOW
Tilt the head back and listen for breathing. If not breathing normally, pinch
nose and cover the mouth with yours and blow until you see the chest rise.
Give 2 breaths. Each breath should take 1 second.
3. PUMP
If the victim is still not breathing normally, coughing or moving, begin chest
compressions. Push down on the chest 2 inches 30 times right between the
nipples. Pump at the rate of 100/minute, faster than once per second.
CONTINUE WITH 2 BREATHS AND 30 PUMPS UNTIL HELP ARRIVES
HANDS-ONLY CPR
This method of CPR was recommended by the AHA in 2010. It is
intended for bystanders untrained in CPR. It is also recommended for
situations when the rescuer is unable or unwilling to provide mouth-tomouth ventilations..
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Make sure Athletes are well
hydrated with water or sports
drinks
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Managers are responsible for
making sure water is provided
• IF YOU SUSPECT A NECK OR BACK INJURY YOU
MUST KEEP THE NECK AND/OR BACK
PERFECTLY STILL UNTIL AN EMERGENCY CREW
ARRIVES. DO NOT MOVE SOMEONE WITH A
SUSPECTED NECK OR SPINE INJURY UNLESS THE
PERSON MUST BE MOVED BECAUSE HIS OR HER
SAFETY IS IN DANGER. ANY MOVEMENT OF THE
HEAD, NECK OR BACK COULD RESULT IN
PARALYSIS OR DEATH. IMMOBILIZE THE NECK
BY HOLDING THE HEAD, NECK AND SHOULDERS
PERFECTLY STILL. USE BOTH HANDS, ONE ON
EACH SIDE OF THE HEAD.
Fractures & Dislocations
Must treat for bleeding first
Do not push
bones back
into place
Don’t straighten break
Dislocations
The most common dislocations occur in the shoulder, elbow, finger,
or thumb.
LOOK FOR THESE SIGNS:
1. swelling
2. deformed look
3. pain and tenderness
4. possible discoloration of the affected area
IF A DISLOCATION IS SUSPECTED...
1. Immobilize the joint to keep it from moving.
2. Try to keep joint elevated to slow blood flow to the area
3. A doctor should be contacted to have the bone set back into its
socket.
SIGNS OF FRACTURES
It is often difficult to tell whether a child's bone
is broken. If you suspect a broken bone, treat it
accordingly even if it looks normal. Signs to
look for:
• A piece of bone protruding from a wound
• The child is unable to move the injured part.
• Swelling or deformity of the injured limb or
body part
• Pain
• Possible signs of shock
• History
– Did they feel a ‘pop’ or ‘snap’?
– Can they walk?
– Has there been a prior injury to the knee?
• What to look for?
– Swelling
– Deformity
• Immediate swelling, severe pain
• Inability to bear weight
• Hearing a “pop”
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Treat the mind
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Use calming techniques. Acknowledging that child is in
pain diminishes anxiety. Tell child you will do something
about pain once you make sure nothing else more serious
is going on.
Ice
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Critical to the care of somatic pain
Constricts blood supply, decreasing swelling
Decreases production of inflammatory chemicals
Stimulates opioid receptors causing local numbing
Do not put directly on skin to avoid tissue damage
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Immobilization the effected area
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Reduces pain by limited movement
Should immobilize joints above and below injury
Analgesics administered by parents or with
permission from parents (No ASPIRIN)
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Opioids
Ibuprofen
Acetaminophen
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Stop bleeding
Ice
Splint in position of comfort
Seek medical treatment (X-ray)
There are three classifications of bleeding.
1.
Capillary-
Capillary bleeding is
slow, the blood "oozes"
from the (wound) cut.
2. Venous-
Venous bleeding is dark
red or maroon, the blood
flows in a steady stream.
3. Arterial-
Arterial bleeding is
bright red, the blood
"spurts" from the wound.
Arterial bleeding is life
threatening and difficult to control.
There are three methods to control
bleeding:
1. direct pressure
2. elevation
3. indirect pressure.
1. Direct Pressure:
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Place a sterile
dressing or clean
cloth on the wound,
tie a knot or adhere
tape directly over
the wound, only
tight enough to
control bleeding. If
bleeding is not
controlled, apply
another dressing
over the first or
apply direct
pressure with your
hand or fingers
over the wound...
2. Elevation:
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Raising (elevation)
of an injured arm
or leg (extremity)
above the level of
the heart will help
control bleeding.
Elevation should be
used together with
direct pressure.
• Penetrating Objects
– DO NOT remove the
object. Stabilize the
object by using bulky
dressing around the
object and secure it
in place.
Children with Asthma need to have
inhalers on-hand
• Scrape the stinger out from the stung area
-- never squeeze or pull out the stinger.
• Persons with severe allergic reactions to
insect stings should consider wearing a
medical ID bracelet and carrying an insect
allergy kit where appropriate.
• Apply ice to reduce the swelling
• Do not scratchy the sting site.
• Allergic reactions to bee stings can be
deadly. People with known allergies to insect
stings should always carry an insect sting
allergy kit and wear a medical ID bracelet
• There are several signs of an allergic
reaction to bee stings. Look for swelling that
moves to other parts of the body, especially
the face or neck. Check for difficulty in
breathing, wheezing, or dizziness Get the
person immediate medical care if any of
these signs are present.
How to Use an EpiPens
EpiPens
Remove the device from the plastic protective container.
Remove the grey cap from the fatter end of the device.
NB: This "arms the unit" ready for use
Hold the EpiPen in your fist with
clenched fingers wrapped around it
(NB: there is nothing to "push" at the
white end)
Press the black tip gently against the skin
of the mid thigh, then start to push harder
until a loud "click" is heard. This means
that the device has been activated.
Hold in place for 10-15 seconds.
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Basketball and baseball cause the most eye injuries, followed by water
sports and racquet sports.
• First-aid for physical trauma to the eye:
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Gently apply small cold compresses without pressure immediately to
reduce pain and swelling.
Do not attempt to treat severe blunt trauma or penetrating injuries to the
eye. Tape a paper or Styrofoam cup over the injured eye (cover both eyes)
to protect it until proper care can be obtained.
In the case of a blow to the eye, do not assume the injury is minor. The eye
should be examined thoroughly by an ophthalmologist because visionthreatening damage could be hidden.
First aid is only the first step for emergency treatment. If you experience
pain, impaired vision, or any possibility of eye damage, call your
ophthalmologist or go the emergency room immediately.
DENTAL
TRAUMA
• 5 million teeth are knocked out each year?
The roots of a knocked out tooth will start to
die within fifteen minutes, making it
impossible to save the tooth?
When you or your child knock out a tooth,
What will you do?
• Save-A-Tooth® allows you to be ready for a
knocked-out tooth emergency. It gives you
24 hours to get treatment vs. 15 minutes
and can save on costly dental work.
• It has a 2-year shelf life and is relatively
inexpensive.
Hold the tooth by the crown and rinse off
the root of the tooth in water if it’s dirty. Do
not scrub it or remove any attached tissue
fragments. If possible, gently insert and hold
the tooth in its socket.
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Most minor wounds stop bleeding on
their own. If bleeding continues,
apply pressure to the wound with a
clean bandage.
Wash the skin around the wound
with soap and water. Hold the wound
under running water to remove dirt.
Pat the wound dry with sterile gauze
and apply antiseptic ointment.
In the case of cuts, close the wound
with sterile adhesive wound closure
strips. If strips are not available,
cover the wound with clean gauze
and adhesive tape. Adhesive nonadherent bandages can be used for
abrasions that continue to ooze
blood.
• When stitches are required
• If a wound doesn't close
easily, the wound is deep
(more than 0.6cm), gaping or
jagged-edged, you may need
stitches to promote healing,
prevent infection and
minimize scarring. Stitches
are often necessary in small
children as they tend to
remove dressings, or if the
cut is on the face or hands or
joints. Stitching should be
done within eight hours.
FIRST AID Merit Badge
• Heat Illness can be defined as inability of
normal regulatory mechanisms to cope with
a heat stress
• Very prevalent, so one must understand the
normal temperature regulatory mechanism
and abnormal variations from it
• If unrecognized and untreated, has high
morbidity
– In athletes, heat stroke is second only to head
and c-spine injuries as cause of death
– Not all forms of heat-related illness require
emergent treatment
• Person’s level of acclimatization
– Process of becoming physically adjusted to
environment
• Length and intensity of exposure
• The young and old are at most risk
– Unable to remove themselves from the
hot environment
• Environmental factors
– Humidity, sun, wind
• Heat cramps
– Painful spasms of heavily used muscle groups
caused by excessive sodium and water loss
– Caused by strenuously activity in a hot environment
with insufficient (water) rehydration
– May feel dizzy or faint
• Treatment
• Remove person from heat – place in cool
shaded area or AC
• Treat with fluid and electrolyte replacement
• Water depletion
Thirst
Weakness
Dizziness
Poor muscular
coordination
– Agitation
– Palpitations
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• Salt depletion
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Fatigue
Weakness
Headache
Anorexia
Vomiting
Skeletal muscle cramps
Absent thirst
• Treatment:
– Remove from heat
• Cool, shaded area or air conditioning
– Remove some clothing and fan patient
• Avoid chilling patient to point of shivering
– Rehydration with IV (oral if mild) normal saline
• May require up to 4L or more
• Without termination of heat stressor and
immediate treatment, symptoms may progress to
heat stroke
• True medical emergency!!
• Temperature regulatory mechanism in brain
is lost leading to cell death and damage to
brain, lever, kidneys
• Core temperature at which heatstroke
begins
– Generally characterized by body temp of at least
105°F
• Mortality of up to 70%
Warning signs of heat stroke vary but may include the
following:
•An extremely high body temperature (above 103°F, orally)
•Red, hot, and dry skin (no sweating)
•Rapid, strong pulse
•Throbbing headache
•Dizziness
•Nausea
•Confusion
•Unconsciousness
If you see any of these signs, you
may be dealing with a lifethreatening emergency. Have
someone call for immediate
medical assistance while you
begin cooling the person. Do
the following:
• Get the person to a shady area.
• Cool the person rapidly using
whatever methods you can. For
example, immerse the person in a tub
of cool water; place the person in a
cool shower; spray them with cool
water from a garden hose; sponge
the person with cool water; or if the
humidity is low, wrap them in a cool,
wet sheet and fan them vigorously.
• Monitor body temperature, and
continue cooling efforts until the
body temperature drops to 101102°F.
• If emergency medical personnel
are delayed, call the hospital
emergency room for further
instructions.
Definition
A seizure may be mild and cause minimal symptoms
or may be severe and cause loss of consciousness
and a sudden, violent contraction and relaxation of
the muscles caused by spontaneous electrical
activity in the brain.
Most seizures last from 30 seconds to 2 minutes.
However, if a seizure is prolonged, or if multiple
seizures happen in succession with no recovery of
consciousness in between, this is a medical
emergency.
• When a seizure occurs, the main strategy is to try to
prevent injury. Try to protect the person from falls.
Lay the person on the ground in a safe area. Clear
the area around the person of furniture or other sharp
objects.
• If the person requires restraint, place him on his side.
• If vomiting occurs, try to turn the head so that the
vomitus is expelled and is not inhaled into the lungs
or windpipe.
• Known epileptics should always take any prescribed
medication and wear a medical alert tag.
• Some statistics
– Nearly 8 million lightning flashes every day
worldwide
– Approximately 150-300 lightning-related
fatalities per year in US
• 3rd most common cause of death from isolated
environmental phenomena
– 100 out of every 500 electricity related fatalities
are result of lightning strikes
– Fatality rate 25-32%
• 74% experience permanent injury
• Clear the field, dugouts and stands immediately when
you hear thunder or see lightning
• Retreat to cars or suitable shelter
• Wait at least 30 minutes before returning after the last
rumble of thunder or lightning
• Cars with players shouldn’t leave the park until the
game has been officially called by the umpires
• Have a plan!
• Inspect the fields prior to each game
• Discuss safety at he plate conference
• Confirm location of first aid kit
Alexandria Little League Baseball
League ID- 76332
2014 Season Safety Plan
Mission Statement: The Alexandria League Safety Program is designed to
get everyone involved in safety; promote an aggressive program that will
reduce the risk of safety related accidents and ensure a fun experience for
everyone.
Safety Code: Dedicated to Safe Play and Injury Prevention.
Emergency/League Official Phone Numbers
City Police-Emergency......................................................................911
Alexandria Police Non-Emergency……..………………703-838-4444
Alexandria Little League Main Number……..…………703-739-4444
League President - Stephen Frerichs……………………703-212-9416
League Safety Officer -Saul Grosser……………………240-398-6852
District Administrator - Ellen Witherow………………..571-259-3901
League Safety Officer
Every league shall appoint or elect a league safety officer (LSO). It is
encouraged that the LSO recruit assistance to help maintain a steady focus.
The LSO shall maintain a complete set of emergency phone numbers that
should be distributed to all concerned.
The LSO will review the league constitution, by laws, rules and policies for:
• Description of his/her duties
• Safety rules already adopted
• Safety history
• League safety plan
Alexandria Little League
Safety Plan
Emergency Contacts under
n General Information Tab
E
A
ALL Website
So what happens
when you call 911?
• When you call from a cell phone you may be
connected with a call center other than
Alexandria VA!
– Could be DC, FFX, or Arlington for example
– Don’t worry they’ll transfer the call to the
incident jurisdiction
• You’ll be asked a series of questions by the
call taker
– Such as type of emergency (Fire/EMS)
• Location / commonplace name / address
– Simpson Field, field number, best access?
• Describe injured / injury
– Breathing / not breathing, head injury, adult /
child / fracture / bleeding
• Appropriate emergency equipment and
personnel will be dispatched based on
information obtained
• Emergency responders may be from AFD,
WMAA, ACFD, and / or FFX etc.
– May also include one or more Ambulance,
Medic Unit, EMS Supervisor, Engine, Paramedic
Engine, Helicopter
• Patient may be transported to Inova
Alexandria, GWU, Children's Hospital
National Medical Center, Inova Fairfax
Hospital, Virginia Hospital Center
• Transport hospital depends on type of
injury and hospital status
– Throughout the day hospital emergency
departments go on bypass for two hours and do
not accept patients
• Have one or more people treat the patient
• Have someone else call 911
• Have another person or persons direct the
emergency responders
• Contact the patient’s parent / guardian after
you have something to tell them
– Matt’s OK, he may have broken his arm, and was
transported by Medic Unit to Inova Alexandria
Hospital
THE END