Mandatory First Aid Training
Qualified Safety Plan 2014
Canyon View Little League
Tucson, Arizona
“Taking Safety to the Teams”
2/24/2014
District First Aid Training
District 5 will have First Aid Training:
March 9th from 9:00am to noon at the Windmill Inn.
Please let me know if you attend because I need to
report training to National LL.
First Aid Outline
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BONE, BRUISE AND CUT INJURIES
Cuts and scrapes
Sprains and Strains
Fractures (broken bones)
EYE INJURIES
Black eye
Eye Injury or Foreign Body
FAINTING, UNCONSCIOUSNESS, CONCUSSION AND HEAT INJURIES
Head trauma
Concussion
Heat Injuries
TOOTH LOSS
NOSEBLEEDS
CENTRAL FIRST AID KIT
INJURY REPORTING REQUIREMENTS
OVERUSE INJURIES, LITTLE LEAGUE ELBOW, PITCH COUNTS
OPEN WOUND PROCEDURES
LIGHTNING PROCEDURES
General Recommendations
• Always inform parents of an injury if they are not
present when it occurs.
• What To Report to the Safety Officer – An incident that
causes any player, manager, coach, umpire or volunteer
to receive medical treatment and/or first aid must be
reported to the Safety Officer. This includes even
passive treatments such as the evaluation and diagnosis
of the extent of the injury or periods of rest.
• The injured player MUST give you a doctor’s release to
return to play!!!
• Scott Goorman, 237-2819
For minor injuries:
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RICE
Rest the injured limb.
Ice the area. Using a cold pack, a slush bath or a compression
sleeve filled with cold water all limit swelling after an injury. Try to
apply ice as soon as possible after the injury. If you use ice, be
careful not to use it for too long (20 minutes at a time is ok) as this
could cause tissue damage. YOU HAVE TWO INSTANT ICE IN YOUR
FIRST AID KIT THE SNACK BAR HAS ICE and REPLACEMENT INSTANT
ICE.
Compress the area with an elastic wrap or bandage. Parents may
want to do this if they feel comfortable with this and know how to
do so. Do not make the compress so tight it cuts off circulation.
Elevate the injured limb whenever possible to help prevent or limit
swelling.
Instruct parents that if the injury is not better 24 hours or if they
have ANY doubts or concerns it should be evaluated professionally.
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Cuts and Scrapes
Clean the wound. Rinse out the wound with clear water. If debris
remains embedded in the wound after cleaning, see your doctor.
Thorough wound cleaning reduces the risk of infection.
Stop the bleeding. Minor cuts and scrapes usually stop bleeding on
their own. If they don't, apply gentle pressure with a clean cloth or
bandage. Hold the pressure continuously for up to 20 to 30
minutes. Don't keep checking to see if the bleeding has stopped
because this may damage the fresh clot that's forming and cause
bleeding to resume. If the blood spurts or continues to flow after
continuous pressure, seek medical assistance.
Apply an antibiotic. After you clean the wound, apply a thin layer of
an antibiotic cream or ointment such as Neosporin to help keep the
surface moist
Cover the wound. Exposure to air speeds healing, but bandages can
help keep the wound clean and keep harmful bacteria out.
Don’t put latex containing items on a latex allergic person.
Get stitches for deep wounds. A wound that cuts deeply through
the skin or is gaping or jagged-edged and has fat or muscle
protruding requires stitches. A strip or two of surgical tape may
hold a minor cut together, but if you can't easily close the mouth of
the wound, see your doctor. Proper closure minimizes scarring and
infection.
Get a tetanus shot within 48 hours of the injury
Sprains and Strains
• These are common injuries. Most are minor and will respond
well to rest and ice. If a player is not able to comfortably
move the injured area within a few moments of an injury,
they should be removed from the game. (i.e., if they aren’t
able to “walk it off.)”
• If a player is not able to voluntarily move an injured area, you
should not attempt to move it for them.
• If immediate swelling occurs or if a limb is obviously
deformed, immobilize the site if you know how to do so safely.
Splints are in the first aid kit. Have them get medical
attention immediately. Call 911 or have the player’s parent
do so.
• If the player heard a popping sound when their joint was
injured or they can't use the joint. This may mean the
ligament was completely torn apart. They should have
emergency evaluation. On the way to the doctor, apply a
cold pack.
Fractures (broken bones)
• A fracture is a broken bone. It requires
emergency medical attention.
• Dial 911 or call emergency medical
assistance if:
– There is heavy bleeding.
– Even gentle pressure or movement causes
pain.
– The limb or joint appears deformed.
– The bone has pierced the skin.
– The extremity of the injured arm or leg, such
as a toe or finger, is numb or bluish at the tip.
Splints supplied in First Aid Kit
DON’T
• DO NOT move the person unless the broken bone is
stable.
• DO NOT move a person with an injured hip, pelvis, or
upper leg.
• DO NOT move a person who has a possible spine injury.
• DO NOT attempt to straighten a bone or change its
position unless blood circulation appears hampered.
• DO NOT test a bone's ability to move.
Eye Injury or Foreign Body
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Black eye
A black eye is caused by bleeding beneath the skin around the eye.
Sometimes a black eye indicates a more extensive injury, even a skull
fracture, particularly if the area around both eyes is bruised. Most black-eye
injuries aren't serious but, bleeding within the eye, called a hyphema, is
serious and can reduce vision and damage the cornea. In some cases,
glaucoma also can result.
Take these steps to take care of a black eye:
Using gentle pressure, apply ice or a cold pack to the area around the eye
for 10 to 15 minutes. Take care not to press on the eye itself. Apply cold as
soon as possible after the injury to reduce swelling.
THESE MUST BE EVALUATED EMERGENTLY:
1. Blood in the white and colored parts of the eye.
2. Bony step off in the bones around the eye.
3. Raccoon Eyes
4. Vision is blurry or in any way abnormal
Foreign Body in the Eye
• Use water to rinse the eye.
– Run lukewarm tap water over the eye or splash the eye with clean water. Rinsing
the eye may wash out the offending foreign body. There is irrigation solution
in the Snack Bar’s first aid kit to use to rinse out the eye.
• Blink several times.
– This movement may remove small particles of dust or sand.
• Pull the upper eyelid over the lower eyelid.
– The lashes of the lower eyelid can brush the foreign body from the
undersurface of the upper eyelid.
• Don't rub your eye after an injury. This action can worsen
a corneal abrasion.
If a severe head injury occurs:
• CALL 911
• Until medical help arrives, keep the person who
sustained the injury lying down and quiet, with the head
and shoulders slightly elevated if possible.
• DON’T MOVE AN UNCONSCIOUS PERSON unless you
follow precautions for NECK AND SPINE INJURY!!
• If the person stops breathing, do mouth-to-mouth
rescue breathing if you know how! To ventilate the
person's lungs to supply oxygen to the blood in the
lungs. At this point, there is no need to do chest
compression if the person's heart is still beating.
Unconsciousness and Head Injury,
continued
Dial 911 or call for emergency medical assistance if any of the
following signs are apparent:
• Severe head or facial bleeding
• Change in level of consciousness, even if temporary
• Black-and-blue discoloration below the eyes or behind the
ears (Raccoon Eyes) after injury
• Cessation of breathing
• Confusion
• Loss of balance
• Weakness or an inability to use an arm or leg
Concussions
• A concussion is a brain injury.
• All concussions are serious.
• Concussions can occur without loss of
consciousness.
• Concussions can occur in any sport.
• Recognition and proper management of
concussions when they first occur can help
prevent further injury or even death.
Recognizing a Concussion
Watch for 2 things:
1. A forceful blow to the head or body that
results in rapid movement of the head.
2. Any change in the player’s behavior, thinking,
or physical functioning.
Signs of a Concussion
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Appears dazed
Is confused about position
Forgets plays
Is unsure of game, score, or opponent
Moves clumsily
Answers questions slowly
Loses consciousness
Suspect a Concussion?
• If you suspect that a player has had a
concussion, keep them out of the game or
practice.
• The player should be kept from play or
practice until given permission to return by a
health care professional with experience in
evaluating for concussion.
Annual Concussion Form
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Canyon View Little League
Mild Traumatic Brain Injury (MTBI) / Concussion
Annual Statement and Acknowledgement Form
I, _________________________ (athlete), acknowledge that I have to be an active
participant in my own health and have the direct responsibility for reporting all of
my injuries and illnesses to the organizations staff (e.g., coaches, team physicians,
and athletic training staff). I further recognize that my physical condition is
dependent upon providing an accurate medical history and a full disclosure of any
symptoms, complaints, prior injuries and/or disabilities experienced before, during
or after athletic activities.
By signing below, I acknowledge:
My organization has provided me with specific educational materials including the
CDC Concussion fact sheet (http://www.cdc.gov/concussion/HeadsUp/youth.html)
on what a concussion is and has given me an opportunity to ask questions. FACT
sheets are different for Parents, Coaches, Players.
I ACKNOWLEDGE THAT I HAVE READ THE FACT SHEET on the CDC website for
Parents and Players.
Heat Related Illnesses
• Heat emergencies fall into three categories of increasing
severity: heat cramps, heat exhaustion, and heatstroke
• Heat illnesses are easily preventable by taking precautions in
hot weather.
• Bring extra water to practice for kids who forget.
• Children have a higher risk of developing heat illness. Even a top
athlete in superb condition can succumb to heat illness if he or
she ignores the warning signs.
• If the problem isn't addressed, heat cramps (caused by loss of
salt from heavy sweating) can lead to heat exhaustion (caused
by dehydration), which can progress to heatstroke. Heatstroke,
the most serious of the three, can cause shock, brain damage,
organ failure, and even death.
Causes
• Causes common causes of
heat emergencies:
• High temperatures or
humidity
• Dehydration
• Prolonged or excessive
exercise
• Medications
Corey Stringer. Formerly of
the MN Vikings
Symptoms
The early symptoms of heat illness include:
• Profuse sweating
• Fatigue
• Thirst
• Muscle cramps
• Kids sometimes just act tired or lazy! Watch for
this when it starts to get hot.
• Keep them drinking!
Heat Exhaustion
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Headache
Dizziness and light-headedness
Weakness
Nausea and vomiting
Cool, moist skin
Dark urine
Heatstroke
• The main sign of heatstroke is a
markedly elevated body temperature
• Rapid heartbeat
• Rapid and shallow breathing
• Elevated or lowered blood pressure
• Cessation of sweating
• Irritability, confusion or
unconsciousness
• Fainting
Corey Bechler was more than halfway through
conditioning drills Sunday when witnesses said he
began looking winded and pale. Trainers took him to the
training room, administered fluids and summoned an
ambulance.
"As he lay there," Hargrove said, "he got worse."
Fainting
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Help restore blood flow. If the person is breathing, restore
blood flow to the brain by raising the person's legs above
the level of the head. Loosen belts, collars or other
constrictive clothing. The person should revive quickly. If the
person doesn't regain consciousness in 1 to 2 minutes, dial
911 or call for emergency medical assistance.
Watch the airway carefully. People who lose consciousness
may vomit.
Check for breathing. Position your ear over the person's
mouth to listen for breathing sounds. If breathing has
stopped, the problem is more serious than a fainting spell.
Initiate cardiopulmonary resuscitation (CPR) if you know it –
or ask for help from the stands. Get emergency medical care.
Call 911.
Heat Injury Treatment
IF alert, give the person
beverages to sip (such as
Gatorade), or make a salted
drink by adding a teaspoon
of salt per quart of water.
Give a half cup every 15
minutes. Cool water will do if
salt beverages are not
available.
For muscle cramps, give
beverages as above and
massage affected muscles
gently, but firmly, until they
relax.
If the person shows signs of shock (bluish lips and fingernails and
decreased alertness ), starts having seizures, or loses
consciousness, call 911 and administer first aid accordingly
Auerbach PS. Wilderness Medicine. 4th Ed. St. Louis, MO: Mosby; 2001:240-316.
DeLee JC, Drez, Jr., D, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 2nd Ed. Philadelphia, PA: Saunders;
2003:763.
Emergency Dental Assistance for
Avulsed or Severely Chipped Tooth
• First, if the child has a regular dentist, have the
parent try to call them
• If no assistance send them to the Emergency Room
Tooth loss
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Save any tooth for possible re-implantation.
Handle the tooth by the top only, not the roots.
Don't rub it or scrape it to remove dirt.
Gently rinse your tooth in a bowl of tap water.
Don't hold it under running water.
Try to replace your tooth in the socket. Then bite
down gently on moistened gauze or a moistened
tea bag to help keep it in place.
If you can't replace your tooth in the socket,
immediately place it in Tooth Saver Container and
take to dentist. Tooth Saver is located in the
Central First Aid Kit in the Snack Bar. Milk is
sometimes suggested to use to store the tooth.
This is an emergency and should have emergency
evaluation
If you participate in contact sports, preventing
tooth loss is often possible by wearing a mouth
guard, fitted by your dentist.
Source: MedlinePlus
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Nosebleed
Sit upright. By remaining upright, you reduce blood pressure in the veins
of your nose. This discourages further bleeding.
Pinch your nose. Use your thumb and index finger and breathe through
your mouth. Continue the pinch for 5 or 10 minutes. This maneuver
sends pressure to the bleeding point on the nasal septum and often
stops the flow of blood.
To prevent re-bleeding after bleeding has stopped, don't pick or blow
your nose and don't bend down until several hours after the bleeding
episode. Keep your head higher than the level of your heart.
If re-bleeding occurs, sniff in forcefully to clear your nose of blood clots.
Pinch your nose again in the technique described above and call your
doctor.
Seek medical care immediately if:
– The bleeding lasts for more than 15 to 30 minutes
– You feel weak or faint, which can result from the blood loss
– The bleeding is rapid or if the amount of blood loss is great
– Bleeding begins by trickling down the back of your throat
CVLL First Aid Kit
Contents and incident report
form
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The First Aid Kit is located in the snack bar.
Every Manager is issued a smaller, portable kit for
practices
The smaller kit MUST be taken with you to all practices
and games along with your player information folder!!!
Temporary Splints
CONTENTS OF THE FIRST AID KIT
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Malleable Splints for arms and legs
Ace Wraps
Tooth saver for broken or dislodged teeth
Athletic Tape
4x4, 6x8 and assorted gauze pads
Bandage Scissors, tweezers
Incident tracking forms
Please inform the safety officer if any of these materials
are used so they can be replaced.
If you don’t know how to use these materials,
please don’t use them.
Ice and additional First Aid kit supplies are available in the
snack bar.
Comido Cordis
Everyone who is around youth baseball should be aware if this life threatening
condition
•Comotio cordis, literally concussion of the heart, can cause sudden cardiac death of a
young person following a blunt impact to the chest.
•Impact with items like a baseball, softball, or hockey puck or a collision between players,
such as in lacrosse, or karate
•young (95% male, 78% female under age 18; (62% organized, 38% daily routine and
recreational activities).
•While most people believe a high-energy impact is required to cause comotio cordis, that
is not necessarily so.
•Some victims had structurally normal hearts with no heart disease, the strikes occurred
over the heart at a precise moment, resulting in ventricular fibrillation, cardiac arrest or
cardiac sudden death.
•A strike at the vulnerable time of the heart cycle, between beats, can trigger an
abnormal rhythm.
•Any blow to the chest, regardless of its intensity, velocity or force is capable of producing
cardiac arrest. Unfortunately, comotio cordis can be 84% fatal. Early recognition of the
arrest, CPR, and early defibrillation seem to offer the best chance of survival.
The 16% of patients who survive a comotio cordis event have three things in common:
1. Early recognition of the arrest
2. Treatment with CPR and early defibrillation
3. Survival rates rapidly drop to zero when interventions are delayed.
Lightning
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THE FIRST SIGNS OF LIGHTNING OR THUNDER IS THE TIME TO GO TO A
BUILDING OR A VEHICLE:
STOP the game/practice and leave the ball field.
WALK, don’t run, to your vehicle/bus and take shelter there with the windows
rolled up or to a substantial building.
IF YOU CAN HEAR IT (THUNDER) CLEAR IT (SUSPEND ACTIVITIES)
AVOID the metal ramadas, the rain and sun shelters and the dugout areas.
AVOID going underneath trees. Trees “attract” lightning.
AVOID water, open fields and high ground.
AVOID metal fences, gates, dugouts, ramadas, tall light poles and power poles,
metal or wood bleachers.
DO NOT hold or pick up a metal bat.
WAIT for a decision on whether or not to continue the game or practice.
Activities should be suspending for 30 minutes after the last observed lightning
or thunder.
If caught outside during close-in lightning, immediately remove metal objects
(including baseball cap), place your feet together, duck your head, and crouch
down low in baseball catcher’s stance with hands on knees, avoid proximity to
other people (minimum of 15 feet).
Obtaining 911
• Mehl Park address is:
4001 E. River Rd – Tucson, AZ 85718
Final Suggestions
• Always tell parents what happened.
• Always tell the parents they should get
professional medical attention for injuries –
don’t pretend to know more than you do.
• Report injuries and events
• If you don’t know what to do, ask for help.
• Don’t do things you are not fully trained to
do!