Download Sports First Response Training

SPORTS FIRST RESPONSE TRAINING
PURPOSE
The purpose of this training is to prepare you to act as a SPORTS
FIRST RESPONDER so the athletes can receive appropriate care and
treatment in the case of an emergency.
What is a first responder?
A first responder is someone whose duties include the provision of
immediate medical care in the event of an emergency.
RESPONSIBILITIES OF FIRST RESPONDERS
o Your priority is to ensure the is athlete safe and stable.
• Do not move the athlete
• Determine if the athlete in conscious
• Check their ABC’s (Airway, Breathing, Circulation)
• Take control of the situation
• Send somebody for an AED if necessary
• Assess what care the injury may require
• Assign other coaches or players to contact emergency personnel
(Emergency medical Services (911) and Campus security at 208-4963000)
• If required, start CPR immediately
WHEN TO CALL EMS (911)
o EMS needs to be contacted in any of the following situations
• Neck or spine injuries
• Athlete is not breathing
• Severe concussions (any Loss of Consciousness -LOC)
• Any dislocations
• Broken Bones
• Severe bleeding
• Chest pain
• Troubled or difficult breathing
• Eye Trauma
• Seizures
CALMING DOWN AN INJURED ATHLETE
o As the Sports Responder, it is your responsibility to calm down
the injured athlete
o Ways to help calm an athlete down:
• Let the athlete know they are going to be alright and you are
going to take care of them
• Talk slowly, calmly, and at eye level
• Touch is an effective method to calm an anxious athlete
• Encourage them to take slow deep breaths
• Remove unnecessary personnel (i.e. teammates, opponents, or
onlookers)
INJURY FLOW CHART
Athlete is hurt
during practice or
game
Athlete is
responsible for
alerting their
coach of any
injuries
If injury is during a game
or practice, sports
responder takes action
Does this individual need further assistance?
Contact games management personnel (by cell phone or
walkie/talkies) they make a recommendation to activate EMS
or Sport First Aid personnel if available.
If EMS is activated, they will evaluate and transport athlete if
necessary.
If Sport First Aid personnel are activated, the athlete will come
to the first aid room on their own power; or with the aid of
friends if necessary. Sport first aid personnel will perform
secondary survey and make referral.
Games management personnel will fill out injury report. If no
games management personnel are available, Sport First Aid
personnel will complete Injury/Incident Report (red/white
form).
If athlete can come off on
their own power, sports
responder or Sports First Aid
personnel assess injury
If Athlete cannot come off
by own power perform
primary survey, activate EMS
and continue to monitor the
athlete
INJURY REPORT FORM
o ANY time an athlete temporarily is
removed from play (during practice or
games) a RED form needs to be filled
out. This covers anything from a bloody
nose to twisting an ankle.
o Be complete and thorough with
descriptions
o During practice coaches are responsible
to complete and return forms to Jodi
Howard’s office (HART 155)
• If the Sports First Aid room is open,
an athlete can be sent there and an
injury report will be filled out
o If injury takes place during a game,
games management or Sports First Aid
personnel will complete this form
MANDATORY REMOVAL
Injury protocols established by University Doctor, individual are automatically removed from competition and must be
seen by doctor for clearance. A “Mandatory Removal from Play” form (white) must be filled out. Release from medical
practitioner must be completed and returned to Jodi Howard (Hart 155) before returning to play.
Head injury (including concussion)
Diagnosis (See Risk Management Plan – concussion)
Protocol – Athlete must be evaluated by a medial practitioner before returning to play. For any loss of consciousness
(Grade 3 concussion), the individual should be evaluated immediately by a sideline practitioner or at a medical facility.
Spinal Cord Injury
Diagnosis – Pain in any area of the spine. Numbness or altered sensation in any limb.
Protocol – Don’t move the athlete until medical help arrives
Isolated nerve injury
Diagnosis – Numbness or altered sensation in an arm or leg. Stinger (brief, shock –like pain in one or both arms after a
neck compression type injury.)
Protocol – Must be evaluated by a medical practitioner before returning to play.
Altered Mental status
Diagnosis – Confusion, disorientation, decreased responsiveness.
Protocol – Must be evaluated immediately by medical practitioner.
Respiratory Distress
Diagnosis – Extreme shortness of breath (beyond what is expected with athletic exertion). Dusky (blue or gray) color to
lips, face or fingertips. Altered mental status with shortness of breath.
Protocol – Must be evaluated immediately by a medical practitioner.
Orthopedic injury
Diagnosis: Pain in a bony area accompanied by:
Inability to use or move the limb with:
Obvious deformity, and or numbness or altered sensation in the distal limb.
Protocol: If there is deformity or altered sensation, the athlete must be evaluated immediately by a medical practitioner. If
there is no deformity or altered sensation and the use of the limb returns within a short time, the athlete may be returned
to play at their own risk.
MANDATORY REMOVAL INJURY REPORT FORM
•
ANY time an athlete is
completely removed from
play a WHITE form needs
to be filled out.
•
Fill out all parts as
thoroughly as possible
•
Give the White copy to the
athlete to have the Doctor
or ATC clear them, then
return to Jodi Howard
(Hart 155)
•
Take the Yellow copy to
Jodi Howard (Hart 155)
HEAD INJURY CHECKOFF LIST
• Must pass all tests in order to
return to play.
• Remember this even if they
say they just blacked out.
-Any LOC call 911
• Use Functional tests to confirm
your physical examination. You
don’t need to do all of them but
enough to confirm to you that
they are okay.
• Give the Blue copy to the athlete
to have the Doctor or ATC clear
them, then return to Jodi
Howard (Hart 155)
• If the athlete or coach gives
you grief call Dr. Bradbury or
Jodi
OBSERVATION FORM
If you suspect a concussion, this form
is on the back of the blue injury
report/check-off form and is for the
use of the person who will be with
the athlete for the next 24 hours.
YELLOW COPY OF
BLUE FORM
•
This is a carbon on the back of the blue
form. This needs to be turned into the
ATC, Jodi Howard, that same day the
injury occurred in Hart 155. If she is not
in her room, simply slide it under the
door.
•
It is essential that when filling out a
blue form you have only one form on
your writing surface at a time.
•
Remember, this blue form with a yellow
carbon copy is the only form that needs
to be filled out for a suspected head
injury.
Level of Consciousness
Loss of Consciousness (LOC)
ABC’s
AED
Conscious
1. EMS 911
2. Campus Security 208 496
3000
3. Student Director
4. Faculty Advisor
Calm Athlete Down
Not on own power
1. EMS 911
2. Campus Security 208
496 3000
3. Student Director
4. Faculty Advisor
Own power
PRICE
Sports First Aid
(SFA)
Out
1. EMS 911
2. Campus Security 208
496 3000
3. Student Director
4. Faculty Advisor
In
PRICE
SFA
PRICE
White Form
Blue form(head injury)
Red Form
P.R.I.C.E
• Protect
• Rest
• Ice
• Compression
• Elevation
PREVENTING FURTHER INJURY
Protect
 Clear the area to evaluate the
situation
 Remove athlete from the game
 Place athlete away from possible
danger

Rest


Keep athlete from further
participation if necessary
Try to avoid using the
injured body part
PREVENT FURTHER SWELLING
Ice

 Causes constriction of blood
vessels to slow rate of swelling
 20 minutes per hour
 Elevation


Compression


Pressure forces swelling
out of the affected area
Using Ace Wrap or
Compression shorts
Uses gravity to remove
swelling from area
Injured body part above
the heart
GAMES MANAGEMENT
o Games Managers are students responsible during games for primary
survey and care of injuries.
• Number 1 priority is safety they need to be surveying the field/court
throughout the game for injuries
• Help with care of injured athletes and fill out necessary injury
report forms during games
SAFE ENVIRONMENT
 Lightning Safety Protocol (30-30 Rule)
o Use the “Flash-Bang Method”
• When lightning is seen (flash) begin counting until the crack of
thunder (bang)
• Divide the number of seconds by five to calculate how many miles
away the lightning is
• 30 Seconds is equal to 6 miles away. Lightning has been known to
strike up to 10 miles away
o Seek shelter for safety
• Large enclosed structures are best
• If no buildings are near, seek shelter in a car with windows rolled up
o Wait 30 minutes from last thunder before resuming activity
o Sports first Aid will also carry a sky scan lightning monitor in
addition to 30-30 rule to help make safety decisions.
HANDLING BLOOD
o ALWAYS WEAR GLOVES WHEN DEALING
WITH BLOOD!!!
o There should be gloves in the first aid kits that can be checked-out in
the Issue Room or kits located at your Fields.
FIRST AID FOR BLEEDING
o Apply DIRECT PRESSURE to the wound using a dressing if
available. If no dressing is available, use a rag, towel,
piece of clothing or a gloved hand alone
o Important: If dressing becomes soaked with blood, DO
NOT remove the dressing. Simply apply a new dressing
and keep placing pressure on the wound
o If bleeding continues, and you do not suspect a fracture,
elevate the wound above the level of the heart
o If sutures are required make sure that athlete goes
within 5-6 hours of injury (max of 24 hours)
• Sutures required if wound is 1/8-1/4” deep, and ----wide
o Seek appropriate medical treatment for the wound
CLEANING UP BLOOD
• Spray the area thoroughly with Virex (bottle of orange liquid)
• Allow to sit for 30 seconds
• Wipe up all blood and spray again (use paper towels)
• Allow to air dry
*Remember to ALWAYS
wear gloves when handling
blood!
WHAT TO DO WITH BLOOD ITEMS
•
ALL items exposed to blood or used in the clean-up of blood needs to
be placed in a biohazard bucket so it can be disposed of properly
Do not place anything in these that has not been used with blood! IT IS NOT A TRASH CAN!
Look for these buckets. These can be
checked out in the Issue Room
You can also find one of these in the
Sports First Aid Room
SHOCK
o Shock is always a possibility, but becomes a major concern with severe
injuries
o Shock is an acute medical condition due to insufficient blood through
the circulatory system
o Signs:
• Moist, pale, cool and clammy skin
• Weak and rapid pulse
• Fast and shallow breathing (hyperventilating)
MANAGING SHOCK
o Alert EMS
o Maintain body temperature (blankets)
o Elevate feet 8-12 inches in most situations
• DO NOT MOVE if there is any suspected injury to spine or
neck
• Do not raise a suspected fracture
• “If the face is red, raise the head; If the face is pale, raise
the tail”
o Monitor Vitals (pulse and breathing)
o Shock can set in with the realization of a serious injury.
This is why it is important to keep the athlete calm.
ACTIVATING EMS
1.
Ambulance (EMS)- 911/emergency phone
2.
Campus Security-(208) 496-3000
3.
Faculty Advisor
•
In emergency first alert EMS, and then campus security
•
ALWAYS have a cell phone on your person to make emergency calls
•
Emergency phones are in buildings and between athletic fields
•
Campus security (x3000) will dispatch a security officer
•
Campus security has an AED in their vehicle at all times
IF EMS IS DISPATCHED AND THE ATHLETE IS TAKEN TO THE HOSPITAL ALERT YOUR
SPORT’S FACULTY ADVISOR, AND MAKE SURE THAT THE INJURY IS PROPERLY
DOCUMENTED.
HOW TO CALL EMS
•Open the box by turning the lever (if it’s a box)
•Press the red button
•A dispatcher will speak through the box. Explain the situation and EMS will be sent
Push the red button
AUTOMATED EXTERNAL DEFIBRILLATOR
(AED)
•
The AED should be utilized when an athlete does not have a pulse
•
Remove the AED and turn it on
•
Follow the verbal instructions
•
Using the AED is covered in the CPR classes taught on campus through the Safety
Office
EMERGENCY PHONE AND AED
LOCATIONS
EMERGENCY
PHONE & AED
MAP
WHAT SERVICES DO SPORTS FIRST AIDERS
PROVIDE?
•
Services are for COMPETITIVE SPORT ATHLETES ONLY
•
Taping for games and practices
•
Injury assessment in central locations
•
Medical assistance on the sidelines of some games and contact
practices as needed.
•
Treatment for injuries by appointment (Hart)
WE DO NOT PROVIDE WATER. THESE DUTIES
FALL UPON THE COACHES AND GAMES
MANAGEMENT PERSONNEL
SPORTS RESPONSE QUIZ
•
The Quiz consists of:
1. Questions about the content talked about.
Please remember to take the quiz without this PowerPoint being
open.
Good Luck!