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Take first aid kit with player medical cards to every practice/game. Know which players have medical conditions. Check your fields before every practice/game.

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Presentation on theme: "Take first aid kit with player medical cards to every practice/game. Know which players have medical conditions. Check your fields before every practice/game."— Presentation transcript:

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3 Take first aid kit with player medical cards to every practice/game. Know which players have medical conditions. Check your fields before every practice/game for debris, rocks, sharp objects, holes etc Inspect all equipment before every use. Turn damaged equipment into the Equipment Mgr All bats must be inspected and labeled prior to use

4 Properly fitting batting helmets with chin straps are required by all batters, base runners, player base coaches and anyone handling a bat. All catchers must wear full catching gear. Coaches are not to warm up pitchers! All male players are required to wear an athletic supporter Mouth guards are highly recommended!! Baseball is #1 sport for mouth/dental injuries! Remove all jewelry

5 Control horse play, no climbing on fences etc Teach safe practices- calling fly balls, NO sliding head first unless returning to a base, designated area for swinging a bat, NO warm up swings while in the batters box, Heads up and PAY ATTENTION! Perform proper warm up and stretching before play. See stretching power point on website. Know and follow the Thunder & Lightning Policy

6 Perform basic first aid treatment as appropriate and within your comfort zone/skills For more serious injuries or deciding to call for an ambulance, it is best to have the parent be apart of the decision. If the parent is unavailable, the coach should make a decision in the best interest of the player It is ALWAYS ok to call 911 and let the EMTs assess the situation when you are not sure of the severity of injury.

7 Direct EMS Dispatch Line for cell phone use: Emergency Dentist: players family dentist or CMH dentist on call: Jody Kuhlenbeck, Safety Officer: Leigh Beyer, Safety Officer: Mark McLean, President: Jason Marquardt, VP BB: Gail Onasch, VP SB:

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9 Record all injuries on the Little League Baseball & Softball Accident Notification Form Forms can be found in team first aid kits and concession stands The players parent and league official/coach will complete the form AT THE TIME OF THE INJURY Forward the accident form to the Safety Officer within 48 hours of the incident. Use the mailbox at the complex.

10 Notify a Safety Officer the same day of the incident: Jody Kuhlenbeck, cell: OR Leigh Beyer, cell: The Safety Officer will complete an injury follow up with the players parents and coaches If a concussion is suspected, a signed MD release is required prior to the player returning to practice/ game play. NO EXCEPTIONS! In all other cases, a signed MD release is only needed if an injury was serious enough to seek medical evaluation/treatment.

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12 #1 Goal is to prevent spread of infectious microorganisms (HIV, hepatitis B/C, MRSA etc) Pathogens are found in blood, vomit, urine/stool, saliva, & other bodily fluids Pathogens are spread when you come into contact with another persons blood/body fluids, or contaminated sharps/needles Pathogens enter through broken skin, mucous membranes of eyes, mouth, nose

13 Treat ALL blood/bodily fluids as if they are contaminated Wear gloves, eyewear, mask, gown, CPR mouth barrier etc (PPE) Always check PPE for tears, defects before use. If PPE becomes torn, defective or dirty, remove and replace. Do not reuse PPE! Properly dispose of used PPE and all contaminated materials in a red biohazard bag/receptacle. Wash hands (or use hand sanitizer if soap/water are not available) immediately after removing PPE

14 Prior to participation, all open and possible contagious wounds should be covered with a dressing that will not allow for transmission Always wear gloves, PPE when tending to player wounds or cleaning up bodily fluids Clean and disinfect all items covered in blood or bodily fluids-player, equipment etc with antiseptic wipes Clothing/uniforms with blood must be changed or cleaned w/ Blood Buster solution in spill kit caddy in concession stand

15 For large spills- use spill kit from Concession stand. Sprinkle powder over fluid. Use scraper to scoop up & put in biohazard bag. Place ONLY contaminated items in red biohazard bags located in first aid kit, or at concession stand Put biohazard bag in biohazard container in concession stand. If closed, contact Jody for disposal Wash hands after removal of PPE

16 Wash the area exposed immediately with soap and water See Medical provider immediately - personal MD, urgent care MD etc for evaluation, treatment Notify the MFLL Safety Officer same day of incident Complete the Little League Baseball & Softball Accident Notification Form and forward to the Safety Officer within 48 hours of incident

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18 Type of traumatic brain injury (at the cellular level) caused by a blow to the head or body that moves or twists the brain inside the skull. Injury examples- direct hit in head w/ ball or bat, collide with another player/the ground/or fence Concussions cause problems with brain function vs brain structure T or F? Loss of consciousness is required to have a concussion. Answer: FALSE! Concussions affects people in 4 areas of function: physical, thinking, emotions, sleep

19 They are more vulnerable to concussions They get concussions more often Their concussions take longer to heal than adults Players can be reluctant to admit their symptoms for fear of being removed from play Many times the player does not realize the full extent of his symptoms or think to tell you all of the things he is feeling

20 Loss of consciousness (? serious head injury?) Decreasing level of alertness Unusually drowsy, difficult to arouse Severe or worsening headache Seizure Unequal pupil size Slurred speech Persisting vomiting Difficulty breathing

21 Headache Vision changes, ringing in ears Nausea/vomitting Dizziness, unsteadiness Numbness and tingling Change in mental alertness, drowsiness Decreased awareness- person, place, time Feeling foggy, groggy, confused, forgetful

22 Dazed or stunned appearance Clumsy, decreased reaction time Answers questions more slowly than usual Player asks repetitive questions Has memory, concentration concerns Changes in sleep patterns (too much/little) May feel irritable, sad, nervous, depressed **Symptoms can be delayed and can occur 1-2 days after the hit/jolt**

23 Research has shown it may take up to 2 weeks to heal, and in some cases even longer. Player needs to rest his/her brain following a concussion- NO physical activity, video games, computer use, texting, reading, watching TV, social activities etc until they are symptom free and cleared by MD

24 Can worsen symptoms and prolong recovery Increases the risk for repeat concussion. This may increase the chance of long term problems (ie decreased brain function, potentially chronic traumatic encephalopathy) or Second Impact Syndrome (rapid brain swelling and death)

25 Immediately remove the player from practice/ game play Assess for emergent signs- need to call 911? Notify the parents of the injury and have them come get their child. Do not allow the player to drive himself home. Complete the Accident Notification Form w/ the parent and notify a Safety Officer the same day Issue the Parent Concussion Letter w/ concussion fact sheet found in the first aid kit Write the details of the injury and circle all signs and symptoms the player is reporting on the letter

26 Advise the parent to take their player for medical evaluation that day. The player should not be left alone. **Very Important to monitor for a worsening in condition**. Advise they take the Parent Letter with them to the appt. This letter also states the MFLL requirements for return to play. Remind them that a signed MD release will be required before the player may return practice

27 Player must be symptom free for a minimum of 48 hours and off any pain medication Player must be in school full time without modifications Player must have a signed MD release allowing him to return Player will go through a stepwise return to full play (either on own under MD guidance or with MFLL) Neuropsych Testing and SCAT 3 Assessment by MD is highly recommended!

28 Program allows for one step per 24 hours Players symptoms are monitored before, during and after each step. Safety will keep a log. If the player experiences any symptoms, the player will be pulled from activity & must return to his medical provider for re-evaluation It is a 5 step process to return to full competition/ game day These steps will be coordinated by the Safety Officer, coach and parents

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30 Occurs when the body becomes dehydrated and cannot cool the body by evaporation of sweat Players who are overweight, in poor physical condition or not acclimated to the heat are at more risk Important to know which players have a history of heat intolerance!! Watch them closely.

31 Kids do not adapt to extremes of temperature as effectively as adults Kids have a higher surface area-to-body mass ratio than adults, allowing a greater amount of heat to transfer from the environment to the body. During physical activity, children produce more metabolic heat than adults. Sweating capacity is considerably lower in children than adults

32 Heat Related IllnessTreatment Heat Cramps: Involuntary Muscle Spasms*Rest in a cool, shady place *Massage the muscle gently, stretch *Replenish fluids *May return to activity as tolerated Heat Exhaustion: Profuse sweating, dizziness, weakness, unsteadiness, nausea/vomiting, headache, red flushed face or pale color *Remove player to cool/shady place *Remove unneeded clothing/equip *Cool body w/ wet towels/ice to arm pits, abdomen, back of neck, groin area *Replenish fluids *Hold activity until fully recovered Heat Stroke: disoriented, dry/hot skin, lack of sweating, glassy stare, visual disturbances, high body temp, seizure, unconsciousness, chills, rapid pulse *MEDICAL EMERGENCY, call 911 *Move player to cool/shady place *Remove clothing/equipment *Cool body as noted above *Replenish fluids if able *Treat for shock- raise feet above heart *MD Release needed for return to play

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34 Drink before, during, and after!! 20 oz prior, 16 oz for every # lost due to sweating following activity. Avoid high sugar drinks, caffeine Wear light colored clothing & little as possible Remove hats and equipment whenever possible to let heat leave top of head Whats the color of your pee??

35 Green Flag: Index is b/n Watch players closely, give frequent water breaks. 75% regular activity/25% light activity, rest. Yellow Flag: Index is b/n Water breaks every min, use iced towels. Practice in shaded area, 50% regular activity/50% light activity, rest. Limit equipment Orange Flag: Index is b/n Mandatory water breaks every min, limit-no equipment, practice in shade or indoors, iced towels. 25% regular activity, 75% light activity, rest. Limit activity to <90 min

36 Red Flag: Index is b/n Mandatory water breaks every 15 min. Practice in shade/indoors, before 10 AM or after 5 PM, Remove equipment. 25% regular activity/75% light activity, rest. Limit activity to <90 min. Awe, heck just have fun and go to a water park instead!! Black Flag: Index is above 104. Cancel Practice and games.

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38 Always assume the possibility of a spine injury with an unconscious player If player is unconscious, DO NOT move him. Call 911. Check for a pulse, & breathing. If no pulse: * Have a trained person begin CPR * Get the AED from the concession stand If player is conscious but reports severe pain in her spine, numbness/tingling, or weakness in arms and legs etc, DO NOT move her. Hold player still, call 911. Also always consider possibility of concussion with a neck injury

39 Always consider possibility of a concussion Any vision changes, flashes of light, curtain over field of vision?? ER VISIT! Uneven pupils or blood in the pupil? ER visit! Foreign body: flush with water, do not attempt to remove object to avoid further injury Corneal abrasions: irrigate, patch with gauze and send to MD Black eye: check for visual changes, apply ice

40 Wear Gloves when assisting player If tooth is loose: stabilize tooth, Dentist! If tooth is knocked out: Do not touch root of tooth, brush/scrub tooth or sterilize tooth. Gently rinse w/ water if needed. If able, reimplant tooth and stabilize. If not, place tooth in milk (prefer), saline soaked gauze, under tongue or in water Dentist! If tooth breaks: stabilize remaining part of tooth, control bleeding, save all fragments of tooth (see above) Dentist!

41 Always wear gloves when tending to a wound Use gauze/towel & apply direct pressure to wound Flush wound with water Apply antibiotic ointment and bandaid/dressing Properly discard contaminated gauze/dressing and wash/sanitize your hands after removing gloves! If unable to stop bleeding w/ holding direct pressure, call 911. Do not apply a tourniquet. Bloody Noses: gloves, pinch nostrils and hold for 15 min with head tilted forward. Apply ice to back of neck. If unable to stop bleeding, see MD.

42 Assess for any obvious deformity If fracture/dislocation is suspected: Do not move the area. Splint/support the area with a stiff object. Do not let player drink/eat- may need surgery If area below the injury turns blue/cold, no pulse- Medical emergency! call 911 Elevate area if possible and apply ice Contact parents

43 Assess for trouble breathing, swollen throat, rash/hives, Call 911 if allergic reaction/anaphylaxis shock Use epi pen if child has one Remove stinger Wash area with soap and water, apply antibiotic ointment Apply ice for 15 min to reduce redness and swelling


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