Safety and First Aid Manual
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Transcript Safety and First Aid Manual
Safety and
First Aid Manual
JAG GYM
WWW.JAGGYM.COM
General Safety
•
CLOTHING/HAIR
•
SAFETY IN THE GYM
•
SAFETY AFTER CLASS
MEDICINE DISPERSAL
• FIRST AID ITEMS
•
•
KEEPING EVERYONE HEALTHY
•
CHILDREN WITH PREVIOUS INJURIES/INJURIES OCCURRING OUTSIDE OF
JAG
Clothing/Hair
Athletes with long hair need to have their hair tied
away from their face with smooth rubber bands—no
beads on the rubber bands please!
There are extra hair ties located on the staff table
inside the gym in a white box labeled “hair ties.” There
are also extras available at the front desk.
Please do not let children share or borrow hair ties. If
we give a child a hair tie, it is theirs to keep.
Girls should wear a leotard, no tights. Sports pants or
shorts may be worn over the leotard. Boys should wear
a T-shirt tucked into stretch shorts or pants. Please, no
zippers, belts, buckles on pants as they hurt the child’s
stomach.
No jewelry, costumes or hats that can interfere with
athletics.
No shoes or socks.
Question One:
General Safety - Uniform
Choose the complete correct uniform for a female gymnast:
Shorts, T-shirt, Side Pony Tale
Leotard, Shorts, No
Socks/Shoes, Hair slicked
back away from face
Leotard, Shorts, No
Socks/Shoes
Leotard, TuTu, Ballet Shoes
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Safety in the Gym
Be careful moving around the
gym—teach the kids to walk on
the perimeter of mats in a single
file line and to watch where they
are going. Red lines have been
Velcroed to the floors indicating
where it is safe to walk through the
gym.
Safe walking procedures should
be followed at all times, whether
or not the gym is full or only one
group is present. It is important to
set expectations.
Do not let kids run to drinking
fountain etc.
Insert image: red line
Safety in the gym (cont.)
If a child is injured, fill out and Incident Report
form and give it to the department leader, who
will follow up. Incident reports should be filled out
any time ice is given or there is blood present.
Call for help if you have a bigger problem—look
out for each other.
It is the teachers’ responsibility to make sure
children make it to the bathroom or to a parent or
guardian in the lobby and back during class. If a
teachers’ assistant is available, they may aid the
teacher in guiding children.
Insert image: incident report
Question Two:
General Safety - Safety in the Gym
If the gym is empty, do I still need to use the walkways across the
gym?
Yes. It is important to set
expectations.
No. Children will know that
when it is busy, they should
not run through classes.
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Question Three:
General Safety - Safety in the Gym
A child in a Zebras class fell off of a low balance beam and
bumped her knee. There is no swelling or blood. The child is rather
upset over the incident, so the coach offers her “emotional ice.”
Does the coach need to fill out an incident report?
Yes. Any time ice is given or
blood is present an incident
report needs to be
completed.
No. Emotional ice does not
mean there was a real injury,
so no one needs to be
notified.
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Safety After Class
Make sure your kids are with an adult/picked up—this is your responsibility.
If you have a teaching schedule that does not allow you to make sure you
kids are picked up, notify the front desk or a teacher’s assistant if on duty so
they can assume this responsibility.
If your athlete was injured in class, no matter how small, please talk to the
pickup person and let them know what happened, what action you took and
what follow up needs to happen.
Question Four:
General Safety – Safety After Class
A coach has back-to-back classes. At the end of their first class they
are left with a child who cannot locate their guardian. What should
the instructor do?
The child seems old enough
to find their guardian. They
can release in to the lobby.
Do a quick look through the
lobby to try and locate the
guardian. If they cannot be
found, bring the child to the
front desk and release to the
front desk.
Walk with the child through
both lobbies to locate
guardian, even if it means
starting the next class late.
Hand the child your cell
phone and tell them to call
and leave your phone at the
front desk.
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Close!
While it is your primary responsibility to supervise
your children, there are other people you may
use as support staff if you need to continue to
another class. Please review the answers again
and find the best option.
Medicine Dispersal
Parents are required to fill out a
medication dispersal form to keep
on file.
All medications will be kept in the
middle drawer of the three-drawer
set in the concessions closet
behind the desk with directions for
its usage.
We are not allowed to give
medications to children without
written permission from a child’s
care giver.
Insert picture of med drawer
Question Five:
General Safety – Medication Dispersal
A child comes up to the front desk with their parent and asks for two
ibuprofen. You turn and ask the parent if it’s okay. The parent says
yes. Your next step is to:
Pour out two ibuprofen and
hand them to the child. It’s
OK because the parent is
there.
Hand the bottle of ibuprofen
to the parent. They will then
administer the medicine and
return the bottle to you.
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First Aid Items
First aid supplies are located at the
front desk, on the front wall next to the
gym doors, in the back of the gym by
the in-ground pit, on the Secret Pit wall
by the beams, and upstairs in the
lobby cabinet. These boxes are for staff
use only.
Extra stock of all first aid items are kept
in the back staff hallway to the right of
the balloons.
Pain killers, stomach aids and allergy
relief medications may only be kept
behind the front desk. These types of
medications may only be distributed to
children by their parents, or with written
instructions from a parent.
Insert picture of first aid box
First Aid Items (cont.)
In every first aid box there should be:
Vinyl Gloves
Band-aids
Gauze
Antiseptic cleansing pads
Antibacterial/Antibiotic ointment
Burn Cream
Eye Wash Solution
Anti-Septic Spray
Tweezers
Nail clippers
Sting relief pads
Instant cold compress
Tape roll ***not for team taping
Scissors
SAM Splints with user guides
For basic instructions and uses of the SAM
Splint, please watch the following video:
http://www.youtube.com/watch?v=lPmVTKuS
bio
1
Triangular bandages for splints
For wrist and forearm injuries, form an arm
sling:
http://www.youtube.com/watch?v=C63rtfleGY
2
For elbow or upper arm injuries, a collar and
cuff sling may be created:
http://www.youtube.com/watch?v=G_F7uxm
VUt4
3
For shoulder or collar bone injuries, use an
elevated arm sling:
http://www.youtube.com/watch?v=JQdvMC8
7l94
4
Question Six:
General Safety – First Aid Boxes
Choose the selection with all correct curves used to increase
strength and rigidity in a SAM Splint:
• C Curve
• S Curve
• Reverse T Curve
• S Curve
• Reverse S Curve
• T Curve
• C Curve
• Reverse C Curve
• S Curve
• C Curve
• Reverse C Curve
• T Curve
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Children with Previous Injuries/
Injuries Occurring Outside of JAG
Athletes who have been injured and wish to return to JAG must have
a doctor’s note stating:
What the injury is
Limitations or modifications in workout
Date at which normal activity may resume
Athletes will not be permitted inside the gym without a doctor’s note.
Athletes with casts, soft or hard, will not be permitted in the gym
unless a doctor’s note is provided stating specifically what activities
they may do while at JAG.
Any employee out for three consecutive days or more is required to
return with a doctor’s note clearing them for work. Employees will not
be alloyed to return to work without a doctor’s note.
Question Seven:
General Safety – Injuries outside JAG/ Staying
Healthy
An employee must bring a doctor’s note clearing them to work after
how many consecutive days of work:
1
3
2
4
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Injury Prevention
•
STRETCHING
•
TAPING FOR SUPPORT
•
PURCHASING TAPE
Stretching - general
At JAG we start each class with a
The following video from Omaha
warm up and dynamic stretch.
Physical Therapy Institute, P.C.,
Dynamic stretching (where the
describes the difference between
athlete moves through full ranges of
static and dynamic stretches, and
motion) is a much more effective
shows a few brief examples of
way to warm up and prepare for a
both:
workout than static stretching
http://www.youtube.com/watch?
(where the athlete holds a stretch
v=KZpETMpS5vs 5
for 20-30 seconds at a time).
Stretching - Dynamic
The following videos from St.
Vincent Sports Performance
coach Jeff Richter provides
specific examples of dynamic
stretches for gymnasts
http://www.youtube.com/watch?
v=vsnqeTUbz2M 6
http://www.youtube.com/watch?
v=eo8PBIvNsUU 7
Stretching - Static
Static stretching is saved for the
cool down or end of class.
Recreational and Competitive
level groups may do a group
stretch at the end of workout,
while preschoolers may do circle
time or simply a brief showing of
positions.
For further reading on some basic
strategies for injury prevention from
USAG, please visit:
8 http://usagym.org/pages/home/publicati
ons/technique/2002/6/minimizeinjuries.pdf
Question Eight:
Injury Prevention - Stretching
What type of stretching do we do at the beginning of a workout?
Static
Dynamic
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Question Nine:
Injury Prevention - Stretching
True or False: Static stretching decreases force and power output.
True
False
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Taping for Support
Tape is used to support muscles and
ligaments during exercise. It can also
be used post-injury.
How to do a “simple wrist tape,”
presented by PCHS Sports Medicine:
http://www.youtube.com/watch?
v=l5_RnG1siVE 9
How to tape an ankle, presented by
Amy Arndt and Amy Oldenburg,
licensed athletic trainers at Mayo Clinic
Health
http://www.youtube.com/watch?
v=ZGQUYeF_REk&feature=c4overview&list=UUUVDSwrkW7uBrZ6
pXXh7ETQ 10
How to tape for patellar tendon
pain, presented by Athletic Trainer
and Strength and Conditioning
Specialist, Trish Bare:
http://www.youtube.com/watch?
v=zYrqC6EE61w
11
Purchasing Tape
We understand that every now
and then a child may need a
small piece of tape to adhere a
band-aid or tape a new rip.
Athletes requiring on-going taping
need to keep their own personal
tape on hand. JAG has tape and
pre-wrap available for purchase
at the front desk.
Question Ten:
Taping for Support
In a simple wrist tape, what are you trying to prevent:
Flexion
Supination
Pronation
Extension
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General Safety Rules in the Event
of a Serious Injury
THE CHARGE PERSON
THE CALL PERSON
THE CONTROL PERSON
General Safety Rules in the Event of
a Serious Injury
If there is a serious injury, do NOT move the child.
The Charge Person
Looks after the athlete.
Assesses the athlete and decides if advanced medical help is required.
Makes sure the athlete is not moved until they are sure no serious injury has occurred.
Tells the call person to call the paramedics, if required.
Performs any first aid that is required.
The Call Person
Calls the paramedics if the charge person instructs.
Makes sure the paramedics have a clear passage way to the athlete.
The Control Person
Controls the crowd including concerned parents of the athlete.
Recruits help at the scene if needed.
Relays information from the Charge Person, or the paramedics, to the parents as required.
Relays information from the coaches to the paramedics e.g. athlete is diabetic.
Question Eleven:
General Safety in the Event of a Serious Injury
Select the box below which correctly identifies the role of the
Charge Person:
•
•
•
•
•
Looks after the athlete
Assesses the athlete and decides if advanced
medical help is required
Makes sure the athlete is not moved until they are
sure no serious injury has occurred
Tell the call person to call the paramedics, if
required
Performs any first aid that is required
• Calls the paramedics
• Makes sure the paramedics
have a clear passage way to
the athlete
•
•
•
•
•
•
•
•
•
•
Controls the crowd including concerned parents of
the athlete
Recruits help at the scene if needed
Relays information from the Charge person, or the
paramedics, to the parents as required
Relays information from the coaches to the
paramedics e.g. athlete is diabetic
Looks after the athlete
Assesses the athlete and decides if advanced
medical help is required
Calls the paramedics
Makes sure the athlete is not moved until they are
sure no serious injury has occurred
Tell the call person to call the paramedics, if required
Performs any first aid that is required
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Bee Stings
CALL 911
REMOVE STINGER
USE ICE TO CONTROL SWELLING
Bee Stings
Call 911 if the person has:
Trouble breathing
Feelings of faintness or dizziness
Hives
A swollen tongue
A history of severe allergy reaction to insect stings
Remove the stinger with tweezers
Use ice to control swelling
Question Twelve:
Bee Stings
You should call 911 after a person has been stung by a bee if:
They are tearful and complaining of
pain at the site of the sting
The person feels faint or dizzy, has
trouble breathing or breaks out in
hives
The site of the sting turns red and
swells slightly
The stinger is stuck in the site
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Anaphylactic Shock
SYMPTOMS
TREATMENT
Anaphylactic Shock
Anaphylactic Shock – an extreme allergic reaction
Symptoms
Difficulty breathing or wheezing
Tightness in the throat or a feeling that the airways are closing
Hoarseness or trouble speaking
Nausea, abdominal pain, or vomiting
Fast heartbeat or pulse
Skin that itches, tingles, swells or turns red
Anxiety or dizziness
Loss of consciousness
Anaphylactic Shock:
Prepare EpiPen 12
Call 911
If an epinephrine shot has been provided by a parent, use it immediately
Prepare the EpiPen or EpiPen Jr Auto-Injector For Injection
Remove the auto-injector from the clear carrier tube.
Flip open the yellow cap of your EpiPen or the green cap of your EpiPen Jr AutoInjector carrier tube.
Tip and slide the auto-injector out of the carrier tube.
Grasp the auto-injector in your fist with the orange tip pointing downward.
With your other hand, remove the blue safety release by pulling straight up without
bending or twisting it.
Note:
The needle comes out of the orange tip.
Never put your thumb, fingers or hand over the orange tip.
Anaphylactic Shock:
Administer EpiPen
Administer the EpiPen or EpiPen Jr Auto-Injector
Hold the auto-injector with orange tip near the outer thigh.
Swing and firmly push the orange tip against the outer thigh until it
‘clicks’. Keep the auto-injector firmly pushed against the thigh at a 90°
angle (perpendicular) to the thigh.
Hold firmly against the thigh for approximately 10 seconds to deliver the
drug. The injection is now complete.
Anaphylactic Shock:
Finalize EpiPen
Finalize the Injection Process
Remove the auto-injector from the thigh. The orange tip will extend to
cover the needle.
Massage the injection area for 10 seconds.
Get emergency medical help right away. You may need further
medical attention. You may need a second EpiPen or EpiPen Jr
Auto-Injector should symptoms persist or recur.
Most of the liquid medicine stays in the auto-injector and cannot be
reused. You have received the correct dose of the medicine if the
orange needle tip is extended and the window is blocked.
Question Thirteen:
Anaphylactic Shock
True or False: There should not be any liquid left in an Epipen after
administration. If there is, the shot will not work properly.
True
False
Nice work!
Most of the liquid medicine stays in the auto-injector and
cannot be reused. You have received the correct dose of
the medicine if the orange needle tip is extended and the
window is blocked.
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Oops!
Most of the liquid medicine stays in the auto-injector and
cannot be reused. You have received the correct dose of
the medicine if the orange needle tip is extended and the
window is blocked.
Please try again!
Sprains and Strains
DEFINITIONS
CARE – R.I.C.E.
Sprains and Strains – what’s the
difference?
Sprains: Your ligaments are tough, elastic-like bands that connect
bone to bone and hold your joints in place. A sprain is an injury to a
ligament caused by tearing of the fibers of the ligament. The
ligament can have a partial tear, or it can be completely torn
apart. Of all sprains, ankle and knee sprains occur most often.
Sprained ligaments swell rapidly and are painful. Generally, the
greater the pain and swelling, the more severe the injury is. For most
minor sprains, you probably can treat the injury yourself. 13
Strains: stretching or tearing of muscle or tendon. A tendon is a
fibrous cord of tissue that connects muscles to bones. Strains often
occur in the lower back and in the hamstring muscle in the back of
your thigh. 14
Sprains and Strains - Treatment
Rest the injured limb. Your doctor may recommend not putting any weight on the
injured area for 48 hours. But don't avoid all activity. Even with an ankle sprain, you
can usually still exercise other muscles to minimize deconditioning. For example, you
can use an exercise bicycle with arm exercise handles, working both your arms and
the uninjured leg while resting the injured ankle on another part of the bike. That way
you still get three-limb exercise to keep up your cardiovascular conditioning.
Ice the area. Use a cold pack, a slush bath or a compression sleeve filled with cold
water to help limit swelling after an injury. Try to ice the area as soon as possible after
the injury and continue to ice it for 15 to 20 minutes, four to eight times a day, for the
first 48 hours or until swelling improves. If you use ice, be careful not to use it too long,
as this could cause tissue damage.
Compress the area with an elastic wrap or bandage. Compressive wraps or sleeves
made from elastic or neoprene are best.
Elevate the injured limb above your heart whenever possible to help prevent or limit
swelling.
Question Fourteen:
Sprains and Strains
Please select the correct box:
A sprain is a tear in the fibers of a
ligament, while a strain is the
stretching or tearing of a muscle or
tendon.
A sprain is a tear in the fibers of a
muscle or tendon, while a strain is
the stretching or tearing of a
ligament.
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Question Fifteen:
Sprains and Strains
What does R.I.C.E. stand for:
R: rest
I: incubate
C: circulate
E: elevate
R: rest
I: ice
C: compress
E: elevate
R: recline
I: ice
C: circulation
E: everything above
R: recline
I: ice
C: compress
E: elevate
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Bleeding Injuries
MINOR CUTS AND SCRAPES
SEVERE BLEEDING
Minor Cuts and Scrapes
15
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 20 to 30 minutes and if possible elevate the wound. Don't keep
checking to see if the bleeding has stopped because this may damage or dislodge
the clot that's forming and cause bleeding to resume. If blood spurts or continues
flowing after continuous pressure, seek medical assistance.
Clean the wound. Rinse out the wound with clear water. Soap can irritate the wound,
so try to keep it out of the actual wound. If dirt or debris remains in the wound after
washing, use tweezers cleaned with alcohol to remove the particles. If debris still
remains, see your doctor. Thorough cleaning reduces the risk of infection and
tetanus. To clean the area around the wound, use soap and a washcloth. There's no
need to use hydrogen peroxide, iodine or an iodine-containing cleanser.
Apply an antibiotic. After you clean the wound, apply a thin layer of an antibiotic
cream or ointment such as Neosporin or Polysporin to help keep the surface moist.
The products don't make the wound heal faster, but they can discourage infection
and help your body's natural healing process. Certain ingredients in some ointments
can cause a mild rash in some people. If a rash appears, stop using the ointment.
Cover the wound. Bandages can help keep the wound clean and keep harmful
bacteria out. After the wound has healed enough to make infection unlikely,
exposure to the air will speed wound healing.
Severe Bleeding
16
While wearing gloves, remove any obvious dirt or debris from the wound.
Don't remove any large or more deeply embedded objects. Your principal
concern is to stop the bleeding.
Apply pressure directly on the wound until the bleeding stops. Use a sterile
bandage or clean cloth and hold continuous pressure for at least 20
minutes without looking to see if the bleeding has stopped. Maintain
pressure by binding the wound tightly with a bandage or clean cloth and
adhesive tape. Use your hands if nothing else is available. If possible, wear
rubber or latex gloves or use a clean plastic bag for protection.
Don't remove the gauze or bandage. If the bleeding continues and seeps
through the gauze or other material you are holding on the wound, don't
remove it. Instead, add more absorbent material on top of it.
Question Sixteen:
Bleeding Injury
What is the first step in care for a minor bleeding injury:
Clean the wound
Apply the antibiotic
Cover the wound
Stop the bleeding
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Question Seventeen:
Bleeding Injury
True or False: I only need to wear gloves when caring for a major
bleeding injury.
True
False
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Gloves should be worn anytime blood is present.
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Shock
SIGNS AND SYMPTOMS
WHAT TO DO IF YOU SUSPECT SHOCK
Shock – Signs and Symptoms
17
The skin is cool and clammy. It may appear pale or gray.
The pulse is weak and rapid. Breathing may be slow and shallow, or
hyperventilation (rapid or deep breathing) may occur. Blood pressure is
below normal.
The person may be nauseated. He or she may vomit.
The eyes lack luster and may seem to stare. Sometimes the pupils are
dilated.
The person may be conscious or unconscious. If conscious, the person may
feel faint or be very weak or confused. Shock sometimes causes a person to
become overly excited and anxious.
Shock – What to Do if you Suspect
Shock
Call 911 or your local emergency number.
Have the person lie down on his or her back with feet about a foot higher
than the head. If raising the legs will cause pain or further injury, keep him or
her flat. Keep the person still.
Check for signs of circulation (breathing, coughing or movement) and if
absent, begin CPR.
Keep the person warm and comfortable by loosening any belts or tight
clothing and covering the person with a blanket. Even if the person
complains of thirst, give nothing by mouth.
Turn the person on his or her side to prevent choking if the person vomits or
bleeds from the mouth.
Seek treatment for injuries, such as bleeding or broken bones.
Question Eighteen:
Shock
In what position should you place a person you suspect as being in
shock:
Back
Side
Stomach
Sitting up
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Tooth Loss
HOW TO HANDLE A LOST TOOTH
Tooth Loss
18
Handle the tooth by the top or crown only, not the roots.
Don't rub the tooth or scrape it to remove debris. This damages the root
surface, making the tooth less likely to survive.
Gently rinse the tooth in a bowl of tap water. Don't hold it under running
water.
Try to replace the tooth in the socket. If it doesn't go all the way into
place, bite down slowly and gently on gauze or a moistened tea bag to
help keep it in place. Hold the tooth in place until a dentist can be
seen.
If the tooth cannot be replaced in the socket, immediately place it in a
tooth loss kit from the back staff hallway next to the balloons. If we are
out of the kits, put it in some milk, the injured person’s own saliva or a
warm, mild saltwater solution — 1/4 teaspoon salt to 1 quart water
(about 1 milliliter of salt to about 1 liter water).
Get medical attention from a dentist or emergency room immediately
Question Nineteen:
Tooth-loss
If the tooth cannot be replaced in its socket and we are out of
tooth-loss kits, the loose tooth should be placed in:
Cold Water
The person’s hand
A plastic bag
Milk, the person’s own saliva or a
warm, mild salt water solution
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Nosebleeds
HOW TO CARE FOR NOSEBLEEDS
Nosebleeds
19
Sit upright and lean forward. By remaining upright, you reduce blood pressure in the
veins of your nose. This discourages further bleeding. Sitting forward will help you
avoid swallowing blood, which can irritate your stomach.
Pinch your nose. Use your thumb and index finger to pinch your nostrils shut. Breathe
through your mouth. Continue to pinch for five to 10 minutes. Pinching sends pressure
to the bleeding point on the nasal septum and often stops the flow of blood.
To prevent re-bleeding, don't pick or blow your nose and don't bend down for several hours after
the bleeding episode. During this time remember to keep your head higher than the level of your
heart.
If re-bleeding occurs, blow out forcefully to clear your nose of blood clots and spray
both sides of your nose with a decongestant nasal spray containing oxymetazoline
(Afrin, Mucinex Moisture Smart, others). Pinch your nose again as described above
and call your doctor.
Seek medical care immediately if
The bleeding lasts for more than 20 minutes
The nosebleed follows an accident, a fall or an injury to your head, including a punch in the
face that may have broken your nose
Question Twenty:
Nose Bleeds
In what position should someone sit if their nose is bleeding:
Lying down on their back
Upright and leaning forward
Upright and leaning backwards
Lying down on their stomach
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Eye Injuries
HOW TO CARE FOR EYE INJURIES
Eye Injuries
20
Using gentle pressure, apply a cold pack or a cloth filled with ice to
the area around the eye. Take care not to press on the eye itself.
Apply cold as soon as possible after the injury to reduce swelling,
and continue using ice or cold packs for 24 to 48 hours.
Look for evidence of blood within the white and colored parts of the
eye. If blood can be seen in either of these sites, seek urgent care
by an eye specialist (ophthalmologist).
Seek medical care immediately if you experience vision problems
(double vision, blurring), severe pain, or bleeding in the eye or from
the nose
Blisters
BLISTER CARE
HOW TO MAKE TAPE GRIPS
Blisters
21
Wash hands and the blister with soap and warm water.
Swab the blister with iodine or rubbing alcohol.
Sterilize a clean, sharp needle by wiping it with rubbing alcohol.
Use the needle to puncture the blister. Aim for several spots near the
blister's edge. Let the fluid drain, but leave the overlying skin in
place.
Apply an antibiotic ointment to the blister and cover with a bandage or
gauze pad.
If the blister rips:
Follow steps a and b above
Sterilize straight edge nail cutters found in first aid boxes
Cut as close to the edge as possible to remove the flap of skin. DO NOT rip
skin off
If child wishes to return to class, tape the area using the sports tape to protect
and keep clean
Blisters – home made tape grips!
Please
remember
gymnasts are
required to
purchase their
own tape if
they would
like to make
tape grips.
22
Question Twenty-one:
Blisters
What is the first step in blister care:
Pop the blister
Wash the blister with soap and water
Cut the excess skin off
Tape the blister
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Convulsions/Seizures
HOW TO CARE FOR A PERSON CONVULSING OR SEIZING
Convulsions/Seizures
23
Stay with the individual until the seizure is over – most seizures last a few
minutes
Clear the area of nearby objects
Never restrict movement or restrain an individual
Never put anything in an individual’s mouth
If the person is lying down, turn them on their side, with their mouth
pointing to the ground
Call Emergency Personnel if:
Seizure lasts 5 minutes or longer
One seizure occurs right after another without the person regaining consciousness
or coming to between seizures
Breathing becomes difficult or the person appears to be choking
Injury may have occurred
The person asks for medical help
For more information, please visit: http://www.epilepsy.com/epilepsy/firstaid
Question Twenty-two:
Seizures
True or False: The following are all valid reasons to call emergency
personnel when someone has a seizure:
If the seizure lasts more than five (5) minutes
One seizure occurs right after another without the person regaining
consciousness or coming to between seizures
Breathing becomes difficult or the person appears o be chocking
Injury may have occurred
The person asks for medical help
True
False
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Dislocation
DEFINITIONS
HOW TO CARE FOR A DISLOCATION
Dislocations
“A dislocation occurs when extreme force is put on a ligament,
allowing the ends of two connected bones to separate. Ligaments
are flexible bands of fibrous tissue that connect various bones and
cartilage.” 24
Care:
Don't delay medical care. Get medical help immediately.
Don't move the joint. Until you receive help, splint the affected joint into
its fixed position. Don't try to move a dislocated joint or force it back into
place. This can damage the joint and its surrounding muscles, ligaments,
nerves or blood vessels.
Put ice on the injured joint. This can help reduce swelling by controlling
internal bleeding and the buildup of fluids in and around the injured
joint. 25
Question Twenty-three:
Dislocations
Choose the box with the correct direction for dislocation first aid:
• Don’t delay medical care
• Ask the injured to try and move
the joint
• Put ice on the injured joint
• Put ice on the injured joint
• Don’t move the joint
• Wait 20 minutes to see if ice
reduces pain before seeking
medical care
• Don’t delay medical care
• Don’t move the joint
• Put ice on the injured joint
• Don’t delay medical care
• Don’t move the joint
• Warm a cloth with water and
place on the joint
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Fractures
FRACTURE TYPES
FRACTURE CARE
Fractures
Fractures are breaks in the bone. They can be open (compound)
fractures where the bone punctures the skin, or a closed (simple)
fracture
According to the Lucile Packard Foundation for Children’s health,
there are six different types of fractures commonly found in children.
Information cited on this slide, images found on the following two
slides and more about fractures can be found at:
http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/orthopaedics
/fracture.html 26
Fractures – Types (cont.)
Greenstick
Transverse
Spiral
Incomplete fracture
Break is in a straight line all the
way across the bone
Break spirals around the bone;
common in a twisting injury
Fractures – Types (cont.)
Oblique
Compression
Comminuted
Diagonal break
Bone is crushed; bone will
appear wider or flatter where
broken
Broken in three or more places.
27
Fractures - Care
28
Stop any bleeding. Apply pressure to the wound with a sterile
bandage, a clean cloth or a clean piece of clothing.
Immobilize the injured area. Don't try to realign the bone or push a
bone that's sticking out back in. If you've been trained in how to
splint and professional help isn't readily available, apply a splint to
the area above and below the fracture sites. Padding the splints
can help reduce discomfort.
Apply ice packs to limit swelling and help relieve pain until
emergency personnel arrive. Don't apply ice directly to the skin —
wrap the ice in a towel, piece of cloth or Lossome other material.
Treat for shock. If the person feels faint or is breathing in short, rapid
breaths, lay the person down with the head slightly lower than the
trunk and, if possible, elevate the legs.
Question Twenty-four:
Broken Bones
True or False: you should try to realign a broken bone.
True
False
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Head Trauma and Concussions
HEAD TRAUMA SIGNS
HEAD TRAUMA CARE
CONCUSSION SIGNS
CONCUSSION CARE
Head Trauma - Signs
29
Severe head or facial bleeding
Bleeding or fluid leakage from the nose or ears
Severe headache
Change in level of consciousness for more than a few seconds
Black-and-blue discoloration below the eyes or behind the ears
Cessation of breathing
Confusion
Loss of balance
Weakness or an inability to use an arm or leg
Unequal pupil size
Slurred speech
Seizures
Persistent crying
Refusal to eat
Repeated vomiting
Head Trauma - Care
Keep the person still. Until medical help arrives, keep the injured
person lying down and quiet, with the head and shoulders slightly
elevated. Don't move the person unless necessary, and avoid
moving the person's neck. If the person is wearing a helmet, don't
remove it.
Stop any bleeding. Apply firm pressure to the wound with sterile
gauze or a clean cloth. But don't apply direct pressure to the wound
if you suspect a skull fracture.
Watch for changes in breathing and alertness. If the person shows
no signs of circulation (breathing, coughing or movement), begin
CPR
Concussion - signs
Neck pain
Nervous or anxious
Pressure in head
Feeling like “in a fog”
Headache
“don’t feel right”
Amnesia
Difficulty concentrating
Seizure or convulsion
Difficulty remembering
Loss of consciousness
Fatigue or low energy
Nausea or vomiting
Confusion
Dizziness
Drowsiness
Blurred vision
More emotional
Balance problems
Irritability
Sensitivity to light
Sadness
Sensitivity to noise
Feeling slowed down
Concussions - care
Test Memory Function:
Ask easy questions:
Where are we?
Do you remember what
happened?
Who is your coach today?
Who brought you to class today?
Test Balance:
Tandem Stance Test:
“Stand heel-to-toe with your nondominant foot in back. Your weight
should be evenly distributed across
both feet. You should try to maintain
stability for 20 seconds with your
hands on your hips and your eyes
closed. I will be counting the number
of times you move out of this position.
If you stumble out of this position,
open your eyes and return to the start
position and continue balancing. I will
start timing when you are set and
have closed your eyes.” Observe the
athlete for 20 seconds. If they make
more than 5 errors (such as lift their
hands off their hips; open their eyes;
lift their forefoot or heel; step, stumble,
or fall; or remain out of the start
position for more than 5 seconds) then
this may suggest a concussion
Question Twenty-five:
Head Trauma and Concussions
In the Balance Test, how long should you observe the injured party:
10 Seconds
20 Seconds
30 Seconds
40 Seconds
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Spinal Injury
WHEN TO ASSUME SPINAL INJURY
SPINAL INJURY CARE
PIT EXTRACTION
Spinal Injury 30
Assume spinal injury if:
There's evidence of a head injury with an
ongoing change in the person's level of
consciousness
The person complains of severe pain in his
or her neck or back
The person won't move his or her neck
An injury has exerted substantial force on
the back or head
The person complains of weakness,
numbness or paralysis or lacks control of his
or her limbs, bladder or bowels
The neck or back is twisted or positioned
oddly
If you suspect someone has a spinal injury:
Call 911 or emergency medical help.
Keep the person still. Place heavy towels on
both sides of the neck or hold the head and
neck to prevent movement.
Provide as much first aid as possible without
moving the person's head or neck. If the
person shows no signs of circulation (breathing,
coughing or movement), begin CPR, but do
not tilt the head back to open the airway. Use
your fingers to gently grasp the jaw and lift it
forward. If the person has no pulse, begin
chest compressions.
If you absolutely must roll the person because
he or she is vomiting, choking on blood or in
danger of further injury, you need at least one
other person. With one of you at the head and
another along the side of the injured person,
work together to keep the person's head, neck
and back aligned while rolling the person onto
one side.
Spinal Injury – Pit Extraction
We never move an individual who may be injured from the pit.
If an injury occurs in the pit, call 911 and wait for medical responders
to remove the injured person.
Question Twenty-six:
Spinal Injury and Pit Extraction
If someone is injured in a pit you should:
Follow the general rules for safety in
the event of a serious injury. Leave
the person in the pit until medical
personnel has arrived.
Follow the general rules for safety in
the event of a serious injury except
that a panel mat should be placed in
the pit and the injured party should
be rolled on to it to wait for medical
personnel.
Follow the general rules for safety in
the event of a serious injury except
that the person should be removed
from the pit to wait for medical
personnel.
Follow the general rules for safety in
the event of a serious injury. Have
the Charge Person get in the pit
with the injured party to wait for
medical personnel.
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Safety in the Event of an
Emergency - Other
POWER OUTAGES
EMERGENCY EVACUATIONS
FIRES
Safety in the Event of Emergency –
Power Outages
Batteries are located in the bottom drawer of the supply drawers
in the storage closet behind the front desk
Flashlights are located:
At the front desk
On the stair wall leading up to the secret pit
On the wall at the end of the blue TumblTrak
On the wall outside of the kitchen by the back stair case upstairs
On the wall between the windows and the cupboards (next to fire
extinguisher)
Safety in the Event of Emergency –
Power Outages (cont.)
If the lights go out, have your group SIT DOWN and get a head count.
If there are no obstacles in your way and you can see well enough to reach
a flashlight, retrieve it from the wall and guide your group to the first floor
lobby.
Stay with your group.
Hand over the flashlight for an administrative staff member to take in to
guide other groups out of the gym safely. One flashlight should stay in the
lobby area.
Once all groups are safely in the main lobby, wait for lights to go back on.
If the power does not return within 10 minutes, call Southern California
Edison at 1-800-611-1911 using a cell phone to report.
Emergency Evacuation
Off-Site Evacuation Location
In the event of an emergency requiring an evacuation (flood, fire,
bomb threat, etc.) the first safe meeting zone is JAG’s parking lot on
the side of the building. If we must move off site, JAG’s Off-Site
Emergency Location is:
The Willows Community School
8509 Higuera Street
Culver City, CA 90232
Emergency Evacuation
Off-Site Evacuation Directions
Turn right out of the parking lot on
Hayden Place
At the blinking light (four-way stop), turn
right on to Higuera St.
Willows is on the left hand side of the
street about half way to the first traffic
light
31
Safe Evacuation Steps
From Inside the Gym
Get a headcount! You are responsible for the children in your
control when the emergency occurs until you are safely able to
transfer control to emergency personnel or their legal parent or
guardian.
Find the door closest to you:
Bar
area door at the back of the gym
Emergency
roll up door
IN
exit door cut in to the bottom left corner of the
THE CASE OF A FIRE NEVER open the large roll-up door
Exit to the side parking lot and have everyone sit to wait for
further instructions OR walk, holding hands, to The Willows School
Safety Evacuation Steps
From the Lobbies
All spectators in the lobby and upstairs waiting areas should use the
double-door front entrance to evacuate. Do not let parents into
the gym to get their kids—get them out and tell them to meet their
child on the side of the building.
If in the upstairs lobby and stair cases are blocked (by debris, fire,
flood, etc.), the window at the far right in the main upstairs lobby
slides open on to an outside ledge
Office personnel will be responsible for checking the bathrooms
both upstairs and inside the gym
Fire
Fire Extinguishers are located:
Behind the front desk
On the medicine cabinet by the secret pit
On the medicine cabinet by the stall bars/in-ground pit
On the medicine cabinet by the front of the gym
In the first cabinet to the left in the upstairs lobby
Question Twenty-seven:
Safety in the Event of an Emergency - Other
Where is JAG Gym’s offsite emergency location:
Anne Josephson’s House
The top of the Culver City Lookout
LASG
The Willows Community School
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Time of Completion: 7/17/2015 3:54 AM
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