3hr judo specific basic first aid

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3hr Judo Specific Basic First Aid Trainer: Gary Currier

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Post on 18-Nov-2014

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This is a unique and bespoke BJA endorsed First Aid course created by myself for coaches in relation to judo provision (course can be adapted to other martial arts)

TRANSCRIPT

Page 1: 3hr judo specific   basic first aid

3hr Judo SpecificBasic First Aid

Trainer: Gary Currier

Page 2: 3hr judo specific   basic first aid

Course TopicsTheory Elements

• Aims of First Aid•Common Judo Injuries• Priorities of Treatment•Dealing with

Emergencies•Recording and

Reporting procedures.

Practical Elements•Wounds and Bleeding•Unconsciousness•Resuscitation

Page 3: 3hr judo specific   basic first aid

First AidImmediate - but temporary care!

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Aims of First Aid

1.PRESERVE LIFE(Look after yourself first then the casualty)

2.PREVENT FURTHER INJURY

3.PROMOTE RECOVERY

Page 5: 3hr judo specific   basic first aid

Unconscious Casualty Order of ActionBREATHING

• Danger• Response• Airway• Breathing• Body Check• Recovery Position• Call for help• Monitor

NOT BREATHING

• Danger• Response• Airway• Breathing• Call for help• Compressions

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Assessing an Injury SignsWhat you SeeHearFeelSmell

SymptomsWhat the casualtycan tell you abouthow they feelLevel / Type of pain

DizzinessSickness

HistoryBackground infoobtained fromcasualty, otherswho saw incidentoccur What happened - Where / When / How / WhoMedical history / prior injuriesNew or reoccurring injury

Page 7: 3hr judo specific   basic first aid

Recovery Position

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ResuscitationAdult Child Baby

30 compressions 5 rescue breaths 5 rescue breaths

2 breaths 30 compressions 30 compressions

2 breaths 2 breaths

1 minute CPR before calling 999

Continue while calling help

Rate 100/120 per minute

Rate 100/120 per minute

Rate 100/120 per minute

Depth 5-6 cm/2-3" Depth 1/3 of body Depth 1/3 of body

2 hands 1 hand 2 fingers

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Common Judo Injuries 1. Bleeding2. Broken collar bone3. Concussion4. Hyper-extension of elbow5. Sprains / strains6. Dislocations7. Head injury8. Eye injury9. Mat burn10. Broken nail11. Stubbed toes12. Broken nose

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Rotator cuff injury

First AidRICEA/E

Recovery time?Depending on severity 3 - 12 weeks

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AC Joint separation(Acromioclavicular separation)

PreventionCorrect UKEMI

Levels of severity1. 1st and 2nd degree injuries: Spontaneous healing2. 3rd degree injury: Surgical

Recovery time?1st degree: 6wks2nd degree: 10-12wks3rd degree: up to 6 months!

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Elbow Displacement

PreventionUKEMITap out!

Check blood supply to hand

Range of severity1. Ligament sprain2. Joint-sac injury3. Bone fracture with displacement

Recovery time?Depends on severity of injury

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Meniscus Tear

PreventionPlay golf instead!

First Aid1. Immobilise to control pain2. RICE3. A/E

Recovery Time?2-6 weeks AFTER surgery

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Judo injuries in action!

Judo injury example - dislocated right shoulder

Page 15: 3hr judo specific   basic first aid

Judo injuries in action!

Judo injury example 2 (viewer discretion advised) - severe fracture

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Judo injuries in action!

Judo injury example 3 - severe elbow displacement/fracture

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Judo injuries in action!

Judo injury example 4 - severe elbow displacement/fracture

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WoundsType of wound Basic Treatment

•Contusion Cool with ice pack or running water

•Abrasion Clean from the centre out

•Laceration Treat the bleeding & prevent infection

•Puncture Depending on severity seek medical advice. Embedded objects must stay in place.

Damage to underlying organs must be considered

•Gun Shot Pack wound / apply pressure / call 999

•Amputation Collect and store amputated limb, treat for blood loss and shock

•De-gloved Put skin back in place / arrange medical treatment.

Page 19: 3hr judo specific   basic first aid

Think Shock

•Considerable blood loss can result in hypovolaemic or neurogenic shock.•When treating bleeds look out for the following

signs and symptoms of shock:Nausea, Weakness, Giddiness, Rapid / shallow

breathing, Rapid / Irregular pulse, Grey, sweaty and cold clammy skin, blurred vision

Page 20: 3hr judo specific   basic first aid

Dealing with Shock

• Lay the casualty down and raise the feet.• Keep the casualty warm• Loosen tight clothing around neck, chest and

waist• Monitor breathing, pulse and levels of response• Call 999• Be prepared to resuscitate.

Page 21: 3hr judo specific   basic first aid

Recording & Reporting Procedures

•Accident recording and reporting is required by law.

•As a first aider you are responsible for ensuring that the accident book is completed.

•Details of how the accident happened must be included.

•Your club should have a record of all accidents / injuries that occur on the premises

•British Judo require you to send in an incident form for any injuries that require hospital treatment, any head injuries and anything where players go unconscious.

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Priorities of Treatment

(1) Breathing

(2) Bleeding

(3) Burns

(4) Bones

WindedWinded

Unconscious(Head Injury)

Unconscious(Head Injury)

Suspected Cracked

Rib

Suspected Cracked

Rib

Swollen, Bruised & Painful Ankle

Swollen, Bruised & Painful Ankle

Unconscious(Strangle)

Unconscious(Strangle)

Pain in Elbow(Armlock)

Pain in Elbow(Armlock)

Not Breathing

Not Breathing

Dislocated Toe

Dislocated Toe

Nose BleedNose Bleed

Broken NailBroken Nail

Page 23: 3hr judo specific   basic first aid

Not Breathing

Not Breathing

Unconscious(Head Injury)

Unconscious(Head Injury)

Nose BleedNose BleedPain in Elbow

(Armlock)Pain in Elbow

(Armlock)

WindedWinded

Suspected Cracked

Rib

Suspected Cracked

Rib

Broken NailBroken Nail

Swollen, Bruised & Painful Ankle

Swollen, Bruised & Painful Ankle

Dislocated Toe

Dislocated Toe

Unconscious(Strangle)

Unconscious(Strangle)

Priorities of Treatment

Imagine you are faced with all of the above injuries at the same time.Who gets priority and why?

- Sort the above into order of priority, put the most serious at the top and the least serious at the bottom.

- You can group injuries of equal severity if needed - You need to be able to justify your answer.

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 * Stay calm but act swiftly. Ensure the ‘coach in charge’ is aware that an incident / accident has occurred

* The ‘coach in charge’ will observe the situation and make a determination on what action is needed.- The ‘coach in charge’ will decide if the class needs to be stopped.

 * The first aider should: (1)  Listen to what the injured person is saying. (2)  Ask others players who saw the incident / accident for their account of what happened. (3)  Use their first aid training to assess any injuries. (4)  Treat any minor injuries. (5)  Seek help for any serious injuries or those requiring specialist treatment - Call 999 if necessary.

 * If the emergency services are required the first aider should ensure they can provide the number of the telephone being used, the venue location, and details of the incident / suspected injuries.

 * Players with major injuries should not be moved and should be monitored and comforted until the emergency services arrive.

 * If the injured player is a child contact the parent/guardian. Senior players should be asked if they would like an emergency contact calling.

 * Complete an incident/accident report form, for any incident / accident where action was taken by a first aider.

Dealing with an Incident/Accident

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Injury Scenarios Scenario 2

The Scene:•A junior player aged 9 approaches you during the session complaining that they don’t feel well

Signs:•No visible signs•Player has been a little less active than usual in the session

 Symptoms:•Sore throat•Head Ache•Dizziness History:•Player has been a little less active than usual in the session•When asked about the symptoms, player advises they wake up with a sore throat and had a head ache when they arrived at the club•The player has been avoiding having drinks during the session as drinking hurts their throat.

Scenario 1

The Scene:•You have 10 players, aged 10 -15, orange belt and above.•The class is preparing for an up-coming competition, practicing their fighting skills.•Player A throws player B with drop seoi-nage and then holds player B down. The end of the fight is signalled and player A gets up. Player B continues to lay on the floor, when asked she advises that she cannot move her arm.

Signs:•Injured area is covered by kit and you cannot see anything significant•No obvious deformity of collar bone

Symptoms:•Player advises they cannot move their arm.•Pain, which increases when pressure applied or when player tries to move.

History:•No previous injury to this area of the body.•Player B’s shoulder impacted heavily with mat when player A performed drop seoi-nage.

Page 26: 3hr judo specific   basic first aid

Injury Scenarios continued Scenario 3 

The Scene:•Senior class is 20 minutes into a randori session. •Two Dan Grades have been fighting at a high level going for their attacks with full force.•Both players when to attack at the same time and clashed heads on entry.

Signs:•Player A - No visible signs•Player B - Bruise starting to emerge, egg shaped lump on side of head where impact occurred. Unstable on their feet

Symptoms:•Player A - Head hurts where the collision happened but this is to be expected.•Player B - Head Ache, Dizziness, Blurred vision, Feeling sick

History:•Prior to the clash of heads both players were in good shape.•Players clashed heads while fighting, impact involved significant force and speed.•Both players remanded on their feet holding their heads and looking rather stunned.•No loss of consciousness

Scenario 4 

The Scene:•Senior class is 30 minutes into a randori session. •Two players have stopped fighting and PLAYER A appears to be holding onto their wrist. They have a pained look on their face.

Signs:•Slight redness and swelling.•No deformity  Symptoms:•Pain which increases with movement•Can move fingers and rotate wrist, but not able to apply much pressure / weight

 History:•Players where fighting, PLAYER B came in with drop seoi-nage, PLAYER A attempted to get off technique by putting their hands down. The technique was stopped but PLAYER A hyper-extended their wrist as all their weight was placed on it.

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