First Aid

for Coaches and Managers

2019 Season

Allen Alston, League Safety Officer

(206) 327-2311

alston12@Comcast.net

GOALS OF THIS CLASS

• Review safety protocols

• Review the league’s accident reporting procedures

• Provide concussion response and return to play protocols

• Provide the basic first aid techniques to aid your players

in the event an injury.

• Provide basic first aid training

Collision and probably

an obstruction call by the Ump

POTENTIAL INJURIES

What a stride

A clean tag

Possible groin injury

Great swing

Good coaching

Collision

Another possible obstruction call

Face scrap, possible back strain

and/or tooth injury

Contusion

Bean ball, possible concussion

Big Ump, small Catcher

Let’s home that Ump had his cup on

Better Ump to

Catcher size ratio

No injury on this leap that resulted in a game winning

catch in an All-Stars Playoff game* Landing could

have resulted in twisted ankle* My Son

SAFETY RULES

• Are found in the SLL Safety Plan

• Are designed to protect the players and coaches

• Every Coach should know and enforce them

LEGAL PROTECTION

• Good Samaritan Law RCW 4.24.300 -Provides protection from liability for lay person first aid.

• The league also maintains liability insurance that covers

its volunteers.

SPORT INJURIES

• Ball to face

• Ball to other body parts

• Bruises/contusions

• Sprains and Strains

• Broken bones

• Bleeding (in and out)

• Knocked out teeth

• Concussions

SOME IMPORTANT PRINCIPLES WHILE COACHING

• First - DO-NO-HARM

• The short person under your care is a kid• Do not treat them as professional athletes

• Having fun is the primary priority

• Kids get injured

• Most injuries are minor and can be treated with simple measures

• As a rule the LOUDER a kid cries the less injury they sustained

• The QUIET ones are the one that should worry you

• It will be highly UNLIKELY that you will encounter a life threatening injury

KNOCKED OUT TOOTH

DO NOT WASH IT OFF

THIS GREATLY REDUCES THE CHANCES THAT IT CAN BE

REPLANTED

KNOCKED OUT TOOTH

• If it is covered in dirt have the player spit into a cup and place

the tooth in the cup. Even if it is bloody spit.

• If the tooth is not covered with dirt have the player put it under

their tongue.

• Get them to a dentist ASAP.

• Do Not Wait for an appointment keep calling until you find a

dentist.

ABC OF CPR IS NOW CABCIRCULATION AIRWAY BREATHING

• The order of response changed

• Chest compressions now come before rescue breathing

• 30 compressions followed by 2 breaths

• Compressions at a rate of 100 per minute.

• Deep and fast. 2-inches for an adult. 1/3 the depth of the rib

cage for a child

FIRST AID CONSIDERATIONS

• Do not move a victim,

unless their safety is at risk

• Beware of blood and bodily fluids

• Cleanup and disinfect all surfaces

and tools after a bloody incident

BLOODBORNE PATHOGENS

• Must enter the bloodstream directly

• Not transmitted by casual contact

• Cause a variety of diseases:

> Malaria

> Syphilis

> Hepatitis B, C

> AIDS

Assume that everyone’s blood is

potentially contaminated. Take

steps to prevent contamination.

PRACTICE UNIVERSAL PRECAUTIONS

• Minimize Contact - with potentially

contaminated substances

• Block Exposure – wear protective

barriers

• Clean and Disinfect – spilled blood or

bodily fluids

• Practice good personal hygiene

CONTROL PRACTICES

IN FIRST AID SITUATIONS

• Wear nitrile gloves

• Use a CPR valve if giving

mouth to mouth resuscitation

• Prevent exposure to blood

and bodily fluids

EXPOSURE DURING FIRST AID

• If you come in contact with blood or bodily

fluids wash vigorously with soap and water

• Apply antibiotic and sterile dressing to

any wounds

• If you get blood in your eyes flush with water

• Wash and disinfect the wound

• Apply antibiotic cream

• Bandage and keep the wound dry

WOUND MANAGEMENT

• Watch the wound carefully

• See your doctor immediately if the wound isn't healing or you notice

any redness, increasing pain, drainage, warmth or swelling

MONITOR THE WOUND

FOR SPRAINS, STRAINS, CONTUSIONSREST ICE COMPRESSION ELEVATION

PITCH COUNTS COUNT

If in Doubt Call 911

HEART ATTACK RESPONSE

• If the victim has collapsed and is not

breathing

• Call Main Control to activate a 911

response

• Main Control should dispatch all the

plant AEDs

BEGIN CPR

• Start with 30 deep compressions

• Then give 2 breaths

• Then back to compressions

• Compress deep and fast at

the rate of 100 per minute

FIRST AID CONSIDERATIONS

• Do not move a victim,

unless their safety is at risk.

• Beware of blood and bodily fluids.

• Cleanup and disinfect all surfaces and tools

after a bloody incident.

• Bloodborne Pathogen cleanup kits

are located at each AED station.

ACCESS EMS SYSTEM911 – KNOW YOUR LOCATION

• Call 911 for the following

• Cardiac or respiratory arrest

• Difficulty in breathing

• Uncontrolled bleeding

• Fractures that stick through the skin

• Unconsciousness

• Seizures

• Allergic Reaction

• Things poking out of - or into them

REPORTING THE INCIDENT

• Liability Issues.

• Do the right thing

• State provides qualified immunity

• Provide written documentation to league as per league protocol.

• Incident Reporting Form

• Name

• Incident

• Treatment

• Disposition

PLAY OR NOT PLAY

• This is a decision that you should make after evaluation of

the child’s injury.

• The safe course is to have them sit out for a period of time.

• DO NOT be influenced by parental desire for “Johnny or

Janie” to gut it out – “no blood no foul” is not the rule of

the day

PREVENT INJURY

• Movement Prep

• Avoid overuse

• Proper Mechanics

• Obey Pitch Counts

WHAT IS A CONCUSSION

A concussion is a type of traumatic brain injury caused by a

bump, blow, or jolt to the head or by a hit to the body that cause

the head and brain to move quickly back and forth. This

movement causes the brain to bounce around and twist inside

the skull. This creates chemical changes in the brain and

sometimes the stretching and damaging of brain cells.

CONCUSSION SYMPTOMS OBSERVED BY COACHES OR PARENTS

• Appears dazed or stunned

• Vacant facial expression

• Moves clumsily or displays lack of coordination

• Slurred speech

• Answers questions slowly

CDC Heads UP Concussion information sheets are in

the team Safety Plan Folder and are posted on the

SLL website.

CONCUSSION SYMPTOMS OBSERVED BY COACHES OR PARENTS

• Shows behavior or personality changes

• Can’t recall events before or after the hit

• Seizures or convulsions

• Loses consciousness (even briefly)

Seizures, Convulsions or Loss of Consciousness

are a 911 Event

LATE SYMPTOMS OF CONCUSSION MAY INCLUDE ONE OR MORE OF THE

FOLLOWING:

• ** Unconsciousness

• ** Nausea or vomiting

• Balance problems or dizziness

• Blurred, double, or fuzzy vision

• Pressure in head

• Neck pain Sensitivity to light or noise

• Feeling sluggish or slowed down

• Feeling foggy or groggy

• Drowsiness

• Repeating the same question/comment

• Change in sleep patterns

• Amnesia

• “Don’t feel right”

• Fatigue or low energy

• Sadness

• Nervousness or anxiety

• Irritability

• More emotional

• Confusion

• Concentration or memory problems

(forgetting game plays)

BE AWARE SOME PLAYERS MAY NOT REPORT SYMPTOMS

• Fear of looking weak

• Letting their teammates down

• Not being able to play

IMMEDIATE RESPONSE

• Remove from play

• Observe the player’s behavior

• Notify parents and provide them with the CDC Heads Up

information sheet.

• Recommend that the player be evaluated by a

qualified Health Care provider.

• Inform them that the player cannot return until they provide

a Physician's Medical Release (in SLL Safety Plan packet and

on the SLL website.

Seizures, Convulsions or Loss of Consciousness

are a 911 Event

INJURY TRACKINGREPORT

• Complete a Incident/Injury

Tracking Report

(available online)

• Email to Allen Alston,

Safety Officer

INSERT MEDICAL RELEASE FORM

OVERUSE

• Rotate playing other positions besides pitcher

• Concentrate on age-appropriate pitching

• Communicate regularly about how your arm is feeling and if

there is pain

• Develop skills that are age appropriate

• Emphasize control, accuracy, and good mechanics

HOW DO YOU KNOW THERE’S A PROBLEM???

• Elbow height

• Pitch location

• Time between pitches

• Body language

• Learn your kids and pay attention, teach good mechanics

4545

PITCH COUNTS – FOLLOW IT!

Once the pitcher reaches his fatigue point the risk of injury goes up

with each additional pitch. Think of all the factors that will change

this number from game to game.

Also follow the rules of rest after pitch counts and use of player as

pitcher and catcher during the same game.

THANK YOU FOR ALL THAT YOU DO

Coaching is fun

Keep your players safe

Review of CPR and First Aid Kits