Safety and First Aid Clinic January 27, 2013

Safety and First Aid ClinicJanuary 27, 2013 Danny Cosgrove, MD 818-383-7800

IntroductionsSafety BasicsCommon Injuries and First AidWhat to do In Case of a Medical EmergencyReview Forms to be submittedReview WLA LL Safety CodeAED TrainingField Maintenance

Safety Basics • Never assume the role of a physician. • Always remain calm and keep the injured player calm. • Never move a player who has a potentially serious injury (head, neck, back). • This includes sitting up. • Call parents and an ambulance if necessary. (9-1-1) • STOP playing the game when a serious injury occurs.

COMMON INJURIES AND IMMEDIATE FIRST-AID PROCEDURES • Abrasions and Lacerations • Contusions • Muscle Pulls and Strains • Sprains • Fractures • Injuries to Small Joints • Facial Injuries • Injuries to Teeth • Eye Injuries • Insect Bites and Stings • Heat Illness • Triage and Emergency

Safety Basics • PRICES – key concept in safety and first aid • P - Protection • R - Rest • I - Ice • C - Compression • E - Elevation • S - Support

SKIN WOUNDS (Abrasions and Lacerations) • Minor cuts • Stop the Bleeding • Apply direct pressure. • Clean and Protect • warm water and gentle soap. • antibiotic ointment. • sterile bandage. • Call 911 if: • A cut is bleeding severely, blood is spurting out, or bleeding can't be stopped after 10 minutes of firm and steady pressure. • See a health care provider if: • The cut is deep or over a joint • You cannot get the cut or laceration clean • The injury is a deep puncture wound or the person has not had a recent (within the last 5 to 10 years) tetanus shot or booster • The cut is from a human or animal bite • In general, a cut that needs stitches has to be repaired within 6 hours of the injury. The exception is cuts to the face and scalp, which generally can be repaired up to 24 hours after the injury.

Contusion • Occurs with direct blow and complaint of pain over the area • Associated with • Swelling • Discoloration • Possible breaks in skin • Treatment: P R I C E S • Special Life Threatening Considerations: • Direct low to the sternum – can cause cardiac contusion • Upper Abdomen under left ribcage – spleen injury

Muscle Pull or Strain • Overstretching muscles or tendons • Hamstring, back muscles, or inner thigh muscles (groin pull). • Shoulder Strain • Acute Treatment: • P R I C E S

Sprains • Injuries to ligaments • Often occur at the ankle, knees and wrist. • Symptoms include pain, swelling, loss of function, limited motion. • Often it is hard to distinguish sprain from strain, however acutely the treatment is the same. • P R I C E S

Fractures • History of: • Violent, twisting injury • Direct blow • “snap”, “pop” or “crack” • Severe pain and immediate disability Look for: • Obvious deformity, immediate swelling • Bone protruding through skin Treatment: • Do not attempt to straighten the limb • Do not move player until the injury is splinted • If open skin, apply sterile dressing and seek immediate medical attention • PRICES

Injuries to Hands and Fingers • Usually a direct blow, hit by ball, or stepped on. • If finger is obviously deformed or out of place, do not attempt to straighten • If no significant deformity – “Buddy-Tape” • Laceration – Go to ER for wound closure

Facial Injuries • Facial Injuries • Cheek and Nose • Range from simple abrasion to an extensive fracture of the nasal and cheekbones. • Can be associated with skull fractures, concussion, neck, throat and eye injuries • Apply PRICES where appropriate • Send to ER if injury looks severe

Nosebleeds • Stop the Bleeding • Sit up straight and lean forward slightly. Don't have the person lie down or tilt the head backward. • With thumb and index finger, firmly pinch the nose just below the bone up against the face. • Apply pressure for 5 minutes • If bleeding continues after 5 minutes, repeat the process. • See a health care provider immediately if: • Nosebleed doesn't stop after 10 minutes of home treatment. • Nosebleed happens after a severe head injury or a blow to the face. • The person should avoid strenuous activity; bending over; and blowing, rubbing or picking the nose until it heals.

TOOTH TRAUMA • If permanent teeth are knocked out, find the tooth and if dirty, rinse gently. No chemical cleansers. Use milk or cold running water. • Place the tooth into clean water or milk to transport it and take the child to a dentist or emergency department immediately. • Gaby Cosgrove DMD • 9735 Wilshire Blvd Beverly Hills, CA 90212 310-246-0444

EYE INJURY • Any injured eye should be seen by a doctor. • Do not touch or rub an injured eye. • Do NOT remove objects stuck into the eye. • Cover the injured eye with a paper cup until you can get medical help. • An eye injury may require a tetanus booster.

HEAT RELATED ILLNESS • Spectrum of heat illness: • Heat cramps • Severe, sometimes disabling, cramps that typically begin suddenly in the hands, calves, or feet • Heat Exhaustion • caused by water and/or salt depletion • Athletes will feel sick, weak, possibly have a headache and also vomiting. They should stop their activity, rest in cooler shade, and be given fluids, preferably salt containing sport drinks. Any athlete who is very lethargic and ill appearing, warm and/ or unable to drink liquids should have emergency medical care called. • Heat stroke. • Nausea, vomiting, dizziness, vertigo, confusion, delirium, loss of consciousness • If a person is experiencing symptoms of heat exhaustion or heat stroke, seek immediate medical attention.

BEE STINGS AND INSECT BITES • If one of your players is allergic to a bite or sting, it can pose a serious, even life threatening problem. • Itching, burning, and hives, along with swelling about the lips and tongue with • problems breathing, can indicate that a person is allergic. • Ice should be applied to the site of the bee sting • If allergic, time is critical. The athlete should be transported to the hospital immediately. • The stinger can be removed by carefully scraping • Parents need to inform coaches of allergies. Players with allergies need to bring kits (epi pen, etc) to all games and practices…and know how to use them!!!

Other Injuries • WIND KNOCKED OUT • Blow to the mid upper abdomen (solar plexus) causes the diaphragm muscle to spasm and therefore one can't breathe. Inhaling and exhaling is dependent on the diaphragm. The spasm lasts seconds. Calm child, can advise to try deep breathing. • HEAD INJURY without loss of consciousness – • No return to play that day if any symptoms (transient confusion, inattention, disorientation, amnesia, visual changes, vomiting, dizziness, delayed verbal and motor responses, slurred speech, incoordination, emotions out of proportion to circumstance). Follow up with their doctor by phone that day for further instructions and return to play recommendations. • NECK OR BACK INJURY – • If the pain is severe, and especially if there is numbness or tingling or weakness in the arms or legs, do not attempt to move or sit the player up. Keep the injured player calm. Send for an ambulance. If the pain is slight, can apply cold to the area.

In Case of a Medical Emergency • Give first aid and have someone call 911 immediately if an ambulance is necessary • 1411 S. SepulvedaLos Angeles, CA 90024 (Bad News Bear Fields on Sepulveda between Wilshire and Ohio) • Notify parents immediately if they are not on the scene. • Notify league Safety Officer by phone within 24 hours. (Danny Cosgrove 818-383-7800) • Manager/Coach must fill out a WLA Little League Injury Report form. Deliver the accident report to the Safety Officer within 24 hours. • Talk the team about the event and why the situation occurred and how it might have been prevented. • Talk with anyone else in WLA Little League (President, Vice-President, or your own division, etc.) • What should be reported? • An incident that causes any player, manager, coach, umpire, or volunteer to receive medical treatment and / or first aid must be reported to the Safety Officer. This includes even passive treatments such as evaluation and diagnosis as to the extent of an injury, application of an ice pack, or the need for extra periods of rest. • WLA Little League insurance is supplemental to parents’ own insurance policy. Claims must be filed with the League Safety Officer.

Little League Accident Insurance • Covers eligible participants while traveling directly, without delay, to and from the field as well as during practice sessions and games. • The benefits include provisions for accident, death or dismemberment and also for medical expenses. • Coverage also extends to volunteers involved in authorized activities.

Manager or Team administrator is responsible for making sure the form is filled out entirely and given to the safety officer. • Forms are found on our website and hard copies in the snack shack and scorer’s box above the Major’s field.

WEST LA LITTLE LEAGUE SAFETY CODE The WLA Little League Safety Code MUST be discussed with all managers, coaches, players and parents at the initial team meeting. • It is the responsibility of the team manager to ensure that players and coaches comply with Safety Code regulations

WEST LA LITTLE LEAGUE SAFETY CODE • Only league approved managers and/or coaches are allowed to practice teams. • Only league-approved mangers and/or coaches will supervise Batting Cages. • No games or practices will be held when weather or field conditions are poor. • Only players, managers, coaches and umpires are permitted on the playing field or in the dugout during games and practice sessions. • Equipment should be inspected regularly.

Batters must wear Little League approved protective helmets No stickers, paint or other alterations may be placed on or made to the helmets. • Head first slides are not permitted. • On-deck batters are not permitted. • All male players will wear athletic cups. • All catchers must wear chest protectors with neck collar, throat guard, shin guards and catcher’s helmet. Male catchers must wear the metal, fiber or plastic type cup and a long-model chest protector.

Shoes with metal spikes or cleats are not permitted. • Players will not wearduring practices or games. • No food or drink, at any time, in the dugouts. (Exception: bottled water, sunflower seeds, Gatorade and water from drinking fountains) • Catchers must wear a catcher’s mitt. • Catchers may not catch, whether warming up a pitcher, in practices, or in games, without wearing full catcher’s gear and an athletic cup as described above. • No alcohol or drugs allowed on the premises at any time. • No smoking is permitted at the field complex or grounds.

No swinging bats or throwing baseballs at any time within the walkways and common areas of the complex. • No pets are permitted on the fields at any time. • No bicycles, skateboards, scooters, etc. allowed in our complex.

Medical Releases were part of registration. They will be emailed to all managers. Coaches should have copies and bring to games. • Thank you for attending and volunteering your time and energy!!!! • Make sure you have signed in for today’s clinic.

Safety and First Aid Clinic January 27, 2013