• Approach and form a general impression of player’s condition.
• Note the mechanism of injury (what hurt the player).
• Check mental status (If unconscious call 911 and give short report of what happened)
• Check for ABC’s (Airway unobstructed, Breathing in and out, Circulation (pulse)
• Observe Skin color (pink) and feel temperature (warm/dry; cool/clammy, etc.) 

• Reassure and aid children who are injured, frightened or lost. 
• When giving First Aid: LOOK for signs of injury, LISTEN to injured describe what happened and what hurts, FEEL gently and carefully the injured area for signs of swelling or broken bones.
• Provide or assist in obtaining medical attention for those who require it.
• Know your limitations.

• Administer any medication.
• Provide any food or beverage (other than water).
• Hesitate to give First-Aid, when needed.
• Be afraid to ask for help, if you’re not sure of proper procedures.
• Transport injured individuals except in extreme emergencies.
• Leave an unattended child at a practice or game.
• Hesitate to report incident or any present or potential safety hazard to Safety Officer.

Seek Emergency Care if A Child Experiences Any of the Following:

• Child’s wheezing or coughing does not improve after taking medicine (15-20 minutes for most asthma medications).
• Child’s chest or neck is pulling in while struggling to breathe.
• Child has trouble walking or talking.
• Child stops playing and cannot start again.
• Child’s fingernails and/or lips turn blue or gray.
• Skin between child’s ribs sucks in when breathing.
• If you are at all uncertain of what to do in case of a breathing emergency...CALL  9-1-1 and the child’s parent.

• Always wear your rubber gloves when dealing with blood or any other bodily fluids on another person.
• Each score shack will contain a blood borne pathogen disinfectant spray bottle (Hypochlorite) that is used to kill all blood borne pathogens and disinfect the area and a bottle of water to generously flush the area. 

Pinch both nostrils together, leaning forward in a tripod position for 5 MINUTES. Place ice at the bridge of the nose. 

Wrap ice on joint loosely to prevent further injury. Elevate injured area and have parents seek medical treatment. Dislocations are corrected in a hospital setting only, never in the field.

Point tenderness and swelling. Wrap ice above and below injury site and elevate above the heart. Continue with ice for next 24 hours.

Clean the area with mild antiseptic and apply ice with wrap. If it is a bee sting with the stinger still in skin, scrape the area with the edge of a stiff object like a credit card to remove the stinger. WARNING! We live in an area with Black Widow and Brown Recluse Spiders that can deliver a life threatening bite. If there is significant swelling, a change in behavior or a decreased Level of Consciousness- Call 911.

Call 911. A reaction to something that the player is acutely allergic to that will cause a severe allergic reaction. Signs can be a flushed face and chest, trouble breathing and dizziness and can occur within seconds. The player or their parent(s) should carry an Epi-pen (epinephrine) with them at all times and will know how/when to use it. Keep a watch on this/these players at all times.

Control or stop external bleeding, apply direct pressure dressings on site and elevate. Do not remove dressings once applied- apply additional dressings if needed. Call 911.

These areas have a rich blood supply and will bleed a lot. If the trauma is to an eye or nearby area, do not put pressure on or manipulate the eye in any way. Cover both eyes with moist dressing (pour water on a 4x4 gauze) to minimize movement on the injured side. CALL 911. 

If teeth are broken, apply direct pressure with dressings to the injury, collect and place any found teeth in a container/plastic bag with the persons own saliva. Always ensure that the player can breathe and have parents seek medical care or CALL 911 for emergency transport.

Know your players physical medical conditions, allergies and any medications. Seizures usually only last a few minutes at most. Because most seizures involve a vigorous twitching of the muscles they use up a lot of the body’s oxygen and can affect circulation causing the person to turn blue. Keep all objects away from the person and do not touch them. Once the seizure has stopped, the players muscles will relax and breathing will become fast and deep which will balance the reduced oxygen and circulation. Know if you have a diabetic player and make sure to have a discussion with their parent(s) regarding their medication schedule and ensure that they are good to go for each practice and game.

Any suspected fracture (swelling, high level of pain, deformity and false motion) or visible fracture needs to be transported in a timely manner to a medical center with a pediatric orthopedic surgeon. Kids under the age of 16, growth plate fractures are most common and these injuries are especially common around the: wrist, elbow, knee and ankle, which require the attention of an orthopedic physician.

Shock is a condition, especially children, in which may vital functions are slowed down or seriously depressed (pour body perfusion) after any injury especially fractures or severe bleeding.

SYMPTOMS:  Weakness, pale, cold, clammy skin, rapid and or weak pulse, beads of perspiration on forehead/palms, nausea and irregular breathing.

TREATMENT:  Keep victim warm and lying down, elevate feet if no neck/spine injury is evident. Keep victim’s airway open. If vomiting occurs, turn victims head to the side for discharge. If conscious, not nauseated and able to swallow, give small sips of water.

HEAT CRAMPS
(Stage 1 of Heat Illness) occur in the legs and stomach after exercise in high temperatures. Cramps are usually very painful and kids may feel even sick and not know why their muscles are hurting. TREATMENT: Bring to cool area and hydrate.
 
HEAT EXHAUSTION
(Stage 2 of Heat Illness) - More serious than cramps. Cool, moist, clammy skin with dizziness and headaches. The skin may or may not be hot. TREATMENT: Lie the player(s) down in a cool, shaded place. Give small amounts of water every 30 minutes. Loosen/remove tight clothing and apply cool packs (ice packs wrapped in cloth) under arms and wrists. If player vomits, refuses water or has a decreased Level of Consciousness Call 911.
 
HEAT STROKE
(Stage 3 of Heat Illness) and the most serious- Call 911. It is life-threatening and ALWAYS requires emergency medical attention. Signs are: high body temperature/skin very hot. Vomiting, decreased Level of Consciousness or unconscious, weak pulse, and shallow breathing. TREATMENT (after calling 911): Move person to a cool place, wrap wet cold towels around the body and fan the person. Apply ice packs around ankles, wrists, armpits and neck to try and cool the larger blood vessels. Monitor their breathing at all times.

What to do if someone is struck by lightning: Lightening victims do not carry an electrical charge, are safe to handle, and need immediate medical attention. Call for help 9-1-1. Medical attention is needed quickly! Give First-Aid. If possible move the victim to a safer place. KNOW the WEATHER - Stay informed !!!

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