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ESLL First Aid and Safety

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... of shoulder injury after pitchers reached 75 pitches/outing. ... Based on this data, a recommendation to limit the number of pitches per outing was made. ... – PowerPoint PPT presentation

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Title: ESLL First Aid and Safety


1
ESLL First Aid and Safety
  • March 2009

2
Outline
  • Why is safety important?
  • Injury Prevention, Treatment Reporting
  • Your Role
  • Review of Resources
  • Questions Answers

3
Why is Safety Important?
  • Little League Requirement
  • Safety Awareness Makes A Difference
  • Commitment of ESLL Board
  • Not just little adults
  • Public Trust

4
Little League Requirements
  • Active Safety Officer on file with HQ
  • Safety Manual
  • Emergency numbers
  • Fundamentals training for coaches managers
  • First aid clinic
  • Field inspections
  • Annual facility survey
  • Concession stand procedures
  • Inspection/replacement of equipment
  • Report and track injuries
  • Provide first aid kits
  • Enforce rules
  • Volunteer Application background check

5
Why is Safety Important?
  • Little League Requirement
  • Safety Awareness Makes A Difference
  • Commitment of ESLL Board
  • Not just little adults
  • Public Trust

6
2004 Little League Program
ASAP A Safety Awareness Program

7
Making it safer for the kids
The Mission To create awareness, through
education and information, of the opportunities
to provide a safer environment for kids and all
participants of Little League Baseball

8
Why Were Here
  • ASAP Makes a Difference
  • Fewer injuries to kids/all participants
  • Reduces severity of injuries
  • Participation grown 8/year (50 in 2003)
  • Reduces insurance costs
  • - 20 CAN Accident Credit
  • - State premium reductions
  • 1 state in 2001
  • 7 states in 2002
  • 50 states in 2003


9
ASAPs Impact
Injuries Turn-Around - Without ASAP, 5,695
people injured - With ASAP, 1,341 people
injured - 76 reduction per year under ASAP

Average of 11.5 injuries per District per year,
1991-1995 Average of 2.8 injuries per District
per year, 2002
10
Why is Safety Important?
  • Little League Requirement
  • Safety Awareness Makes A Difference
  • Commitment of ESLL Board
  • Not just little adults
  • Public Trust

11
ESLL Safety Statement
  • SAFETY MISSION STATEMENT
  • EAST SIDE LITTLE LEAGUE SHALL PROVIDE THE
    OPPORTUNITY FOR OUR COMMUNITYS CHILDREN TO LEARN
    THE GAMES OF BASEBALL AND SOFTBALL IN A SAFE AND
    FRIENDLY ENVIRONMENT.

12
Why is Safety Important?
  • Little League Requirement
  • Safety Awareness Makes A Difference
  • Commitment of ESLL Board
  • Not just little adults
  • Public Trust

13
Why is Safety Important?
  • Little League Requirement
  • Safety Awareness Makes A Difference
  • Commitment of ESLL Board
  • Not just little adults
  • Public Trust

14
Public Trust
  • Parents Expect It !!

15
Outline
  • Why is safety important?
  • Injury Prevention, Treatment Reporting
  • Your Role
  • Review of Resources
  • Questions Answers

16
Injury Prevention
  • Check fields and equipment (checklist)
  • Warm-up exercises
  • Heat and hydration (drink before thirsty)
  • Enforce pitching rules
  • Weather awareness

17
Fields and equipment (checklist)
  • Prior to each practice and game
  • Inspect grounds
  • Check equipment
  • Laminated card to be provided

18
Warm-up exercises



  • Stretching important to avoid injury
  • Laminated card to be provided

19
Heat and hydration
  • On hot summer days, protecting our players form
    a potentially deadly injury may depend on what we
    as managers and coaches dont do. It is vitally
    important that we as responsible and safety
    conscious adults know how to prevent and treat
    heat related illnesses (heat stroke and heat
    exhaustion) in our children.
  • To protect players from heat-related illnesses,
    it is the policy of ESLL to make sure that all
    managers and coaches are fully aware of the
    proper means of keeping their kids wet inside.
    During the yearly safety clinic, proper hydration
    techniques are stressed, and the ASAP sign,
    Drink Before You Are Thirsty is posted at all
    ESLL fields. Managers are also taught the
    following
  • Schedule drink breaks at least every 30 min.
    during hot, humid practice/game days.
  • Athletes should drink 10-16 ozs. of fluid during
    these breaks.
  • To make sure that the players know to drink 10-16
    ozs. of water about 15 minutes before practice.
  • Remind players to drink before they get thirsty.
  • Avoid carbonated drinks.
  • Sport-type drinks are absorbed into the body as
    rapidly as water and can provide energy to
    muscles that water cannot.

20
Heat and Hydration
  • It is also important for mangers to know and
    understand the differences between heat
    exhaustion and heat stroke. In heat exhaustion,
    the persons temperature ranges from normal to
    slightly elevated, while in heat stroke the
    bodys core temperature is at least 105 degrees.
    This is an extremely dangerous situation, leading
    to loss of consciousness, coma and death.
  • In heat exhaustion, the skin is cool and damp.
  • In heat stroke, the skin is hot, dry and red.

21
Heat and Hydration
  • How do we treat them?
  • First and foremost, get the player out of the
    sun!!!
  • If the player is suffering from heat exhaustion
  • Cool the player down as rapidly as possible.
  • Give them a diluted salt solution to drink (1
    part salt to 1 quart of water).
  • Notify the parents or guardian.
  • Dial 911.
  • If the player is suffering from heat stroke
  • Cool the player down as rapidly as possibly by
    wetting him/her down and fanning them or packing
    them in ice.
  • Dial 911 immediately.
  • Notify the parent or guardian.

22
Some Specific and Potentially Dangerous Injuries
  • Eye Injuries
  • According to the National Institutes of Health,
    no children who suffered eye injuries during
    baseball and softball games had any form of eye
    protection, leading to the conclusion that the
    vast majority of eye injuries were preventable.
  • How can we prevent these injuries?
  • By the simple use of a baseball helmet with a
    face guard for all age groups. This effectively
    protects not only the eyes, but also the nose,
    mouth and facial bones from hit or pitched balls.
  • ESLL has the position that all players use the
    available safety helmet with the attached wire
    shield.

23
Some Specific and Potentially Dangerous Injuries
  • Dental Injuries
  • The American Academy of Pediatric Dentistry has
    the position that Although nearly half of all
    sports related injuries occur in baseball, a
    mouth guard is not required. A child should wear
    a mouth guard when he or she is in an activity
    with a risk of falls or head contact with other
    players or equipment. This includes baseball.
  • Also, the American Dental Association has the
    position that mouth guards can help cushion
    blows that might otherwise cause broken teeth,
    injuries to the lips, tongue, face or jaw and may
    even help reduce the severity and incidence of
    concussions.
  • What Can We Do?
  • Stress to parents and guardians during the parent
    meetings on the importance of wearing mouth
    guards.
  • Ask the parents, Why will you spend 5,000 on
    braces, and not protect them with a 20 mouth
    guard?
  • Inform the parents of the two different forms of
    mouth guards, custom and form fitted. Form fitted
    mouth guards are simply placed in boiling water
    and bitten down on. Custom fitted mouth guards
    are fitted by the childs dentist, and therefore
    causes very little, if any, discomfort.
  • Realize that most children will refuse to wear
    these guards so all managers and coaches are
    given a copy of the handout Emergency Treatment
    of Dental Injuries to be placed in their
    scorebook or clipboard.

24
Injury TreatmentFirst Aid
  • Cellphones 911 EMS
  • P.R.I.C.E.S.
  • Dos and Donts
  • Ice and First Aid Kits
  • Acute and overuse injuries
  • Playing through pain not an option

25
P. R. I. C. E. S.
  • Protection
  • Rest
  • Ice
  • Compression
  • Elevation
  • Support

26
Dos and Donts
  • Do
  • Reassure and aid children who are injured,
    frightened or lost.
  • Provide, or assist in obtaining medical attention
    of those who require it.
  • Know your limitations
  • Carry your first-aid kit to all practices and
    games.
  • Assist those who require medical attention- and
    when administering aid, remember to
  • Look for signs of injury
  • Listen to the injured describe what happened and
    what hurts if conscious. Before questioning, you
    may have to calm and soothe an excited child, or
    parent !!!
  • Feel gently and carefully the injured area for
    signs of swelling, or grating of broken bones.
  • Have your players Medical Clearance Forms with
    you at all practices and games.
  • Make arrangements to have a cell phone available
    when your team is at a facility that doesnt have
    public phones.

27
Dos and Donts
  • Dont
  • Administer any medications.
  • Provide any food or beverage other than water.
  • Hesitate to provide aid when needed.
  • Be afraid to ask for help if not sure of the
    proper procedure.
  • Transport injured individuals except in extreme
    emergencies. (Use EMS)
  • Leave an unattended child at a practice or game.
  • Hesitate to report any present or potential
    safety hazard to the Safety Director, or any ESLL
    Board member immediately.

28
Ice and First Aid Kits
  • Must be on hand at all practices and games
  • Provided in each lock box
  • Provided in each team equipment bag
  • Replacements available

29
Overuse Injuries
  • Pitching
  • In an American Sports Medicine Institute study on
    the correlation of pitch count and arm injury in
    children 14 years and younger.
  • PRELIMINARY DATA DEMONSTRATES THE FOLLOWING
  • A significantly higher risk of elbow injury
    occurred after pitchers reached 50
    pitches/outing.
  • A significantly higher risk of shoulder injury
    after pitchers reached 75 pitches/outing.
  • More than 450 pitches/season led to cumulative
    injury to the shoulder and the elbow.
  • Mechanics did not lead to arm injuries.
  • Pitchers who limited their pitches to the
    fastball and changeup had the lowest rate of
    injury to the throwing arm.
  • Based on this data, a recommendation to limit the
    number of pitches per outing was made. For the
    age group 8-12 years of age, no more than 50 60
    pitches/outing, and for the 13 and 14 year olds,
    no more than 50-75 pitches /outing.
  • It is also important for the manager to stress
    ice for the pitcher after each outing. The arm
    muscles are swollen after throwing, and ice will
    control the pain and swelling.

30
Little League Rules
  • PITCHING RULES HERE

31
Inclement Weather
  • LIGHTENING AND STORMS
  • The average lightening strike is 5-6 miles long
    and travels from cloud to ground in less than a
    tenth of a second.
  • The average thunderstorm is 6-10 miles wide and
    travels at a rate of 25 miles per hour.
  • Once the leading edge of the thunderstorm
    approaches to within 10 miles, you are in
    immediate risk due to the possibility of
    lightening coming from the storms overhanging
    anvil cloud. This is the reason that many
    lightening deaths and injuries occur with clear
    skies overhead.
  • On average, the thunder from a storm can only be
    heard over a distance of 3-4 miles. By the time
    you hear the thunder, the storm may already be
    right over you!
  • The sudden cold wind associated with the approach
    of a thunderstorm is the result of downdrafts
    from the leading edge. By the time you feel the
    wind, the storm is less than 3 miles away.

32
Inclement Weather
  • If you can HEAR, SEE OR FEEL a thunderstorm,
    SUSPEND ALL GAMES AND PRACTICES IMMEDIATELY.
  • Walk to a car for shelter, and wait for a
    decision to continue with the game.
  • Dugouts DO NOT provide protection from lightening
    strikes.
  • One way of determining how close a lightening
    stroke is to you is by the flash bang method.
    With this method, a person counts the number of
    seconds between the sight of a lightening flash
    and the thunder that follows it. Play should be
    halted and evacuation called for when the count
    between the flash and the thunder is 15 seconds
    or less.
  • The ultimate truth about lightening is that it is
    unpredictable and cannot be prevented. Therefore,
    a manager, coach or umpire who feels threatened
    by an approaching storm should stop play and get
    the kids to safety regardless of whether the
    flash bang proximity measure applies.

33
Injury Reporting
  • Little League Standards Expectations
  • Medical Release
  • Injury Reporting
  • Doctors Release to Return

34
Injury Reporting
  • What to report- An incident that causes any
    player, coach, manger, umpire or volunteer to
    receive medical treatment and/or first-aid must
    be reported to the Director of Safety. This
    includes even passive treatments such as the
    evaluation and diagnosis of the extent of the
    injury or period of rest.
  • When to report- All such incidents described
    above must be reported to the Director of Safety
    within 48 hours of the incident. The Director of
    Safety for 2004 is Bill Best, who can be reached
    at
  • Phone 484-319-1196
  • Fax 610-918-1282
  • E-mail wabest_at_comcast.net
  • How to make the report- Reporting incidents can
    come in a variety of forms. Preferably the
    involved manager completes a had copy or
    electronic version of the report and forwards it
    to the Director of Safety. In some instances
    reports can be made through phone conversations.
    At minimum, the following information must be
    provided
  • The name and number of the individual involved.
  • The date, time and location of the incident.
  • As detailed a description of the incident as
    possible.
  • The name and phone number of the person reporting
    the incident.

35
Outline
  • Why is safety important?
  • Injury Prevention, Treatment Reporting
  • Your Role
  • Review of Resources
  • Questions Answers

36
Your Role In Summary
  • Obtain Medical Releases
  • Field Equipment Checklist
  • Warm-up Drills
  • Be aware
  • Follow pitching rules
  • Provide protective equipment
  • Render first aid
  • Report Injuries

37
Outline
  • Why is safety important?
  • Injury Prevention, Treatment Reporting
  • Your Role
  • Review of Resources
  • Questions Answers

38
Resources
  • ESLL Safety Manual
  • Safety Rule/Review Reminder (this slide deck)
  • Warm-up Demo Sheet
  • Pre-practice/pre-game checklist
  • Medical Release Forms
  • Injury Report Forms
  • Handouts for Parents

39
Questions Answers
??????
40
Remember
  • Play Ball !!
  • (Be Safe)
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