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3hr judo specific basic first aid
- 1. 3hr Judo Specific Basic First Aid Trainer: Gary Currier
- 2. Course Topics Theory 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
- 3. First Aid Immediate - but temporary care!
- 4. Aims of First Aid 1.PRESERVE LIFE (Look after yourself first then the casualty) 2.PREVENT FURTHER INJURY 3.PROMOTE RECOVERY
- 5. Unconscious Casualty Order of Action BREATHING • Danger • Response • Airway • Breathing • Body Check • Recovery Position • Call for help • Monitor NOT BREATHING • Danger • Response • Airway • Breathing • Call for help • Compressions
- 6. Assessing an Injury Signs What you See Hear Feel Smell Symptoms What the casualty can tell you about how they feel Level / Type of pain Dizziness Sickness History Background info obtained from casualty, others who saw incident occur What happened - Where / When / How / Who Medical history / prior injuries New or reoccurring injury
- 8. Resuscitation Adult 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
- 9. Common Judo Injuries 1. Bleeding 2. Broken collar bone 3. Concussion 4. Hyper-extension of elbow 5. Sprains / strains 6. Dislocations 7. Head injury 8. Eye injury 9. Mat burn 10. Broken nail 11. Stubbed toes 12. Broken nose
- 10. Rotator cuff injury First Aid RICE A/E Recovery time? Depending on severity 3 - 12 weeks
- 11. AC Joint separation (Acromioclavicular separation) Prevention Correct UKEMI Levels of severity 1. 1st and 2nd degree injuries: Spontaneous healing 2. 3rd degree injury: Surgical Recovery time? 1st degree: 6wks 2nd degree: 10-12wks 3rd degree: up to 6 months!
- 12. Elbow Displacement Prevention UKEMI Tap out! Check blood supply to hand 2. Joint-sac injury 3. Bone fracture with displacement Recovery time? Depends on severity of injury
- 13. Meniscus Tear Prevention Play golf instead! pain 2. RICE 3. A/E Recovery Time? 2-6 weeks AFTER surgery
- 14. Judo injuries in action! Judo injury example - dislocated right shoulder
- 15. Judo injuries in action! Judo injury example 2 (viewer discretion advised) - severe fracture
- 16. Judo injuries in action! Judo injury example 3 - severe elbow displacement/fracture
- 17. Judo injuries in action! Judo injury example 4 - severe elbow displacement/fracture
- 18. Wounds Type 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.
- 19. 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
- 20. 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.
- 21. 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.
- 22. 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
- 23. Not Breathing Not Breathing Unconscious (Head Injury) Unconscious (Head Injury) Nose BleedNose Bleed Pain 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.
- 24. * 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
- 25. 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.
- 26. 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.
Editor's Notes
- Begin session with H/S toilet, fire safety, phones switched off and etiquette amongst learners
- Question: What is first aid ( what is the purpose of a first aider)?
- Could present story of Hillsborough stadium
- Begin session here with primary survey…
- RICE - Rest Ice "COMFORT" - this because in the first instance you cannot always be sure it's not a fracture Elevation
- AC JOINT SEPARATION Occurs between the ACROMION PROCESS of the the shoulder blade and the CLAVICLE.
- The 'menisci' consist of a semilunar fibrocartilage, partly filling the space between the femoral and tibial articular surfaces. They stabilise the joint throughout its range of motion and contribute to the limitation of medial and lateral rotation as well as flexing and extension. They also serve as shock absorbers between the femur and tibia by increasing the contact area for weight bearing . Could be caused by impact and rotation in the knee joint possibly from TEI OTOSHI actions
- The order of action is DR ABC, however if you are dealing with multiple casualties or multiple injuries these are four priorities in first aid. ONE: Breathing Maintaining an airway and sustaining breathing is vital to life. If we stop breathing, soon enough our heart stops as we starve our bodies and brains of oxygen. Tilt back the head, freeing the tongue from its resting position against the back of the throat. Pinch the nose and provide Rescue breathes / CPR. TWO: Bleeding The next thing to attend to after breathing is established is to 'plug the leaks.' Applying pressure with clean cloth and bandaging at the sites of the casualty's bleeding is the first step. Amputated body parts need to be wrapped in clean cloth, put in a sealable (if possible) plastic bag and then placed in icy water to preserve and promote tissue health for later re-attachment. THREE: Burns Burns, like the previous two, can be life-threatening. Burns, of course, don't just affect the skin, and they're not simply caused by heat-the respiratory tract can be burned when inhaling hot gases and chemicals can cause deadly burns. Electricity also causes serious burns, burning the casualty on the inside. Burns are also caused by exposure to extreme cold. FOUR: Bones Not many people have ever died from a broken bone; that's why this incredibly painful condition is the fourth priority. But treating broken bones properly aids the casualty's comfort and may even prevent shock.