Parents Introduction to First Aid Procedures


. Each age group to have at least one designated first aider, (either holder of a current EFAW certificate or registered professional in an allied field e.g. nurse, paramedic, doctor etc.).
· First aid kits provided as per RFU guidelines, at least one per age group that has a designated first aider. 1 generic kit will be provided for the Minis to use until each age group has a designated first aider. A separate kit, held in the clubhouse, is available should it be required.
· Each kit bag to have laminated minimum stock list requirement. Additional items and maintenance of sufficient stock levels is at the discretion of the designated first aider.
· Specific protocols for reportable and all other injuries must be carried by the designated first aider.
· All first aid kit bags to have laminated copy of RFU Spinal Immobilisation Flow Chart for a Conscious Casualty.
· All first aid kit bags to have a laminated database of players names, parents names, telephone numbers, date of birth and any relevant medical history, allergies etc.
· "In-loco parentis" permission sought at registration of players at beginning of each season.
· Minis section: parent to always be present on touch-line, or, in cases where a parent cannot be present, that parent to have appointed another parent who knows the child, to act as guardian for the day. In doing so, the guardian must be made aware of any medical history or allergies.
· All first aiders to carry Mini/Junior Incident Report Forms and RFU Reportable Injury Forms, to record details of casualty, incident and treatment/advice given, allowing for 1 copy to be given to player/parent/EMS and other retained by club (First Aid Coordinator). This complies with HSE directive. Records to be kept by club for 10 years and if casualty is a child, until he/she reaches age of 21 years.
· All first aiders to have pre-printed sheets of post-concussion advice to hand to players/parents.
· All first aiders to be CRB checked.
· All first aiders to be registered on club database and responsible for keeping own qualifications up-to-date.
· No game or training session is to be commenced without first ensuring that a first aider is available, and that ambulance access is secured.
· Any injury that results in admission to hospital as an in-patient after the game/training has finished, and is game or training related is to be reported to the First Aid Coordinator.
· Any head or neck injury that prevents a player from playing or training for a period of 8 weeks or longer is to be reported to the First Aid Coordinator.
· Regular update training and supplementary training to be provided/sought for all first aiders.

Policy and procedures for the pitch-side treatment of injuries:

The club has given careful consideration to the risks that can cause rugby injuries and how they will be dealt with when they arise. This document sets out the policy and procedures to be followed by all of the ORRUFC coaching staff and medical support staff. Lead coaches have been provided with an electronic copy. ORRUFC is responsible for taking measures to reduce the risk of playing injury to both its playing members and the players from visiting sides.

Procedures for treatment of injuries in all Junior and Mini teams:

o In the event of a minor injury in mini/junior rugby, e.g. cut, graze, etc. a team physio/first aider will treat the injury using the club provided medical kit.
o An injury should only be reported to the Minis/Juniors First Aid Coordinator and a record of the event documented on a Mini/Junior incident report form, if the physio/first aider deems it significant, or at a parent/carer request.
o In the event of a more serious injury, the physio/first aider must assess the need for transfer to A&E in the most appropriate manner.
o If an ambulance is called, ambulance staff will assume responsibility for the injured player after a detailed handover from the physio/first aider.
o In the event that a player is despatched to hospital he/she must be accompanied by a responsible adult. If a parent or carer is not present they must be called immediately by the team coach, physio/first aider.

If an accident meets the RFU definition of "serious" then the Minis/Juniors First Aid Coordinator must complete the RFU serious injury return form. The Welfare Officer and Mini/Junior Chairman must be informed and the Serious Injury protocol followed. Definition of serious injury is detailed on the protocol.

For more minor injuries assessed on the pitch by the physio/first aider or coach, a reassessment must be carried out after the game has finished. If significant change has occurred then the protocol detailed above must be followed.

Reportable Injury Events

These are defined as:
· An injury which results in the player being admitted to a hospital (this does not include those that attend an accident and emergency department and are allowed home from there)
· Deaths which occur during a game or within six hours of a game finishing

Reportable Injury Event Protocol

In the event of a serious injury that fulfils the above criteria, the following protocol is to be followed:
1. Provide immediate first aid and arrange transport by ambulance to the hospital
2. A club or school representative must phone the Sports Injuries Administrator Helpline 0800 298 0102, as soon as the seriousness of the player's condition is confirmed and certainly within 48 hours of the game or training session in which the injury occurred.
3. Please have a pen and paper ready, along with details of the incident. Out of working hours there will be a recorded message that provides contact details of the Injured Player Welfare Officer (IPWO). You will be asked to email or fax an Injury Report Form (MS Word DOC 34kB)
4. The IPWO will then establish contact with the club and player or their family in order to confirm the injury, initiate the Pastoral Support Programme, and collect additional information about the injury 5. The club/school must notify their insurers. The RFU insurers are Marsh Sports Group (Claims), Tel: 0131 311 4254 , Fax: 0131 343 6667
6. Record witness statements. Where a potential insurance or personal injury claim may arise, clubs and schools are advised to retain on file witness statements. These statements must confine themselves to the facts and not include opinion or hearsay, or apportion or infer blame. They must be signed and dated by the person making them.

If you have any queries, you can also contact either the Sports Injuries Administrator or the Injured Player Welfare Officer:

Sports Injuries Administrator (SIA)
Community Rugby,
Rugby House,
Rugby Road,
Twickenham, TW1 1DS
Tel:0800 298 0102, Fax: 0208 8831 7684
Email: sportsinjuriesadmin@therfu.com

RFU Injured Player Welfare Officer
David Phillips,
16 Holborn Ave,
Leigh,
Lancashire, WN7 1TT
Tel: 07894 489 716
[Email: welfareofficer@therfu.com]

CONCUSSION - guidelines and advice

If the player has any of these symptoms, they should not return to play: · headache, feeling dazed or "in a fog" · balance problems, dizziness · hearing problems/ringing in ears · vision problems · nausea or vomiting · confusion · drowsiness · feeling slowed down, low energy · more emotional/irritable than usual · difficulty concentrating and/or remembering · "don't feel right"

· loss of consciousness or unresponsiveness (even temporarily) · seizure/convulsion (uncontrolled jerking of arms and legs) · balance problems, unsteadiness, clumsiness, slurred speech · appears dazed, stunned or confused · poor memory (of score, moves, opposition, events) · odd behaviour · significantly impaired playing ability

If concussion is suspected, ask these questions · Which ground are we at? · Which team are we playing today? · Which half is it? · Who are you marking? (if appropriate) · Which team scored last? · Which team did we play last week? · Did we win last week?

An incorrect answer should be considered abnormal and the player should not return to play. The return to play guidelines should then be followed. Following a suspected concussion, the player should be seen by a doctor.

Post-head injury and return to play guidance Following a head injury or concussion, further serious problems can arise over the first 24 hours. · the player should not be left alone and should be monitored regularly. · players must always consult their doctor following a suspected concussion. · symptoms may worsen with exertion. · a player who has been concussed MUST NOT play for a minimum of three weeks (unless over 19 and cleared to do so by an approved doctor competent in managing concussion. · AND should not return to play or training until symptom free. · AND should only return to play or training with medical clearance.

This applies to all club/school sides a player belongs to and it is his or her/parents responsibility to advise other clubs/schools of the concussion. When in doubt, sit them out"

CONCUSSION ADVICE

Drowsiness

After a knock to the head, It is then quite common for the person (especially children) to want to sleep for a short while. This is normal.
However, it will appear to be a normal ''peaceful" sleep, and they wake up after a nap. If they want to sleep, let them.
Drowsiness means they cannot be roused. If you have a concern, wake them up after an hour or so. They may be grumpy about being woken up, but that is reassuring. You can then let them go back off to sleep again. You can do this a few times during the night if there is particular concern.
When asleep, check to see that he or she appears to be breathing normally and is sleeping in a normal position.

Headache

It is normal after a knock to the head to have a mild headache. Sometimes there is also tenderness over bruising or mild swelling of the scalp. Some paracetamol will help (such as Calpol or Disprol for children). Do not take tablets containing aspirin.
It is a headache that becomes worse and worse which is of more concern.
DON'T HESITATE. IF IN DOUBT, CONSULT YOUR DOCTOR OR NHS DIRECT 0845 46 47

As a club policy we enact the following:

Concussion is a very serious condition and has quite specific symptoms. Any child who has concussion will automatically be rested from training and matches for three weeks. If your child gets a bang on the head during the week away from Rugby please let their team coach know. This is now club policy:
1. ONLY doctors can diagnose concussion and certify recovery.
2. This being the case coaches, referees and indeed parents will all err on the side of safety and treat ALL head injuries as possible concussion.
3. Any head injury, where the player is delayed from immediately rejoining play, or shows any perceived signs of concussion, will be considered to be possible concussion.
4. If in doubt, any head injury will be treated as concussion.
5. The welfare of the player is paramount; the match result, the wishes of the coach, the demands of the parent and even the pleas of the player being secondary.
6. Any player with possible concussion will be prevented from any further play and immediately referred to a doctor.
7. Young players who were diagnosed by a doctor as having been concussed may NOT take part in any training or game activity for a mandatory THREE week period.
8. After the mandatory three week period, the player may only return to rugby with a doctor's written certificate.
9. Returning players will be eased back into rugby starting with completely non-contact training, building up to full contact and matches only if the coach does not notice any change to the players normal training manner.
10. If injured away from club activities, please inform the club that an incident has taken place, otherwise if we become aware of an incident away from rugby we will stop a child playing unless we are possession of the full facts from a parent or recognised guardian. See 4 above.
11. If we have not been informed of any incident it will be assumed that any player attending training is fit enough to play.

Mini/Junior First Aid Bag Contents

RFU Guidelines for Standard First Aid Equipment Box:
o Guidance Card
o Assorted Adhesive Dressings (Plasters) x 20
o Sterile Eye pads (No. 16) x 2
o Medium Sterile Wound Dressings (No. 8) x 6
o Large Sterile Wound Dressings (No. 9) x 2
o Short Life Triangular Bandages x 4
o Disposable Gloves (Pair) x 3 (Non Latex)
o Antiseptic wipes x 6
o Emergency Foil Blanket x 1
o Disposable Resuscitation Aid x 1

You MUST have these items in your First Aid kit at ALL times.
Additional items you feel competent and confident using can be added at your own discretion.