Showing posts with label CPR. Show all posts
Showing posts with label CPR. Show all posts

Wednesday, June 5, 2013

Are you Prepared for Your Summer Sports League?

School is ending in the coming week(s) and summer will be officially under way for many families.  With summer comes camps, vacations and travel teams.  With all this parents should be aware of how (and by whom) their children's health and safety is being managed.  Parents who have children who will be signing up for fall travel sports should also begin asking questions now about health and safety concerns. Asking questions early means that if changes need to be implemented there is time before the actual sporting season begins.  In an effort to help parents ask the right questions here are five questions every parent should ask before their children participates in organized sports.




This post defines what an EAP in and the major components is should include.  It also refers readers to a key resource regarding EAP development, the NATA Position Statement on emergency planning.  While there are several conditions that may require specific detailed EAPs, given the focus on concussions time is spent specifically on the topic.


This post takes a significant amount of time to make you familiar with what an athletic trainer is and the skills they have.  Much time is spent on the major educational requirements and the knowledge and skill areas athletic trainers are qualified in once they pass the national certification examination and begin practicing.  The post also introduces you to the major organizations associated with athletic trainers including the NATA, BOC and CAATE.  There are also a variety of position statements put out by the NATA on topics such as heat illness, emergency planning concussions, asthma and other topics that are relevant to youth athletes and are available for public review.


This post explains what CPR is and how you can become trained to utilize it in an emergency.  Links are provided to the three major organizations that provide courses around the topic of CPR (and AED) as well as providing information on the topic of hands-only CPR.  


This post takes the time to explain what an AED is, how it works and how to use it.  Many states also have public access laws in place which means when you're in the airport, at the mall, or at the public pool there may be an AED available for use in an emergency.  This post can help you understand where AEDs may already be available in your state and to help you get AEDs in your school or for your league if you don't have them already.


This posts lists/discusses key governing organizations for some of the most popular youth sports such as USA Football, AYSO and Little League Baseball among others.  It also discusses key equipment safety organizations such as NOCSAE and HECC and finally provided some resources for proper coaching technique around football tackling and managing baseball pitch counts in young players.



Submitted by Heather L. Clemons, MS, MBA, ATC

Wednesday, May 1, 2013

Protecting Yourself in the Summer: Lightning Safety


The summer is a great time for travel, the beach and other adventures (athletic or otherwise).  Many of these adventures are likely to be outdoors given the warm sun and the cool breezes that this time of year can bring.  Last week I reminded everyone to play it safe in the sun and to protect yourself from sunburn and skin cancer. (If you missed last week’s post, click here.)This week I’d like to talk about lightning safety.  Lightning-related deaths are consistently in the top 2 of storm-related deaths each year in the United States.  Over the last decade there have been an average of 42 deaths and an estimated 10 times as many injuries in the US annually.  It is very important to get yourself and those with you to safety in the event of a storm.  This blog post will outline some of the key things you should know to protect yourself in the event of lightning.

The recommendations I will be making today will be based on the National Athletic Trainers’ Association Position Statement:  Lightning Safety for Athletics and Recreation (2013).  There are other resources you can access to learn more about lightning safety available from the National Oceanic and Atmospheric Administration. The linked NATA Position Statement consolidates much of the important information you need to know whether you are an individual trying to get yourself to safety or you are enacting an Emergency Action Plan (EAP) at a large sporting venue.

KEY RECOMMENDATIONS:

  1. Formalize and implement a comprehensive lightning-safety policy or emergency action plan (EAP).
  2. Designate and locate primary choices for a safe location in the event of a lightning strike.
  3. Designate and locate secondary choices for a safe location in the event of lightning strike.
  4. Seek a safe structure or location at the first sign of lightning or thunder activity.
  5. Postpone or suspend activity if a thunderstorm appears imminent before or during an activity or contest regardless of whether lightning is seen or thunder is heard.
  6.  Suspended activities should only be resumed if 30 minutes have passed since the last sound of thunder or lightning flash.
  7. Avoid being in contact with, or in proximity to the highest point of an open field or on the open water.
  8. Avoid taking showers and using plumbing facilities and land-line telephones.  If a phone must be used in an emergency cell phones are safer.
  9. Assume the lightning safe position if you feel your hair stand on end or your skin tingle.  Do not lie flat on the ground.
  10. Know the appropriate first aid procedures for a lightning strike victim.

LIGHTNING STRIKE RISK:
The most important thing anyone can do is understand your risk for thunderstorms and lightning strikes.  That means knowing if you’re in an area where thunderstorms are common as well as having a dependable weather report resource available for decision-making.  This map is from the National Oceanic and Atmospheric Administration (NOAA) represents the lightning strike density based on data collected by the National Lightning Detection Network (NLDN).  To read the map, the more red the area the greater the lightning strike density, meaning those in Florida and other areas of the Southeast and Midwest are most at risk.



KNOW THE EMERGENCY ACTION PLAN:
For those of you who are not planning the athletic event it may not be your responsibility to develop a lightning safety specific EAP, but if you are I encourage you to be proactive and have a plan.  For those of you attending tournaments and events, make sure you know what the plan is.  It is especially important to know what the event will be using as primary and secondary safe locations and how long it will take you to get to those locations should a storm move into the area.  There may be times where a storm approaches suddenly and you have little time to get to safety, knowing where you need to go in advance will save you time and worry. 

GETTING TO SAFETY:
As soon as you see lightning or hear thunder you should get to a designated safe location and seek shelter.  Previous recommendations stated that once the flash-to-bang reached 30 seconds you should begin to seek shelter.  This recommendation has now become once the flash-to-bang reached 30 seconds you should ALREADY be in a safe location.  The flash to bang time is the number of seconds between the lightning flash and its associated thunder boom.  Five seconds of time is equal to one mile of distance to strike from where you’re standing.  A time of 30 seconds means the lightning is within 6 miles and can potentially strike where you’re standing next (it’s been shown to jump up to 6 miles from strike to strike).  Once it’s clear you need to leave, you need to know where to go.

PRIMARY SAFE LOCATION:  Any substantial building that has plumbing, electrical wiring and telephone service would make an ideal safe location.  It is likely that the lightning current is more likely to follow plumbing, electrical wiring and telephone wiring to the ground, aiding in grounding the structure.  However, given the conductive nature of plumbing and wiring congregating in locker-room shower areas, swimming pools or areas with a large number of electrical appliances should be avoided.

SECONDARY SAFE LOCATION:  The best example of a secondary safe location is an automobile.  The metal (not the rubber in the tires) in the car ground the car and make it a safe alternative for seeking shelter in a storm if something else is not available.  Be sure the windows are rolled up.  A convertible, golf cart, bleachers or a storage shed are not acceptable safe locations.

If you are caught outside and you don’t have an option to seek shelter the most important thing is DO NOT seek shelter underneath a tree or other tall objects in the area.  Lightning is attracted to the tallest objects and highest points in an area and so these should be avoided.  Your goal should be to assume the lightning safe position in the largest, lowest open area you can find (especially if your hair has started to stand up and you feel your skin tingling).  Doing this minimizes your contact with the ground and makes you as small as possible.  DO NOT lie flat on the ground.


SUSPENDING ACTIVITIES:
The Emergency Action Plan should clearly delineate the decision-making process for postponing or suspending events and activities.  It’s important that decisions about events be made if a storm appears to be imminent based on available data, not once the storm has begun.  Once an event has been suspended it should not be resumed until the lightning and thunder has stopped for at least 30 minutes.  If you’re interested in decision-making for large athletic venues review that section of the position statement, since it’s beyond the scope of this blog post.

FIRST AID FOR STRIKE VICTIMS:
Individuals can be injured by the lightning strike itself, as well as by the secondary results of the strike such as fire, falling objects or the strike shockwaves.  If you are in a position to help, the victim should be moved to a safe location, but do not compromise your own safety to help.  Once to safety, it’s likely you will need to begin CPR and rescue breathing.  If an AED is available it should be used as soon as possible.  Remember, victims do not carry an electrical charge after they have been struck, you can safely tough them without being injured yourself.  Additional information about caring for lightning victims and the long-term effects of injury are available in the NATA Position Statement.

FINAL THOUGHTS:
As an athletic trainer for the last 15 years I have had plenty of situations where thunderstorms and lightning have impacted athletic events I have covered.  Sometimes these events were postponed and resumed, sometimes they were cancelled.  Reflecting on my personal experiences with lightning safety if I could give parents and athletes any advice on how to handle such situations, it would be to please listen to those in charge and do what they ask.  As appropriate move to the designated safe location and wait for further instructions, even if you don’t see lightning or hear thunder.  They have your best interest in mind (as well as access to weather forecasting and other information you may not).  Also, I know that your first instinct may be to run under the bleachers or the nearest tree to take shelter from the rain, but this actually puts you at further risk for being struck by lightning.  In the end, know the lightning safety plan for where you are and listen to the decision-maker in case of an impending storm and stay safe!

‘‘NO Place Outside Is Safe When Thunderstorms Are In
The Area!’’

‘‘When Thunder Roars, Go Indoors!’’



Submitted by Heather L. Clemons, MS, MBA, ATC

Tuesday, April 16, 2013

Trevor Brown, Athletes Saving Athletes Graduate, Saves a Life


WHAT YOU KNOW MAY SAVE SOMEONE YOU KNOW!
(or in this case someone you may not)

On April 10, 2013 Trevor Brown used skills he learned as part of the ASA program to save a life.  A PRESS RELEASE in the Del Mar Times highlights his actions.  Beth Mallon and those associated with A4IA are very proud of Trevor and his willingness to help. Moments like this are the reason so many of us are involved with A4IA and the ASA program.

To learn more about Advocates for Injured Athletes, click HERE.

To learn more about Athletes Saving Athletes, click HERE.

Submitted by Heather L. Clemons, MS, MBA, ATC

Wednesday, April 10, 2013

FREE Teen Cardiac Screening at Orange Glen High School


Sudden Cardiac Arrest (SCA) is not a heart attack.  SCA results from an abnormality in the heart’s electrical system that causes the heart to stop abruptly.  It is fatal in 92% of cases if not treated properly within minutes with the use of Automated External Defibrillator (AED) and CPR.  Often times, SCA occurs suddenly without warning and results in the death of about 7,000 kids annually in the United States.  SCA is the number two cause of death in people under the age of 25 with athletes being more susceptible than non-athletes because SCA is 60% more likely to occur during exercise.

In some cases, there are warning signs of SCA, including unexplained fainting (particularly during or after exercise), lightheadedness, chest pain, shortness of breath, heart palpitations, and a family history of SCA or unexplained sudden death under the age of 50.  The best defense against SCA is to prevent it before it happens.  The best way to prevent SCA is to be screened using an electrocardiogram (EKG) that can detect many of the heart abnormalities that can lead to SCA.  Often times, screenings are not completed on teens because parents believe it won’t happen to their children, there is no family history or the family pediatrician did not recommend screening.  Thanks to the work of the Eric Paredes Save a Life Foundation teens in the San Diego area have the opportunity to be screened for free for potential catastrophic heart abnormalities.

On April 21, 2013 from 9a – 3p volunteers for the Eric Paredes Save a Life Foundation will be providing free cardiac screenings for teens at Orange Glen High School. Screenings consist of a health history questionnaire, an EKG and if indicated, an echocardiogram. Remember, this type of screening is not part of your child’s annual pre-participation physical or annual well screening.  Additionally, if you sought to complete these tests on your own the potential cost could range from $90 - $1500.  If you’re interested in more information regarding the screening or to register for the event click HERE.  If the date and time of the Orange Glen event doesn’t work you can check the schedule other upcoming events.  Important things to remember about the screening:

  1. You must register in advance for the event online at EPSaveALife.org
  2. You must download and complete the health packet and parent consent form.  This packet must be signed and brought to the screening by the teen in order to be screened. If you do not have the packet, you will not be screened.
  3. The EKG and echocardiogram do not hurt and are non-invasive techniques.  There are no needles.
  4. Every teen will complete an EKG.  An Echocardiogram will only be done as indicated.  The entire process takes no more than 30 minutes.
  5. Your results will be reviewed by the foundation’s medical director and will be mailed to you (and your parents) within a few weeks of the screening.  The results will clearly indicate what sort of follow up (if any) is necessary with your family physician.


The Eric Paredes Save a Life Foundation has made it their mission to prevent the tragic loss of teens to SCA through these free screenings.  Ultimately, the goal is to make cardiac screenings part of the standard physical exams for youth and equipping schools and other public venues with AEDs and staff trained in the use of AEDs/CPR.  Rhina and Hector Paredes formed the foundation in 2010 to honor the life of their 15-year-old son, Eric, who died suddenly due to an undetected heart condition.  Since its inception, Eric’s Foundation has screened nearly 7,000 teens in San Diego County, detecting a heart abnormality in 164 of them.  It will continue to screen teens until more standardized testing is in place.




“SCA is not a heart attack.  It’s an abnormality in the heart’s electrical system that may be detected with a simple EKG, but these screenings are not part of our kids’ regular checkups.  It only takes a few minutes to prevent a tragedy that can be a heartbeat away, so we are dedicated to doing all we can to make these screenings and cardiac equipment accessible to teens and their families.”
                                                                                    -Hector & Rhina Paredes

Submitted by Heather L. Clemons, MS, MBA, ATC