FIRST AID ARRANGEMENTS AND EMERGENCY PROCEDURES
Not every injury can be prevented especially in a contact sport such as rugby, so it is essential that in the event of an injury, adequate first aid procedures/ first aider’s are in place. This will dramatically increase the chance of a full recovery for the individual involved.
The safety of all players is of paramount importance and BRFC will ensure that, whenever a game or training occurs appropriate first aid cover and equipment will be provided. There is always access to a telephone in the clubhouse so emergency assistance can be summoned immediately, and there is designated vehicular access for responding emergency vehicles through the main club car park or via the Pack Lane entrance to the Hockey Club.
Information has been provided to South Central Ambulance to ensure attending vehicles are directed to the correct entrance, and these are;
•Top Pitches - say “Hockey Club entrance”, car park off Pack Lane.
•Bottom Pitches - say “Rugby Club entrance”, car park off Coniston Road.
The South Central Ambulance operator should ask for this information at the time of the 999 call, if they do not please make sure that the caller provides the correct information.
Everybody involved in rugby at Basingstoke Rugby Club has a responsible attitude towards the prevention and management of any injury.
The safety of the individual ALWAYS takes priority over the game of rugby.
Assess the player on the field of play using the TOTAPS system:
|Talk - What happened? Where does it hurt?|
|Observe - Look at the injured area. Is it different from the other side (swollen, a different colour, etc)?|
|Touch - Feel for swelling, tenderness and pain.|
|Active movement - Ask the player to move the injured part without assistance.|
|Passive movement - If the player moves the injured part actively, then carefully move it through a full range of movement.|
|Skill test - If the active and passive movements did not produce pain ask the player to stand and, if lower limbs are affected, see if player can weight-bear and if he/she can walk. If unable to do so, the player may be assisted from the field, otherwise the player should be carefully accompanied from the field for a full assessment or, if the injury is only slight, the player can be allowed to resume playing.|
NEVER remove an injured player from the pitch to enable the game to continue.
NEVER lift or carry an injured player from the pitch if the player cannot move him or herself.
ALWAYS stop the game a serious injury is suspected.
Acute / Severe Injuries
In the event of a suspected acute or catastrophic injury, it is important that everyone - players, coaches, referees and administrators - knows what to do. This should be documented in the emergency plan as follows:
1. Call for help.
2. Call for an ambulance:
Act promptly and call immediately for professional medical help, including the defibrillator personnel on duty that day if needed – in the event of a suspected spinal or other serious injury, DO NOT MOVE THE PLAYER. Wait until a properly qualified person is able to supervise the procedure.
3. Speak to the player.
4. Check airway - remove mouth guard.
5. Check breathing.
6. Check circulation.
7. Do not move the player.
8. Stay with the player and continue communication.
9. Keep player warm until professional help arrives.
The club has a defibrillator, which is situated outside the main office. There are now a number of first aiders who are trained to use the defibrillator. These first aiders will ‘sign in’ on the whiteboard outside the club office during the times that they are on duty as a First Aiders at the club. Please make a note of their contact details before you start each session.
In the event that a cardiac arrest is suspected, one of the trained first aiders must be contacted immediately to decide if the defibrillator equipment needs to be deployed. The assistance of the attending First Aider may be required during this process.
The following person MUST ALWAYS be called when the defibrillator is deployed:
Sarah Whatmore (First Aid Coordinator) – 07778 934468
A Player who has suffered a confirmed concussion will not play or undertake contact training for a minimum of 2 weeks following cessation of symptoms. Children must have returned to school or full studies before recommencing exercise and must have been declared fit after proper medical examination. Such declaration must be recorded in a written form by the person who carried out the medical examination of the player. In age grade Rugby, our club will follow the 2 week minimum period as mandatory and the Graduated Return to Play.
Please refer to IRB Concussion Guidelines and RFU Headcase Guidelines and protocols
The following guidance may be of assistance in recognising concussion. It must be acknowledged however, that each incident must be assessed on its individual merits and characteristics. It should be noted that the symptoms of concussion can present at any time but typically become evident in the first 24-48 hours following a head injury. They may include the following:
• loss of consciousness
• loss of memory, confusion and disorientation
• double or blurred vision
• giddiness or unsteadiness
• vomiting and headache
All first aid kits should have updated Headcase cards to provide the parents of any player who has a suspected concussion.
Basingstoke RFC requires all players who are following the Graduated Return to Play procedures to complete the players' online concussion training.
ALL Basingstoke RFC PLAYERS are encouraged to take the 20 minute online course for players http://www.englandrugbyfiles.com/concussion/courses/players/which will explain what concussion is, how it happens and what you can do as a player to avoid injury or return safely to playing following a concussion.
ALL Basingstoke RFC PARENTS are also encouraged take the bespoke online course for Teachers, Parent & Guardians http://www.englandrugby.com/medical/concussion-awareness/teachers/ which is focussed on youth players and how you can support them to prevent and manage concussion safely.
There is also a page for Health Care Professionals http://www.englandrugby.com/my-rugby/players/player-health/concussion-headcase/healthcare-professionals/ and a course for Match Officials and professionals http://www.englandrugbyfiles.com/concussion/courses/match-officials/ When you complete the course, you will be able to print off a certificate and submit your details to have the achievement added to your RFU learning record. (Please use your GMS Login to enable this to happen)
If you have issues with certificates not printing, or coming up blank, please do take a screen shot of the "Congratulations" screen at the end of the quiz to show as proof of completion if required by your club, college or school; and email details of which browser and device you were using to RugbySafe@rfu.com so we can investigate any issues.
ALL Basingstoke players who have suffered a suspected or confirmed concussion will follow the RFU Graduated Return to Play with their own individual record which is managed by the Team Manager and an appointed first aider.
A copy of this record will also be retained by the Safeguarding Officer.
Each player's concussion will also be reported to Hampshire RFU so that schools can be informed of the need to monitor their graduated return to play. This partnership working is key to the successful safeguarding of our players.
Further information regarding Hampshire RFU's First Aid management can be found here.
- Hampshire's Headcase Guidance can be found here
- Full information for players and parents from the RFU can be found here.
Youth Concussion Club reporting form 2019-20 - Download
Adult Concussion Club reporting form 2019-20 - Download
HRFU Adult concussion flowchart 2018 - Download
HRFU Youth concussion flowchart 2018 - Download
HRFU Youth GRTP checklist 2019-20 - Download
Recognise, Remove, Recover, Return - Download
Headcase information for players and parents - Download
If a player shows any signs of concussion he/she must not be allowed to continue playing or to return to the game. The player must be evaluated by a medical practitioner.
Soft Tissue Injuries
Sprains, strains and bruising should be treated using the method known as PRICED:
|Protect - Once an injury has occurred, it is of vital importance that the injured area and the player are protected from further injury. Failure to do so risks worsening the problem and delaying healing. • Abrasions / lacerations should be covered. • The injured joint should be supported by taping or bracing. • Weight-bearing should be avoided.|
|Rest - Adequate rest to enable tissue healing and repair is vital for any injury. Remember - if it hurts, it is probably not good for the injury.|
|Ice - Application of ice to an injury helps prevent bleeding and further swelling. Regular use of ice is helpful in shortening recovery time and decreasing pain in the interim. Apply ice to the injury for 15 minutes every hour. Whatever the regimen, protection of the skin with petroleum jelly or oil avoids unnecessary thermal injury.|
|Compression - Compression of a haematoma prevents swelling and shortens recovery time. Compression of soft tissue injury limits swelling.|
|Elevation - Elevation of the affected area decreases swelling and pain.|
|Diagnosis - Early diagnosis and correct management is the fastest route to recovery.|
Once the injury has been diagnosed, avoid any element of HARM for 72 hours.
|Heat - Can increase bleeding and swelling and worsen pain and stiffness.|
|Alcohol - Can increase bleeding and swelling as well as masking pain and the severity of the injury.|
|Running - Rest is essential.|
|Massage - Best avoided as it can increase bleeding and swelling, thereby delaying recovery.|
When treating any player, gloves should be worn to protect the player and the first-aider from possible transmission of blood borne diseases such as HIV and hepatitis. Blood must not be transferred from one player to another and as such ALL blood injuries must be treated and covered before a player can return to the game. Any items that have been contaminated by blood must be sealed in a plastic bag and safely discarded.
Major bleeding must be treated as soon as possible to reduce the flow of blood, as this may be enough to preserve a life. Apply direct pressure to a wound first and only apply indirect pressure if this is not possible. Arrange urgent transport to a hospital or doctor’s surgery.
All injuries incurred during rugby should be recorded by the age group first aider and serious injuries requiring medical attention/follow-up must be reported to the First Aid Co-Ordinator and Club Safeguarding Officer.
Injuries must be reported to the First Aid Co-Ordinator and Club Safeguarding Officer whenever:
• An ambulance is called
• A neck/ back injury or other serious injury is suspected but an ambulance has been refused
• A concussion is suspected
• ANY head/other injury resulting in loss of consciousness of a player occurs
• A first aider suggests seeking further medical advice and this is declined by parents/carers
Injury/Incident Reporting forms can be obtained either from the club office or directly from the First Aid Co-Ordinator.
Each first aid kit may typically include:
- scissors (blunt ended/Tuff cut)
- elastic adhesive bandages
- surgical gloves
- adhesive skin closures,
- plasters (hypoallergenic)
- adhesive tape/micropore
- sterile gauze swabs
- compression/conforming bandages
- irrigation solution (sterile eye/wound wash)
- eye pads
- triangular bandages
- sterile wound dressings (various sizes)
- ice packs/Cold spray
- water bottle
- foil blankets
- PLEASE REMEMBER THAT MEDICINES/TABLETS SHOULD NOT BE STORED IN A FIRST AID KIT BECAUSE FIRST AIDERS ARE NOT TRAINED TO ADMINISTER THEM.
FIRST AID KITS SHOULD CONFIRM TO BRITISH STANDARD BS-8599.
A copy of the First Aid Incident form can be found here - Download
The information contained in this site has be taken from the RFU website and is intended for educational purposes only. It is not meant to be a substitute for appropriate medical advice or care. If you believe that you or someone under your care has sustained a concussion we strongly recommend that you contact a qualified health care professional for appropriate diagnosis and treatment. The authors have made responsible efforts to include accurate and timely information. However they make no representations or warranties regarding the accuracy of the information contained and specifically disclaim any liability in connection with the content on this site.