Expanded Senior Slo-Pitch Association Emergency Procedures

Emergency Procedures

• The automated external defibrillator (AED) is in a yellow bag hanging in one of the equipment bunkers. This bunker should be open during all games so the AED is visible.

• If you see someone go down, be ready to provide assistance. A quick response is required in cases of collapse, passing out and/or not breathing.

• One person assist the casualty.
  Try to determine if there is a pulse - check the radial wrist (near thumb, easier) or carotid (under the ear).
  If not, start CPR immediately,

  If conscious, ask the person how they feel: faint, dizzy, headache, chest pain, arm pain, difficulty breathing?

• One person call 911 and remain on the phone:
  • Give your best guess as to the problem - heart attack, stroke.
  • Give your location:
    • Dunton Athletic Fields
      6180 Kennedy Road, Mississauga
      between Courtney Park Drive and the 401.
  • Give your phone number in case you get disconnected.

• Another person should be instructed to get the defibrillator (AED) and bring it to the diamond. There is an air horn in the medical kit which should be used to alert all other players there is an emergency.

CPR

1. Remember CAB - Compressions, Airway, Breathing.
2. Check for a pulse by checking the radial wrist (near the thumb) or carotid in the neck under the ear.
3. If there is a pulse, nothing is required. Ensure the person is comfortable and cool.
4. To determining consciousness, shake the person gently and rub the chest for a reaction.
5. Go beside the person/victim.
6. Check that nothing is in the person's mouth - perform a mouth sweep; gloves are in the first aid kit.
7. Note: rescue breathing no longer required.
8. Ensure the air way is open - carefully tilt the head back to clear the airway.
9. Kneel with your front knee near the person's head and your other knee at the person's chest.
10. Place the heel of your hand midway between the nipple line.
11. Find the sternal notch (in the middle and at the bottom of the ribs.
12. Interlock fingers.
13. Get over the body.
14. Roll on your hand and press down on the person's chest (about 2 inches).
15. Do CPR as long as possible or until emergency personnel arrive.
16. If another person is available, CPR can be alternated as it is very hard work. The 2 people should be positioned on either side of the casualty so they can switch providing CPR / mouth-to-mouth whenever someone gets tired.

See CPR video here.

Automated External Defibrillator (AED) Use

Power on the defibrillator; it will guide you through the steps, which are basically:

1. Take the defibrillator out of the case.
2. Power it on; green check indicates the AED is ready.
3. Open the sealed package with the chest pads (2 are needed).
4. Open the bag containing scissors, wipes, CPR face mask and razor.
5. Plug the pads into the defibrillator (if necessary - some are already attached).
6. Remove / tear / cut open the person's shirt.
7. Ensure the AED pads are on bare skin and the person's lower left ribs and upper right chest is dry.
   Use the razor to shave hair if necessary.
8. Attach the pads - lower left ribs, upper right chest.
   Remember: as you look at the person, pads will be low on your right and high on your left.
9. Press 'ANALYZE' (if necesssary); the defibrillator may automatically analyze the person's heart rhythm.
10. If the defibrillator recommends you deliver a shock, make sure that no one, including you, is touching the person - tell everyone to "stand clear". Once everyone is clear, press the "SHOCK" button.
11. Leave the AED open and ready in case pulse is still absent and another shock is recommended.