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Injuries on the field, where is medical personnel?

by CheckWriter » Wed Jun 16, 2010 1:07 pm

Sorry, but if you are referring to ACLS (Advanced Cardiac Life Support), that isn't going to help any more than basic CPR. Performing ACLS (besides chest compressions and mouth-to-mouth) requires all the stuff the paramedics bring with them. Airways, defibrillators, IVs and lots of drugs. In a healthy child, there is virtually no intervention that can be done on the ball field before the paramedics get there that will make any difference in the medical outcome in the long term.

Back in rec ball days there was dad who was an orthopedic surgeon that specialized in treating childhood and adolescent fractures. Now THAT is useful expertise to have at the park. Simple exam and you knew if it was go ahead and play or off for an x-ray.
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by lvtwft » Wed Jun 16, 2010 1:21 pm

http://en.wikipedia.org/wiki/Advanced_life_support

http://www.medic1ambulance.org/ALS.htm


ALS.. :roll: (ACLS and ALS are different) but thanks for your thoughts on it.. ;)

lets see, I would rather have a insurance agent or a Dr look at my child if they got hurt and was in need of care right away??

yes they are not the best in some emergency situations (that is why there are paramedics/EMT's and certain nurses) but they have how many years of medical knowledge??
Im going with the DR..
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by CheckWriter » Wed Jun 16, 2010 2:10 pm

From your Wikipedia link:
ALS (in most cases) refers to the skills and knowledge that a practitioner possess. The ALS provider may perform advanced procedures and skills on a patient involving invasive and non-invasive procedures including;

Cardiac monitoring
Cardiac defibrillation
Transcutaneous pacing
Intravenous cannulation (IV)
Intraosseous (IO) access and intraosseous infusion
Surgical cricothyrotomy
Needle cricothyrotomy
needle decompression of tension pneumothorax
Advanced medication administration through parental and enteral routes (IV, IO, PO, PR, ET, SL, topical, and transdermal)


None of which is happening until the paramedics and their equipments gets there. I suppose your parent(s) might have their own case of goodies they have in the trunk of their car.

Also, not all Drs are created equal for a given situation. Great if you have the trauma surgeon or ER doc or orthopod. You get a derm or an oncologist and they are only incrementally more useful than the "man on the street."

Anyway, can agree to disagree. I'm sure there have been and will be the rare situation where it did/will make a difference, but I have over 20 DD years of time at the ball field (what seems like every weekend) and haven't seen a situation where it would have made a difference.
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by lvtwft » Wed Jun 16, 2010 2:17 pm

Those are certain things they are capable of doing. ALS is a term used for people that have the knowledge of ADVANCE LIFE SUPPORT rather than basic life support and or no knowledge at all.
They are the ones that you want at an accident and our something that involves an injury that could be life threatening. (ALS personal)

As for Dr's yes some are useless in emergency situations, but med school is something most have and something that could be an asset.
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by wadeintothem » Wed Jun 16, 2010 8:56 pm

I worked as a trainer/medic in youth - jv football for many years before umpiring.. and IMO, there actually is no comparison to either soccer or fastpitch in the injuries seen. We dont need a posted ambulance to play softball.

For football, you have to get stinger from broke shoulder and slight bell rung from concussion and that goes on all game play after play. Fingers smashed between masks, etc etc etc. I've literally had a kids bone poking out of his hand and his dad asking me to take it and let him finish the game. And that kid was all for it.

As a matter of fact, football doesnt even need an ambulance. The teams always provided the medical support. When you get to JV and Varsity, there is typically a trainer and a doctor on site..lower levels, usually at least a medic or nurse - so yes, medical staff MUST be present to play, but it doesnt have to be an ambulance. Typically ambulance services post their ambulances at the field at no charge just to post them there. They get dispatched to calls from there and they leave, come back, rotate through. Thats why often you'll see a fire truck or two and a couple of ambulances. They are posted. It is a community effort to meet a clear recognizable need.

That said, I have seen ambulances parked at softball fields. I certainly think it is wise to at least have a nurse/medic/trainer for a tourney. Surely a volunteer can be found IMO.

I like that the coaches have some familiarity with first aid and everyone always loves when the miracle nurse jumps out of the stands, at any decent tourney there usually is someone who knows what they are doing - I think thats good enough in a normal circumstance - fire and ambulances are typically minutes away, in the bad situations.
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by Joe » Thu Jun 17, 2010 5:07 am

wadeintothem wrote:I worked as a trainer/medic in youth - jv football for many years before umpiring.. and IMO, there actually is no comparison to either soccer or fastpitch in the injuries seen. We dont need a posted ambulance to play softball.

For football, you have to get stinger from broke shoulder and slight bell rung from concussion and that goes on all game play after play. Fingers smashed between masks, etc etc etc. I've literally had a kids bone poking out of his hand and his dad asking me to take it and let him finish the game. And that kid was all for it.

As a matter of fact, football doesnt even need an ambulance. The teams always provided the medical support. When you get to JV and Varsity, there is typically a trainer and a doctor on site..lower levels, usually at least a medic or nurse - so yes, medical staff MUST be present to play, but it doesnt have to be an ambulance. Typically ambulance services post their ambulances at the field at no charge just to post them there. They get dispatched to calls from there and they leave, come back, rotate through. Thats why often you'll see a fire truck or two and a couple of ambulances. They are posted. It is a community effort to meet a clear recognizable need.

That said, I have seen ambulances parked at softball fields. I certainly think it is wise to at least have a nurse/medic/trainer for a tourney. Surely a volunteer can be found IMO.

I like that the coaches have some familiarity with first aid and everyone always loves when the miracle nurse jumps out of the stands, at any decent tourney there usually is someone who knows what they are doing - I think thats good enough in a normal circumstance - fire and ambulances are typically minutes away, in the bad situations.


The distinct difference here is that in football...one of the objectives is to knock the sh#t out of the other person. Injuries occur much more simply because of the nature of the game. Not true in softball where injuries are usually the result of a mishap or accident.
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by lytebryte » Wed Jun 23, 2010 5:02 am

[/color]
Iluvblue wrote:We can have anything you want, but if you think your tourney fees are high now, add in a standby ambulance and see how much that costs. In any event, there is absolutely NO NEED for an ambulance standing by IMO.

Within 10 minutes the fire truck had arrived on one leg injury.

We had a girl dislocate her knee this HS season, amazingly, even though we actually had to wait 5 minutes for the ambulance to arrive, she was back playing the next week.

Now if a kid had a neck injury, and they took the helmet off........ how foolish is that?

By the way, any word on the injury to the Synergy player?


I'm sorry! But, you of all people shouldn't have anything to say about having a ambulance on site, when you’re teaching your girls to cause injuries.. (Anything to WIN a tourney t-shirt! wow!) For examples; kicking the ball out of the glove, punch tags, (on the head, instead of at the bag) hit the first basemen when rounding for two and if there's a close play at home, take out the catcher. It’s too bad that coaches teach these girls to be over aggressive. Because what they learn from their coaches will follow them through life. (Teaching them to be heartless monsters) I wouldn't be able to sleep at night knowing that I played a big role in girl’s injuries...

It’s shocking to me that you have been able to confirm or clarify the Synergy players “injuries” because on the field you were laughing with your base runners and chatting with the umpires about liability fears if the player was to walk off the field. Not showing an empathy or respect for the situation…

By the way, the Synergy Catcher is doing better Thank God!
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by wadeintothem » Wed Jun 23, 2010 7:02 am

Sorry, he can be wrong headed but he does not teach that. I've worked countless grapettes games, including his, and know their org at every level, right to the top, and grapettes as an org teach hard fast play. They do not teach to injure or dirty play and especially not CR. He teaches to run hard and fast.. so sometimes people get in the way of that and that might cause a legal collision, but not dirty.

I do not agree and have seen what Grapettes will do when they have a coach crossing the line, he would not be coaching.

I call sour grapes on what was surely a great game. Injuries happen in this sport, that doesnt mean it was dirty... and even if an incident was illegal, it doesnt mean an org or a specific team/coach is teaching girls to injure others.

Thats not happening.
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by rbi » Wed Jun 23, 2010 7:58 am

lytebryte wrote:[/color]
Iluvblue wrote:We can have anything you want, but if you think your tourney fees are high now, add in a standby ambulance and see how much that costs. In any event, there is absolutely NO NEED for an ambulance standing by IMO.

Within 10 minutes the fire truck had arrived on one leg injury.

We had a girl dislocate her knee this HS season, amazingly, even though we actually had to wait 5 minutes for the ambulance to arrive, she was back playing the next week.

Now if a kid had a neck injury, and they took the helmet off........ how foolish is that?

By the way, any word on the injury to the Synergy player?


I'm sorry! But, you of all people shouldn't have anything to say about having a ambulance on site, when you’re teaching your girls to cause injuries.. (Anything to WIN a tourney t-shirt! wow!) For examples; kicking the ball out of the glove, punch tags, (on the head, instead of at the bag) hit the first basemen when rounding for two and if there's a close play at home, take out the catcher. It’s too bad that coaches teach these girls to be over aggressive. Because what they learn from their coaches will follow them through life. (Teaching them to be heartless monsters) I wouldn't be able to sleep at night knowing that I played a big role in girl’s injuries...

It’s shocking to me that you have been able to confirm or clarify the Synergy players “injuries” because on the field you were laughing with your base runners and chatting with the umpires about liability fears if the player was to walk off the field. Not showing an empathy or respect for the situation…

By the way, the Synergy Catcher is doing better Thank God!



I never like seeing ANY kid get hurt but, If you think that HIS 13yr olds play too rough, you might want to seriously consider NOT moving up to the next level, as the girls get bigger,tougher, stronger,faster and yes A LOT more aggressive.
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by Iluvblue » Wed Jun 23, 2010 8:17 am

I'm sorry! But, you of all people shouldn't have anything to say about having a ambulance on site, when you’re teaching your girls to cause injuries.. (Anything to WIN a tourney t-shirt! wow!) For examples; kicking the ball out of the glove, punch tags, (on the head, instead of at the bag) hit the first basemen when rounding for two and if there's a close play at home, take out the catcher. It’s too bad that coaches teach these girls to be over aggressive. Because what they learn from their coaches will follow them through life. (Teaching them to be heartless monsters) I wouldn't be able to sleep at night knowing that I played a big role in girl’s injuries...

It’s shocking to me that you have been able to confirm or clarify the Synergy players “injuries” because on the field you were laughing with your base runners and chatting with the umpires about liability fears if the player was to walk off the field. Not showing an empathy or respect for the situation…

By the way, the Synergy Catcher is doing better Thank God!




This is so typical of parents who have NO CLUE how good teams play the game. First off, the kid did not have a life threatening injury, so I wasnt having moments of silence. 2nd, some of YOUR coaches went to move her and she didnt want to be moved. So I was talking about an injury to one of our players in the HS season and explaining while I will never move an injured kid until THEY are ready, because a parent like you would turn around and sue me if it made the injury worse.

This catcher had been standing on the plate earlier in the game and a player had darn near taken her leg off on a play where she NEVER did catch the ball. Then a little later it happened again and she is out in front of the plate blocking the plate, which was the reason for her injury. So get her off the plate when she doesnt have the ball and no injuries will happen.


And by the way, while this player was lying face down in the DIRT for several minutes, who was it that made a point to go find a towel so she could get her face out of the dirt??? Yeah, I am all about teaching my kids to ..... what was it "Punch tags." lol

And by the way, if a runner hits a double and is rounding first and runs into the 1st baseman..... how the heck is that possible????? Oh, maybe your team is teaching the first baseman to get in the way of the runner to keep them from a double??? Talk about dirty play . LOL

This is typical stuff from a parent that hasnt a clue. Sorry the bigger girls play hard and fast. I hear the rec leagues are much safer.
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