Medical Emergency

Tuesday, March 1, 2011 2:03 PM

From: Jose L. Armstrong, M.D.

Safety at the Field

Do you know how to react in case of a medical emergency or injury at the field? Well, we are not getting any younger and some of us are one foot away from the grave. A couple of us look like we are ready to kick the bucket. Just kidding!!!! These are my suggestions to guide you on what should be done and take it as advice but each situation requires judgment call and common sense on what needs to be done to help a fellow club member or visitor.

In any emergency, assess the surroundings and make sure that providing help is not going to cause you from getting injured. Assessment also includes how severe the problem is for you to decide at once to call 911. If a minor injury or health problem, use the first aid kit at the field or improvise with what is available and assist the victim. Apply pressure to a wound, provide water, etc.

At any time that you are not sure what should be done it must be a clue you should get medical assistance. If the victim is conscious and can safely be moved, you may offer to transport to an emergency care facility. If for any reason you feel is unsafe to move the victim or the victim is dazed, incoherent or unresponsive is time for 911.

A 911 operator is instructed to get your name, location and phone number immediately so if the call is disconnected they can reach you back. Then state the nature of the emergency. This is important because gives the 911 operator an idea of what level of help to send your way.

A victim having a heart attack versus a trauma injury is approached differently so if the emergency services know ahead of time, they can get the proper needed help.

If you call 911, tell them that to reach you by US 1/Capital Blvd. going north and turning left into Pocomoke and soon right on to Fred Wilder, being the field at the left after half mile and marked with a sign for the RAMS field.

If there are other members with you, send someone to wait for the emergency vehicle at the entrance of the field. While emergency services arrive, make sure to get the victim comfortable, move the victim the least possible. If the victim is dazed or very lethargic or slurring their speech avoid giving them fluids. If CPR is needed and you know how to do it, you may need to proceed until emergency services arrive.

One last point I want to make is in case of traumatic amputation, as in our hobby, unfortunately it can happen. Although you need to act fast applying pressure and stopping bleeding, make sure you or someone looks for the amputated body part (finger ?) and keep it moist and cool / cold so no time is wasted looking for it and the victim can be transported at once for medical help.

Remember that there are facilities with urgent and emergency level care going south on Capital Blvd from the field.

Rex Express care(15 min)
(South side of Wake Forest @ Wakefield)
11200 Governor Manly Way, Suite 114
Raleigh, NC 27614 (919) 570-7660

Duke Healthcare emergency room(40 min)
3400 Wake Forest Road,Raleigh, NC 27609,
(near the beltline)

Other facilities quoted from the Franklin county EMS website:
"The nearest trauma center is Wake Medical Center in Raleigh, N.C., approximately thirty minutes by road and twelve minutes by helicopter. Rex Hospital, Duke Health North Hospital and Wake Medical Center in Raleigh, Maria Parham Hospital in Henderson, Nash General Hospital in Rocky Mount, Duke University Medical Center and Durham Regional Hospital in Durham routinely receive patients transported by EMS units from Franklin County" But the last word is, if you are not sure what should be done or where to take the victim, CALL 911!!!