First Aid Kits
(Extracted from Aikido-L)

Date:    Thu, 21 Mar 2002 09:58:25 -0000
From:    Simon Watkins
Subject: first aid Kits

[ * Moderator: Cut * ]

So what should be in a dojo First Aid kit? I have a personal one  in my kit bag. Who else  carries one?

Simon

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Date:    Thu, 21 Mar 2002 06:11:21 -0500
From:    jdsingleton
Subject: Re: first aid Kits

In my kit bag I carry some medical tape, a few gauze pads, some Band-Aids, and some ibuprofen.

Our dojo first aid kit is fairly well equipped, including tape, gauze, Band-Aids of various sizes, gauze pads, disposable gloves, cold packs, etc. (We have a case of cold packs in the cabinet.) We inventory the first aid kit on a regular basis, too. (If someone wants an actual list of what we have, I can probably get it and post it.)

Although we've only had one serious injury n the past few years--a broken clavicle--we tend to take first aid seriously. We canceled our Saturday class once in February and had the American Red Cross come in and teach a CPR/basic first aid class. While a number of us have had basic first aid training in the past, none of us had current CPR certifications. We plan to do the training every February.

Oh, a copy of Janet's "Dojo Emergency Protocol" is posted inside the door to each of our storage cabinets, too.

Jim Singleton

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Date:    Thu, 21 Mar 2002 06:18:10 -0500
From:    Blake Moorcroft
Subject: Re: first aid Kits

We had our resident doctor prepare a first aid kit for us, and include a list of all the items so that if he was not around we could re-stock it as case may be.  It originally started with routine items like bandages, gauze, scissors, antiseptic, gloves, etc.  It now includes splinting material, smelling salts, general pain medication (over the counter), cold packs, AR shields, tensor bandages, slings, and assorted sundry items...it's quite big.

We even include kid's type band-aids with the cartoon logos in case they get bo-bo's...course we find the adults tend to want to use those more than the kids...:)


More later
Blake Moorcroft  (Sei Bu)

Chudokan Aikido Dojo
Chudokai Aikido Federation International        http://www.mnsi.net/~chudo/
Windsor, Ontario, Canada

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Date:    Thu, 21 Mar 2002 11:52:25 GMT
From:    Mike Cummins
Subject: Re: first aid Kits

From a UK basis, having recently done my "First Aid at Work" refresher, I am worried by the replies quoting ibuprofen etc.

We were specifically told that they should *not* be kept in the First Aid Kit or offered to anyone as that could be construed as "prescribing".

Mike

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Date:    Thu, 21 Mar 2002 06:58:32 -0500
From:    Monica Norman
Subject: Re: first aid Kits

Our dojo has (since Martin's eyelid-cutting arrival :-) it's own fairly complete first aid kit, but I carry my own for when I'm out at various seminars, etc.  It expanded a little bit recently when I went on a 3-day Search & Rescue course.
It's mostly PT stuff - "second skin", tape, scissors, antiseptic wipes, bandaids (plasters) of different sizes, feminine products, polysporin ointment, arnica cream, aspirin, and tweezers.  All squeezed into a 100g tin box that used to hold Maxim's biscuits.

Fairly personal to my own particular problems (like knees that occasionally need to be taped), but at least I know I've got what I need when I need it.

Monica
(whose English and accent has deteriorated beyond all recognition by her UK sensei and dojomates :-)

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Date:    Thu, 21 Mar 2002 07:41:19 -0500
From:    jdsingleton
Subject: Re: first aid Kits

At 3/5/02 5:34:00 AM, Mike Cummins wrote:

> From a UK basis, having recently done my "First Aid at Work"
> refresher, I am worried by the replies quoting ibuprofen etc.
>
> We were specifically told that they should *not* be kept in
> the First Aid Kit or offered to anyone as that could be
> construed as "prescribing".

As someone who mentioned ibuprofen, it is not in our first aid kit, but I do have some in the bag I take to the dojo. We don't have any aspirin, ibuprofen, etc. in our first aid kit.

Jim Singleton

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Date:    Thu, 21 Mar 2002 11:24:59 +0000
From:    Jim Boone
Subject: Re: first aid Kits

> In my kit bag I carry some medical tape, a few gauze pads, some
> Band-Aids, and some ibuprofen.

So who here doesn't carry vitamin I?

--
Jim Boone

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Date:    Thu, 21 Mar 2002 09:07:19 EST
From:    Tony Fontaine
Subject: Re: first aid Kits

Have one in the dojo for everyone to use. Bandaids are the most popular item. We do have tape, gauze pads, chemical cold pack and CPR mouth piece. Not allowed to have burn cream or asprin due to government safety regulations.

Tony in Maryland

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Date:    Thu, 21 Mar 2002 10:44:01 -0500
From:    Chuck
Subject: Re: first aid Kits

On Thu, 21 Mar 2002 11:24:59 +0000, Jim Boone wrote:
>So who here doesn't carry vitamin I?

I don't. I took so much of it due to a shoulder injury whilst in the Army, it really doesn't do much for me. In order for it to work at all, I have to
take massive amounts, it seems.

I prefer plain aspirin for most things, occasionally a naprosyn for worse achies.

And Monica's accent, by the way, has improved markedly. When she first arrived, she sounded positively ENGLISH!   ;^>

Nowadays, the only time that creeps out is when she puts on her schoolmarm voice for a recalcitrant uke ...

Chuck

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Date:    Thu, 21 Mar 2002 08:18:45 -0800
From:    Janet Rosen
Subject: Re: first aid Kits

Other folks pretty much covered this.
At this point I don't go ANYwhere without at least one disposable glove tucked into a purse or pocket. Don't want to have to stop and look for
alternatives in a situation. As a contact lens user I always have a couple of single use saline thingies with me, and I include a bottle of eye wash saline solution in the dojo first aid kit. Dojo kit should have sugar tabs or tubes available in case member or visiting diabetics run into trouble. We always kept ibuprofin and aspirin on hand, never suggesting that anybody should. I can't imagine that for an adult membership population it poses a legal problem to simply have a product sitting there.
janet

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Date:    Thu, 21 Mar 2002 12:10:09 -0500
From:    jdsingleton
Subject: Re: first aid Kits

Good point. I'll have to check and see if we have sugar/glucose in our first aid kit. I know the only diabetic we have training doesn't normally carry any.

This brings up the question of how do you identify people with problems? An injury can easily be identified with duct tape, but what about a non-injury? For example, someone that's diabetic? You can't really wear a Medic Alert ID bracelet/necklace on the mat. (I know of one diabetic, at another dojo, who has a small patch sewn on his gi.) Is taking medication for seizures? Something else?

When we sign someone up, we ask about allergies, medical conditions, and other special conditions. Of course, this relies on the person signing up being honest. (We had someone who said "none" to the previous questions and less than a minute later mentioned, off-hand, that he was taking medication for seizures.) Since I normally get the task of signing people up, I know if they've disclosed any conditions and I'll point that out to our chief instructor. I don't know if the person who keeps the registration/release forms tells the teaching staff. I'd guess they'd need to be reminded on a regular basis, too, because it would be easy to forget over time.

Should everyone in the dojo know? What if the person with the allergy/condition doesn't want it public knowledge? A condition which could be contagious, say hepatitis or HIV, is different than something like epilepsy or a heart condition.

When we held our recent seminar with Frank Doran Sensei, I made sure that our chief instructor, another member of our teaching staff, and the three people designated for first aid, had a complete list of all the allergies/conditions that people had noted when they registered. It's easy to remember this for a seminar, but how do you track it for normal classes? Perhaps a list posted in the first aid kit?

Jim Singleton

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Date:    Thu, 21 Mar 2002 12:34:38 -0500
From:    Mike Bartman
Subject: Re: first aid Kits

That's a pattern well known to the computer support world.  People never answer the question you asked.  They answer the question you asked, as modified by their expectations of what they think you need to know.  Being unaware of this can lead to all sorts of frustrating situations with computers, and deadly ones with medical issues.

I suspect that your example person heard, "Do you have any allergies, medical conditions or other special conditions?" translated that internally into "Do you have any allergies, medical conditions or other special conditions that should preclude you from practicing tonight?" and answered that one, based on their expectations of what was involved in practice.

With computers the question, "Have you changed your program AT ALL?" is usually translated into, "Have you changed your program in a way that you think would account for this bizarre behavior you are seeing?" before they construct an answer, which is usually "no".

-- Mike "I've found it's safest to aassume they are lying and check it for myself" Bartman --

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Date:    Thu, 21 Mar 2002 09:49:11 -0800
From:    John Davis
Subject: Re: first aid Kits

--- Simon Watkins wrote:
> Janet Said
>
> So what should be in a dojo First Aid kit? I have a personal one  in
> my kit bag. Who else  carries one?
>
I did, Simon. Some linament (tiger balm), instant ice and heat packs, an ACE or two and some gauze pads and compreses as well as some Neosporin and sinus spray (dust, you know).
John

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Date:    Thu, 21 Mar 2002 11:10:21 -0800
From:    Janet Rosen
Subject: Re: first aid Kits

jdsingleton wrote:
> This brings up the question of how do you identify people with problems?
(SNIP)
> Should everyone in the dojo know?

NO. There are issues of privacy and confidentiality. If the person WISHES to discuss it freely, its his or her perogative.

Beyond that, teaching/administrative staff should be aware. You shouldn't need to "track it" if its membership; just as one knows about Jane Doe's pregnancy or John Doe's bad elbow, or that somebody has a beard or wears glasses, its not really difficult to remember that Joe Blow has diabetes.

IMO, a person who normally wears a medicalert should alert key dojo persons that they do and that during practice it will be put ...wherever--on my hat, in my shoes...unless they are able to secure it on their persons in a way to allow for safe practice--OK: those of you who DO wear them: what do you do in the dojo?
janet

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Date:    Thu, 21 Mar 2002 14:58:42 -0500
From:    jdsingleton
Subject: Re: first aid Kits

At 3/21/02 8:18:00 AM, Janet Rosen wrote:

> jdsingleton wrote:
>> This brings up the question of how do you identify people
>> with problems?
> (SNIP)
>> Should everyone in the dojo know?
>
> NO. There are issues of privacy and confidentiality. If the person
> WISHES to discuss it freely, its his or her perogative.

Which is what I thought and what prompted the question.

> Beyond that, teaching/administrative staff should be aware. You
> shouldn't need to "track it" if its membership; just as one knows
> about Jane Doe's pregnancy or John Doe's bad elbow, or that
> somebody has a beard or wears glasses, its not really difficult
> to remember that Joe Blow has diabetes.

I disagree. Maybe if you see Joe Blow testing his blood sugar or injecting insulin, but with no outward signs, it's something that you can easily forget. (The Type I diabetic, who tested their blood sugar midway through class was easy to remember; the Type II, who is not on medication and doesn't test their blood sugar at the dojo is easy to forget.)  I know this from first hand experience, based on a conversation with our chief instructor a few months back, when he mentioned he'd forgotten that X was diabetic. I think it does need to be tracked to some extent. I'll have to give this some thought.

> IMO, a person who normally wears a medicalert should alert key dojo
> persons that they do and that during practice it will be put

Although key dojo personnel have been told, they forget. (See my comment, above.) We have some instructors who only teach once a month or so, which means they may not remember. That means that someone who is there needs to know. Maybe we need to track it and just make sure that whomever is instructing is reminded about it?

> OK: those of you who DO wear them: what do you do in the dojo?

I just put it with my watch, either in my pocket or shoe, in the changing area. If I could find a cloth equivalent, I might get a dozen and sew them on my sleeve.

Jim Singleton

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Date:    Thu, 21 Mar 2002 20:30:40 -0000
From:    Simon Watkins
Subject: Re: first aid Kits

Medication is an offical no  no in a first aid box. Pills, ointments etc are all against guidelines.But  if you are at a festival/fete show somewhere I tand  get stung  I bet they will put some anti histamine on it at the first aid tent Most first aiders I know dont keep it seperate from their  other things. But  of  course that is not a first aid kit. they tend to use bags that are  not  marked as first aid kits. Hmm the one in kit bag isnt either its  jus a zip lock. It needs a  new reel of Zinc oxide (another no no)  tape. People  tell me that the hypoalergenic stuff sticks to itself quite well but sometimes thats not what you want.

And it contains nothing  naughty at all I think the tube of   arnica. migrated to the clubs  official first aid   kit a while back. Tut!  and dont  carry ibuprofin any more. My knees  just  dont seem to bother me nowadays:^))) I replaced it in the kit  bag  around christmas. It tends to get removed when I find myself short of a plaster at home. and only replaced if I am going to a event.

Simon

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Date:    Thu, 21 Mar 2002 16:08:04 -0500
From:    "Drysdale, Alan E."
Subject: Re: first aid Kits

jdsingleton wrote:
>> This brings up the question of how do you identify people with problems?
(SNIP)
> Should everyone in the dojo know?

Janet
>NO. There are issues of privacy and confidentiality. If the person WISHES to discuss it freely, its his or her perogative.
>Beyond that, teaching/administrative staff should be aware. You shouldn't need to "track it" if its membership; just as one knows about Jane Doe's pregnancy or John Doe's bad elbow, or that somebody has a beard or wears glasses, its not really difficult to remember that Joe Blow has diabetes.

Having had the dubious distinction of having a student die in class, this issue is not something I feel complacent about.  Yes we need to respect people's privacy, but we do need to make a serious attempt to find out what problems people have.  People will lie, also.  If I'd known how sick the guy was, I wouldn't have let him in the room to do more than watch, even though he'd been practicing for years with no apparent problems.  I knew he had a heart problem, had just had a treadmill test, but had no idea it was as serious as it was.  Did he know how serious it was?  I suspect he did, and didn't want to tell us because we'd not have let him keep on practicing.  At least he didn't die at the wheel of the big car he used to drive and maybe take some others along with him.  It really had nothing to do with aikido. We had barely got started.  Just after the warm up (not very strenuous) he didn't get up.  Fortunately, there was an MD on the mat.  He took charge, gave him CPR.  The paramedics were there in 90 seconds.  (Yes, somebody did time them.  They only had to come two blocks.)  He was DOA, and probably dead when they took him out (though paramedics can't officially pronounce someone dead).  Massive heart attack.

Alan

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Date:    Thu, 21 Mar 2002 13:12:31 -0800
From:    Patric Senson
Subject: Re: medical conditions (was first aid kits)

I'm sorry, I couldn't let this part go by
unchallenged...

--- jdsingleton wrote:
> Should everyone in the dojo know? What if the person
> with the
> allergy/condition doesn't want it public knowledge?
> A condition which
> could be contagious, say hepatitis or HIV, is
> different than something
> like epilepsy or a heart condition.

Which of these sets are you suggesting should be kept anonymous? I'd say a heart condition or epilepsy would have a higher possibility of on the mat impact than either of these contagious conditions...the two you happen to have picked aren't exactly likely to cross from one person to another in a training environment, and disclosure may severely impact attitudes of others in the dojo, especially if they buy into all the false propoganda that's been spread about HIV and HepC over the years.

Just looking for clarity :)

Pat

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Date:    Thu, 21 Mar 2002 17:26:54 -0500
From:    Blake Moorcroft
Subject: Re: first aid Kits

On 21 Mar 2002 at 12:10, jdsingleton wrote:
> Should everyone in the dojo know? What if the person with the
> allergy/condition doesn't want it public knowledge? A condition which
> could be contagious, say hepatitis or HIV, is different than something
> like epilepsy or a heart condition.

We require students that train to note what special medical conditions they have on the waiver they sign when they join a program.  That information gets consolidated and put forward to the chief instructor and to those instructors handling the various classes.  Those people with special conditions such as diabetes or asthma are required to have their medication with them when they train.  I suppose there's always a chance that someone might be foolish and decide to hide their condition from others, but if they want to do that, I'm not sure what one can do.

As for everyone knowing, I'd think that would be unnecessary.  Certainly the people in charge of the class would need to know...beyond that, disclosure would be up to the individual in question.

More later
Blake Moorcroft  (Sei Bu)

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Date:    Thu, 21 Mar 2002 20:53:05 -0800
From:    Janet Rosen
Subject: Re: first aid Kits

"Drysdale, Alan E." wrote:
> Having had the dubious distinction of having a student die in class, this
> issue is not something I feel complacent about.  Yes we need to respect
> people's privacy, but we do need to make a serious attempt to find out what
> problems people have.

Hi, Alan. I quite agree about not being complacent about it; my reference to privacy was NOT in terms of dojocho and senior staff but in terms of full dojo population knowing each other's medical history, and I apologize if that was ambiguous.

Yes, people will deny problems, not only to others but to themselves. Hell, how many listka have posted something or another about an injury, seeking advice, along with the info that they don't think its THAT bad, they are STILL training full tilt, etc etc ;-)

janet

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Last updated on 13 Sep 2002