League Safety OfficerManual

League Name Goffstown Jr. BaseballLeague #2290107

GOFFSTOWN JUNIOR BASEBALL PHONE NUMBERS

MAIN NUMBER (SAFETY DIRECTOR) {603)391-9419

GOFFSTOWN POLICE EMERGENCY (603)497-2232 OR

911 GOFFSTOWN POLICE NON EMERGENCY {603)497-

4858

GOFFSTOWN FIRE/AMBULANCE EMERGENCY (603)497-3311OR 911

ELLIOT HOSPITAL (603)669-5300

CATHOLIC MEDICAL CENTER (603)668-3345

GOFFSTOWN JUNIOR BASEBALL SAFETY

DIRECTOR RENO PELLETIER MAY BE REACHED AT

{603)391-9419 OR (603)669-8197 EXT. 301OR (603)315-7872

Safety Codel.

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Responsi bility for Safety procedures is the responsibility of an adult member of GIB.All team leaders and umpires should be aware of medical emergency procedmes before the start of any game or practice session.All team leaders and umpires should have knowledge and training in First Aid. First Aid kits issued to each manager should be readily available at ALL games and practices. Additional supplies are available in each equipment shed.

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An Incident Report is required to be submitted to the Safety Director for any player, spectator, or other participant requiring first aid.No games or practices should be held when weather or field conditions are deemed unsafe.FieJds and practice areas should be inspected before each practice and game. All team equipment should be stored in the team dugout or behind fencing, and not within the "field of play".Equipment should be inspected before each practice and game.Only players, managers, coaches, and umpires are permitted on the playing field or in the dugout during games.One player or coaching assistant should be assigned to keep bats, helmets, and other loose equipment off the field of play.During practice and games, all participants should be alert and watching the ball and batter.During practice and warm ups, players should be spaced as not to be endangeredby wild throws or missed catches.Batters must wear Little League approved protective helmets during batting practice and games.Catchers must wear helmet, mask, throat guard, long model chest protector, shin guards, and protective cup for all practices and games. This includes pitcher warm up.

16. Coaches may not catch pitchers at games or practices.17. Except when runners are returning to base, head first slides are not permitted.18. During sliding practice, bases should not be anchored.

Volunteer Background Checks

GIB complies with the Little League Baseball International board of Directors in the institution of mandatory background checks of all league coaches, managers, officials, and directors.The requirement of background checks is an important and necessary precaution in our program to protect children from individuals who would potentially harm, threaten, or exploit children in any way.

The understanding of baseball fundamentals and training mechanics are also the key to the safety and skills development of our players. GJB also sponsors a skills clinic in conjunction with the First Aid meeting held every spring before "Field Clean-Up day".

The skills clinic and "rookie" coaches and at least one representative per team will attend.

Our Concession stand Director is trained in food safety and equipment usage. The Concession stand Director or trained volunteers will supervise volunteers for their duties. Included in this packet are the food and safety recommendations that are posted in the Concession stand.

First Aid and Kits

Each team will be issued one First Aid Kit and safety manual. Kits are as important as batting helmets and other protective gear and should travel to all games and practices in the equipment bag. The team manager or designee shall be responsible for keeping the kjt well stocked. First Aid supplies may be replenished by contacting the Safety Director. Additional first aid kits are available at the Concession stand, please do not use these kits to replenish individual team kits, contact the Safety Director.

First Aid Kit

Contents 3- Instant

Ice Packs

6-Antiseptic wipes

2- Antiseptic cream packets

1- Roll of gauze

6-Sterile 2X4 gauze

2- Large adhesive bandages

20- 1X3 adhesive bandages

Communicable Diseases Guidelines

Before an athlete continues to play, bleeding must be stopped, the open wound covered and the uniform changed if there is blood on it. Use gloves when contact with blood or bodily fluids is anticipated. Immediately wash hands and other skin surfaces is contact with blood is made. Clean all blood contaminated surfaces with a bleach solution. Managers and coaches and volunteers with open wounds should refrain from all direct contact until the condition is resolved. Properly dispose of blood dressings until the condition is resolved.

The completion and submission of the Little Leagues Volunteer Application is required by all personnel, volunteers and/or any persons who provide regular service to the league and regular access or contact with players or teams. The Application is to be submitted to the league

president or safety director prior to volunteer duties. Refusal to annually submit a fully completed Little League Volunteer Application shall result in immediate dismissal of the individual from GIB.

Accident Reporting

Any incident that caused any player, manager, coach, umpire, spectator or volunteer to receive medical treatment and/or first aid must be reported to the Safety Director. Reports must be made witin 48 hours either by phone, in person or preferably by written incident report (see attachedAccident Notification Form).

Inthe follow-up, the Safety Director will contact the injured party or parents within 48 hours to:

l) Verify the information received;2) Add additional information;3) Check on Status of the injured, and;4) In the event of injured party requiring additional medical treatment, will advise

as to Goffstown Jr. Baseball 's insurance coverage and the provisions for submitting any claims.

Storage Shed Procedures

AJJ individuals with keys/combinations to the GIB equipment sheds should be aware of their responsibility for the orderly and safe storage of rakes, shovels and other field maintenance supplies.

Review operating guidelines BEFORE the use of machinery or electronic equipment. All chemicals or organic material should be properly labeled and stored in a safe/dry location AWAY from machinery of field equipment.

Assure proper ventilation when pouring fertilizer, lime, solvents, etc. Any spillage of chemicals or organic materials within the sheds should be cleaned and disposed of as soon as possible.

Coaches Clinics

Goffstown Junior Baseball is committed to the SAFETY of our players and volunteers. All teams mu st send a coach and/or a designee to a mandatory FIRST AID meeting at Goffstown Parks and Recreation building at the agreed upon date (Certified EMT from the Goflstown, NH Fire Department provided by Goffstown Junior Baseball).

The First Aid Clinic is also mandatory for the Concession Supervisory Staff.

FIELD AND EQUIPMENT SAFETY

FIELD AND FACILITIES DIRECTOR JOEY COTE 603-660-2924

Playing fields should be informally inspected before each game by the home plate umpire or his/her designee. This includes the assessment of fencing, field hazards, obstructions, foreign matter etc. which should be corrected prior to the opening pitch.

RYAN SIMMONS EQUIPMENT DIRECTORryansimmons@goffstownjb.com

All equipment will be thoroughly inspected by the Equipment Director and Safety Officer at the beginning of the season. Bats, balls, helmets and any gear deemed to be a safety hazard will be destroyed to an unusable condition per Little League standards and replaced accordingly.

RENO PELLETIER SAFETY OFFICER (603)391-9419.

An annual formal field survey shall be performed on or before "Cleanup Day" for inspection of fencing, lighting and electronics, concession and grounds. Safety concerns should be reported to the Safety Director.

Weekly inspection of the playing fields, bullpens and batting cages as well as practice fields should be made by the team managers or Safety Officer.

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Lightning Safety OutdoorsEach year, about 400 children and adults in the U.S. are struck by lightning while working outside, at sports events, on the beach, mountain climbing, mowing the lawn or during other outdoor activities. About 80 people are killed and several hundred more are left to cope with permanent disabilities. Many of these tragedies can be avoided. Finishing the game, getting a tan, or completing a work shift aren't worth death or crippling injury.

• All thunder storms produce lightning and are dangerous. Lightning kills more people each year than tornadoes.• Lightning often strikes as far as 1 O miles away from any rainfall. Many deaths from lightning occur ahead of the storm because people try and wait to the last minute before seeking shelter.• You are in danger from lightning if you can hear thunder. If you can hear thunder, lightning is close enough that it could strike your location at any moment.• Lightning injuries can lead to permanent disabilities or death. On average, 20% of strike victims die; 70% of survivors suffer serious long term effects.• Look for dark cloud bases and increasing wind. Every flash of lightning is dangerous, even the first. Head to safety before that first flash. If you hear thunder, head to safety.• Blue Skies and Lightning. Lightning can travel sideways for up to 10 miles. Even when the sky looks blue and clear, be cautious. If you hear thunder, take cover. At least 10% of lightning occurs without visible clouds in the sky.

(· The Single Most Dangerous PlaceOutdoors is the most dangerous place to be during a lightning storm. When lightning is seen or thunder is heard, or when dark clouds are observed, quickly move indoors or into a hard-topped vehicle and remain there until well after the lightning storm ends. Listen to forecasts and warnings through NOAA Weather Radio or your local TV and radio stations. If lightning is forecast, plan an alternate activity or know where you can take cover quickly.The U.S. lightning season is summer but lightning can strike year round! The Fourth of July is historically one of the deadliest times of the year for lightning. In summer, more people are outside, on the beach, golf course, mountains or ball fields. Outdoor jobs such as construction and agriculture, and outdoor chores such as lawn mowing or house painting are at their peak, putting those involved in danger.

Safety Rules1. Postpone activities promptly. Don't wait for rain. Many people take shelter from the rain, but most people struck by lightning are not in the rain! Go quickly inside a completely enclosed building, not a carport, open garage or covered patio. If no enclosed building is convenient, get inside a hard-topped all-metal vehicle. A cave is a good option outside but move as far as possible from the cave entrance.2. Be the lowest point. Lightning hits the tallest object. In the mountains if you are above tree line, you ARE the highest object around. Quickly get below tree line and get into sheltered cover. Don't be the second tallest object during a lightning storm! Crouch down if you are in an exposed area.3. Keep an eye on the sky. Look for darkening skies, flashes of lightning, or increasing wind, which may be signs of an approaching thunderstorm.4. Listen for the sound of thunder. If you can hear thunder, go to a safe s h e l t e r

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immediately.5. If you see or hear a thunderstorm coming or your hair stands on end,

immediately suspend your game or practice and instruct everyone to go inside a sturdy building or car. Sturdy buildings are the safest place to be.Avoid sheds, picnic shelters, baseball dugouts, and bleachers. If no sturdy building is nearby, a hard-top vehicle with windows closed will offer some protection. The steel frame of the vehicle provides some protection if you are not touching metal.

6. Listen to NOAA Weather Radio. Coaches and other leaders should listen for a tone alert feature during practice sessions and games.

7. If you can't get to a shelter, stay away from trees. If there is no shelter, crouch in the open, keeping twice as far away from a tree as it is tall.

8. Avoid being against vehicles. Get off bicycles and motorcycles.9. Get out of the water. It’s a great conductor of electricity. Stay off the beach and

out of small boats or canoes. If caught in a boat, crouch down in the center of the boat away from metal hardware. Swimming, wading, snorkeling and scuba diving are NOT safe. Lightning can strike the water and travel some distance beneath and away from its point of contact. Don't stand in puddles of water, even if wearing rubber boots.

10. Avoid metal! Drop metal backpacks, stay away from clothes lines, fences, exposed sheds and electrically conductive elevated objects .Don't hold on to metal items such golf clubs, fishing rods, tennis rackets or tools. Large metal objects can conduct lightning. Small metal objects can cause bums.

11. Move away from a group of people. Stay several yards away from other people. Don’t share a bleacher bench or huddle in a group.

What to do if someone is struck by lightning:

• Call for help. Call 9-1-1 or your local ambulance service. Get medical attention as quickly as possible.

• Give first aid. If the victim has stopped breathing, begin rescue breathing. If the heart has stopped beating, a trained person should give CPR. If the person has a pulse and is breathing. address any other injuries.

• Check for bums in two places. The injured person has received an electric shock and may be burned. Being struck by lightning can also cause nervous system damage, broken bones, and loss of hearing or eyesight. People struck by lightning carry no electrical charge that can shock other people. You can examine them without risk.

Stay Informed About the Storm

Listen to NOAA Weather Radio or local media for the latest severe thunderstorm WATCHES and WARNINGS. Severe thunderstorms are those storms with winds in excess of 58 mph or hail larger than 3/4 inches in diameter. When conditions are favorable for severe weather to develop, a severe thunderstorm WATCH is issued.

Weather Service personnel use information from weather radar, satellite, lightning detection, spotters, and other sources to issue severe thunderstorm WARNINGS for areas where severe weather is imminent. Remember, however, that ALL thunderstorms produce deadly lightning.

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60 6570 75 80 85 90Air Temperature (°F.)

-Safe c=:::::J Caution -Danger

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Continuing the Little League tradition of making it "safer for the kids."

Heat, Humidity Spell Danger

High heat with humidity form dangerous combinationOn hot summer days,

protecting your players from potentially deadly injury may depend on what you don 't do.

Children 's heat regulating processes are not fully developed, and their skin surface is proportionately greater than that of an adult's. So exposing players to prolonged workouts or games in high heat, or mild heat with high humidity, is a risk you shouldn’t take.

Because their bodysurface to weight ratio is high, a child's skin actually works against them, taking in more heat than they can absorb internally; so where an adult 's temperature might slowly climb as they become overheated, on a hot, humid day a child's will skyrocket, leaving little time to react.

To protect players from heat illnesses -heat stress, heat exhaustion and heat stroke -make sure all your players are properly hydrated before games and practices. Make sure your coaches know to schedule drink breaks every 15 to 30 minutes during practices on hot days, and to encourage players to drink between every inning.

If you are not sure how much fluid to drink, you can monitor your hydration using one of these methods.

1.Weight: Weigh before and again after practice. For every pound players lose during the workout they will need to drink 2 cups of fluid to rehydrate their bodies. Doctors recommend players drink enough

clear fluids to be back to their normal body weight before playing/practicing again in high heat.

2. Urine color: Check the color of your urine. If it's dark gold like apple juice, you 're dehydrated. lf you

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are well hydrated, your urine will look like pale lemonade. When to Play

With All-Star games already upon us, make sure coaches aren't over-sched uling practices. Practices should always occur in the morning before noon or in the evening, as temps start to moderate.

On hot days, many leagues have a mandatory break every three innings for all participants -especially needed for umpires, catchers

and pitchers -to cool off and rehydrate. What, When to Drink

• Drink 10 to 16 ounces of cold fluid about 15 to 30 minutes before workouts.

• Drink 4 to 8 ounces of cold fluid during exercise at 1O to 15 minute intervals.

• Drink a beverage that contains a small amount of sodium and electrolytes like potassium.

• Start drinking early in your workout because you will not feel thirsty until you have already Jots 2% of your body weight; by that time, you will already be significantly dehydrated.

• Avoid carbonated drinks, which can cause gastroin testinal distress and may decrease the fluid volume.

• Avoid beverages with caffeine due to its diuretic effect.• Research has found that sports drinks

containing between 6% and 8% carbohydrate (sugars) are absorbed into the body as rapidly as water and can provide energy to working muscles that water cannot.

(See May, 1999 ASAP News. For more info, andfi1/l-size poster: "When it's Hot, Drink Before You 're Thirsty.")

Move Better.Play Better. Live Better.

AAOS Online Service Fact Sheet Tips To Prevent Baseball Injuries

Tips to Prevent Baseball Injuries

Each year, almost 500,000 baseball-related injuries are treated in hospitals, doctors' offices, clinics, ambulatory surgery centers and hospital emergency rooms.

The American Academy of Orthopedic Surgeons offers the following tips to prevent baseball injuries:

• Always take time to warm up and stretch. Research studies have shown that cold muscles are more prone to injury. Warm up with jumping jacks, stationary cycling or running or walking in place for 3 to 5 minutes. Then slowly and gently stretch, holding each stretch for 30 seconds.

• Your equipment should fit properly and be worn correctly.

• Wear a batting helmet at the plate, when waiting a turn at bat, and when running bases.

• Facial protection devices that are attached to batting helmets are available in some leagues. These devices can help reduce the risk of a serious facial injury if you get hit by a ball.

• Follow the guidelines about the number of innings pitched as specified by your baseball league (usually four to 10 innings a week) not by the number of teams played on.

• While there is no concrete guideline for the number of pitches allowed, a reasonable approach is to count the number of pitches thrown and use 80 to 100 pitches as a maximum in a game, and 30 to 40 pitches in a practice.

• Wear the appropriate mitt for your position. Catchers should always use a catcher's mitt.

• Catchers should always wear a helmet, face mask, throat guard, long-model chest protector, protective supporter, and shin guards.

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AAOS Online Service Fact Sheet Ti11s To Prevent Baseball Injuries

1 0• Wear molded, cleated baseball shoes that fit properly.

• Inspect the playing field for holes, glass, and other debris.

• Be knowledgeable about first aid and be able to administer it for minor injuries, such as facial cuts, bruises, or minor tendinitis, strains, or sprains.

• Be prepared for emergency situations and have a plan to reach medical personnel to treat injuries such as concussions, dislocations, elbow contusions, wrist or finger sprains, and fractures.

For more information on "Prevent Injuries America!®," call the American Academy of Orthopedic Surgeons' public service telephone number 1-800- 824-BONES (2663). .

February 2002

Source: U. S. Consumer Product Safety Commission's 1999 NEISS data and estimates, based on injuries treated in hospitals, doctors' offices, ambulatory care facilities, clinics and hospital emergency rooms.

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Move Better. Play Better. Live Better.

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Exercises for Young Athletes

Staying injury-free throughout the sports season requires a proper conditioning and exercise program. Here are some stretching exercises developed by the American Academy of Orthopedic Surgeons that young athletes can perform before participating in any athletic activity.

Athletes must do each one of the exercises carefully; speed is not important. Once the exercise routine i learned, the entire program should take no longer than 10 minutes.

It also is important to warm up before doing any of these exercises. Good examples of warm up activities are slowly running in place and walking for a few minutes.

CSeat Straddle Lotus

Sit down; place soles of feet together and drop knees toward floor.Placeforearms on inside of knees and push knees to the ground. Lean· forward,bringing chin to feet. Hold for five seconds. Repeat three to six times.

Seat Side Straddle

Sit with legs spread; place both hands on same ankle. Bring

chin to knee, ·keeping the leg straight. Hold for five seconds. Repeat three tosix times.Repeat exercise on opposite leg.

Seat Stretch

Sit with legs together, feet flexed, hands on ankles. Bring

( chin to knees.

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AAOS Online Service Fact Sheet Exercises for Young Athletes

1 2Hold for five seconds. Repeat three to six times.

Lying, Quad Stretch

Lie on back with one leg straight, the other leg with hipturned in andknee bent. Press knee to floor. Hold for five seconds. Repeat three to six times.

Knees to Chest

Lie on back with knees bent. Grasp tops of knees and bring them out towardthe armpits , rocking gently. Hold for five seconds. Repeat three tofive times.

Forward Lunges ·

C Kneel on left leg; place right leg forward at a right angle. Lunge forward,keeping the back straight. Stretch should be felt on the left groin.Holdfor five seconds. Repeat three to six times. Repeat on opposite leg.

Side Lunges

Stand with legs apart; bend the left knee while leaning toward theleft.Keep the back straight and the right leg straight. Hold for five seconds.Repeat three to six times. Repeat on opposite leg.

. Cross-Over

Stand with legs crossed; ·keep feet close together and legs straight.Touchtoes. Hold for five seconds. Repeat three to six times. Repeat with opposite leg.

Standing Quad StretchT

AAOS Online Service Fact Sheet Exercises for Youn.g Athletes

1 3Stand supported. Pull foot to buttocks. Hold for five seconds. Repeat three to six times.

For more information on "Prevent Injuries America!®," call the American Academy of Orthopedic Surgeons' public service telephone number 1-800-824-BONES (2663).

March 2000

Source: American Academy of Orthopedic Surgeons, Athletic Training and Sports Medicine, 1991

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AAOS Online Service Fact Sheet Sprains and Strains

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0Sprains and Strains

Sports

Sprains and strains are among the most conunon injuries in sports. Here are some facts about sprains and strains from the American Academy of Orthopaedic Surgeons.

What is a sprain ?

A sprain is a stretch and/or tear of a ligament, the fibrous band of connective tissue that joins the end of one bone with another. Ligaments stabilize and support the body’s joints. For example, ligaments in the knee connect the upper leg with the lower leg, enabling people to walk and run.

C What is a strain?A strain is a twist, pull and/or tear of a muscle and/or tendon. Tendons are fibrouscords of tissue that attach muscles to bone.

What causes sprains and strains?

A sprain is caused by direct or indirect trauma (a fall, a blow to the body, etc.) that knocks a joint out of position, and overstretches, and, in severe cases, ruptures the supporting ligaments. Typically, this injury occurs when an individual lands on an outstretched arm; slides into a base; jumps up and lands on the side of the foot; or runs on an uneven surface.

Chronic strains are the result of overuse - prolonged, repetitive movement - of muscles and tendons. Inadequate rest breaks during intensive training precipitates a strain. Acute strains are caused by a direct blow to the body, overstretching, or excessive muscle contraction.

Who gets sprains and strains?

Professional and amateur athletes and the general public, as well, can sustain this injury. People at risk for the injury have a history of sprains and strains, are overweight, and are in poor physical condition.

l.What activities make athletes most susceptible to sprains and strains?

All sports and exercises, even walking, carry a risk of sprains. The anatomic areas

most at risk for a sprain depend on the specific activities involved. For example,

1 5basketball, volleyball, soccer, and other jumping sports share a risk for foot, leg, and ankle sprains. Soccer, football, hockey, boxing, wrestling, and other contact(sports put athletes at risk for strains. So do sports that feature quick starts(hurdling, long jump, running races, etc.). Gymnastics, tennis, rowing, golf-sports that require extensive gripping-have a high incidence of hand strains. Elbow strains frequently occur in racquet, throwing, and contact sports.

What are the signs of a sprain?

While the intensity varies, pain, bruising, and inflammation are common to all three categories of sprains-mild, moderate, severe. The individual will usually feel a tear or pop in the joint. A severe sprain produces excruciating pain at the moment of injury, as ligaments tear completely, or separate from the bone. This loosening makes the joint nonfunctional. A moderate sprain partially tears the ligament, producing joint instability, and some swelling. A ligament is stretchedin a mild sprain, but there is no joint

loosening. What are the signs of a strain?

Typical indications include pain, muscle spasm, muscle weakness, swelling, inflammation, and cramping. In severe strains, the muscle and/or tendon is partially or completely ruptured, often incapacitating the individual. Some muscle function will be lost with a moderate strain, where the muscle/tendon is overstretched and slightly tom. With a mild strain, the muscle/tendon is stretched

C or pulled, slightly. Some common strains are:• Back strain. When the muscles that support the spine are twisted, pulled, or. tom, the result is a back strain. Athletes who engage in excessive

jumping (during basketball, volleyball, etc.) are vulnerable to this injury.

• Hamstring muscle strain. A hamstring muscle strain is a tear or stretch of a major muscle in the back of the thigh. The injury can sideline a person for up to six months. The likely cause is muscle strength imbalance between the hamstrings and the muscles in the front of the thigh, the quadriceps. Kicking a football, running, or leaping to make a basket can pull a hamstring. Hamstring injury tend to recur.

How are sprains and strains treated-'!

Rest, ice, compression and elevation usually will help minimize the damage. Itis important in all but mild cases for a medical doctor to evaluate the injury and establish a treatment and rehabilitation plan. A severe sprain or strain may require surgery or immobilization followed by months of therapy. Mild sprains and strains may require rehabilitation exercises and activity modification during recovery.

Prevention tips

No one is immune to sprains and strains, but here are some tips developed by the American Academy of Orthopedic Surgeons to help reduce your injury risk:

AAOS Online Service Fact Sheet Sprains and.Strain

16• Participate in a conditioning program to build muscle strength

• Do stretching exercises daily

• Always wear properly fitting shoes

• Nourish your muscles by eating a well-balanced diet

• Warm up before any sports activity, including practice

• Use or wear protective equipment appropriate for that

sport

A rm/ E lbow

AAOS Online Service Fact Sheet Throwing injuries' in the elbow

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Throwing injuries in the elbow

With the start of the baseball season each spring, doctors frequently see an increase in elbow problems in young baseball players. A common elbow problem is Little Leaguer's Elbow.

Little Leaguer's Elbow affects pitchers and other players who throw repetitively. This condition may cause pain on the inside of the elbow.

The elbow is the joint where the upper arm bone (humerus) meets the two bones of the lower arm (ulna and radius). The elbow is a combination hinge and pivot joint. The hinge part of the joint lets the arm bend like the hinge of a door; the pivot part lets the lower arm twist and rotate. The rounded ends of the upper and bone give the elbow its two "knobs" or bumps (epicondyle). Several muscles, nerves and tendons (connective tissues between muscles and bones) cross at the elbow.

Injury occurs when the repetitive throwing creates an excessively strong pull on elbow tendons and ligaments. The young player feels pain at the knobby bwnp on the inside of the elbow.

Little Leaguer's Elbow can be serious if it becomes aggravated. Repeated pulling can tear the ligament and tendon away from the bone. The tearing may pull tiny bone fragments with it in the same way a plant takes soil with it when it is uprooted. This can disrupt normal bone growth, resulting in to a deformity.

Osteochondritis is a less common condition that is also caused by excessive throwing and may be the source of the pain on the outside of the elbow.

Muscles work in pairs. In the elbow, if there is pulling on one side, there is pushing on the other side. As the elbow is compressed, the joint smashes immature bones together. This can loosen or fragment the bone and cartilage. The resulting condition is called osteochondrosis.

If left untreated, osteochondrosis can become a complicated condition. Surgery may be necessary, especially in girls over 12 years old and boys over 14 years old. Younger children, however, tend to respond better to nonsurgical treatments.

What to do

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AAOS Online Service Fact Sheet Throwing injuries in the elbow

l BA child should stop throwing if any of the following symptoms appear: elbow pain, restricted range of elbow motion, or locking of the elbow joint. Continuing to throw may lead to major complications, and jeopardize a youngster's ability to remain active in a sport that requires throwing.

• Rest the affected area.

• Apply ice packs to bring down any swelling.

• If pain persists after a few days of complete rest of the affected area or if pain recurs when throwing is resumed, stop the activity again until the youngster gets treatment.

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AAOS Online Service Fact Sheet Baseball finger

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Baseball finger

Every year, when the baseball season gets underway, doctors start seeing cases of "baseball finger." This condition, which is also called "mallet finger," is often caused when a ball hits the tip of your finger, bending it down.

Fingers can bend down (toward the palm of your hand) only about 35 to 40 degrees. The force of a batted ball can push the finger beyond that limit and tear the tendon that controls muscle movement in the finger. The force may even be great enough to pull tiny pieces of bone away as well. When the tendon is detached, the tip of the finger cannot be straightened out and it hangs down abnormally.

This is initially a very painful injury, and the top of the finger near the fingernailwill be tender, slightly swollen and red. If ft happens to you, stop playing. Immediately apply ice, and elevate your hand above the level of your heart. Contact a doctor who may request an X-ray to see if there is any damage to the bone. Sometimes, if the finger joints are jammed against each other, cartilage damage results. The joint may also be dislocated.

The finger will have to be immobilized in a splint for several weeks. This ensures that the tendon is correctly positioned for proper healing. There may be an additional problem if there is also an open wound along with the tendon tear. The open wound creates a risk of infection in the hand. Inthese cases, surgery may be necessary.

Baseball finger can also be a problem for children because it may involve injury to the cartilage that controls bone growth. This type of injury requires careful evaluation and treatment so that the finger does not become stunted or deformed.

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Commotio Cordis

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A Deadly Consequence of Chest Trauma

G. Michael V incent, MD; Heather McPeak

TH E PHYSICIAN AN D SPORTSM EDICIN E - VOL 28 - NO. 11- NOVEMBER 2000

In Brief: Commotio cordis is arrhythmia or sudden death from low-impact, blunt trauma to the chest without apparent heart injury. Ventricular fibrillation is the most common associated arrhythmia, and heart block, bundle branch block, and ST-segment elevation are also seen.Cornmotio cordis occurs most commonly in baseball but has also been reported in hockey, soltball, and several other sports. Approximately two to four cases are reported each year, but the true incidence is uncertain. Survival is low, even when resuscitation is performed.Preventive measures include education of participants and coaches, chest protection, and softer base·balls. Other considerations include having external automatic defibrillators and trained personnel at youth sporting events.

Commotio cordis.(cardiac concussion) refers to blunt, no penetrating, precordia l chest impactthat causes arrhythmia or sudden death without evidence of heart injury at autopsy. Absence of morphologic cardiac injury distinguishes concussion from contusion (contusio cordis) and other more severe injuries such as rupture. Commotio cordis occurs primarily in youth, with the highest incidence in baseball, soball, and ice hockey ..Cases have also been described in football, lacrosse, basketball, cricket, martial arts, boxing, fights, and vehicular acc idents (table 1) (1-10). Death is usually from ventricular fibrillation:

TABLE 1. Cases of Commotio Cordis in Sports and Other Activities

(1,7-9) Sports-Related (No.),_ m , -™ ..o=

Baseball (40)Softball (7)

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Keep It Clean

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Ice hockey (7)Football (3)Soccer (3)Rugby (2)Karate (2)Lacrosse (1)Boxing (1)

Top Six CausesFrom past experience, the US Centers for Disease Control and Prevention (CDC) list these circumstances 'as the most likely to lead to illness. Check this list I · make sure your concession stand has covered these: common causes of foodborne illness.Inad equate cooling and .col d holding ..Preparing food too far in advance for service.Poor personal hygiene and infected personnel.Inadequate reheating.,;,.I inadequate hot .hold ing.:tContaminated raw foods and ingredients::f:: :

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Timely Heimlichsaves player life

"It was an exciting time at a local restaurant on Saturday, March 4. While munchin g on chicken wings, Jim Woods and Iwere having an in-depth conversation about our last baseball game. We were d iscussing the number of pitches a young ballplayer.could throw without damaging the pitching ann. Jim and I had seen a youngpitcher from another team walk off the field holding hisarm in pain. We decided from now on to count each pi tch.

"The ballplayers from our Major League team werehaving a great time playing video games, talking and laughing together. Suddenly from my right side Iheard someone chocking. It was one of our team members. I . jumped out of my chair and rushed over to him. His face was red and turning blue. He could not breathe, and was choking on something. Ihad to do something real quick, or this child could die.

"My mind raced back to the ASAP News flyer that was sent to me. In·fact Ihad just looked it over that Saturday morning for the.second time since Ireceived it in the mail several months earlier. Idon't know why Iread it again, but Iimmediately put myself in a position with the child to perfonn the Heimlich maneuver. The first time it didn'twork, so Itried again. Nothing. The child was pan icked. I put my fingers in his mouth to see if Icou ld pull whatever was choking him out. Ifound nothing.

"Iperformed the Heimlich maneuver for the third time. I didn't want to hurt the child, by squeezing, but I wasn' t going to let the kid die fromchoking. Isqueezed harder; it worked. The player took a long breath, and sat down smiling.

"Doing a simple act like this can mean the difference between life and death. Iwill follow up to be sure that this will work the first time, if there is a next time."

"I have to thank Little Leagueheadquarters in Williamsport, PA,for showing me how to save a child's life. Let's all learn how to do the Heimlich maneuver!"

C

John Mon ti, safety officerDuoeden, Fla., National Little

League (Editor's Note: Thanksfor thepraise. but ASAP can't take credit. This is thefirst we've writlen about tir e Heimlich.)

23

The Heimlich ManeuverThe Heimlich Maneuver is.an emergency method of removing food or foreign ooj.ects from the airway to prevent -suffocation.

When approaching a choking person, one who is still conscious, ask: #Can you cough? Can.you speak?"

If the person c_an speak or cough, do not perform the Heimlich Maneuver or pat them on the back. Encourage them to cough.

To pertorm .the Heimlich:• Grasp the choking person from behind;

• Place a fist, thumb ide in, Just below the person's"breastbone (sternum), bl!t above the naval;

• Wrap second handfirmly over this fist;

• Pull the fist frmly and · bruptly into the lop of the stomach·. ·

It is importar\l ·to keep the fist below the chest bones and above the naval(bellybutton).

The procedure should be repeated until the airway is free.from obstruction or until the person who is chokingloses consciounes? (goes limp). These will be violent thrusts, as many times as it takes.

For a child:• Place your hands at the top of the pelvis;

• Put the thumb of you hand at the pelvis line; ,

, J:.!..ifi.·r1 ·,., .• Put the other hand on top of the first hand;

_ • Pullforcefully back as many limes as needed to get object out or the child becomes limp.

Most individuals are fine after the object is remqved from the airway. However, occasionally the object will go into one of the lungs. If there is a possibility that the foreign object was

not expelled, medicaJ-care should be{ sought.

If the object cannot be removed completely by performing the Heimlich,

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.. }"'··

immediate medical care should be sought by calling 911or going to the local emergency room.

-:_,

U .S. 0/aPARTMENT OF HEALTH ANO HUMAN SERVICES

CENTERS FOR DISEASE CONTROL A ND PREVENTION

A Fact Sheet for COACHES

To download the coaches fact sheet in Spanish, please visit www.cdc.gov/ConcussioninYouth Sports Para descargar la hoja informativa para los entrenadores en espaiiol, por favor visite:

www.cd c.gov/ConcussionlnYouthSports

THE FACTS• A concussion is a abrain injury• All concussions are serious.• Concussions can occur...

without los.·,s,.... of consciousness·•.

•, Concussions tan occur in any sport.• Recognition and· proper management of concussions\when-they

first occur can help prevent further injury,:or even death.,.}

WH AT IS A CONCUSSIO N?A concussion is an injury that changes how the cells in the brain normally work.

in any organized or unorganized sport or recreational activity.

A concussion is caused by a blow to the R ECOG NIZIN G A POSSIBLEhead or body that causes the brain to move CON CUSSIO Nrapidly inside the skull. Even a \\ding,"\\getting your bell rung," or what seems to be a mild bump or blow to the head can be serious. Concussions can also result from a fall or from players colliding with each other or with obstacles ,such as a goalpost.

To help recognize a concussion, you should watch for the following two things among your athletes:1.A A forceful blow to the head or

body that results in rapid movement of the head.

-and-The potential for concussions is greatest in 2. Any change in the athlete's behavior, athletic environments where collisions are thinking, or physical functioning. (See common. 1 Concussions can occur, however, the signs and symptoms of concussion

Iisted on the next page.)

•

U.S. DEPARTMENT O F HEALTH AND HUMAN SERVICES

CENTERS FOR DISEASE CONTROL AND PREVENTION

Explain your concerns about concussion and your expectations of safe playto athletes, parents, and assistant coaches. Pass out the concussion fact sheets for athletes and for parents at the beginning of the season and again if a concussion occurs.

• Insist that safety comes first.> Teach athletes safe playing techniques

and encourage them to follow the rules of play.

> Encourage athletes to practice good sportsmanship at all times.

> Make sure athletes wear the right protective equipment for their activity (such as helmets, padding, shin guards, and eye and mouth guards). Protective equipment should fit properly, be well maintained, and be worn consistently and correctly.

> Review the athlete fact sheet with your team to help them recognize the signs and symptoms of a concussion.

Check with your youth sports league or administrator about concussion policies. Concussion policy statementscan be developed to include the league's commitment to safety, a brief description of concussion, and information onwhen athletes can safely return to play following a concussion (i.e.,an athlete with known or suspected concussion

should be kept from play until evaluated and given permission to return by a health care professional). Parents and athletes should sign the concussion policy statement at the beginning of the sports season.

• Teach athletes and parents that it's not smart to play with a concussion.Sometimes players and parents wrongly believe that it shows strength and courage to play injured. Discourage others from pressuring injured athletes to play. Don't let athletes persuade you that they're "just fine" after they have sustained any bump or blow to the head. Ask if players have ever had a concussion.

• Prevent long-term problems. A repeat concussion that occurs before the brain recovers from the first-usually within a short period of time (hours, days, or weeks) -can slow recovery or increasethe likelihood of having long-term problems.In rare cases, repeat concussions can result in brain swelling, permanent brain damage, and even death.3 4 Keep athletes with known or suspected concussion from play until they have been evaluated and given permission to return to play by a health care professional with experience in evaluating for concussion. Remind your athletes: "It's better to miss one game than the whole season."

WHAT SHOULD A COACH DO WHENA CONCUSSION IS SUSPECTED?1. Remove the athlete from play. Look for

the signs and symptoms of a concussion if your athlete has experienced a bump or blow to the head. Athletes who experience

signs or symptoms of concussion should notbe allowed to return to play. When in doubt, keep the athlete out of play.

2. Ensure that the athlete is evaluated right away by an appropriate health care professional. Do not try to judge the severity of the injury yourself. Health care professionals have a number of methods that they can use to assess the severity of concussions. As a coach, recording the following information can help health care professionals in assessing the athlete after the injury:

• Cause of the injury and force of the hitor blow to the head

• Any loss of consciousness (passed out/ knocked out) and if so,for how long

• Any memory loss immediately following the injury

• Any seizures immediately following the injury

• Number of previous concussions (if any)

www.cdc.gov/ConcussioninYouthSports

3. Inform the athlete's parents or guardians about the possible concussion and give them the fact sheet on concussion.Make sure they know that the athlete should be seen by a health care professional experienced in evaluating for concussion.

4. Allow the athlete to return to play only with permission from a health care professional with experience in evaluating for concussion. A repeat concussion that occurs before the brain recovers from the first can slow recovery or increase the likelihood of having long-term problems.Prevent long-term problems by delaying the athlete's return to the activity until the player receives appropriate medical evaluation and approval for return to play.

R EFER ENCES1. Powell JW.Cerebral concussion: causes, effects, and risks in

sports. Journal of Athletic Training 2001; 36(3):307-311.2. Lovell MR, Collins MW, Iverson Gl, Johnston KM, Bradley JP.

Grade 1or "dingN concussions in high school athletes. The American Journal of Sports Medidne 2004; 32(1):47-54.

3. Institute of Medicine (US). Is soccer bad for children's heads? Summary of the IOM Workshop on Neuropsych ological Consequences of Head Impact in Youth Soccer. Washington (DC): National Academy Press; 2002.

4. Centers for Disease Control and Prevention (CDC). Sports-related recurrent brain injuries-United States. Morbidity and Mortality Weekly Report 1997; 46(10):224-227. Available at:www.cdc.gov/mmw r/preview/mmwrhbnl/00046 702.htm.

Take the free ontine training for coaches atwww.cdc.gov/Concussion

UBA SSEBAALL.m.....-..m.. .......-

O UR PA S TIME 'S F UTUR E.

SIGNS /\NO SYMPTOMSAthletes who experience ny of the signs and sym pt.oms listed below

after a bump, bloY', or_jolt to the head or b?dY. may have a conrussion.

ACTION PLANIf you suspect that an athlete has a concussion , you should take the

following four steps:

t • (1.2.

{, '

3.

4.

Remove the athlete from play.Ensure that the athlete is evaluated by .a health care profeS5ional experienced in evaluating for concussion. Do not try to judge the seriousness of the injury yourself.Inform the athlete's parents or guardians about the possible concussion and give them the fact sheet on concussion.Keep the athlete out of play the day of the injury and until a health care professional experienced in evaluating for concussion, says they are symptom-free and it's OK to return to play.

For more information .and safety resources. visit:IT'S BffiER TO MISS ONE GAME THAN THE WHOLE SEASON.

' :1 fl• ,,1,,,,.,,,•d L\ ,) 11 1111') )f 1 tt

Appea rs dazed or stunned

ls confused about assignment or positionForgets an insbuction

ls unsure of game, score, or opponent

Moves clumsily

Answeis questions slowly

Loses consciousness (even briefly)

Shows mood, behavior, or personality change changesCan't recall

events prior to hit or fallCan't recall

events after hit or fall

Hlj •Ill .-1lt·d

I,, /,!11( t,•

Headache or·pressure" in head

Nausea or vomiting

Balance problems or dizziness

Double or blurry vision

Sensitivity to light

Sensitivity to noise

Feeling sluggish, hazy, foggy, or groggy

Concentration or memory problems

Confusion

Does not feel right" or is·feeling down"

I 1 /.-,d h\

Appears dazed or stunned

Is confused about assignment or position

Forgets an instructionIs unsure of game, score, or opponent

Moves clumsily

Answers questions slowly

loses consciousness (even briefly)

Shows mood, behavior, or personality changes

Can't recall events prior to hit or fall

Can't recall events after hit or fall

)l(Jt lS IJIJ ,•(1J,II filll(J ")t,t tf .'· ,...

US9A_

BASEBA LL

SIGNS AND SYMP fOMS ACTION PL AN

Ifyou suspect that an athlete has a concussion, you should take the following four steps:

1. Remove the athlete from play.2. Ensure that the athlete is evaluated by a health care professional experienced

in evaluating fur concussion. Do not try to judge the seriousness of the injury yourself.

3. Inform the athlete's parents or guardians about the possible concussion and give them the fact sheet on concussion.

4. Keep the athlete out of play the day of the injury and until a health care professional, experienced in evaluating fur concussion, says they are symptom-free and it's OK to return to play,

For more infotll\<lt/on and safty resouces;visft; www.cdc,o,ov/Concuuion. ·

rrs smER TO MISS ONE GAME THAN THE WHOLE SEASON.

r,,

Headache or "pressure" in headNausea or vomiting

Balance problems or dizziness

Double or blurry vision

Sensitivity to light

Sensitivity to noise

Feeling sluggish, hazy, foggy, or groggy

Concentration or memory problems

Confusion

Does not "feel right" or is "feeling down"

Send Completed Fonn To: ittle eague International539 US Route 15 Hwy, PO Box 3485Williamsport PA 17701-0485 Accident Claim Contact Numbers:Phone:570-327-1674Fax:570-326-9280

LITTLE LEAGUE® BASEBALL AND SOFTBALL ACCIDENT NOTIFICATION

FRMINSTRUCTIONS

Accident & Health (U.S.)1. This fom, must be completed by parents (if claimant is under 19 years of age) and a league official and forwarded to Little League

Headquarters within 20 days after the accident. A photocopy of this form should be made and kept by the claimant/parent. Initial medical/ dental treatment must be rendered within 30 days of the Little League accident.

2. Itemized bills including description of service, date of service, procedure and diagnosis codes for medical services/supplies and/or other documentation related to claim for benefits are to be provided within 90 days after the accident date. In no event shall such proof be furnished later than 12 months from the date the medical expense was incurred.

3. When other insurance is present, parents or claimant must forward copies of the Explanation of Benefits or Notice/Letter of Denial for each charge directly to Little League Headquarters, even if the charges do not exceed the deductible of the primary insurance program.

4. Policy provides benefits for eligible medical expenses incurred within 52 weeks of the accident, subject to Excess Coverage and Exclusion provisions of the plan.

5. Limited deferred medical/dental benefits may be available for necessary treatment incurred after 52 weeks. Refer to insurance brochure provided to the league president, or contact Little League Headquarters within the year of injury.

6. Accident Claim Fom, must be fully completed - including Social Security Number (SSN) - for processing.

League Name league 1.0.

Name of Injured Person/Claimant SSN PART

1

IDate of Birth (MM/00/YY) Age Sex

I I ID Female D MaleName of Parent/Guardian, if Claimant is a Minor Home Phone (Inc.Area Code) Bus.Phone (Inc.Area Code)

( ) ( )

Address of Claimant Address of Parent/Guardian, if different

The Little league Master Accident Policy provides benefits in excess of benefits from other insurance programs subject to a $50 deductible per injury. “Other insurance programs include family's personal insurance, student insurance through a school or insurance through an employer for employees and family members. Please CHECK the appropriate boxes below. If YES, follow instruction 3 above.

Does the insured Person/Parent/Guardian have any insurance through: Employer Plan

Individual Plan

CJYes CJYes

CJNoCl'Jo

School Plan ClYes Dental Plan CJYes

CJNo CJNo

Date of Accident Time of Accident Type of Injury

DAM DPMIDescribe exactly how accident happened, including playing position at the time of accident:

Check all applicable responses in each column:D BASEBALL D CHALLENGER (4-18) D PLAYER D D SOFTBALL D T-BALL (4-7) D MANAGER , COACH D

TRYOUTS PRACTICE

D SPECIAL EVENT (NOT GAMES)

D CHALLENGER D MINOR (6-12) D VOLUNTEER UMPIRE D D TAD (2ND SEASON) D LITTLE LEAGUE(9-12) D PLAYER AGENT D

0 INTERMEDIATE (50/70) (1H3) 0 OFFICIAL SCOREKEEPER 0D JUNIOR ( 12-14) D SAFETY OFFICER D D SENIOR ( 3-16) D VOLUNTEER WORKER D D BIG (14-18)

SCHEDULED GAME D TRAVEL TOTRAVEL FROM TOURNAM ENTOTHER (Describe)

SPECIAL GAME(S)(Submit a copy of your approval from Little eague Incorporated)

Ihereby certify that Ihave read the answers to all parts of this fom, and to the best of my knowledge and belief the information contained is complete and correct as herein given.Iunderstand that it is a crime for any person to intentionally attempt to defraud or knowing y facilitate a fraud against an insurer by submitting an application or filing a claim containing a false or deceptive statement(s).See Remarks section on reverse side of form.Ihereby authorize any physician, hospital or other medically related facility, insurance company or other organization, institution or person that has any records or knowledge of me,and/or the above named claimant,or our health,to disclose,whenever requested to do so by little eague and/or National Union Fire Insurance Company of Pittsburgh, Pa.A photostatic copy of this authorization shall be considered as effective and valid as the original.

Date Claimant/Parent/Guardi an Signature (In a two parent household, both parents must sign this fomi.)

Date Claimant/Parent/Guardian Signature

For Residents of California:Any person who knowingly presents a false or fraudulent claim for the payment of aloss is guilty of a crime and may be subject to fines and confinement in state prison.

For Residents of New York:Any person who knowingly and with the intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

For Residents of Pennsylvania:Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.

For Residents of All Other States:Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application forinsurance is guilty of a crime and may be subject to fines and confinement in prison.

PART 2 - LEAGUE STATEMENT (Other than Parent or Claimant)Name of League Name of Injured Person/Claimant League 1.0.Number

Name of League Official Position in League

Address of League Official Telephone Numbers (Inc.Area Codes) Residence: ( )Business: ( )Fax: ( )

Were you a witness to the accident? DYes DNoProvide names and addresses of any known witnesses to the reported accident.

Check the boxes for all apocopate items below.At least one item in each column must be selected.POSITION WHEN INJURED

INJURY

PART OF BODY CAUSE OF INJURY

D 01 1ST D 01 ABRASION D 01 ABDOMEN D 01 BATTED BALLD 02 2ND D 02 BITES D 02 ANKLE D 02 BATTINGD 03 3RD D 03 CONCUSSION D 03 ARM D 03 CATCHINGD 04 BATTER D 04 CONTUSION D 04 BACK D 04 COLLIDINGD 05 BENCH 0 05 DENTAL D 05 CHEST D 05 COLLIDING WITH FENCED 06 BULLPEN D 06 DISLOCATION D 06 EAR D 06 FALLINGD 07 CATCHER D 07 DISMEMBERMENT D 07 ELBOW D 07 HIT BY BATD 08 COACH D 08 EPIPHYSES D 08 EYE D 08 HORSEPLAYD 09 COACHING BOX D 09 FATALITY D 09 FACE D 09 PITCHED BALLD 10 DUGOUT D 10 FRACTURE D 10 FATALITY D 10 RUNNINGD 11 MANAGER D 11 HEMATOMA D 11 FOOT D 11 SHARP OBJECTD 12 ON DECK D 12 HEMORRHAGE D 12 HAND D 12 SLIDINGD 13 OUTFIELD D 13 LACERAT ION D 13 HEAD D 13 TAGGINGD 14 PITCHER D 14 PUNCTURE D 14 HIP D 14 THROWINGD 15 RUNNER D 15 RUPTURE D 15 KNEE D 15 THROWN BALLD 16 SCOREKEEPER D 16 SPRAIN D 16 LEG D 16 OTHERD 17 SHORTSTOP D 17 SUNSTROKE D 17 LIPS D 17 UNKNOWND 18 TO/FROM GAME D 18 OTHER D 18 MOUTHD 19 UMPIRE D 19 UNKNOWN D 19 NECKD 20 OTHER D 20 PARALYSIS/ D 20 NOSED 21 UNKNOWN PARAPLEGIC D 21 SHOULDERD 22 WARMING UP D 22 SIDE

D 23 TEETHD 24 TESTICLED 25 WRISTD 26 UNKNOWND 27 FINGER

Does your league use batting helmets with attached face guards? DYES ONOIf YES, are they OMandatory or OOptional At what levels are they used?I hereby certify that the above named claimant was injured while covered by the Little League Baseball Accident Insurance Policy at the time of the reported accident. Ialso certify that the information contained in the Claimant's Notification is true and correct as stated,to the best of my knowledge.

Date League Official Signature

----------------------

For Local League Use Only

Activities/ReportingA Safety Awareness Program's Incident/Injury Tracking Report

League Name: League ID: - _ - Incident Date: _

Field Name/Location: ---------------------- Incident Time: _

Injured Person's Name: Date of Birth:

Address: ---------------------- Age: Sex: o Male o FemaleCity: State ZIP: Home Phone:

Parent's Name (If Player): ---------------- Work Phone:

Parents' Address (If Different):

Incident occurred while participating in:

A.) o Baseball

8.) D Challenger

o Softball

::J T-Ball

'J Challenger

D Minor

O TAD

D Major D Intermediate (50/70)

0 Junior

C.) D Tryout

0 Senior

fl Practice

D Big League

nGame n Tournament D Special Eventn Travel to rJ Travel from n Other (Describe):

Position/Role of person(s) involved in incident:

D.) o Batter Cl Baserunner D Pitcher D Third D Short Stop D Left Field

D Catcher

D Center Field

D First Base D Right Field

O Second D Dugout

o Umpire "J Coach/Manager o Spectator

o Volunteer D Other: -------

Type of injury: _

Was first aid required? DYes D No If yes, what: _

Was professional medical treatment required? DYes D No If yes, what: ------------ (If yes, the player must present a non-restrictive medical release prior to to being allowed in a game or practice.)

Type of incident and location:

A.) On Primary Playing FieldD Base Path: D Running or D Sliding

n Hit by Ball: n Pitched or Cl Thrown or D Batted

8.) Adjacent to Playing Field D.) Off Ball Field D Seating Area DTravel:Cl Parking Area n Car or o Bike or

D Collision with: CJ Player or "J Structure D Grounds Defect

O Other: ---------------

C.) Concession Areao Volunteer WorkerD Customer/Bystander

D WalkingD League Activity O Other: _

Please give a short description of incident: ------------------------

Could this accident have been avoided? How:

This form is for local Little League use only (should not be sent to Little League International). This document should be used to evaluate potential safety hazards, unsafe practices and/or to contribute positive ideas in order to improve league safety. When an accident occurs, obtain as much information as possible. For all Accident claims or injuries that could become claims to any eligible participant under the

Accident Insurance policy, please complete the Accident Notification Claim form available at http://www.littleleague.org/Assets/forms_pubs/ asap/AccidentClaimForm.pdf and send to Little League International. For all other claims to non-eligible participants under the Accident policy or claims that may result in litigation, please fill out the General Liability Claim form available here: http://www.littleleague.org/As sets/forms pubs/asap/GLCl aimForm.pdf.

Prepared By/Position: ----------------Signature: ---------------------

Phone Number: (.___, Date: _

PLEASE VISIT LITTLELEAGUE.ORG/FORMS FOR VOLUNTEER APPLICATION OR VISIT GOFFSTOWNJRBASEBALL.COM AND GO TO THE SAFETY LINK