Defibrillator and First Aid

Introduction

Old College Lawn Tennis & Croquet Club takes your health and safety seriously.  We follow the LTA’s Health and Safety Policy, and regularly review arrangements at the Club’s premises to ensure that any risks to members  are kept to a minimum.  It is also important that members take sensible precautions to avoid injury.

Defibrillator and CPR

The newly-installed defibrillation unit in the Clubhouse is designed to make our Club a safer place to be. About 60,000 out-of-hospital cardiac arrests occur per year in the UK; the first 5 minutes after the arrest occurs are critical to the patient’s ultimate outcome, with a linear correlation having been well-documented between time to defibrillation and survival. For every minute that passes without CPR or defibrillation following cardiac arrest, the chances of survival fall by 10%. As it is unlikely that any ambulance team will be present during the first five minutes after a cardiac arrest, bystander intervention is critical. We hope that by providing an automated defibrillator in the clubhouse we will be able to prevent sudden cardiac deaths at the Club.

Of course this requires that people are familiar with the unit, and how to use one. The first thing to stress is that the defibrillator is designed NOT TO CAUSE HARM. It is impossible to deliver a shock to a patient if they are not truly in cardiac arrest. The machine is carefully designed such that the user cannot ‘make a mistake’ – the Automated External Defibrillator (AED) does all the decision making. They are entirely safe.

Identifying an appropriate situation for use of the AED is the most important role of the bystander. If a Member or visitor collapses, you should look for signs of life by shaking the patient and calling their name if known – if the patient is non-responsive and not verbalising, the AED should be brought from the box on the wall (image below) to the patient. The kit is designed to be portable – do not waste time trying to move the patient. DIAL 999 and state that there is a possible cardiac arrest at Old College Lawn Tennis & Croquet Club, 10 Gallery Road, SE21 7AB. Inside the box, you will find two adhesive pads, which are to be attached to the chest of the collapsed person as shown in the diagram on the front of the machine. You will need to remove clothing to do this, as the pads need to be attached to skin. Use scissors (there are safety scissors in both the defibrillator and First Aid kits) if necessary to remove clothing. There is one green button to switch the machine on, and verbal instructions are given by the device, instructing the user on what action to take. If a shock is indicated, the instruction will be given to press the orange button on the machine. It is important to reiterate that the machine CANNOT DELIVER A SHOCK UNLESS IT IS CLINICALLY INDICATED, even if the orange button is pressed by accident.

In parallel to the use of the AED, ideally  cardiopulmonary resuscitation (CPR – ‘chest compressions’) should be performed. It is beyond the scope of an introductory section on the Club website to detail the correct administration of CPR, but the following link will give basic instruction on how to perform chest compressions and resuscitation breaths safely in conjunction with the use of the AED installed in the Clubhouse.
http://www.ipad-aed.com/cpranddefibrillatortraining/

Location of equipment in the clubhouse

Close-up of defibrillator & First Aid equipment

 

 

 

 

 

 

First Aid Kit

Our club is equipped with a First Aid kit for the treatment of minor injuries, and the interim treatment of more serious injuries. The kit contains equipment to clean and dress minor cuts, bruises, burns and grazes, as well as basic bandaging for limb immobilisation. In the first instance, for all but the most minor injuries, club members should seek out one of the trained First Aiders at the club (for example, the coaches) for assistance. If no First Aider is available, consider whether further assistance is required, and contact the NHS helpline 111 if there is any doubt. This number is used in cases which are less urgent and do not require 999 attention. Trained healthcare professionals can issue advice and guidance over the telephone about immediate action, and what to do next. We would encourage all members to avail of this service in incidences where there is doubt as to the gravity of the injury.

For more minor cuts and grazes which simply need a BandAid / plaster, these can be found in the smaller First Aid kit above the sink in the kitchen.

Accident Book

In the event of an accident requiring medical attention it is important that you should report this, using the Accident Report Book held in the Clubhouse. This is in a holder on the wall next to the Defibrillator Unit. It contains self-explanatory forms .You are also encouraged to report any serious incident to the Incident Contact Centre. Again, the Accident Report Book contains full instructions. Old College’s Executive Secretary is responsible for ensuring our records are maintained, and he reviews the Accident Book regularly.