L5 Safety Practices
L5 Safety Practices
Safety Practices
and Risk
Management in
Outdoor Recreation
Groups 2 – 4 – 6
01
Management of
Outdoor Recreational
Activities
Safety Practices in
Outdoor Recreation
What should one do when faced with a
medical emergency situation?
The first thing to do in an emergency
situation is stay calm.
A irway - if the person is not responding or is unconscious, check airway by opening the mouth and
having a look inside. Tilting the head back with the chin facing up will clear an airway.
B reathing - make sure the victim is breathing by looking at breathing signs. One way
of doing this is by listening to exhales, and feeling air coming out of the mouth or nose.
C PR - if an adult is unconscious, no pulse, and not breathing, perform the CPR until the
emergency personnel or medics arrive
How is cardiopulmonary resuscitation
administered?
How is cardiopulmonary resuscitation
administered?
2. Locate hand position for compression by drawing an imaginary line from armpit to
center chest for hand placement.
3. Place the heel of one hand on the lower part of the breastbone.
4. Put your other hand over the first, interlacing your fingers for support.
5. With straight arms and shoulders positioned over the victim's chest, push down on the
victim's chest. For adult victims, push it down for at least 2 inches or 5 cm deep.
8. Repeat the cycle until help arrives or when there are signs of movement.
How is cardiopulmonary resuscitation administered?
In checking for the pulse of the victim, put two fingers on the
center of the neck then slide fingers down to the side of the victim's neck
up to the nudge between muscles. When pulse is felt but no signs of
breathing, administer one rescue breathing every five seconds and
recheck pulse every two minutes.
2. Tilt the victim's chin using the other hand; this will
open the victim's airway.
First Aid of Common
Emergencies in Outdoor
Activities
What are the common medical injuries
encountered in outdoor recreation and what first
aid treatment should be administered?
Cuts, Scrape, and Punctures
- wounds, cuts, and lacerations can be caused anywhere from rock climbing,
cutting self from a knife, and stumbling.
Cuts, Scrape, and Punctures
- wounds, cuts, and lacerations can be caused anywhere from rock climbing,
cutting self from a knife, and stumbling.
Cuts, Scrape, and Punctures
- wounds, cuts, and lacerations can be caused anywhere from rock climbing,
cutting self from a knife, and stumbling.
❑ Clean cuts with soap and water then apply antibiotic cream then
cover with sterile bandage and secure using medical tape
❑ If wound is on the arm or leg, raise limb above the heart to help
slow down bleeding.
✓ Grade III refers to severe injury that involves the complete tearing of
the ligament or muscle.
Sprains, strains, and fractures
Compressing the affected area may be done using an athletic
tape or the bandage.
❑ Apply the "stirrup strip" down the calf, over the ankle, under the foot,
and back around to the anchor strip.
❑ Apply a "horseshoe strip" under the ankle, around the heel, and back
around to the bottom anchor strip
❑ Immobilize the area of injury until help arrives or until the person is
brought to the hospital.
❑ Make sure to clean and dress cuts before splinting.
❑ If bleeding, apply pressure to the wound with clean cloth until
bleeding stops. If bone is pushing through the skin, do not touch.
❑ Gently tape the dislocated area or fracture to a rolled-up newspaper,
ruler, or a rolled piece of clothing with first aid tape. Avoid moving
the injured limb and never force it or even try to twist it back into
place.
Concussion
- is a traumatic brain injury that is often caused by a blow or bump to the head or body.
Cuts and bruises may be seen on the head or face. Some lose consciousness or forge
what happened before the injury, others do not.
Concussion
- is a traumatic brain injury that is often caused by a blow or bump to the head or body.
Cuts and bruises may be seen on the head or face. Some lose consciousness or forge
what happened before the injury, others do not.
❑ Treat cuts.
❑ Apply only ice or compress (if no ice is available).
❑ Rest until symptoms disappear.
❑ Watch out for symptoms that need emergency action
Concussion
- is a traumatic brain injury that is often caused by a blow or bump to the head or body.
Cuts and bruises may be seen on the head or face. Some lose consciousness or forge
what happened before the injury, others do not.
If still on fire, stop burning immediately through the "stop, drop, and roll"
method.
Then remove the flamed material from the person. However, if the clothing
sticks to the skin, do not pull it out, but cut or tear around it.
Burns or Scalds
- Burns or scalds are injuries on the skin caused by hot liquid or heat.
Take off constrictive clothing immediately (belts, jewelry, and tight clothing)
as burns can swell quickly.
❑ Do not apply ice, it can lower body temperature and may cause further
damage.
❑ Protect burn with sterile, nonstick bandage, and secure with gauze of tape.
❑ To prevent shock, let the person lie flat and elevate feet for about 12
inches high and elevate burn area about heart level (it possible) and
cover the person with coat or blanket.
❑ Unresponsive
❑ Seems confused
OTC Medicines:
❑ Paracetamol
❑ Ibuprofen
❑ Aspirin (18 years old and above)
Altitude / Mountain Sickness
High Altitude Pulmonary Edema (HAPE)
Symptoms:
- Build up of fluid in the brain causing swelling and changes into the person’s mental
state. This might begin with just confusion.
Symptoms:
- Build up of fluid in the brain causing swelling and changes into the person’s mental
state. This might begin with just confusion.
First Aid:
❑ If symptoms are mild , the person should not go any higher until
the symptoms are completely gone
A fever is not the same as hyperthermia. When you have hyperthermia, your
body temperature rises above a certain "set-point" that your hypothalamus regulates (a
part of your brain that controls many body functions). When you have a fever, however,
your hypothalamus raises your body's set-point temperature. This deliberate increase
- When water is not sufficient for the body’s demand in a particular outdoor
nausea, faintness, a weak rapid pulse and/or cold, and sweaty skin.
- This case requires first aid similar to what is administered in case of heat
cramps.
Hyperthermia
• Heat Stroke
❑ Losses consciousness
❑ Becomes disoriented
❑ Pulse rate suddenly becomes fast
❑ Seizures
❑ Has warm, red, dry skin, and body temperature
above 103 degrees F
❑ Reduced sweating
Hypothermia
- Occurs when the body chills faster than the body’s ability to produce heat due to
exposure to cold, wet, and/or windy weather. Not taking enough energy
producing food and not having proper clothing speeds up hypothermia. This
generally occurs in temperatures less than 35° C.
Symptoms:
❑ Numbness
❑ Uncontrollable shivering
❑ Unconsciousness
Hypothermia
- Occurs when the body chills faster than the body’s ability to produce heat due to
exposure to cold, wet, and/or windy weather. Not taking enough energy
producing food and not having proper clothing speeds up hypothermia. This
generally occurs in temperatures less than 35° C.
First Aid:
❑ Exhale warm air near the vicinity of the patient’s mouth or nose.
❑ Loss of consciousness
❑ Shallow breathing
Diving Related Illnesses
a) Barotrauma
- is a serious injury that can occur because of pressure differences between the
body's air-filled cavities and the water. If one is having trouble
equalizing the ear and the air trapped in the middle ear cannot escape, the
resulting ruptured eardrum would be considered to be a form of barotrauma.
Emergency should be sought when the person shows disorientation, vomits, and
hearing loss, which shows ruptured eardrum. Rush to the nearest medical facility
immediately.
Diving Related Illnesses
a) Decompression Sickness
- Decompression sickness or DCS is a serious deep water diving related injury. It
happens when divers fail to follow prescribed dive profiles, and it can also happen
after a rapid ascent. During a dive, nitrogen bubbles form inside one's body,
including the bloodstream. If the bubbles remain, pain and tissue damage can
occur.
Diving Related Illnesses
a) Decompression Sickness
❑ Unconscious
❑ Dizziness
❑ Trouble Breathing
❑ Abnormal walk or weakness
What is the treatment for
decompression sickness?
RECOMPRESSION CHAMBER
RECOMPRESSION CHAMBER
Is a specialized equipment that is able to replicate the hyperbaric that
resulted in the dissolving of the gases.
The time that a person spends inside the chamber varies depending on the symptoms
and can last up between 5-10 hours.
Aquatic Hazards and
Drowning
Aquatic-Related Hazards
include physical, chemical, and microbiological hazards and their
associated effects, which are collectively termed recreational water
illnesses and injuries (RWII). These hazards and any potential risks
depend on many factors including pool type, pool design, special
play features, pool operation, maintenance, pool supervision, dose
or introduction of microbial contamination, patron behavior, and
patron susceptibility.
Types of Adverse Health Examples of
Outcomes Associated Hazards
Drowning/Near Drowning Swimmers under the influence of alcohol, poor swimming ability,
no supervision, poor pool design and maintenance (including
entrapment)
Impact Injuries Impact against hard surfaces (e.g., diving, use of water slides,
collision), treading on broken glass and jagged metal, especially in
outdoor pools
Impact Injuries Heat exposure in hot tubs or natural spas (using thermal water) or
exposure in plunge pools.
1. Wash the area with sea water (not fresh water) to deactivate stinging cells.
2. Rinse the area with vinegar for at least 30 seconds. if vinegar is not available, a
solution of baking soda can be used. This will Deactivate the stinging cells.
3. Next, soak the area in hot water for at least 20 minutes if possible. Cold packs can be
used instead if the area can be soaked in hot water.
Bring to the nearest medical facility if the person exhibits severe
allergic reaction or if the sting covers more than half an arm or leg.
If the sting also came from a box jelly fish, then the person needs to
be brought to the hospital immediately .The victim may suffer from
intense pain and experience swelling. Box jellyfish can be fatal.
Drowning
Drowning is death from suffocation caused by a liquid entering the lungs and preventing
the absorption of oxygen leading to cerebral hypoxia and myocardial infarction.
Near drowning is the survival of the drowning event involving unconsciousness or water
inhalation and can lead to serious secondary complication, including death, after the event.
Swimming after dark. small children may drown in baths , buckets and toilets.
Predisposing factors
Remove the victim from the water. Conscious victims may panic and
thus hinder rescue efforts.
Pool Fencing
Prevention
Department of Health
Bantay Bata
Risk Management of
Outdoor Activities
How do we How can we How can
identify come up with risk be
risks? the assessment? reduced?
What are Hazards
and Risks?
Hazards are things that have the potential to harm while
risk is the likelihood of realizing such potential.
Hazards are things that have the potential to harm while
risk is the likelihood of realizing such potential.
Hazards are things that have the potential to harm while
risk is the likelihood of realizing such potential.
Hazards are things that have the potential to harm while
risk is the likelihood of realizing such potential.
Hazards are things that have the potential to harm while
risk is the likelihood of realizing such potential.
Risk Identification
first involves knowing
the hazards of the
activity.
Three (3) Sources of Hazards According to Parkin
and Blades (1998):
01 02 03
Participants Equipment Surroundings
Hazards from Human Factor
Human factors include hazards coming from the participants and the
leaders or organizations of the activity.
Participants
Unmanageable Attitude
size of the Problems
group
Leaders
Lack of Poor
knowledge of Planning and
environmental Communication
hazards
Poor Inability to
Coordination and Respond to
Management Emergencies
Skills
Hazards from Equipment
Equipment includes the basic things to be included in the activity.
+ =
Alan Hale developed the Dynamics of Accident Model (Bunting, 2006) in 1984 where he came
up with the accident equation on how accidents occur.
Risk of sliding on slippery trail. (no coordination with local Drowning due to flash
government unit, lacked flood
Risk of getting drowned due to faculty supervision, lack of
higher water level and flash clear trip detail to parents)
floods.
Therefore…
risk identification should also
include identifying the likely risk
combination.
Human Environmental Greater
Hazard Hazard Accident
+ =
Human Environmental Greater
Hazard Hazard Accident
+ =
higher chance of
preventing the accident
Human Environmental Greater
Hazard Hazard Accident
+ =
Risk assessment
now includes understanding the degree of
the risk and the probability or likelihood of
it happening or occurring.
How Can Risk Be
Reduced?
Risk reduction
is coming out with strategies and
implementing the strategies that
will minimize the risks of the
activities.
The pre-trip planning will cover basic Understanding the skill levels of
knowledge of weather forecast, site the participants will allow the
selection, availability of emergency
personnel in the area, and basic
1 5 facilitators or leader to adjust and
anticipate certain difficulties and
facilities of the site. needs.
Risk
The policies and guidelines reduction Equipment to be used
may be set by activity
facilitators as safety measures 2 4 should be of approved
standard.
to participants.