Sunday, October 22, 2006

Feels like high school...

...you know, you leave your homework until Sunday night? That's how this blog feels. I've been putting it off all week, and now it's Sunday night and it seems like there's too much to do in just one blog.

I've got two themes to this post, one is first aid. The other is entertainment.
Totally unrelated, I know.

Let's start with 'first aid' shall we? At the beginning of the week there was a grade 2 student who got hit in the face with a ball at my school. He came into the staff room with a scraped knee, a fat lip and bleeding gums. The school nurse was off on a school field trip with the 6th graders, so the homeroom teacher was responsible for him. She got on the phone right away and called his mother. Sounds reasonable. She then called the hospital and told them that he'd be coming in -another good idea. What she didn't do however, was TREAT THE CHILD. I sat and watched as he bled and sniffled, teachers walking by tsking and shaking their heads, "poor kid". BUT NOBODY DID ANYTHING FOR HIM!!

I turned to my Japanese Assistant Teacher and said, "Somebody needs to get that boy some ice." Her response was, "Oh, but the nurse isn't here today, and besides, they've called his mother."

...

I repeated my concern for his swelling lip and she shrugged and said that he'd be going to the hospital soon.

...


Does this seem totally lame to anyone else? The boy's lip was huge and only getting bigger. The teacher left the room so I went to the refridgerator and got an ice pack for him. I wrapped it in tissue because I didn't know where to find clean, sanitary towels or cloth. As I was handing it to him the teacher came back in and said to the boy, "Oh isn't Linea-sensei so nice, how thoughtful of her."


First aid:

Pronunciation: "f&rst-'Ad
Function: noun:
emergency care or treatment given to an ill or injured person before regular medical aid can be obtained
Merriam-Webster's Medical Dictionary, © 2002 Merriam-Webster, Inc.

You don't have to be trained in it to do it -it's common sense. Or so I thought. As someone who has been trained, this was a very uncomfortable situation for me and I couldn't stand by and not do anything, even though I had basically been told I shouldn't.

This led to a whole discussion with my JAT about how I have observed a total lack of training in first aid in this country. I told her how most people in North America get at least a basic level of first aid training as a requirement for many jobs -and that it's especially important for teachers or anyone who works with children. She admitted she hadn't really thought about it before.

Yikes.

Then Thursday when I arrived at school I was informed that a 3rd grade student from another Kurobe City elementary school had collapsed and died during a basketball practice the night before as a result of vetricullar fibrillation (irregular heart rhythm).

He had done one lap and suddenly fell over. He tried to get up, but fell over again.

Now here's the concerning part: according to my JAT, there was no coach, manager nor teacher in the gym at the time. Only parents. Of course they called the ambulance once they realized the seriousness of it. However, they didn't think to contact any of the staff at the school.

Now, nobody can predict what could have happened had a teacher been called, but perhaps had a teacher been contacted they would have been able to administer some kind of first aid while waiting for the ambulance. At least I would hope so.

I would like to point out at this time that since two similar deaths have occured in the last two years in Nyuzen Town, pretty much every school has now been equipped with
AEDs(click) (Automatic External Defibrillators). As a Nyuzen High School staff member I was given a 3 hour seminar in how to use this device, as well as a quick CPR lesson. I was astonished at my coworkers' complete lack of knowledge in first aid.

Having an AED machine in a school doesn't mean that every staff member knows how to use it, but that's part of the reason for AED machines -they are designed to be used by trained or non-trained individuals. Perhaps had the parents called a staff member, the would have been able to at least try to used the machine before the ambulance arrived. But it sounds like very little was done.

It's a horrible tragedy, and I can't help but feel that more could have been done for this child. As a parent, wouldn't you want to know what to do if your child (or any child) collapsed, started choking, or was bleeding? You don' t have to be able to set a bone or stitch a gaping wound, but shouldn't you at least know how to stop the bleeding for the time being or in more serious cases open an airway, check for breathing and circulation?

Finally as a last note on this topic, today while watching Kirsten's swim meet there was a woman who apparently had a very bad cramp or some other immobillizing condition in the last 25 of her swim. I watched from the stands as 5 or 6 people walked along the deck watching her way out in lane 5 struggle to get herself to the end of the lane. Finally when she was about 10 feet from the wall another swimmer jumped in to try and help her.

Are you thinking what I was thinking?

Where the hell was the lifeguard. Your guess is as good as mine. One of the first things I noticed when I started swimming in Japan was the complete lack of rescue equipment on deck. Nothing. They must be really adept with a flutter board...

Anyway. So, instead of this woman getting out on the side, she struggled to the end of the lane and then got out on the side. She was a larger woman and I cringed as I watched 4 people try to drag her up out of the water at the ladder. Where is the @!$%$#%ing protocol in this country? Finally she was flopped over onto the deck where now 10 people hovered over her. They brought out a mat and haphazardly yanked and dragged her over to it (instead of sliding it underneath her)....sigh.

Remind me never to get injured in this country.


It's late, I'm tired. I'll leave the entertainment part til morning...before class.

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