First Aid In Sports — Closed Wounds, Sprain & Strain

Subject: Physical and Health Education — Age: about 10 years — Fit for Kenyan schools and playgrounds.

Learning goals
  • Know what closed wounds, sprains and strains are.
  • Learn simple, safe first aid steps to help a friend on the field.
  • Know when to tell a teacher or go to the health unit/hospital.

Key words

  • Closed wound: injury under the skin — skin is not cut open. There may be swelling or bruise (coloured skin).
  • Sprain: a twisted joint (like ankle or wrist) that hurts because ligaments are stretched or torn.
  • Strain: a pulled muscle or tendon from overstretching or sudden strong use.

How these happen (Causes)

  • Falling badly during a game (football, netball, athletics).
  • Wrong landing after a jump or sudden twist of the foot.
  • Overuse of muscles — running too long without rest.
  • Colliding with another player or uneven ground on the pitch.

Signs to look for (What you see or feel)

  • Swelling (bulge) or bruise on the skin — for closed wounds.
  • Pain when moving the joint or muscle.
  • Difficulty putting weight on a leg or walking.
  • A popping sound when the injury happened (may mean a bad sprain).

Basic First Aid Steps (Safe and simple)

Always first: stop the game, sit the person down, and calm them. Tell the teacher or coach.

For Closed Wounds (no broken skin)
  1. Check for pain and swelling.
  2. Apply a cold pack (ice wrapped in a cloth) for 10–15 minutes. No ice directly on skin.
  3. Rest and keep the injured part raised if possible.
  4. Watch for increasing pain, numbness, or spreading bruises — tell the teacher or go to the clinic.
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For Sprain and Strain — RICED

RICE is easy to remember. Add D for Doctor if needed.

  1. Rest — stop moving the injured part.
  2. Ice — cold pack for 10–15 minutes, every hour for the first day.
  3. Compression — light bandage to reduce swelling (not too tight).
  4. Elevation — keep the part up above heart level if you can.
  5. Doctor/Teacher — tell them if pain or swelling is bad or steady.
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How to make a safe sling or support (quick)

If a friend hurts their arm, use a clean cloth or jersey as a sling:

  1. Fold the cloth into a triangle.
  2. Place the arm across the chest with elbow bent.
  3. Support the arm with the cloth, tie the ends behind the neck.
  4. Ask the teacher to check the tie is not too tight.

When to go to the health unit or hospital

  • Cannot move the injured limb or cannot put weight on it.
  • Pain is very bad or getting worse.
  • Numbness, tingling, or coldness in the foot or hand.
  • Big swelling or the shape of the limb looks odd (may be a broken bone).

Prevention — how to avoid these injuries

  • Always warm up before playing: run slowly, stretch legs and arms.
  • Wear proper shoes and shin guards for football.
  • Play on safe, even ground. Avoid holes and wet slippery spots.
  • Follow the rules and listen to the teacher/coach.
  • Rest when tired — do not keep playing with pain.

Short class activity (5 minutes)

Role play: In pairs, one student pretends to sprain an ankle. The other practices: 1) telling the teacher, 2) helping the friend sit, 3) lifting the foot, 4) placing an ice pack (or wrapped water bottle).

Quick quiz (answers at the end)

  1. What does RICE stand for?
  2. Name two signs of a closed wound.
  3. When should you go to the health unit?
Answers
  1. Rest, Ice, Compression, Elevation (and see a Doctor if needed).
  2. Swelling, bruise or pain under the skin (no open cut).
  3. If you cannot move the part, pain is very bad, numbness, or limb looks odd.

Remember: Always tell a grown-up — teacher, coach or parent — and never try to “fix” a bad injury by yourself. Good first aid helps your friend and may keep the injury from getting worse.

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