Level 3

Fall Prevention

Falls are the leading cause of emergency department visits (23%) and hospital admissions (19%) among children and youth in Alberta.1

Falls can happen in a number of ways, including falling down stairs, tripping over objects, slipping on ice, or falling from high places. For children aged 5-9 years old, the top causes of serious injuries from falls include playground equipment, skates, skis and snowboards and general falls; for 10-14 year olds, the top causes of serious injuries from falls are skates, skis, and snowboards (see the Sports Safety Module), general falls and playground equipment.

In Alberta, there are an average of 3,185 emergency department visits among children each year as a result of playground injuries. Children who are between the ages of 5 and 9 years old are the age group with the highest number of playground related-injuries that result in the need to visit an emergency department. The most common types of injury that occur on playgrounds are fractures (both upper and lower extremity), concussions, and cuts and lacerations.2 For more information on concussion, please see the Concussion & Other Head Injuries Module.

There are ways to incorporate injury prevention into children’s everyday lives, including outdoor play, so that they can play while staying safe from serious harm or injury. Here are important things for parents, caregivers and teachers to remember to prevent children from suffering a severe injury due to a fall:

1. Stairs and escalators are not a safe place to play. Teach children to always hold the handrail, and make sure they are not wearing any loose objects that they could trip over (e.g., untied shoe-laces, poorly fitted clothing).

2. Window screens are not strong enough to prevent a child from falling. Use window guards, especially for windows above ground level. In addition, let children know it’s not safe to play on balconies or fire escapes.

3. Children should be reminded to look carefully where they step. This applies to both in the home and outside. Children must always be aware of their surroundings and look for any objects that might be in their path. If they are inside their home, always keep their toys and other objects stored away when not in use.

a. When outside, look around to make sure their path is clear, and that in winter, children must always look carefully where they step and wear proper footwear for the conditions.

4. Furniture is not a toy. Children should not climb or play on furniture. It could topple over, or they could fall and get hurt.

a. Ensure furniture such as bookshelves are anchored to the wall.
b. Be alert for furniture recalls and replace products as needed.

5. Children should not wear loose clothing or floppy slippers that could make them trip.

Key strategies to prevent playground injuries to children include the following:

1. Inspect playground equipment before children play to make sure that it is safe. Teach children that it is important to tell an adult if something on the playground is broken, because it could pose a hazard. Hazards are things that could be unsafe or dangerous; for example, things that are broken or sharp that could lead to an injury.
2. Teach children that it is important not to wear a helmet while playing on the playground. Helmets are meant for the activity for which they are designed. Wearing helmets on the playground can pose a strangulation or head entrapment issue.
3. Only allow children to play outdoors in safe weather conditions. If temperatures are extreme or if there is a risk of thunderstorms, children should not be allowed to play outdoors.
4. Ensure outdoor playgrounds have deep, soft surfaces below equipment to absorb the impact of a fall. Sand, pea gravel, or wood chips are good impact absorbing materials, and should be 15 to 30 cm deep.3
5. Teach children it is important to follow the rules on a playground. These include, but are not limited to: wait their turn; make room for others; no pushing on equipment; slide down the slide feet first; do not run up or down slides; always hold handrails; never jump from unsafe heights; do not stand at the bottom of slides or in front of swings; keep fingers away from moving parts.4,5
6. Whenever children are engaging in physical activity, make sure that they are properly hydrated.

First aid is a skill that anyone can learn and it is emergency care that can be provided immediately to an injured person. The purpose of first aid is to minimize injury and future disability. In serious cases, first aid may be necessary to keep the victim alive. Basic first aid can help with minor wounds and injuries that might result from falls. You can take first aid training through St. John Ambulance https://www.stjohn.ab.ca or Canadian Red Cross https://www.redcross.ca/in-your-community/alberta
In addition, children who take a babysitting course will learn some basic first aid skills for small children. For more information on the Babysitting course offered by St. John’s Ambulance check out this link
https://www.sja.ca/en/first-aid-training/babysitting

References

* This lesson plan has been adapted from the National Fire Protection Association’s RiskWatch Safety Program on Falls Prevention.
1. Injury Prevention Centre. (2019). Alberta Child and Youth Injury Report, Hospital Admissions (2004-2013)/Emergency Department Visits (2011-2014). Edmonton, AB: Injury Prevention Centre.
2. Parachute. (2021). Potential lost, potential for change: The Cost of Injury in Canada 2021.
3. Playgrounds & Play Spaces [Internet]. Toronto, ON: Parachute; 2022 [cited 6 Apr 2022]. Available from: https://www.parachutecanada.org/en/injury-topic/playgrounds-and-play-spaces/
4. Playground Safety [Internet]. Saskatoon, SK: Saskatchewan Prevention Institute; 2016. [cited 6 Apr 2022]. Available from: https://skprevention.ca/safety/playground-safety/
5. Playground Safety [Internet]. Wilmington, DE: Nemours - KidsHealth; 2019. [cited 6 Apr 2022]. Available from: https://kidshealth.org/en/parents/playground.html

GRADE 5 - Physical Education and Wellness Curriculum

ORGANIZING IDEA

Safety: A lifetime of optimal well-being is supported by prioritizing health and safety.

GUIDING QUESTION

How can responsibility lead to a desired outcome? 

LEARNING OUTCOME

Students analyze responsibility and consider the impact on well-being. 

Responsibility is being accountable for actions and decisions and accepting the results or consequences.

Safety of self and others can be enhanced through community programs, such as first aid training, and supports, including health professionals.

Responsibility to ensure the safety of self and others includes following:

  • laws
  • rules
  • practices
  • protocols
  • digital citizenship (responsible conduct and safety)

Personal actions and decisions can affect physical, social-emotional, and financial well-being.

Responsibility includes ensuring the safety of self and others.

Reflect on how the results or consequences of personal actions and decisions can affect the wellbeing of self and others.

Identify laws, rules, practices, and protocols that support safety and well-being in a variety of contexts. 

GRADE 5 - English Language Arts and Literature Curriculum

ORGANIZING IDEA

Writing: Ideas and information can be articulated accurately and imaginatively through the use of writing processes and an understanding of the author’s craft. 

GUIDING QUESTION

How does proficient writing enhance communications skills? 

LEARNING OUTCOME

Students enhance the accuracy and artistry of expression through creative and critical thinking processes.

Writing processes include:

  • planning
  • drafting
  • revising
  • editing
  • publishing

Planning includes:

  • consideration of audience, purpose, and form
  • idea generation
  • narrowing a topic

Written expressions of ideas or information can follow organizational structures, such as:

  • introduction, opening, or lead
  • details in order of sequence or importance
  • transitions
  • conclusions

Topic and concluding sentences provide structure and link ideas and information within paragraphs.

Interest can be created by varying sentence structure and length.

Writing fluency is the rhythm and flow of language in written text.

Revision includes adding or removing words, phrases, or sentences to ensure writing is clear and focused from beginning to end.

Writing skills can be developed to understand self and influence others.

Create written texts for a variety of audiences and purposes.

Create written texts in a variety of forms and structures.

Develop creative expression through the use of organizational processes, methods, and tools.

Express ideas through multiple-paragraph works that include topic introductions, supporting evidence, and conclusions.

Arrange and express ideas logically, using interesting details and transitions between sentences or paragraphs.

Communicate a clear position supported by relevant evidence.

Revise drafts to improve the fluency, coherence, sequence, and logical support of ideas.

Edit writing for spelling, punctuation, and grammar.

Publish selected pieces, incorporating graphics, captions, charts, or other text features to support a purpose or connect with an audience.

GRADE 6 - Physical Education and Wellness Curriculum

ORGANIZING IDEA

Safety: A lifetime of optimal well-being is supported by prioritizing health and safety.

GUIDING QUESTION

In what ways might risk influence the outcome of an action? 

LEARNING OUTCOME

Students examine risk and identify the factors that influence action. 

Risk is the overall assessment and identification of hazards related to personal safety and vulnerability.

Short-term and long-term risk can be managed or reduced through planning, rehearsal, and evaluation.

Aspects of life impacted by risk include: 

  • mental health
  • physical well-being
  • safety

Measured risks can be taken in stages and are more likely when individuals feel safe, respected, and trusted. 

Risk can lead to an increased likelihood of complications in various contexts.

Risk has potential to positively or negatively impact several aspects of life.

Discuss how feelings associated with risk taking affect actions and decisions. 

Describe consequences that may result from risk taking in various contexts.

Reflect on the positive and negative impacts of risk taking in a variety of contexts.

GRADE 6 - English Language Arts and Literature Curriculum

ORGANIZING IDEA

Writing: Ideas and information can be articulated accurately and imaginatively through the use of writing processes and an understanding of the author’s craft. 

GUIDING QUESTION

How is precise writing influenced by ongoing craft and process development? 

LEARNING OUTCOME

Students create texts that reflect personal voice and style through creative and critical thinking processes.

Writing processes can be used to clearly compose and refine ideas and develop personal style, and include:

  • planning
  • drafting
  • revising
  • editing
  • publishing

Planning can help organize thoughts and prioritize information and includes:

  • consideration of audience, purpose, and form
  • idea generation
  • narrowing a topic

Organizational structures can help focus the expression of ideas or information, such as:

  • introduction, opening, or lead
  • details in order of sequence or importance
  • transitions
  • conclusions

Variety in sentence length and structure can enhance writing fluency and reader engagement.

Fluent writing invites expressive oral reading that brings out the writer’s voice or style.

Revision may involve adding or deleting portions of text, moving pieces of text around, or restructuring sentences.

Revision can ensure writing is:

  • clear
  • focused
  • informative
  • engaging

Writing can cultivate expression, problem solving, and critical thinking.

 

Create written texts for a variety of audiences and purposes.

Create written texts in a variety of forms and structures.

Develop creative expression through the use of writing processes.

Analyze how ideas align with the purpose, audience, and form of writing.

Express personal ideas through multiple paragraphs for the purpose of engaging an audience.

Organize writing around clear ideas or positions that are supported by examples or relevant evidence.

Express ideas using organizational structures that enhance writing.

Relate ideas and connect paragraphs using a variety of transitions.

Revise text for clarity, focus, and audience.

Edit writing for spelling, punctuation, and grammar.

Publish selected writing, incorporating graphics, captions, charts, or other text features to express individuality.

Learning Objectives

  1. Describe falls hazards related to issues with weather (e.g., ice and snow) and physical environment (e.g., broken sidewalks, cluttered sidewalks).
  2. Describe ways to prevent falls related to issues around weather and physical environment.
  3. Identify the basics of first aid.

Key Messages

  • Rain, ice, and snow can increase the risk of falling. Take steps to prevent a fall.
  • Tell an adult if you see fall hazards in your community.
  • Lend a helping hand - learn basic first aid skills in the event of a minor injury.
  • If someone is seriously injured, call an adult or 911 right away.

Required Materials / Teacher Preparation

  1. Flipchart paper / white board / SMART board and markers.
  2. First aid kit for demonstration.
  3. Copy of the IPC’s 'First Aid Basics' presentation slides.

Time Required to Teach Lesson

  • Approximately 45 minutes.

Safety Considerations

  • None.

Activities

1. Explain to the class that they are going to be learning about falls hazards and prevention, specifically related to weather and the physical environment outside. Ask the class what they think could be some falls hazards related to weather and the outside physical environment - answers may include: ice and snow, darkness or poorly lit places, wet surfaces, broken sidewalks, cluttered sidewalks, loose gravel. Slips, trips and falls tend to be more frequent in rainy or icy weather, in darkness, when walking on uneven surfaces.

a. There are many ways to prevent falls related to weather and the physical environment. Ask the class to brainstorm some ideas. What are some ways in which you can prevent or reduce the risk of falls due to weather or the physical environment?

i. Stay alert at all times but even more so when weather conditions are bad.
ii. Do not use your phone when on the move.
iii. Wipe your shoes on a doormat when entering a building during wet weather (rain, snow, hail, etc.).
iv. Repair broken sidewalks and keep them clear from clutter.
v. Use handrails when going up or down stairs.
vi. Watch out for ice, cracks and uneven surfaces while walking. When walking on ice, take small, slow steps, keep your head up and do not lean forward. Keep your hands out of your pockets to help keep your balance. For tips on walking outside, learn how to walk like a penguin by reading this information sheet or watch this video.
vii. Walk, don’t run, on the deck of a pool because it is slippery.
viii. Shovel sidewalks and paths and keep clear from snow and ice to prevent falls.
ix. Use sand or ice melt to help provide traction on icy patches on sidewalks.
x. When using a ladder, stand it on flat ground. Keep off the highest two steps of the ladder. Do not reach to the side or push or pull anything while on the ladder. Always keep 3 points of contact with the ladder (i.e. two hands and one foot, two feet and one hand).
xi. Wear slip-resistant shoes.
xii. Put out signs to indicate if floors are wet.
xiii. Take the elevator when carrying large items.
xiv. Use a flashlight or headlamp in poorly lit places.

b. Now that the class has learned about falls hazards and falls prevention - engage the class in a group discussion using the following question: Imagine you are the school custodian, what are some things you would think about to keep your students safe from falling outside. (Hints: Physical infrastructure, weather, environment).

2. Explain to the class that you will now be discussing the basics of first aid that can help if someone has been injured by a fall. Upload and present the 'First Aid Basics' slides, which can be found here: First Aid Basics.

a. Note: speaking notes can be found in the slides.
b. In addition - discuss with the class the following acronym RICE for first aid of sprains and strains:

i. For injuries to joints, ligaments (sprains), or muscles (strains), use the acronym RICE to remember what to do and while waiting for medical help to arrive if needed:

      • R - Rest
      • I - Immobilize
      • C - Cold
      • E - Elevate

Rest means stopping the activity that caused the injury and waiting for it to heal or until a medical professional tells you it's okay to continue.
Immobilize means taking steps to prevent movement of the injured limb. Might include a sling or splint.
Cold means applying cold to the injury as soon the injury has been immobilized. You could use the cold pack from a first aid kit.
Elevate means raising the injured part if possible and as long as it doesn’t cause more pain or harm. Elevation helps to reduce swelling.

c. During the presentation, pass around the first aid kit for students to look at.

i. Once the discussion about basic first aid and treating minor injuries has been had, ask the class to think about what they should do if there was a major injury? Major injuries are those that involve lots of bleeding, including punctures, gashes, or large wounds and require the help of a professional to treat.

      • First, call 911 or ask an adult to help call 911
      • Tell 911 that you need an ambulance and the circumstances of the injury if known
      • If the person is bleeding, try to stop the bleeding by applying clean towels, gauze or bandages to the wound and applying pressure
      • If possible, elevate the wound above the heart
      • Wait for help to arrive

3. Following the First Aid Basics presentation above, instruct students that they will now prepare a blog post on the basics of first aid using the Blog Post First Aid Kit worksheet. Students’ blog posts should include:

a. A list of common materials that can be found in a basic first aid kit.

i. Answers could include - antiseptic wipes / alcohol swabs, bandages, gauze, protective gloves and face shield / face barrier, instant cold pack, tape and safety pins, tweezers, scissors,
flashlight and a first aid manual.
ii. A brief description of how the contents in the kit may be used to treat minor injuries could include:

      • Minor cuts and scrapes - use antiseptic wipes / alcohol swabs to clean wounds followed by gauze and / or bandage.
      • Muscle sprains - gauze tape and safety pins may be used as a wrap to immobilize sprains, followed by placing the instant cold pack to reduce swelling.
      • Protective equipment - wearing disposable gloves and face mask helps practice good hygiene when treating others with minor injuries involving bodily fluids.

Class Discussion Questions

a. You wake up to freezing rain, how do you keep yourself from falling on your walk to school?
b. You are at the bus stop and it's slippery. An older person slips and falls, what do you do?

Let's Review

Today we learned about fall prevention and hazards related to weather and the physical environment as well as the basics of first aid.

Fall Prevention

Are you ready to review what we learned? Complete the following short-answer questions:

 

1. Describe how you would practice first aid if someone at school scraped their knee on the playground and it was bleeding.

2. What should you do if you see someone on the sidewalk who tripped and fell and got seriously hurt?

3. Describe 3 ways to prevent falls related to issues around weather and the physical environment.

ANSWER KEY:

  1. First, you would need to assess their injury and get help from a teacher or adult. If it is a minor cut or scrape, a teacher or adult could get the first aid kit and help the child apply a band-aid to stop the bleeding.
  2. If you see someone on the sidewalk that tripped and fell and is seriously hurt, it is important to get an adult right away. Remember, do not move the injured person, this may make their injuries worse.
  3. Keep stairs clear of shoes and objects; clear sidewalks and paths from snow and ice; fix broken sidewalks; put out a sign to indicate wet floors; wear non-slip shoes; use handrails when using stairs; turn on lights or use a flashlight in poorly lit places.

Home Connections

Send a letter home to caregivers informing them that their child will be learning about fall prevention,  and the basics of first aid. Encourage caregivers to contact the Canadian Red Cross and / or St. John Ambulance for additional information on first aid.

A sample letter is provided below.

Community Connections

Reach out to the local Red Cross or St. John Ambulance in your local area. Invite a local first aid trainer to present basic first aid training or invite a local health promotion facilitator or a pediatrician to present to the class on the importance of fall prevention.

Sample Letter

(may be printed on school letterhead or used as a template for SchoolZone / SeeSaw)

Dear Parent / Caregiver,

Today our class learned about fall prevention and the basics of first aid. Play is important for overall healthy child development. Minor cuts and bruises are a normal part of childhood development, however, serious injuries are preventable.

There are things you can do to help keep your child free from major injury, so that they can have fun and be safe at home, school and on the playground. As a parent / caregiver, there are things you can do to help keep your child safe:

  1. Inspect playground equipment before children play to make sure that it is safe (i.e., no broken equipment, protruding nails or screws in equipment).
  2. Only allow children to play outdoors in safe weather conditions. If temperatures are extreme or if there is a risk of thunderstorms, children should not be allowed to play outdoors.
  3. At home:
    a. install window guards, especially on windows above the first floor.
    b. anchor large furniture, such as shelves and bookcases, to the wall.
    c. use non-slip rugs to help prevent tripping hazards.
    d. keep pathways and stairways well lit and free of clutter.
  4. When children are playing sports or bike riding, always wear appropriate safety equipment including helmets.
  5. Learn basic first aid in the event of an injury.

Learn that safety starts at home. Go to the local playground or community with your child and do a ‘safety tour’ of the equipment and the physical environment. Teach children to always use the side rails, take turns, and to give others space when dismounting off of equipment. Walk through your home to assess for any fall hazards on stairs, in bedrooms or other places. In addition, if you or your child are interested, enrol in a local first aid training course and have a first aid kit at your home. For more information, please contact the Canadian Red Cross (https://www.redcross.ca/in-your-community/alberta/first-aid-and-cpr) or St. John Ambulance (https://stjohn.ab.ca/).

By using these strategies, you can help teach your child the importance of fall prevention and reduce the risk of injuries.

 

Sincerely,

[Insert Teacher Name Here]

Additional Resources

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