Grade by Grade
A–B. Active Living and Movement Competence · Active Living and Movement: Move Well, Train Smart, Stay Safe

When It Counts: Responding to Emergencies

A3.2 1.3 1.2About 70 minutes
Learning goals
  • I can decide when to get help and when to call 911, and give clear information to the call-taker.
  • I can stay calm and help others stay calm in an emergency.
  • I can recognize and respond to an asthma attack and signs of distress.
  • I can recognize concussion signs and symptoms and make sure the person stops activity until assessed.
  • I can explain why not to move someone with a possible spine injury, recognize shock, and place a person in the recovery position when appropriate.

Words to know

emergency
A serious, sudden situation that needs action right away, often help from 911.
shock
A life-threatening condition where not enough blood flows to the body's organs, often after a serious injury or blood loss.
recovery position
Lying on the side with the top knee bent and head tilted back, used for an unresponsive person who is breathing normally, to keep the airway open.
concussion
A brain injury caused by a hit to the head, face, neck or body that makes the brain move inside the skull.
reliever inhaler
Asthma medication that opens the airways quickly during symptoms or an attack.
Rowan's Law
Ontario's concussion-safety law (2018), named after Rowan Stringer. It requires sport organizations to have rules for removing athletes with a suspected concussion and for returning them to sport.

Remember from Grade 8

In Grade 8 you learned Check, Call, Care, how to make a 911 call, first steps for common injuries, and the red flags for a suspected concussion. Grade 9 adds more: asthma attacks, shock, not moving a person who may have a spine injury, and the recovery position. This lesson is not a first-aid certificate. A certified first-aid course (for example, from the Canadian Red Cross or St. John Ambulance) is a great next step.

Hook: thirty seconds

During a hike, your friend Lena stops, bends over and starts wheezing. She's coughing, can't finish a sentence, and looks scared. What you do in the next thirty seconds matters a lot. People who have practised what to do are much more likely to stay calm and act. That's what this lesson is for.

When to get help or call 911

Call 911 (or send someone to call) when a person:

  • is unresponsive or not breathing normally;
  • has trouble breathing that isn't quickly relieved by their own inhaler;
  • may have a head, neck or back injury, or any concussion red flag (repeated vomiting, worsening headache, seizure, loss of consciousness, increasing confusion, neck pain);
  • shows signs of shock or severe bleeding;
  • has a severe allergic reaction (use their epinephrine auto-injector and call 911).

Get an adult (teacher, coach, parent, lifeguard) for any injury, even if it seems small.

Staying calm

  • Take one slow breath before you act.
  • Use a calm voice: "I'm here. Help is coming."
  • Give clear jobs to bystanders: "You, call 911. You, get the coach. You, go to the trail entrance to meet the ambulance." Point to a specific person; in a crowd, everyone assumes someone else will call.
CHECK the scene: is it safe for me?CHECK the person: tap and shoutCALL 911 (send someone) + get an AEDBreathing normally?yesnoCARE: recoveryposition (if nospine injury);monitor breathingCARE: start CPRand use the AED(next lesson)Stay with the person and stay calm until help arrives.
The emergency response sequence for someone who has collapsed. Check the scene and the person, call 911 and get an AED, then give the right care.
SituationSigns to recognizeWhat to do
Asthma attackCoughing, wheezing, tight chest, short of breath, hard to speak in full sentencesHelp them sit up and lean slightly forward; help them use their own reliever inhaler; stay calm with them; call 911 if it doesn't help quickly or breathing is very hard
Suspected concussionHeadache, dizziness, nausea, blurred vision, confusion, slow to answer, sensitive to light or noise, emotional changesStop their activity right away (recognize, remove); don't leave them alone; tell an adult; they must not return that day and need a medical assessment; call 911 for red flags
Possible spine injury (hard fall, diving, neck or back pain, tingling or weakness)Neck or back pain, numbness, tingling, can't move arms or legsDon't move them unless they are in danger; keep their head and neck still in the position found; call 911
ShockPale, cool, clammy skin; fast, weak pulse; fast breathing; restless or confused; thirst; nauseaCall 911; keep them lying down and still; keep them warm (jacket or blanket); reassure them; give nothing to eat or drink; watch their breathing
Unresponsive but breathing normally (no suspected spine injury)Won't wake up when you tap and shout, but chest rises and falls normallyCall 911; place them in the recovery position; keep checking breathing
Recognize, then respond. When in doubt, call 911: the call-taker will tell you what to do.

The recovery position

Use it for a person who is unresponsive but breathing normally and does not have a suspected head, neck or spine injury. It keeps the airway open and lets fluids (like vomit) drain from the mouth.

  1. Kneel beside the person, who is lying on their back.
  2. Place the arm nearest you out at a right angle to their body.
  3. Bring the far arm across the chest and hold the back of their hand against their near cheek.
  4. Bend the far knee up.
  5. Holding the knee and shoulder, roll them toward you onto their side.
  6. Adjust the top leg so the hip and knee are bent, and tilt the head back slightly to keep the airway open.
  7. Keep checking their breathing until help arrives. If breathing stops, start CPR (next lesson).
view from abovehead tilted back:airway opentop handunder cheektop knee bent at a right anglelower arm outbottom leg straight
The recovery position, seen from above (simplified drawing): on the side, top hand under the cheek, top knee bent so the person can't roll, and head tilted back to keep the airway open.
Worked example

Let's respond to Lena's asthma attack

On a hike, Lena is wheezing, coughing and can't finish sentences. She has asthma. Two other friends are with you. Model the response, including a 911 call if needed.

  1. Stay calm and check: "Lena, is it your asthma? Where's your inhaler?" The scene is safe (flat trail, no hazards).
  2. Position: help her sit down and lean slightly forward, which can make breathing easier. Loosen anything tight around her neck.
  3. Inhaler: help her use her own reliever inhaler as her plan says. Keep talking calmly: "Slow breaths. I'm right here."
  4. Assign jobs: "Sam, call 911 if this isn't getting better in a few minutes. Priya, check the trail sign for our location."
  5. It doesn't improve, so call 911 (communication, 1.3): "My friend is having a severe asthma attack. She's 14 and she's awake but can barely talk. We're on the Maple Ridge trail, about 1 km from the parking lot on Concession Road 5." Answer questions; don't hang up until told.
  6. Care until help arrives: stay with her, keep her sitting up, follow the call-taker's instructions, and send someone to meet responders at the trailhead.

Calm voice, sitting position, her own inhaler, clear jobs for bystanders, a clear 911 call with location, and staying with her until help arrives.

Hands-on activity

Emergency practice at home

You need: a family member or friend to practise with, a soft mat or carpet, a notebook, and a phone (do not dial 911 for practice).

  1. Location card (10 min): write your home address, nearest major intersection, and directions to the closest park or trail entrance. Put it on the fridge.
  2. Pretend 911 call (10 min): with a family member playing the call-taker, practise saying what happened, the person's age and condition, and the exact location. Then switch roles. Never actually call 911 to practise.
  3. Recovery position (15 min): your partner lies on their back on a soft surface. Follow the 7 steps slowly and gently. Switch roles. Check: is the top knee bent? Is the head tilted back?
  4. Scenarios (10 min): for each, say what you'd do: a teammate falls on the ice and has neck pain; a friend gets hit in the head with a ball and seems confused; a cousin is pale, sweaty and shaky after a bad fall from a bike.
  5. Plan next steps: look up a certified first-aid and CPR course near you.

Safety: Move gently; never twist the neck. Practise only on a willing partner who has no back or neck problems. Don't practise anything that hurts.

Your turn

1

Name three situations where you should call 911.

2

List four signs of an asthma attack.

3

What must happen to a player with a suspected concussion?

4

Why shouldn't you move someone who may have a spine injury?

5

List four signs of shock.

6

Who is the recovery position for?

7

Why should you point to a specific person and say "You, call 911"?

More practice: warm-up

1

What do the three Cs stand for?

2

Whose inhaler should a person having an asthma attack use?

3

Should you give a person in shock something to drink?

4

What is Rowan's Law about?

5

In the recovery position, which knee is bent?

More practice: on your own

1

Write what you'd say to a 911 call-taker if a teammate collapses at Riverside Park soccer field and isn't responding.

2

A player hits her head on the ice, gets up and says she's fine, but she seems slow to answer questions. What should happen and why?

3

Why keep a person in shock warm?

4

Explain how staying calm helps the injured person.

5

An unresponsive person is breathing normally, but they fell from a high climbing wall. Should you use the recovery position? Explain.

Challenge

1

At a beach, a swimmer is pulled out of the water and is coughing, pale and confused. Lifeguards are on duty. Describe your role as a bystander.

2

Design a laminated emergency card for your team's equipment bag. List at least six items it should contain.

3

Explain why the curriculum asks teens, not just adults, to learn emergency response.

Check your understanding

Quiz

1.

A friend's asthma inhaler isn't helping and she can barely speak. You should:

2.

Which is a sign of shock?

3.

A player is slow to answer questions after a hit to the head. What happens next?

4.

The recovery position is used for someone who:

5.

Someone fell from a ladder and has neck pain. You should:

6.

The best way to make sure someone calls 911 in a crowd is to:

For parents and teachers

Big idea: Expectation A3.2 asks students to show understanding of how to respond to emergencies during physical activity: when to get help or call 911, staying calm, recognizing and helping with asthma attacks and other distress, recognizing concussion and stopping activity until assessed, not moving an injured person, recognizing shock and using the recovery position. Living skill 1.3 (communication) is practised in giving clear information.

How to help at home:

  • Make the location card together and post it on the fridge.
  • Play the 911 call-taker in a practice role play (never actually call 911 to practise).
  • Consider a certified first-aid and CPR course for your teen (and yourself).

Common difficulties:

  • Thinking concussion requires a knock-out. Most do not.
  • Moving an injured person too soon. Stress "don't move unless in danger" for falls and neck pain.

Sensitive topic: Some teens find emergency scenarios upsetting, especially if they have experienced one. Let them talk about it and reassure them that learning these steps helps people. No joke block is included in this lesson.