11/12/2023
Recent case holds school liable for hiring incompetent first aid personnel leading to serious rugby injury
Author: Ivor Heyman, Advocate of the High Court
A recent case has highlighted the importance of having properly trained first aid personnel with the right equipment at rugby games. The case is Member of the Executive Council, Education, North West Province v Foster and Others [2023] ZASCA 11.
On May 6, 2006, during a rugby match between Hoërskool Lichtenburg and Hoër Volkskool Potchefstroom, a player from Hoërskool Lichtenburg was tackled and fell. The player suffered a neck injury (the first injury) which was a dislocated fracture of the cervical spine at the C4/C5 level, with partial spinal cord severing. The player then suffered a further injury (the second injury) when he was improperly removed from the field by the first aid personnel, resulting in a full and permanent neurological fallout (paralysis) at C5.
It appeared from the evidence before the court that the second injury occurred because the first aid personnel did not properly stabilize the player’s neck by failing to use a neck brace and a spinal board before moving him. Stabilization of the neck is required by the South African Rugby Union for the safe removal of injured players suspected of having a neck injury.
In his evidence, the injured player stated that, while he was lying injured on the field he could not feel his legs. When the two first aid personnel approached him, he requested several times that they should not carry him off the field without a spinal board. This request was ignored, and as he was carried off the field, his head fell backwards and forwards.
The injured player was initially taken by ambulance to Potchefstroom Medi-Clinic, where he received treatment. Thereafter, he was airlifted to Pretoria Hospital, where he underwent surgery twice. After the first operation, the doctors informed him that he would not be able to walk again. This remained the position despite the second operation. He was discharged on 15 September 2006, four months after the incident.
The injured player and his father filed a lawsuit against the Member of the Executive Council of Education (MEC) and others, claiming negligence by the school in its preparation for and handling of sports injuries at the rugby game. The MEC was sued because, according to Section 60 of the Schools Act 84 of 1996, the MEC is held liable for any delictual or contractual damage or loss caused by public schools. Hoër Volkskool Potchefstroom is a public school.
The court held that the MEC was liable for the damages suffered by the injured player and the question arises: what steps should a school take to ensure that sports injuries are not aggravated by the first aid personnel who run out on to the field to assist the injured player? The court laid out the following steps:
1. Ensure that the first aid service provider is suitably qualified and experienced to handle serious sports injuries. In this case, the court found that the service provider only had a certificate to drive an ambulance, and was not a certified emergency care practitioner registered with the Health Professions Council of South Africa (HPSCA).
2. Ensure that first aid personnel have the necessary training and experience to deal with injuries that could occur during the sports event. In this case, the court found that the first aid personnel were hopelessly incompetent and ill-equipped.
3. Ensure that the school has the required first aid equipment available for the match before it starts. In this case, the court was told that the spinal board necessary for stabilizing a neck injury was being used at another sports field and was not available at this rugby game.
4. Perhaps most important, schools need to keep in mind that, when it comes to dangerous contact sports like rugby, they need to take all reasonable measures to ensure that the players receive proper emergency care when needed. In this case, the court found that the steps Volkskool took to prevent serious rugby injuries were not reasonable under the circumstances.