Table of Contents
1. Table of Contents
3. Emergency Personnel
4. Emergency Communication
5. Emergency Equipment
6. Medical Transportation
7. Non-medical Transportation
6. Emergency Contact List
7. Accident/Injury Contact Phone Tree
Emergency situations may arise at any time during athletic events. Expedient action must be taken in order to provide the best possible care to the sport participant. The development and implementation of this emergency action plan is intended to help ensure that appropriate care will be provided.
As emergencies may occur at any time and during any activity, all participants should be prepared.
Athletic organizations have a duty to develop an emergency plan that may be implemented immediately when necessary and provide appropriate standards of emergency care to all sports participants. As athletic injuries may occur at any time and during any activity, the sports medicine team must be prepared. This preparation involves formulation of an emergency plan, proper coverage of events, maintenance of appropriate emergency equipment and supplies, utilization of appropriate emergency medical personnel, and continuing education in the area of emergency medicine and planning. Hopefully, through careful pre-participation physical screenings, adequate medical coverage, safe practice and training techniques and other safety avenues, some potential emergencies may be averted. However, accidents and injuries are inherent with sports participation, and proper preparation on the part of the sports medicine team should enable each emergency situation to be managed appropriately.
The ?rst responder in an emergency situation during an athletic practice or competition is typically a member of the sports medicine staff, such as a certi?ed athletic trainer. However, the ?rst responder may also be a coach or another member of the school personnel. Certi?cation in cardiopulmonary resuscitation (CPR), ?rst aid, automated external de?brillator (AED), prevention of disease transmission, and emergency plan review is required for all athletics personnel associated with practices, competitions, skills instructions, and strength and conditioning [also including: athletic director, school nurse, certi?ed athletic trainer, all coaches, etc.]. Copies of training certi?cates and/or cards are maintained in the athletic training facility and/or with the athletic director.
The emergency team may consist of physicians, emergency medical technicians, certi?ed athletic trainers, athletic training student, coaches, managers, and possibly bystanders. Roles of these individuals will vary depending on different factors such as team size, athletic venue, preference of the head athletic trainer, etc.
The four basic roles within the emergency team are:
1. Establish scene safety and immediate care of the athlete:
This should be provided by the most qualified individual on the medical team.
2. Activation of Emergency Medical Services:
This may be necessary in situations where emergency transportation is not already present at the sporting event. Time is the most critical factor and this may be done by anyone on the team. However, the person chosen should be someone who is calm under pressure, communicates well, and is familiar with the location and address of the sporting event.
3. Emergency Equipment:
Contact any league official on site who may have some basic supplies. The nearest AED may be at a neighboring facility such as a Little League concession stand, public school, or YMCA. Equipment Retrieval may be done by anyone on the emergency team who is familiar with the types and locations of the specific equipment needed. Team Managers should take note of the closest AED to their practice and game locations.
4. Direction of EMS to the Scene:
One of the members of the team should be in charge of meeting the emergency medical personnel as they arrive at the site. This person should have keys to locked gates or doors.
Formation of an emergency team and implementation of speci?c roles are important. You should also assign more than one person to a role in case certain members are not present during a given situation.
Activating Emergency Medical Services
1. Call 9-1-1
~ Provide Information
- name, address, telephone number of the caller
- nature of emergency (medical or non-medical)
- number of athletes
- condition of athlete[s)
- first aid treatment initiated by the first responder
- specific directions as needed to locate the emergency scene [i.e. "use the north entrance to the Baseball Complex]
- other information requested by the dispatcher
2. Direct EMS to scene
a. Open appropriate gates
b. Designate individual to "?ag down" EMS and direct to scene
c. Scene control: limit scene to ?rst aid providers and move bystanders away from area
Communication is a key to a quick, ef?cient emergency response. There should be a pre-established phone tree to ensure all relevant parties are noti?ed. Access to a working telephone line or other device, either ?xed or mobile, should be assured. There should also be back-up communication in effect in case there is a failure of the primary communication. At every athletic venue, home and away, it is important to know the location of a workable telephone.
Medical Emergency Transportation
Emphasis is placed on having an ambulance on site at high risk sporting events, such as football, gymnastics, track and ?eld meets, etc. In the event that an ambulance is on site, there should be a designated location with rapid access to the site and cleared route for entering/exiting the venue. In the event that an ambulance is not on site, the medical personnel should be aware of average EMS response time for the athletic venue and distance from the venue to local hospitals.
Any emergency situation where there is impairment in loss of consciousness (LOC). airway, breathing, or circulation (ABC's) or there is a neurovascular compromise should be considered a "load and go " situation and emphasis placed an rapid evaluation, treatment, and proper transportation.
For the non-medical emergencies (?re, bomb threats, violent or criminal behavior, etc.) contact any league official on site, and, if appropriate, call 9-1-1 stating a non-medical emergency and follow instructions.
The importance of being properly prepared when athletic emergencies arise cannot be stressed enough. An athlete's survival may hinge on the training and preparation of athletic healthcare providers.
Note: This is a basic plan. Use professional judgment when a player is injured.