Appendix A. Emergency Action Plan

Transcription

1 Appendix A Emergency Action Plan Updated May 2016

2 Table of Contents Introduction...3 Policy and Procedures...4 Emergency Personnel...8 Emergency Communication...9 Emergency Equipment...11 Heat Illness Protocol...12 Emergency Contact List...14 EAP Venue: Boshamer Gymnasium...15 EAP Venue: Football Practice Field...17 EAP Venue: Softball Field...19 EAP Venue: Track and Lacrosse Field...21 EAP Venue: Soccer Field...23 EAP Venue: Tennis Courts...25 EAP Venue: Gil Coan Baseball Field...27 EAP Venue: Football Stadium at Brevard High School...29 Verification of Staff Training Using the Emergency Action Plan

3 Introduction The purpose of this document is to provide instructions to members of the Brevard College Athletic Department in the event of a medical emergency regarding a student-athlete. An emergency is any sudden life threatening injury or illness that requires immediate medical attention. The development and implementation of an Emergency Action Plan (EAP) will help ensure that the best care will be provided in any situation. A copy of this EAP will be kept and accessible in the Head Athletic Trainer s office as well as on the Brevard College Athletics Website. All Coaches and relevant Athletic Department Staff are required to review this document annually. A serious injury (whereby a student-athlete s life is in danger or the student-athlete risks permanent impairment) includes, but it not limited to,: cervical/lumbar spine injury or spinal cord trauma, head injury, serious bleeding, fractures, heat stress, cardiovascular arrest, seizures, respiratory arrest/distress, shock, diabetic coma/insulin shock, internal organ injury, and severe sudden illness. If a condition/injury is NOT life threatening, attempt to contact a Staff Certified Athletic Trainer (ATC). If an ATC is not available, then contact the Student Health Center. When in doubt as to the seriousness or nature of the injury/condition, have the student-athlete go to the Emergency Room (ER) or to an Urgent Care Facility. Preparation for emergencies involves the 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 and Athletic Department Staff should enable each emergency situation to be managed appropriately. Staff Medical Certification Requirements All Brevard College Staff Athletic Trainers must be certified by the Board of Certification (BOC), maintain current North Carolina State Athletic Trainer Licensure, as well as hold a current certification in First Aid/CPR/AED for the Professional Rescuer through the American Red Cross or Basic Life Support/CPR/AED through the American Heart Association. Documentation of these certifications and licensures will be kept on file in the Head Athletic Trainer s Office. All Head Coaches and Full-Time Assistant Coaches must acquire and maintain current certification in First Aid/CPR/AED through a recognized agency before beginning countable athletic related activities. Documentation of these certifications will be kept on file in the Athletic Director s Office and/or Director of Compliance s Office. 3

4 POLICY An emergency situation is defined as a situation that is life threatening and endangering to the health of the student-athlete. General illnesses, such as the flu, colds, etc., are not considered medical emergencies. Common musculoskeletal injuries, such as sprains, strains, etc., are also not considered medical emergencies. During all events at which a Brevard College Athletic Department Team Physician is present, he/she will make all final decisions regarding the immediate health care of the student-athletes at the playing venue. If the physician is not present at a specific venue, then emergency action procedures are designated to the present Staff Certified Athletic Trainer (ATC) on call. He/She will activate EMS as soon as possible while caring for the student-athlete. Upon arrival, the EMT s, paramedics, and ER physicians will assume care and responsibility for the welfare of the student-athlete. The person at the head of the athlete will be the team leader verbally in regards to the spine boarding process only. All other decisions will be made by the paramedic/emt or physician. If possible, a Staff Athletic Trainer will accompany the student-athlete to the ER in the ambulance. The Athletic Director, Head Athletic Trainer, and Head Team Physician are to be notified as soon as possible. Follow-up will be done by both the designated Staff Athletic Trainer and the Team Physician. Purpose: Increase the awareness of action that is to be taken in the event of an emergency at NCAA affiliated events at Brevard College. The Sports Medicine Department has proposed the following guidelines for an EMERGENY ACTION PLAN (EAP). This plan is intended to educate all parties involved in the event of an emergency. A copy of this Emergency Action Plan will be kept and accessible in the Head Athletic Trainer s office as well as on the Brevard College Athletics Website. All coaches and relevant Athletic Department Staff are required to review this document annually. A member of the Brevard College Sports Medicine Staff (i.e., Certified Athletic Trainer or Team Physician) shall be empowered to have the unchallengeable authority to cancel or modify a practice or workout for health and safety reasons (i.e., environmental changes), as he or she deems appropriate. Weather conditions will be monitored using MxVision WeatherSentry Online. PROCEDURES During all events at which a Brevard College Team Physician is present, he/she will make all final decisions regarding the immediate health care of the student athletes at the playing venue. If a physician is not present, then the responsibilities of the EAP are designated to the present Staff Certified Athletic Trainer on call. He/She will designate a secondary responder to activate EMS as soon as possible while caring for the student athlete. The secondary responder(s) will then assist the first responder. If no Certified Athletic Trainer is present, the first responder becomes the responsibility of the coach. EMT/Paramedics will assume care and responsibility of the student-athlete upon arrival. If accessible, a member of the Brevard College Athletic Department will accompany the student-athlete in the ambulance. The Athletic Director, Head Athletic Trainer, and Team Physician should be notified 4

5 when an emergency has been appropriately handled in accordance with the EAP. Follow up will be done by the designated Staff Certified Athletic Trainer and the Team Physician. 1. The first responder should secure the area and begin taking appropriate care of the studentathlete by checking the ABC s (airway, breathing, circulation) and is to stay with the studentathlete until more qualified help arrives. If a student-athlete is unconscious or a head or neck injury is suspected, stabilize their head immediately and DO NOT MOVE THE STUDENT- ATHLETE unless the situation becomes unsafe. 2. The second responder should then call 911 and give the appropriate information (see specific venue) and remain on the line until the EMS dispatcher/operator states that he/she has the necessary information or disconnects the call. 3. The second responder should then offer assistance to the first responder. 4. If available, a third responder will meet EMS (see specific venue). 5. If available, a member of the Brevard College Athletic Department will accompany the student-athlete in the ambulance. 6. Insurance information will be available to accompany the student-athlete to the emergency room. 7. Follow up will be done by the designated Staff Athletic Trainer and Team Physician. An Automated External Defibrillator (AED) is available at Brevard College to be used in an emergency situation. 1. Cervical Injury without Compromised Airway A. Staff ATC and Team Physician approach the student-athlete and determine no airway compromise. Airway, breathing, and circulation are all intact. B. Sports Medicine Staff determine that cervical spine injury is present. C. Signal given to sideline to bring additional help to the injured athlete. Prior to all games, the Athletic Training Staff will determine the team of staff/mds/aides that will respond to an emergency situation. D. Staff ATC gains control of the student-athlete s head to limit movement of the c-spine. E. Signal to ambulance crew to mobilize ambulance to the athlete and assist Team Physician in the spine boarding/removal of the athlete. F. Once all emergency response staff is in place (one person at head, 3 people on each side of the athlete), the head person states the orders ( roll ) in sequence to roll the studentathlete while the board is placed under the student-athlete. The board is slid under the student-athlete from the side by an 8 th person. 5

6 G. The student-athlete is then rolled back onto the board according to and on the count of the person at the head ( down ). Once the student-athlete s entire body is on the board, straps are placed across the student-athlete to secure them to the board. H. Once the student-athlete is secured to the board, the head person will then give a command of ( lift ). The student-athlete is then placed on a gurney to be transported to the hospital for further evaluation. 2. Cervical Injury with Compromised Airway A. Staff ATC and Team Physician approach the student-athlete and determine there is an unconscious, non-breathing victim with a cervical spine injury present. B. Activate EMS and retrieve AED; also at this time, the head is being stabilized; rescue breathing can then begin. C. If the student-athlete is face down, efforts will be made to cautiously turn him/her to a supine position, but cutting off the shoulder pads and/or jersey should be considered prior to such a turn. The ATC at the head of the student-athlete will cross his/her arms to facilitate rolling. Four people will be on the side of the student-athlete that they will be rolling towards; two people will be on the side of the student-athlete that they are rolling away from to stabilize the hips. The roll will be directed by the ATC at the head of the student-athlete ( roll halfway ); the student-athlete will be rolled halfway and stopped, to allow the rollers a chance to adjust their hand and feet placement. The ATC at the head of the student- athlete will then give the order ( roll down ) to lower the student-athlete to the ground, now face-up. D. If the student-athlete does not have a pulse, the student-athlete s jersey and shoulder pads will be cut up the middle to allow access to the chest, and the AED will be used following standard AED procedures. E. Once the ambulance arrives on the field, the EMT s/paramedics may then assess the situation and, with the concurrence of the team physician, take the emergency action that they feel is necessary. F. Once an airway is established and it is decided by the Team Physician that the student-athlete is stable, that student-athlete is spine boarded, taken off the field by the ambulance (always with the person at the head continuing stabilization), and transported to the emergency room. G. The scenario at the ER is the same as stated previously. 3. Unconscious Student-Athlete The unconscious student-athlete will be treated as above, assuming a cervical spine injury until such time that this injury can be ruled out. 4. Communications and Chain of Command 6

7 In the case of a serious or life-threating situation, all reasonable efforts will be made to contact the parents of the student-athlete. In the instance of death, the physician overseeing the case will first attempt to notify the parents prior to notifying any other party. All other effort to communicate with the necessary parties will be carried out in the following order: A. First responder contacts Staff Certified Athletic Trainer assigned to sport B. Staff Certified Athletic Trainer contacts Head Athletic Trainer C. Head Athletic Trainer contacts Head Team Physician D. Head Athletic Trainer contacts Athletic Director E. Head Team Physician contacts emergency contact F. Head Team Physician or ATC contacts Coach 7

8 Emergency Personnel The type and degree of sports medicine coverage for an athletic event (practice or contest) may vary based on factors such as the particular sport or activity, the setting, and the type of training or competition. With the majority of athletic contests and practices, the first responder to an emergency situation is typically a member of the Sports Medicine Staff, most commonly a Certified Athletic Trainer (ATC) or a Coach. A Team Physician will be present at all football games as well as other home athletic contests, but not on a regular basis. EMTs and Paramedics will be available at all home football games. Roles of the individuals within the emergency team may vary depending on various factors such as number of members of the team, the athletic venue itself, or the preference of the Head Athletic Trainer. The four basic roles within the emergency team include: A. Immediate Care of the Athlete B. Activation of Emergency Medical Services C. Emergency Equipment Retrieval D. Direction of EMS to the Scene A. Immediate Care of the Athlete (Physician, ATC, EMT/Paramedic, Coach, Student Athletic Trainer) The first and most important role is immediate care of the student-athlete. Acute care in an emergency situation should be provided by the most qualified individual on the scene. Individuals with lower credentials should yield to those with more appropriate training. This should be determined in advance of each training session. B. Activation of Emergency Medical Services (EMS) (Physician, ATC, Coach, Student Athletic Trainer) The second role, EMS activation, should be done as soon as the situation is deemed emergency or life-threatening event. This is the most critical factor. Activating the EMS system may be done by anyone on the team by calling 911 from any phone. However, the person chosen for this duty should be someone who is calm under pressure, who communicates well, and who is familiar with the location of the sporting event. C. Emergency Equipment Retrieval (ATC, Coach, Student Athletic Trainer) The third role, equipment retrieval, may be done by anyone on the emergency team who is familiar with the types and location of the specific equipment needed. Coaches and support staff are good individuals for this role. D. Directions to the Emergency Site (ATC, Coach, Student Athletic Trainer) After EMS has been activated, one member of the team should be responsible for meeting the emergency medical personnel as they arrive at the site of the contest, if they are not already there. Depending on ease of access, this person should have keys to any locked gates or doors that may hinder the arrival of medical personnel. This individual is also responsible for contacting Campus Security, notifying them of EMS activation, and the emergency location. 8

9 Emergency Communication In the event that an emergency occurs involving a student-athlete, a member of the Emergency Team should promptly contact Emergency Medical Services (EMS). Phone numbers of emergency personnel should be posted by the phone or in the medical kit. It is the responsibility of the Certified Athletic Trainer or coach (if an ATC is not present) to bring a cellular phone to the field. A back up communication plan should be in effect if there is a failure of the primary communication system. It is important to note in advance the location of a workable telephone. Pre-arranged access to the phone should be established if it is not easily accessible. A cellular phone with back up battery is preferred. Contacting the Emergency Medical Services (EMS) 1. If EMS is at the event, then a signal (discussed in advance) should be given to summon them forward 2. If EMS is not on site, activate by calling 911, followed by calling Campus Security at The following information should be provided to the dispatcher: A) Your name B) Exact location where the injury occurred and where you will meet them C) The number you are calling from D) The student-athlete s chief complaint E) The student-athlete s age F) The student-athlete s level of consciousness G) The student-athlete s breathing condition (is the student-athlete breathing or having difficulty breathing) H) The care being provided I) Make sure you hang up only after the dispatcher has hung up 4. Notify someone from the Sports Medicine Staff. 5. As EMS is being dispatched, make sure someone is designated to retrieve any needed emergency equipment from the sideline. 6. Have coaches serve as crowd control and keep other student-athletes away from the scene. 7. Send someone to meet the ambulance at the designated spot. 8. A member of the Sports Medicine Staff or Coach will accompany the injured student-athlete to the hospital (Transylvania Regional Hospital). The member of the Sports Medicine Staff should bring medical and/or insurance information with them to the hospital if accessible. 9

10 Any time EMS is activated or a student-athlete is taken to Emergency Medical Facilities (such as the ER or Urgent Care) by a Coach, Athletic Trainer, or other, you must notify the Head Athletic Trainer as well as the Athletic Director. 10

11 Emergency Equipment The majority of emergency equipment will be under the control of a member of the Sports Medicine Staff (i.e.: Physician, ATC) or EMT s. The highest trained provider at the event should be aware of what equipment is readily available at the venue or event. All necessary emergency equipment should be quickly accessible. Appropriate personnel should be familiar with the function and operation of available equipment. The equipment should be in good condition and checked regularly. The highest trained member of the staff should determine in advance the type and manner in which any equipment is at or to be delivered to the site. Unless immediately adjacent to the Athletic Training Room, non-sports medicine staff members should rely on emergency medical services for all equipment. The following is a list of important available equipment and their locations: A. Automatic Electronic Defibrillators (AED s): One AED will always be located in the Boshamer Gymnasium, located in the athletic training room in the glass box just outside the Head Athletic Trainer s office. The second AED will be kept in the Head Athletic Trainer s Office, and be taken to all scheduled football practices and/or on the sideline at other home athletic contests. Coaches should take note of the closest AED to their practice and game locations. B. Splints: Available in the Athletic Training Room or on site with the ATC (which will be handled by the ATC or the Physician). The splint bag that is in the Athletic Training Room is located in the Head Athletic Trainer s office (red splint bag). C. First Aid Kit: Each team should have a designated first aid kit. It is the responsibility of the coaching staff to have this present at all practices and away games, as well as keep it stocked with necessary supplies. D. Supplemental Oxygen: An O2 tank with mask will be located in the Athletic Training Room if necessary. E. Helmet Removal Equipment (Football): Consisting of charged power screwdriver and/or facemask clip cutting tool. Available in the Football Athletic Trainer s Kit at practice or game site. 11

12 Heat Illness Protocol POLICY Recognition of Heat Stroke The ability to rapidly and accurately assess core body temperature and Central Nervous System (CNS) functioning is critical to the proper evaluation of exertional heat stroke. Medical Staff should be properly trained and equipped to assess core temperature via rectal thermometer when feasible. Most critical criteria for determination are 1) hyperthermic (rectal temperature > 104 F) immediately post-incident and 2) CNS dysfunction (altered consciousness, coma, convulsions, disorientation, irrational behavior, decreased mental acuity, irritability, emotional instability, confusion, hysteria, and apathy). Other possible significant findings include nausea, vomiting, diarrhea, headache, dizziness, weakness, hot and wet or dry skin (it is important to note that skin may be wet or dry at time of incident), increased heart rate, decreased blood pressure, increased respiratory rate, dehydration, and combativeness. Aggressive and immediate whole-body cooling is the key to optimizing treatment of exertional heat stroke. The duration and degree of hyperthermia may determine adverse outcomes. If untreated, hyperthermia-induced physiologic changes resulting in fatal consequences may occur within vital organ systems (e.g., muscle, heart, brain, etc.). PROCEDURES 1. Emergency Treatment of Heat Stroke Immediate whole-body cooling is the best treatment for exertional heat stroke and should be initiated within minutes post-incident. It is recommended to cool first and transport second if onsite rapid cooling is possible. Cooling can be successfully verified by measuring rectal temperature. If onsite cooling is not an option, the student-athlete should be immediately transferred to the nearest medical facility. The following procedures are recommended if exertional heat stroke is suspected: A. Remove clothing and equipment B. Move student-athlete immediately to air-conditioned facility or shaded area if possible C. Cool student-athlete immediately by: Immerse student-athlete in tub of cold water; stir water and, if necessary, add ice throughout cooling process, or Place ice bags or ice over as much of body as possible, cover body with cold towels (replace towels frequently), fan body or spray with cold water D. Monitor ABC s, core temperature, and CNS (cognitive, convulsions, orientation, consciousness, etc.) 12

13 E. Place an intravenous line using normal saline (if appropriate Medical Staff available) F. Cease aggressive cooling when core temperature reaches approximately 101 F; continue to monitor G. Transport student-athlete to nearest emergency medical facility Ice/cold water immersion has proven to have superior cooling rate compared to other modes; however, oftentimes with heat stroke, the student-athlete is unresponsive. This may complicate airway management and other emergency interventions if the student-athlete is immersed in water. The Sports Medicine Staff should make the decisions on the most feasible mode of cooling based upon the student-athlete s physical presentation. Choice of cooling modes may also be dependent on other factors, such as size limitations, availability of cooling options, and maintaining the safety of the student-athlete. 2. Recognition of Heat Exhaustion Most critical criteria for determination are 1) student-athlete has obvious difficulty continuing intense exercise in heat, 2) lack of sever hyperthermia (usually < 104 F), and 3) lack of severe CNS dysfunction. If any CNS dysfunction is present, it will be mild and symptoms will subside quickly with treatment and as activity is discontinued. Other possible significant findings include physical fatigue/dizziness, dehydration and/or electrolyte depletion, ataxia and coordination problems, syncope, profuse sweating, pallor, headache, nausea, vomiting, diarrhea, stomach/intestinal cramps, persistent muscle cramps, and rapid recovery with treatment. 3. Emergency Treatment of Heat Exhaustion The following procedures are recommended if heat exhaustion is suspected: A. Remove student-athlete from play and immediately move to an air-conditioned or shaded area B. Remove excess clothing and equipment C. Cool student-athlete D. Have student-athlete lie comfortably with legs propped above the heart level E. If student-athlete is not nauseated, vomiting, or experiencing any CNS dysfunction, rehydrate orally with chilled electrolyte drink or water. If student-athlete is unable to take oral fluids, implement intravenous line using normal saline (if appropriate Medical Staff is available). F. Monitor heart rate, blood pressure, respiratory, core temperature, and CNS status G. Transport to nearest emergency medical facility if rapid improvement is not noted with prescribed treatment 13

14 Emergency Contact List Emergency Medical System (EMT/Paramedic) 911 Athletic Training Room, Head ATC Office (828) Assistant Athletic Trainer Office (828) Matt Bummer, ATC (Head Athletic Trainer) Cell: (623) Caitlin Scruggs, ATC Cell: (828) Yu-Jin Shim, ATC Cell: (336) Brevard Orthopaedic Office (828) Brevard Family Practice Office (828) BC Athletic Director Office (828) Juan Mascaro Cell: (828) BC Student Health/Wellness Center (828) Patricia Clackler, LPNII Stan Jacobsen, Director of Campus Safety Office (828) Hour Campus Safety Line (828) Transylvania Regional Hospital (828) Brevard Sisters of Mercy Urgent Care (828) Looking Glass Eye Center (828) Transylvania County Health Department (828) Poison Control (1-800)

15 Emergency Plan: Boshamer Gymnasium (Basketball, Volleyball, Weight Room, Athletic Training Room, Locker Rooms) Emergency Personal: Certified Athletic Trainer on site for competition; additional Sports Medicine Staff accessible from the Athletic Training Room located in Boshamer Gymnasium Emergency Communication: Fixed telephone line is located in the Athletic Training Room. A cellular phone can also be used to activate EMS. Any time EMS is activated or an athlete is taken to Emergency Medical Facilities such as the ER or Urgent Care by a Coach, Athletic Trainer, or other, you must notify the Head Athletic Trainer Colin Covelli, as well as the Athletic Director Juan Mascaro. Emergency Equipment: Supplies (AED, Splint Kit) located at each event on home side. Additional equipment can be located in Athletic Training Room. Role of First Responders: 1. Provide immediate care to the injured or ill student-athlete Check ABC s (Airway, Breathing, Circulation) Begin CPR, administer First Aid as necessary 2. Emergency equipment retrieval (AED, splint bag, anaphylaxis kit, helmet removal tools) 3. Activation of Emergency Medical System (EMS) 911 call (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested; see script directions below) Notify Head Athletic Trainer and Athletic Director Notify campus security at (828) Direction of EMS to scene Open (unlock) appropriate gates Designate individual to flag down EMS and direct to scene Scene control: limit scene to first aid providers and move bystanders away from area 15

16 If the situation is life threatening: Call 911 And give the following information Caller: Hello, my name is. I am calling from Brevard College. We have a victim who has suffered from a possible type of injury (head, neck, leg, etc.). The victim is conscious/unconscious (state one). We need an ambulance at Boshamer Gymnasium. From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Take a left at the stop sign onto Kings Creek Loop. Boshamer Gymnasium is on the right. The emergency entrance is located through the main doors. Someone will meet the ambulance outside of the main doors to direct personnel through the emergency entrance to the exact location of the victim. If you need to reach us again please dial (give the number you are calling from). Answer any questions from the dispatcher; do not hang up until dispatcher has already done so. Brevard College Campus Address: 1 Brevard College Drive, Brevard, NC Driving Directions: From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Take a left at the stop sign onto Kings Creek Loop. Boshamer Gymnasium is on the right. Boshamer Gymnasium 16

17 Emergency Plan: Football Practice Field Emergency Personal: Certified Athletic Trainer on site for competition; additional Sports Medicine Staff accessible from the Athletic Training Room located in Boshamer Gymnasium Emergency Communication: Fixed telephone line is located in the Athletic Training Room. A cellular phone can also be used to activate EMS. Any time EMS is activated or an athlete is taken to Emergency Medical Facilities such as the ER or Urgent Care by a Coach, Athletic Trainer, or other, you must notify the Head Athletic Trainer Colin Covelli, as well as the Athletic Director Juan Mascaro. Emergency Equipment: Supplies (AED, Splint Kit) located with Athletic Trainer (usually on golf cart, if available). Additional equipment can be located in Athletic Training Room. Role of First Responders: 1. Provide immediate care to the injured or ill student-athlete Check ABC s (Airway, Breathing, Circulation) Begin CPR, administer First Aid as necessary 2. Emergency equipment retrieval (AED, splint bag, anaphylaxis kit, helmet removal tools) 3. Activation of Emergency Medical System (EMS) 911 call (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested; see script directions below) Notify Head Athletic Trainer and Athletic Director Notify campus security at (828) Direction of EMS to scene Open (unlock) appropriate gates Designate individual to flag down EMS and direct to scene Scene control: limit scene to first aid providers and move bystanders away from area 17

18 If the situation is life threatening: Call 911 And give the following information Caller: Hello, my name is. I am calling from Brevard College. We have a victim who has suffered from a possible type of injury (head, neck, leg, etc.). The victim is conscious/unconscious (state one). We need an ambulance at the football practice field. From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. Take the dirt road on the right, continuing pass the track and softball fields on the right. The football practice field is located at the end of the dirt road. Someone will meet the ambulance at the beginning of the dirt road to direct personnel to the exact location of the victim. If you need to reach us again please dial (give the number you are calling from). Answer any questions from the dispatcher; do not hang up until dispatcher has already done so. Brevard College Campus Address: 1 Brevard College Drive, Brevard, NC Driving Directions: From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. Take the dirt road on the right, continuing pass the track and softball fields on the right. The football practice field is located at the end of the dirt road. Football Practice Field 18

19 Emergency Plan: Softball Field Emergency Personal: Certified Athletic Trainer on site for competition; additional Sports Medicine Staff accessible from the Athletic Training Room located in Boshamer Gymnasium Emergency Communication: Fixed telephone line is located in the Athletic Training Room. A cellular phone can also be used to activate EMS. Any time EMS is activated or an athlete is taken to Emergency Medical Facilities such as the ER or Urgent Care by a Coach, Athletic Trainer, or other, you must notify the Head Athletic Trainer Colin Covelli, as well as the Athletic Director Juan Mascaro. Emergency Equipment: Supplies (AED, Splint Kit) located in the dugout along the third base line. Additional equipment can be located in Athletic Training Room. Role of First Responders: 1. Provide immediate care to the injured or ill student-athlete Check ABC s (Airway, Breathing, Circulation) Begin CPR, administer First Aid as necessary 2. Emergency equipment retrieval (AED, splint bag, anaphylaxis kit, helmet removal tools) 3. Activation of Emergency Medical System (EMS) 911 call (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested see; script directions below) Notify Head Athletic Trainer and Athletic Director Notify campus security at (828) Direction of EMS to scene Open (unlock) appropriate gates Designate individual to flag down EMS and direct to scene Scene control: limit scene to first aid providers and move bystanders away from area 19

20 If the situation is life threatening: Call 911 And give the following information Caller: Hello, my name is. I am calling from Brevard College. We have a victim who has suffered from a possible type of injury (head, neck, leg, etc.). The victim is conscious/unconscious (state one). We need an ambulance at the softball field. From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. Take the dirt road on the right, continuing pass the track on the right. The softball field is located on the right. Someone will meet the ambulance at the beginning of the dirt road to direct personnel to the exact location of the victim. If you need to reach us again please dial (give the number you are calling from). Answer any questions from the dispatcher; do not hang up until dispatcher has already done so. Brevard College Campus Address: 1 Brevard College Drive, Brevard, NC Driving Directions: From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. Take the dirt road on the right, continuing pass the track on the right. The softball field is located on the right. Softball Field 20

21 Emergency Plan: Track and Lacrosse Field Emergency Personal: Certified Athletic Trainer on site for competition; additional Sports Medicine Staff accessible from the Athletic Training Room located in Boshamer Gymnasium Emergency Communication: Fixed telephone line is located in the Athletic Training Room. A cellular phone can also be used to activate EMS. Any time EMS is activated or an athlete is taken to Emergency Medical Facilities such as the ER or Urgent Care by a Coach, Athletic Trainer, or other, you must notify the Head Athletic Trainer Colin Covelli, as well as the Athletic Director Juan Mascaro. Emergency Equipment: Supplies (AED, Splint Kit) located with Athletic Trainer (usually on golf cart, if available). Additional equipment can be located in Athletic Training Room. Role of First Responders: 1. Provide immediate care to the injured or ill student-athlete Check ABC s (Airway, Breathing, Circulation) Begin CPR, administer First Aid as necessary 2. Emergency equipment retrieval (AED, splint bag, anaphylaxis kit, helmet removal tools) 3. Activation of Emergency Medical System (EMS) 911 call (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested; see script directions below) Notify Head Athletic Trainer and Athletic Director Notify campus security at (828) Direction of EMS to scene Open (unlock) appropriate gates Designate individual to flag down EMS and direct to scene Scene control: limit scene to first aid providers and move bystanders away from area 21

22 If the situation is life threatening: Call 911 And give the following information Caller: Hello, my name is. I am calling from Brevard College. We have a victim who has suffered from a possible type of injury (head, neck, leg, etc.). The victim is conscious/unconscious (state one). We need an ambulance at the track/inner soccer practice field (state one). From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. Take the dirt road on the right. The track/inner soccer practice field (state one) is located immediately on the right. Someone will meet the ambulance at the beginning of the dirt road to direct personnel to the exact location of the victim. If you need to reach us again please dial (give the number you are calling from). Answer any questions from the dispatcher; do not hang up until dispatcher has already done so. Brevard College Campus Address: 1 Brevard College Drive, Brevard, NC Driving Directions: From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. Take the dirt road on the right. The track/inner soccer practice field is located immediatelyon the right. Track and Lacrosse Field 22

23 Emergency Plan: Soccer Game Field Emergency Personal: Certified Athletic Trainer on site for competition; additional Sports Medicine Staff accessible from the Athletic Training Room located in Boshamer Gymnasium Emergency Communication: Fixed telephone line is located in the Athletic Training Room. A cellular phone can also be used to activate EMS. Any time EMS is activated or an athlete is taken to Emergency Medical Facilities such as the ER or Urgent Care by a Coach, Athletic Trainer, or other, you must notify the Head Athletic Trainer Colin Covelli, as well as the Athletic Director Juan Mascaro. Emergency Equipment: Supplies (AED, Splint Kit) located at each event on home side (between the press box and Boshamer Gymnasium). Additional equipment can be located in Athletic Training Room. Role of First Responders: 1. Provide immediate care to the injured or ill student-athlete Check ABC s (Airway, Breathing, Circulation) Begin CPR, administer First Aid as necessary 2. Emergency equipment retrieval (AED, splint bag, anaphylaxis kit, helmet removal tools) 3. Activation of Emergency Medical System (EMS) 911 call (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested; see script directions below) Notify Head Athletic Trainer and Athletic Director Notify campus security at (828) Direction of EMS to scene Open (unlock) appropriate gates Designate individual to flag down EMS and direct to scene Scene control: limit scene to first aid providers and move bystanders away from area 23

24 If the situation is life threatening: Call 911 And give the following information Caller: Hello, my name is. I am calling from Brevard College. We have a victim who has suffered from a possible type of injury (head, neck, leg, etc.). The victim is conscious/unconscious (state one). We need an ambulance at the soccer game field. From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. The soccer game field is located on the left. Someone will meet the ambulance at the entrance to the parking lot next to the soccer game field to direct personnel to the exact location of the victim. If you need to reach us again please dial (give the number you are calling from). Answer any questions from the dispatcher; do not hang up until dispatcher has already done so. Brevard College Campus Address: 1 Brevard College Drive, Brevard, NC Driving Directions: From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. The soccer game field is located on the left. Soccer Game Field 24

25 Emergency Plan: Tennis Courts Emergency Personal: Certified Athletic Trainer on site for competition; additional Sports Medicine Staff accessible from the Athletic Training Room located in Boshamer Gymnasium Emergency Communication: Fixed telephone line is located in the Athletic Training Room. A cellular phone can also be used to activate EMS. Any time EMS is activated or an athlete is taken to Emergency Medical Facilities such as the ER or Urgent Care by a Coach, Athletic Trainer, or other, you must notify the Head Athletic Trainer Colin Covelli, as well as the Athletic Director Juan Mascaro. Emergency Equipment: Supplies (AED, Splint Kit) located with Athletic Trainer (usually on golf cart, if available). Additional equipment can be located in Athletic Training Room. Role of First Responders: 1. Provide immediate care to the injured or ill student-athlete Check ABC s (Airway, Breathing, Circulation) Begin CPR, administer First Aid as necessary 2. Emergency equipment retrieval (AED, splint bag, anaphylaxis kit, helmet removal tools) 3. Activation of Emergency Medical System (EMS) 911 call (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested; see script directions below) Notify Head Athletic Trainer and Athletic Director Notify campus security at (828) Direction of EMS to scene Open (unlock) appropriate gates Designate individual to flag down EMS and direct to scene Scene control: limit scene to first aid providers and move bystanders away from area 25

26 If the situation is life threatening: Call 911 And give the following information Caller: Hello, my name is. I am calling from Brevard College. We have a victim who has suffered from a possible type of injury (head, neck, leg, etc.). The victim is conscious/unconscious (state one). We need an ambulance at the tennis courts. From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. The tennis courts are located on the left, pass the soccer game field. Someone will meet the ambulance at the entrance to the parking lot next to the tennis courts to direct personnel to the exact location of the victim. If you need to reach us again please dial (give the number you are calling from). Answer any questions from the dispatcher; do not hang up until dispatcher has already done so. Brevard College Campus Address: 1 Brevard College Drive, Brevard, NC Driving Directions: From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. The tennis courts are located on the left, pass the soccer game field. Tennis Courts 26

27 Emergency Plan: Gil Coan Baseball Field Emergency Personal: Certified Athletic Trainer on site for competition; additional Sports Medicine Staff accessible from the Athletic Training Room located in Boshamer Gymnasium Emergency Communication: Fixed telephone line is located inside the press box. A cellular phone can also be used to activate EMS. Any time EMS is activated or an athlete is taken to Emergency Medical Facilities such as the ER or Urgent Care by a Coach, Athletic Trainer, or other, you must notify the Head Athletic Trainer Colin Covelli, as well as the Athletic Director Juan Mascaro Emergency Equipment: Supplies (AED, Splint Kit) located in the dugout along the third base line. Additional equipment can be located in Athletic Training Room. Role of First Responders: 1. Provide immediate care to the injured or ill student-athlete Check ABC s (Airway, Breathing, Circulation) Begin CPR, administer First Aid as necessary 2. Emergency equipment retrieval (AED, splint bag, anaphylaxis kit, helmet removal tools) 3. Activation of Emergency Medical System (EMS) 911 call (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested; see script directions below) Notify Head Athletic Trainer and Athletic Director Notify campus security at (828) Direction of EMS to scene Open (unlock) appropriate gates Designate individual to flag down EMS and direct to scene Scene control: limit scene to first aid providers and move bystanders away from area 27

28 If the situation is life threatening: Call 911 And give the following information Caller: Hello, my name is. I am calling from Brevard College. We have a victim who has suffered from a possible type of injury (head, neck, leg, etc.). The victim is conscious/unconscious (state one). We need an ambulance at the Gil Coan Baseball Field. From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. The Gil Coan Baseball field is located on the right. The emergency entrance is located at the first base/right outfield gate. Someone will meet the ambulance at the road next to the baseball field to direct personnel to the exact location of the victim. If you need to reach us again please dial (give the number you are calling from). Answer any questions from the dispatcher; do not hang up until dispatcher has already done so. Brevard College Campus Address: 1 Brevard College Drive, Brevard, NC Driving Directions: From Highway 276/64, N. Broad St., enter through the North Campus Entrance, turning onto North Campus Drive. Go straight through the stop sign onto Kings Creek Loop to the back of campus. The Gil Coan Baseball field is located on the right. Gil Coan Baseball Field 28

29 Emergency Plan: Football Stadium at Brevard High School (BHS) Emergency Personal: Certified Athletic Trainer on site for competition. Emergency Communication: A cellular phone can be used to activate EMS. Any time EMS is activated or an athlete is taken to Emergency Medical Facilities such as the ER or Urgent Care by a Coach, Athletic Trainer, or other, you must notify the Head Athletic Trainer Colin Covelli, as well as the Athletic Director Juan Mascaro. Emergency Equipment: Supplies (AED, Splint Kit) located at each event on home side. Role of First Responders: 1. Provide immediate care to the injured or ill student-athlete Check ABC s (Airway, Breathing, Circulation) Begin CPR, administer First Aid as necessary 2. Emergency equipment retrieval (AED, splint bag, anaphylaxis kit, helmet removal tools) 3. Activation of Emergency Medical System (EMS) 911 call (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested; see script directions below) Notify Head Athletic Trainer and Athletic Director Notify campus security at (828) Direction of EMS to scene Open (unlock) appropriate gates Designate individual to flag down EMS and direct to scene Scene control: limit scene to first aid providers and move bystanders away from area 29

30 If the situation is life threatening: Call 911 And give the following information Caller: Hello, my name is. I am calling from Brevard High School. We have a victim who has suffered from a possible type of injury (head, neck, leg, etc.). The victim is conscious/unconscious (state one). We need an ambulance at the Football Stadium. From Brevard College or Highway 276/64, N. Broad Street, continue past downtown on 276/64 South Broad Street. Stay left at fork onto County Club Road. Brevard High School is located on the left. Take last access road on left to Football Stadium parking lot and entrance. Someone will meet the ambulance at the access road to direct personnel to the exact location of the victim. If you need to reach us again please dial (give the number you are calling from). Answer any questions from the dispatcher; do not hang up until dispatcher has already done so. Brevard High School Address: 609 North Country Club Road, Brevard, NC, Driving Directions: From Brevard College or Highway 276/64, N. Broad Street, continue past downtown on 276/64 South Broad Street. Stay left at fork onto County Club Road. Brevard High School is located on the left. Take last access road on left to Football Stadium parking lot and entrance. 30

31 Brevard High School 31

32 Verification of Staff Training Using the Emergency Action Plan Name Signature Position Date 32