Pace University Emergency Procedures

Transcription

1 Pace University Emergency Procedures The Emergency Action Plan The primary concern of emergency first aid is to maintain cardiovascular function, and indirectly central nervous system function, because failure of any of these systems may lead to death. Time is of the essence, so the evaluation of the injured athlete must be done rapidly and accurately. Principles of Assessment Medical care cannot be deliver to the injured athlete until a systematic assessment of the situation has been made. This assessment helps to determine the nature of the injury and provide direction in the decision-making process concerning the emergency care that must be rendered. 1. PRIMARY SURVEY: Is the assessment of life threatening problems including airway, breathing, and circulation (ABCs) and severe bleeding. It takes precedence over all other aspects of victim assessment and should be used to correct life threatening situations. 2. SECONDARY SURVEY: Once the athlete is stabilized the secondary survey takes a closer look at the injury sustained. The secondary survey gathers specific information about the injury from the athlete systematically assess vital signs and symptoms and allows a more detailed evaluation of the injury. The secondary survey is done to uncover problems that do not pose an immediate threat to life but that may do so if they remain uncorrected. An injured athlete who is conscious and stable will not require a primary survey. However, the unconscious athlete must be monitored for life threatening problems throughout the assessment process.

2 THE UNCONSCIOUS ATHLETE Unconsciousness is the state of insensibility in which there is a lack of conscious awareness. The condition can be brought about by a blow to either the head of the solar plexus (network that regulate breathing), or may result from general shock. Procedure: 1. Understand the sequence of the accident, either by having witnessed the event or by questioning other players and spectators. 2. After learning how the accident occurred, decide what part of the body was most affected 3. Do not move the unconscious athlete from the position found until a thorough examination has been made. 4. Examination as follows: a. First check the ABCs of lift support if any of them are impaired, Emergency Medical Support (EMS) must be contacted via 911. Notify Pace Security immediately following so they can assist with EMS. Stay with athlete to provide immediate first-aid. b. Start CPR immediately if indicated. c. A list of emergency numbers will be provided to you, including Athletic Trainers numbers, local hospitals, and ambulance services. Decisions Made from the Primary Assessment 1. The seriousness of the injury 2. The type of first-aid and immobilization necessary 3. Whether or not the injury warrants immediate referral to a physician for further assessment 4. The manner of transportation from the injury site to the sidelines, athletic training room, or hospital All information about the initial history, signs/symptoms of the injury must be documented, if possible, so they may be described in detail to the physician.

3 PACE UNIVERSITY ATHLETIC TRAINING COVERAGE Home Games All home games will have a Certified Athletic Trainer (ATC) present to cover the contest. The ATC will be available in the athletic training room 2 hours prior to game time. Away Games An ATC will travel with Football, Basketball, and Men s Lacrosse. An effort will be made to send an ATC with any team that is taking an extended trip. This will be based on scheduling availability. Practices There will be an ATC in the athletic training room during practice hours. Each team is responsible for providing a practice schedule in advance to the Sports Medicine Staff and notify them directly as soon as possible of any changes. Football and Men s Lacrosse will have an ATC present on the field during in-season practice. For all other practices the covering ATC will be available in the athletic training room. The ATC should be called directly by phone or notified in person in the event of an injury Goldstein Athletic Training Room number: (914) Ianello Field House Athletic Training Room number: (914) In Season/Out of Season Conditioning An effort will be made to have an ATC available in the athletic training room during normal hours of operation, Monday-Friday 10:00-4:00.

4 PACE UNIVESRISTY SPORTS FACILITIES Goldstein Fitness Center: During normal operating hours, an athletic trainer will be on site and should be notified of an emergency. The athletic trainer will call 911and alert Pace Security to the emergency. Ianello Field House: If emergency arises, check to see if athletic trainer is in ATR. If not call 911 and alert Pace Security to the emergency. Athletic trainer should be notified of the emergency. Finnerty Field: If athletic trainer is not on field and emergency arises, the coach should call 911 and alert Pace Security to the emergency. Athletic trainer should be notified of the emergency. Pace Stadium: If athletic trainer is not on field and emergency arises, the coach should call 911 and alert Pace Security to the emergency. Athletic trainer should be notified of the emergency. Non Pace Facilities Away contest or practices outside of Pace University All Head Coaches are required to have each athlete s insurance form which includes the athlete s emergency contact information. These forms will be provided to each coach from the Sports Medicine Staff. When traveling without an athletic trainer, it is very important that the coach is aware of the procedures in the case of an emergency. All events at the host school should have an athletic trainer present covering the contest. In the event an athlete is injured and requires transportation to a local hospital one of the assistant coaches should accompany the injured athlete in the ambulance. Once the athletic competition is over then arrangements need to be made to pick up the injured athlete. If it has been determined that the injured player cannot travel back to Pace University, then one of the coaches must make arrangements to stay at the hospital with the injured athlete. The coach must notify one of the Athletic Trainers at Pace University as well as the Athletic Director. The coach will provide as much information as possible in regards to the injured athlete. If an Athletic Trainer is present at an away contest, and injured athlete needs transportation to a local hospital, the Athletic Trainer will arrange for an assistant coach to travel in the ambulance with athlete. The Athletic Trainer must stay with the team until the completion of the

5 competition. Following the end of the competition the Athletic Trainer will meet up with the injured athlete at the hospital. Football Away Games The Pace University Athletic Trainer will determine if an injured athlete needs to travel back to Pace University in the Athletic Trainer s van. This will assure the injured athlete will be monitored for the ride back to Pace University. This decision will be communicated with the head coach.

6 PACE UNIVERSITY SECURITY DEPARTMENT OPERATING PROCEDURE Transport for Medical Emergencies The Security Supervisor should always transport a person to a local hospital or Heath Care Unity when requested in cases of medical emergency. It is not our place to determine if a specific case is serious enough to require transportation. When asked we should always provide transportation except in the following instances: Unconsciousness Unresponsiveness Delirium Seizure Loss of large amount of blood Suspicion of fractured neck, back, or skull Difficulty breathing Chest pains in adults of 35+ years of age or severe chest pain in any age group Person in shock- clammy skin, pale, agitated Serious injury to leg or other weight bearing limb where sitting or standing would worsen the injury Any other situation where the person s status seems unstable, where there is suspicion that they might worsen significantly during transport If there is doubt concerning which means of transportation to take; Call the ambulance. During the hours when the Health Care Unit is open the Nurse Practioner on duty may be contacted to assist in the decision making. Always try to have a third party accompany the injured person if transport is made by the security vehicle. An incident report and log entry should be made when a medical transport takes place. The above guidelines pertain only to emergencies and do not include transporting people to previously arranged appointments for medical treatment. Pace University Security will gladly transport any injured athlete provided the athlete does not meet any of the medical criteria listed above.

7 EMERGENCY TELEPHONE NUMBERS EMERGENCY MEDICAL SERVICES 911 PACE UNIVERSITY SECURTY (PLV) (914) GOLDSTEIN ATHLETIC TRAINING ROOM (914) IANELLO FIELD HOUSE ATHLETIC TRAINING ROOM (914) BARRY MORIARTY (ATC) (914) PHIL RYDER (ATC) (914) LAUREN DICHIARA (ATC) (914) ALISON MCCARTHY (ATC) (978) NORTHERN WESTCHESTER HOSPITAL (914) WESTCHESTER COUNTY MEDICAL CENTER (914) PHELPS MEMORIAL HOSPITAL (914) PUTNAM HOSPITAL (845) SOMER ORTHOPEDICS (845)