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Valley View ISD Athletic Training Emergency Action Plan 2016-

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Page 1: Valley View ISD Athletic Training Emergency Action … · Web viewThe first responder in an emergency situation during an athletic practice or competition is typically a member of

Valley View ISD Athletic Training Emergency Action Plan

2016-2017

Page 2: Valley View ISD Athletic Training Emergency Action … · Web viewThe first responder in an emergency situation during an athletic practice or competition is typically a member of

Valley View Athletic TrainingEmergency Action Plan

ContentsOverview:........................................................................................................................................2Situations When 911 Should be Called Are:...............................................................................2Emergency Personnel:...................................................................................................................3Emergency Team Members:.........................................................................................................3Medical Care Chain of Command:..............................................................................................4Emergency Medical Care Responsibilities:.................................................................................4Local Medical Facilities:...............................................................................................................5Emergency Communications:.......................................................................................................5Life-Threatening Emergency:......................................................................................................6NON-Life-Threatening Emergency:............................................................................................6Venue Specific EAP’s....................................................................................................................8

Basketball/Volleyball Gymnasium/Field House......................................................................8John Kassen Football Field/Track.........................................................................................10Softball Field............................................................................................................................12Baseball Field...........................................................................................................................14Weight Room............................................................................................................................16

Helicopter Landing Sites:............................................................................................................18Landing Zone 1........................................................................................................................18Landing Zone 2........................................................................................................................19

Guidelines for Players/ Spectators During a Serious On-Field Injury:..................................20Catastrophic Event—Multiple Victims:....................................................................................20

Triage Plan...............................................................................................................................20Scene Size Up:..........................................................................................................................21Triage Protocol:.......................................................................................................................21Pediatric JumpSTART:..........................................................................................................23

Head & Neck Injury:...................................................................................................................24Weather/ Lightning Policy & Procedures:................................................................................25Exertional Heat Illness:...............................................................................................................26

Valley View ISD Emergency Action Plan 1

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Valley View Athletic TrainingEmergency Action Plan

Overview:While interscholastic sports promote health, competition, and teamwork, the risks of

catastrophic injury and sudden death exists during both practice and competition. The purpose of

the Emergency Action Plan (EAP) is to facilitate a prompt, efficient, coordinated response in the

case of a medical emergency.

All Valley View medical staff members, coaches, and athletic personnel should be

familiar with this document and their role and responsibility in an emergency. Annual review

and update of the EAP should be conducted with all athletic personnel so that each member of

the emergency care team is aware of their respective role in the event of an emergency. Any

questions should be directed to the Athletic Trainer (or school administrator, in the absence of a

Certified (&/ or Licensed) Athletic Trainer.

Situations When 911 Should be Called Are:

- An athlete is not breathing

- An athlete has lost consciousness

- It is suspected that an athlete may have a neck or back injury

- An athlete has an obvious or open fracture (bone has punctured through the skin)

- Severe heat exhaustion or suspected heat stroke

- Severe bleeding that cannot be stopped

Valley View ISD Emergency Action Plan 2

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Valley View Athletic TrainingEmergency Action Plan

Emergency Personnel:

The first responder in an emergency situation during an athletic practice or competition is typically a member of the sports medicine staff, such as a certified/ licensed athletic trainer. However; the first responder may also be a coach, another member of the school personnel, a student or even a bystander.

Certification in cardiopulmonary resuscitation (CPR), first aid, automated external defibrillator (AED), prevention of disease transmission, and emergency plan review is required for all athletics personnel associated with practices, competitions, skill instructions, and strength and conditioning. Copies of training certificates and/ or cards are maintained in the athletic training facility and/ or with the athletic director. The sports medicine team must remain current with all their certifications including CPR/ AED/ First Aid.

Emergency Team Members:

Valley View Athletic Trainer:1. Notify immediately in the event of an athletic emergency occurring on campus2. Responsibilities:

a. Evaluate scene and provide appropriate care.b. Activate EMS by calling 911.c. Assign coach/ bystander (if present) to give EMS directions to venue.

Valley View Coaches:1. Responsibilities:

a. Act as First Responder when Athletic Trainer is not presentb. If Athletic Trainer is not readily available, call 911c. Assign an athlete or bystander (if present) to notify Athletic Trainer that EMS has

been activated.d. Assist in emergency situation by keeping the players and surrounding bystanders

a significant distance from the scene of the injury.e. Assist Athletic Trainer as instructed.

Valley View Administrators/ Supervisors:1. Responsibilities:

a. Notify their presence to visiting team’s coach prior to each contestb. Keep players, parents, and spectators a significant distance away from the scene

of an injuryc. Assist the Athletic Trainer and Coaching staff as instructed

*Roles of these individuals will vary depending on different factors such as team size, athletic venue, preference of Athletic Trainer, ect.

Valley View ISD Emergency Action Plan 3

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Valley View Athletic TrainingEmergency Action Plan

Medical Care Chain of Command:

The Athletic Training staff will always act as primary care givers at the site of injury or accident (when on-site) and will manage the situation according to the following rank:

1. Team Physician/ Medical Director2. Athletic Trainer

In the event that the Athletic Trainer is not on-site at the time of injury the following chain of command will be used:

1. Head Coach2. Assistant Coach3. Student

The welfare of the injured athlete is always first and foremost, therefore immediate care is vital. By no means should care wait to be undertaken until the Athletic Trainer arrives on the scene. Proceed as judgment dictates until help arrives.

If a severe medical emergency occurs while an Athletic Trainer is not present, immediately call 911 to activate the emergency medical system, and then call the Athletic Trainer to notify him/ her of the situation.

Emergency Medical Care Responsibilities:

1. Provide immediate direct medical care during practices and games to any injured athlete and activate the emergency action plan if catastrophic incident occurs.

2. Assist with scene management during an emergency medical event including coordinating with EMS, fire, and police as appropriate.

3. Direction of EMS to scene.4. Serves as a liaison between visiting teams and VVs medical resources.5. Serve as a medical care provider to visiting teams traveling without an Athletic Trainer.6. Make referral decisions concerning injured athletes.7. Communicate with other healthcare organizations providing direct care to the injured

athlete.

Valley View ISD Emergency Action Plan 4

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Valley View Athletic TrainingEmergency Action Plan

Local Medical Facilities:

North Texas Medical Center Texas Health Presbyterian1900 Hospital Boulevard 3000 North I-35Gainesville, TX. 76240 Denton, TX. 76201(940) 665-1751 (940) 898-7000

Phone Numbers:Fire Department: (940) 627-3199Police Department: (940) 393-0300Ambulance/ EMS: 911Poison Control: 1-800-222-1212

Valley View High School Main Office: (940) 726-3659High School Principal: Chris Heskett (940) 867-2292Athletic Director: Alan Kassen (940) 736-7115Athletic Trainer: Adam Hausmann (814) 572-1395School Nurse: Nurse Mandy Ford (940) 727-8640

Emergency Communications:In the event of an emergency situation, the first responder must ensure the proper order of

communication. Before any calls are made the first responder must decide the student-athlete’s condition: life-threatening or non-life threatening.

CONTACT TREEFirst Responder at the scene

Life Threatening Condition Non-Life Threatening Condition

Call 911 AT

Athlete’s Parent/Guardian Athletic Director

Superintendent

Valley View ISD Emergency Action Plan 5

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Valley View Athletic TrainingEmergency Action Plan

Life-Threatening Emergency:Defined as an injury in which the individual’s life is placed in danger and/ or there is risk

of permanent disability. In this situation the individual will need immediate and proper medical attention and transportation to the hospital.

During a life-threatening emergency activate EMS by calling 911, provide appropriate first aid care, and provide EMS with the following:

1. Identify yourself and your role in the emergency2. Specify your location and telephone number (if calling by phone)3. Give age/ condition of injured/ ill athlete(s)4. Give care being provided (CPR/ AED/ First Aid)5. Give specific directions to the scene of the emergency6. Do not hang up until directed to do so by the EMS dispatcher

a. Monitor vital signsb. Calm and reassure the athletec. Notify Athletic Trainer as soon as possible

The Athletic Trainer will contact student-athlete’s parent(s) as well as the Athletic Director. The Athletic Director is then responsible for making the Superintendent aware of the incident.

NON-Life-Threatening Emergency:Defined as a situation that does not have an immediate impact on breathing, circulation,

or brain function, but may still require medical attention. These injuries can be divided into those needing EMS services, and those needing Athletic Training services.

Emergencies Requiring EMS Services Include: Fractured limbs that are difficult to splint, dislocated joints where the person cannot be placed in a comfortable position, head injuries where the athlete’s condition deteriorates upon re-evaluation, and severe bleeding that is not life threatening.Action Plan:

1. Stabilize the athlete2. Call the Athletic Trainer (if not present)3. Monitor ABC’s 4. Decision to call for EMS will be made jointly by the coach and/ or the Athletic Trainer5. When EMS personnel arrive, the coach releases care of the person to the paramedic or

EMT

Valley View ISD Emergency Action Plan 6

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Valley View Athletic TrainingEmergency Action Plan

Emergencies Requiring Athletic Training Services Include: Fractures, severe sprains of major joints, joint dislocations, concussion, large contusions, and large open wounds that may need stitches. This may include any injury that is difficult to move without increasing the pain to the athlete.Action Plan:

1. Provide appropriate first aid care2. Notify Athletic Trainer3. If unable to contact the Athletic Trainer or unsure of the severity of the injury, send the

athlete to the appropriate medical care facility if necessary4. Notify the parent of the student-athlete if necessary5. Direct student-athlete to report to the Athletic Training Room the next day

Valley View ISD Emergency Action Plan 7

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Valley View Athletic TrainingEmergency Action Plan

Venue Specific EAP’s

Basketball/Volleyball Gymnasium/Field House106 Newton Street

Valley View, TX 76272Directions: From North bound I-35 – take exit 487 toward FM-922, Valley View. Turn left onto Obuch St toward Valley View. Turn left onto S Frontage Rd. Turn Right onto Newton St.EMS Entrance: EMS to enter through gymnasium doors on front of the building. Working administrator will meet EMS at gymnasium entrance.Emergency Equipment: Splint Kit maintained in the Athletic Training Room. AED is wall mounted in the coaches’ office on the south wall. Trauma kit & spine board will be provided by EMS upon arrival.Role of First Responders:

1. Immediate care of the injured or ill student-athlete2. Activation of the emergency medical services (EMS)

a. Call 911 Your Name Address : 106 Newton Street Valley View, TX 76272 Telephone Number : Number of Individuals Injured Condition of Injured First Aid Treatment already administered Directions: From North bound I-35– take exit 487 toward FM-922, Valley View.

Turn left onto Obuch St toward Valley View. Turn left onto S Frontage Rd. Turn Right onto Newton St.

Any other information as requested Listen carefully to instructions and DO NOT HANG UP

b. Activate Phone Tree (see page 4)3. Emergency Equipment Retrieval

a. Splint Kit and maintained in the Athletic Training Room. b. AED is wall mounted in the coaches’ office on the south wall. Trauma kit & spine board will

be provided by EMS upon arrival.c. Trauma kit & spine board will be provided by EMS upon arrival.

4. Direct EMS to scene (if not on site for game)a. Open appropriate gatesb. Designate individual to “flag down” EMS and direct to scenec. **Limit scene to first aid providers and move bystanders away from area**

Important Phone NumbersAthletic Trainer: Adam Hausmann 814-572-1395Athletic Director: Alan Kassen 940-736-7115Team Physician: Dr. Robert Clifford 940-626-2410Principle: Chris Heskett 940-867-2292

Valley View ISD Emergency Action Plan 8

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Valley View Athletic TrainingEmergency Action Plan

**Map following**

= Ambulance Entrance

John Kassen Football Field/Track24 Duncan Way

Valley View, TX 76272

Valley View ISD Emergency Action Plan 9

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Valley View Athletic TrainingEmergency Action Plan

Directions: Heading on North bound on I-35. Take exit 486 toward FM-1307. Turn left onto Easy St. At the end of the road, turn right onto S Lee St. Continue onto S Lee St. Turn left onto North Access Road.

EMS Entrance: On the East end of the field.

Emergency Equipment: AED and splint kit maintained at the finish line or on the home sideline. Trauma kit & spine board will be provided by EMS upon arrival.

Role of First Responders:5. Immediate care of the injured or ill student-athlete6. Activation of the emergency medical services (EMS)

a. Call 911 Your Name Address : 24 Duncan Way Valley View, TX 76272 Telephone Number : Number of Individuals Injured Condition of Injured First Aid Treatment already administered Directions: Heading on North bound on I-35. Take exit 486 toward FM-1307.

Turn left onto Easy St. At the end of the road, turn right onto S Lee St. Continue onto S Lee St. Turn left onto Duncan Way.

Any other information as requested Listen carefully to instructions and DO NOT HANG UP

b. Activate Phone Tree (see page 4)7. Emergency Equipment Retrieval

a. Splint Kit will be either at the finish line (track) or on the home team’s sideline (football). b. AED will be located at the previous listed locations (above). c. Trauma kit & spine board will be provided by EMS upon arrival.

8. Direct EMS to scene (if not on site for game)a. Open appropriate gatesb. Designate individual to “flag down” EMS and direct to scenec. **Limit scene to first aid providers and move bystanders away from area**

Important Phone NumbersAthletic Trainer: Adam Hausmann 814-572-1395Athletic Director: Alan Kassen 940-736-7115Team Physician: Dr. Robert Clifford 940-626-2410Principle: Chris Heskett 940-867-2292

**Map following**

Valley View ISD Emergency Action Plan 10

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Valley View Athletic TrainingEmergency Action Plan

= North Access Road

= South Access Road

Valley View ISD Emergency Action Plan 11

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Valley View Athletic TrainingEmergency Action Plan

Softball Field

Valley View, TX 76272

Directions: Heading on North bound on I-35. Take exit 486 toward FM-1307. Turn left onto Easy St. At the end of the road, turn right onto S Lee St. Continue onto S Lee St. Turn left at North Access Road. The field is located behind the Agriculture Building.

EMS Entrance: EMS to enter through the east gate off of South Frontage Road after pulling into the Junior High parking lot. The administrator working the event will meet EMS at gate entrance.

Emergency Equipment: AED, splint kit maintained in home dugout. Trauma kit & spine board will be provided by EMS upon arrival.

Role of First Responders:9. Immediate care of the injured or ill student-athlete10. Activation of the emergency medical services (EMS)

a. Call 911 Your Name Address : 621 South Frontage Road Valley View, TX 76272 Telephone Number : Number of Individuals Injured Condition of Injured First Aid Treatment already administered Directions: Heading North on I-35. Take exit 486 toward FM-1307. In 0.2 miles

turn left onto Easy Street. At the end of the road turn right onto S Lee Street. Continue onto S Lee Street. The destination will be on your right.

Any other information as requestedb. Activate Phone Tree (see page 4)

11. Emergency Equipment Retrieval a. Splint Kit and AED maintained in the Athletic Training Room, but during softball games will

be kept in the home dug-out. b. Trauma kit & spine board will be provided by EMS upon arrival.

12. Direct EMS to scene (if not on site for game)a. Open appropriate gatesb. Designate individual to “flag down” EMS and direct to scenec. **Limit scene to first aid providers and move bystanders away from area**

Important Phone NumbersAthletic Trainer: Adam Hausmann 814-572-1395Athletic Director: Alan Kassen 940-736-7115Principle: Chris Heskett 940-867-229

**Map following**

Valley View ISD Emergency Action Plan 12

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Valley View Athletic TrainingEmergency Action Plan

= North Access Road

= South Access Road

Baseball Field24 Duncan Way

Valley View, TX 76272

Valley View ISD Emergency Action Plan 13

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Valley View Athletic TrainingEmergency Action Plan

Directions: Heading on North bound on I-35. Take exit 486 toward FM-1307. Turn left onto Easy St. At the end of the road, turn right onto S Lee St. Continue onto S Lee St. Turn left onto Duncan Way.

EMS Entrance: Beside the home dugout (the South side of the field).

Emergency Equipment: AED and splint kit maintained in the home dug out. Trauma kit & spine board will be provided by EMS upon arrival.

Role of First Responders:13. Immediate care of the injured or ill student-athlete14. Activation of the emergency medical services (EMS)

a. Call 911 Your Name Address : 24 Duncan Way Valley View, TX 76272 Telephone Number : Number of Individuals Injured Condition of Injured First Aid Treatment already administered Directions: Heading on North bound on I-35. Take exit 486 toward FM-1307.

Turn left onto Easy St. At the end of the road, turn right onto S Lee St. Continue onto S Lee St. Turn left onto Duncan Way.

Any other information as requested Listen carefully to instructions and DO NOT HANG UP

b. Activate Phone Tree (see page 4)15. Emergency Equipment Retrieval

a. Splint Kit will be maintained in the home dug out. b. AED will be located at the previous listed locations (above). c. Trauma kit & spine board will be provided by EMS upon arrival.

16. Direct EMS to scene (if not on site for game)a. Open appropriate gatesb. Designate individual to “flag down” EMS and direct to scenec. **Limit scene to first aid providers and move bystanders away from area**

Important Phone NumbersAthletic Trainer: Adam Hausmann 814-572-1395Athletic Director: Alan Kassen 940-736-7115Team Physician: Dr. Robert Clifford 940-626-2410Principle: Chris Heskett 940-867-2292

**Map following**

Valley View ISD Emergency Action Plan 14

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Valley View Athletic TrainingEmergency Action Plan

= North Access Road

= South Access Road

Weight Room106 Newton Street

Valley View, TX 76272

Directions: From North bound I-35 – take exit 487 toward FM-922, Valley View. Turn left onto Obuch St toward Valley View. Turn left onto S Frontage Rd. Turn Right onto Newton St.

Valley View ISD Emergency Action Plan 15

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Valley View Athletic TrainingEmergency Action Plan

EMS Entrance: EMS to enter through East garage door.

Emergency Equipment: Splint Kit maintained in the Athletic Training Room. AED is wall mounted in the coaches’ office on the south wall. Trauma kit & spine board will be provided by EMS upon arrival.

Role of First Responders:17. Immediate care of the injured or ill student-athlete18. Activation of the emergency medical services (EMS)

a. Call 911 Your Name Address : 106 Newton Street Valley View, TX 76272 Telephone Number : Number of Individuals Injured Condition of Injured First Aid Treatment already administered Directions: From North bound I-35– take exit 487 toward FM-922, Valley View.

Turn left onto Obuch St toward Valley View. Turn left onto S Frontage Rd. Turn Right onto Newton St.

Any other information as requested Listen carefully to instructions and DO NOT HANG UP

b. Activate Phone Tree (see page 4)19. Emergency Equipment Retrieval

a. Splint Kit and maintained in the Athletic Training Room. b. AED is wall mounted in the coaches’ office on the south wall. Trauma kit & spine board will

be provided by EMS upon arrival.c. Trauma kit & spine board will be provided by EMS upon arrival.

20. Direct EMS to scene (if not on site for game)a. Open appropriate gatesb. Designate individual to “flag down” EMS and direct to scenec. **Limit scene to first aid providers and move bystanders away from area**

Important Phone NumbersAthletic Trainer: Adam Hausmann 814-572-1395Athletic Director: Alan Kassen 940-736-7115Team Physician: Dr. Robert Clifford 940-626-2410Principle: Chris Heskett 940-867-2292

Valley View ISD Emergency Action Plan 16

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Valley View Athletic TrainingEmergency Action Plan

**Map following**

= Ambulance Entrance

Valley View ISD Emergency Action Plan 17

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Valley View Athletic TrainingEmergency Action Plan

Helicopter Landing Sites:If in the event a helicopter is needed to transport injury/ injuries, the

following locations are the designated Landing Zones (LZ).

Landing Zone 1 (Workout Field):GPS Coordinates:

33°28’52.20” N97°09’49.83” W

Valley View ISD Emergency Action Plan 18

Landing Zone 1:

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Valley View Athletic TrainingEmergency Action Plan

Landing Zone 2 (Baseball Field):GPS Coordinates:

33°28’40.45” N97°10’01.55 W

Valley View ISD Emergency Action Plan 19

Landing Zone 2:

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Guidelines for Players/ Spectators During a Serious On-Field Injury:

Players and coaches should go to and remain in the bench area once medical assistance arrives.

Adequate lines of vision between the medical staff and all available emergency personnel should be established and maintained.

Players, parents and non-authorized personnel should be kept a significant distance away from the seriously injured player or players.

Players and non-medical personnel should not touch, move or roll an injured athlete. Once the medical staff begins to work on an injured player, they should be allowed to

perform services without interruption or interference. Players and coaches should avoid dictating medical services to the Athletic Trainer, team

physician, or EMS or taking up their time to perform such services.

Catastrophic Event—Multiple Victims:If a catastrophic event that involves multiple victims occurs, such as a bleacher collapse,

the scene must be quickly assessed and triaged. Follow the same chain of command for any serious injury. When speaking to 911 dispatchers, give location and number of victims (over-estimate). Victims that can walk should be led away from the scene, triage other victims. Those with life-threatening injuries will be given priority.

Triage Plan:Incidents which produce multiple human casualties are somewhat rare but do occur and must

be planned for. A multiple or mass casualty incident can be defined as any incident in which more casualties are present than an initial response assignment can reasonably handle. More assets are required for triage, treatment, and transport then can arrive in a timely fashion. Responders are also tasked with assuring and/ or rendering the incident scene safe as well as dealing with the casualties.

Triage of any multiple or mass casualty event will follow the Simple Triage and Rapid Treatment (START) Triage Plan. By using START triage, patients are sorted based on objective criteria on how they present. The severity of injury and therefore treatment and/ or transport priority in START triage is sorted by color code; triage tags will be provided by responding EMS.

Triage Tag Color Codes:

Valley View ISD Emergency Action Plan 20

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Green—Minor injury (walking wounded)Yellow—Delayed-can wait

RED—Immediate!BLACK—Deceased

While waiting for EMS to arrive the following identifying mark(s) will be used:

*Note that only EMS is authorized to mark victims “Black”Scene Size Up:

1. Conduct a scene size upa. Activate EMS

2. Assure well-being of responders3. Determine if (or render as possible) the scene safe prior to entering4. Determine the number of patients. If there are multiple or mass casualties, communicate

that to 911 Operator &/ or responding personnel (Over-Estimate)Triage Protocol:

1. Clear out non-injured & walking woundeda. Direct them to designated triage areab. These individuals will be Tagged GREEN

2. Start Where You Standa. Assess first patient you encounter and continue from there

3. RPM: Respiratory, Perfusion, Mental Statusa. Respirations:

None?Open the airwayStill none?Tag BLACK, deceased (move to next patient)Were respirations restored?

Tag RED, immediate

Valley View ISD Emergency Action Plan 21

Triage Tag Color Improvised Identifying Mark(s)

RED1 Stip of white athletic tape across chest#1 Marked on forehead with Sharpie Marker

YELLOW2 Stips of white athletic tape across chest#2 Marked on forehead with Sharpie Marker

GREEN3 Stips of white athletic tape across chest#3 Marked on forehead with Sharpie Marker

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Respirations present?Assess respiratory rate

RATE ABOVE 30 breaths per minute?Tag RED, immediateRATE BELOW 30 breaths per minute?Move on to assess Perfusion Criteria

b. Perfusion:Radial Pulse Absent or Capillary Refill >2 secondsTag RED, immediateRadial Pulse Present or Capillary Refill <2 secondsMove on to assess Mental Status

c. Mental Status:Cannot follow simple commands? (Unconscious or altered mental status)Tag RED, immediateCAN follow simple commandsTag YELLOW, delayed

If a patient falls into the RED TAG category on your first assessment, STOP right there, TAG/ MARK them and move on to the next patient. Attempt only to correct airway problems or uncontrolled bleeding before moving on to the next patient.

Now that patients have been triaged, more focused treatment can begin. Moving victims to treatment areas may be needed. Those tagged RED or marked with #1’s are treated (or moved to treatment areas) first, followed by those tagged YELLOW or marked with #2’s.

Valley View ISD Emergency Action Plan 22

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Pediatric JumpSTART:JumpSTART provides an objective structure to

help assure responders triage injured children. Designed for children ages 1-8 years old

o Respirations:None?Open the airwayIf the patient starts breathing tag REDIf apneic and no pulse tag BLACKIf apneic with pulse, try 5 rescue breathsIf still apneic tag BLACKIf starts breathing tag REDRespirations < 15 or > 45 tag REDRespirations 15-45 go to next step Pulse/ Perfusion

o Pulse/ Perfusion:No distal pulse—tag REDPulse present go to next step Mental

o Mental Status:Alert, responds to verbal or responds to pain, tag YELLOWInappropriate response, posturing or unresponsive, tag RED

Valley View ISD Emergency Action Plan 23

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Head & Neck Injury:Athletic participation carries with it the risk of catastrophic cervical spine injury. Because of the potential for permanent neurological injury or death associated with cervical spine injury, proper on-field management is of utmost importance. Sports medicine professionals support the practice of not removing football helmets and shoulder pads when there is even the slightest chance of cervical spine injury for the following reasons:

1. The football helmet and/ or shoulder pads do not hinder proper head and neck immobilization techniques.

2. The football helmet does not hinder the ability of the examiner to visualize facial and cranial injuries.

3. The football helmet with the facemask removed and/ or shoulder pads allows for proper management and control of the airway during CPR.

4. The football helmet will tend to protect against hyper-flexion of the cervical spine in the presence of shoulder pads.

Immediate Care of All Suspected Spine Injuries: Any athlete suspected of having a spinal injury should not be moved and should be

managed as though a spinal injury exists. The athlete’s airway, breathing and circulation, neurological status, and level of

consciousness should be assessed. The athlete should not be moved unless absolutely essential to maintain airway,

breathing, or circulation. If the athlete must be moved to maintain airway, breathing, or circulation, the athlete

should be placed in a supine position while maintaining spinal immobilization. When moving a suspected spine-injured athlete, the head and trunk should be moved as a

unit. EMS must be activated immediately.

Football Face Mask Removal: It is imperative that all coaches, athletic trainers, team physicians and EMS personnel

practice the use of the different face mask removal tools and familiarize themselves with how the face mask is to be removed from every helmet currently on the market.

The face mask should be removed prior to transportation, regardless of the athlete’s respiratory status.

Those involved in the pre-hospital care of injured football players should have the tools for face mask removal readily available.

o A backup removal tool should also be on hand if the first tool of choice fails.

Football Helmet Removal:

Valley View ISD Emergency Action Plan 24

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1. The athletic helmet and chin strap should only be removed

If the helmet and chin strap do not hold the head securely, such that immobilization of the helmet does not also immobilize the head.

If the design of the helmet and chin strap is such that even after removal of the face mask the airway cannot be controlled or ventilation provided.

If the face mask cannot be removed after a reasonable time period. If the helmet prevents immobilization for transportation in an appropriate

position.2. If the helmet does need to be removed:

Spinal immobilization must be maintained while removing the helmet Helmet removal should be frequently practiced under proper supervision. Specific

guidelines for helmet removal need to be developed. In most circumstances, it may be helpful to remove cheek padding and/ or deflate

air padding prior to helmet removal.

Weather/ Lightning Policy & Procedures:

All coaches and athletes will use the guidelines set forth by the NATA in the event of lightning. Weather and lightning conditions will be monitored by the Athletic Trainer by using SkyScan Lightning Detector, WeatherBug Spark, as well as other weather monitoring technology. The Athletic Trainer will alert coaches prior to practice of forecasted storms. The Athletic Trainer will give coaches lightning alerts in the follow sequence:

Lightning Alerts:

Lightning Distance: Actions:

"Heads Up" Within 15mi (13nmi) Be prepared to activate safety procedures

"Clear Field(s)"

Within 10mi (8.68nmi) Initiate safety procedures

"Danger" Within 6mi (5.2nmi) All athletes, coaches, & spectators should be in building

"All Clear" Lightning has not been detected at 15mi (13nmi) for 30min

Safe to resume activity

Locations not safe from lightning: Bus, picnic & park shelters, athletic storage sheds, dugouts, tents, press box, open garages, & refreshment stands.

If the Athletic Trainer is not present to provide alerts in person, coaches will receive alerts in any of the following ways: 1.) Athletic Trainer comes and alerts coach in person; 2.) Athletic Trainer calls head coach; 3.) Athletic Trainer calls assistant coach (if head coach did not answer initial phone call); 4.) Athletic Trainer text messages head and assistant coaches. Coaches may also use their own discretion if at any time lightning is visible, and/ or they feel their athletes are in an unsafe situation.

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Page 27: Valley View ISD Athletic Training Emergency Action … · Web viewThe first responder in an emergency situation during an athletic practice or competition is typically a member of

Valley View Athletic TrainingEmergency Action Plan

Exertional Heat Illness:Heat Cramps—Painful cramps involving abdominal muscles and

extremities caused by intense, prolonged exercise in the heat and depletion of salt and water due to sweating.

Heat Syncope—Weakness, fatigue and fainting due to loos of salt and water in sweat and exercise in the heat. Predisposes to heatstroke.

Heat Exhaustion (Water Depletion)—Excessive weight loss, reduced sweating, elevated skin and core body temperature, excessive thirst, weakness, headache and sometimes unconsciousness.

Heat Exhaustion (Salt Depletion)—Exhaustion, nausea, vomiting, muscle cramps, and dizziness due to profuse sweating and inadequate replacement of body salts.

Heat Stroke—An acute medical emergency related to thermoregulatory failure. Associated with nausea, seizures, disorientation, and possible unconsciousness or coma. It may occur suddenly without being preceded by any other clinical signs. The individual is usually unconscious with a high body temperature and a hot dry skin (heat stroke victims, contrary to popular belief, may sweat profusely).

Prevention:1. Ensure Hydration

a. Measure athletes’ weight before and after each practice to ensure they do not lose more than 2% of their pre-workout weight

i. Equation: (Pre-exercise weight – post-exercise weight / pre-exercise weight) x 100.

ii. By the time next practice begins, athletes should ingest fluids and weight the original weight.

b. Encourage drinking throughout practice2. Wear loose-fitting, absorbent or moisture wicking clothing3. Practice and perform conditioning drills at appropriate times during the day, avoid the

hottest part of the day (10:00-17:00).4. Ensure proper body cooling methods are available, including a cold water immersion tub,

ice towels, access to water & ice; equipment will be prepared prior to practice beginning.5. Pre-season heat acclimatization will be followed.

Valley View ISD Emergency Action Plan 26