Emergency Action Plan

Guide for Organizing Medical Team and Emerengcy Action Plan for Sporting Event






Emergency Action Plan


Athletic Therapists, Local Hospital Emergency Department (notify Attending staff prior to event), Chiropractors, Dentists, Massage Therapy, Orthopedic Surgeons, Physiotherapists, Sports Medicine Physicians.


 Communication: cell phone, radio (contact with each other), radio (contact with venue/paramedics), universal signals (crossed over chest – no help, one fist up – extra assistance, crossed over head – EMS activate EAP)

N.B. – radios should be tested at beginning of each event day


Airway – Oralpharyngeal Airways (OPA), combitube , nasal trumpet

Breathing – Oxygen, resuscitation masks

Circulation – AED, bandages, gauze for hemorrhage, IV access kit, fluids

Allergy – Epipens (sr. and jr.)

Fractures – splints

Spinal – Board, strapping, head blocks, c-spine collars

Cardiac – NTG spray, ASA, Oxygen, AED

Medical Bag:

Laceration kits

Local anaesthetics (w/ & w/out epi), Chlorhexidine/Betadine (or similar antiseptic), gauze, needles various guage 16, 18, 21, 25, syringes 5-10mL, sutures (non-absorbable & absorbable)

Tape, bandaids, bandages, and tensors.

Auroscope, ophthalmoscope, stethoscope, blood pressure cuff.

Airway – resuscitation masks, combitube, OPA’s, nasal trumpets.

Splints, slings


Infectious:  Ciprofloxacin 500mg, Septra, azithromycin 250mg, clarithromycin 500mg, amoxicillin 500mg, fluconazole 150mg, famciclovir 500mg

Airway/Respiratory – ventolin, atrovent

Allergy – benadryl, reactine, epinephrine, epipens.

Analgesic – Celebrex 200mg, Naproxen 500mg, Acetaminophen 500mg, Toradol inj, pennsaid, T3s

GI – immodium, anti nauseal, sennakot

Eyes – fluorescin, tetracaine drops, cipro drops

Ears – otrivin

Nose – decongestant spray

IV: Normal saline, IV cannulation set


Orientation for medical volunteers:

–       Who else is at event

–       Individual roles (therapist, physician, CMO, CT)

–       Team Roles (2 therapists, 1 physician)

–       Procedures

–       Professional behaviour (policy on cell phone usage, photography, autography)

–       Who to contact (list of numbers for contacts)

–       Contacts for chief medical officer, paramedics, venue coordinator

–       Venue Layout, as well as emergency equipment location

–       Attire

–       Common injuries

–       Use of Medical Room

–       Documentation and records for all incidents

–       Practice scenarios for Emergency Action Plan:

Scenario 1:  Unconscious athelete with suspected c-spine injury

Scenario 2:  Cardiac Arrest

Scenario 3:  Athlete, suffers large laceration and is bleeding

Scenario 4:  Athlete who has suffered a femoral fracture

It is recommended that mini orientations take place at the start of each shift for medical volunteers.


Athletes, coaches, officials, staff +/- spectators depending on set up or cardiac arrest.



Medical Room

Change rooms

AED locations

Meal areas

Paramedics – location of staff and ambulance

Exits and access points

Emergency Action Plan:

Field of Play:

–       On field of play person signals

–       1st responder/charge person enters field of play to assess patient

–       Charge person signals (arms crossed over chest = no help req.)  (1 arm raised straight up in air, requires extra assistance)  (2 arms raised and crossed above help = requires EMS (emergency medical services)

–       Communication between members of  medical team (if assistance is further required contact EMS via radio

–       If 2 arms crossed above head, Call person will contact 911/paramedics and notify venue to clear pathway for exiting rink.


AED – Automatic Electrical Defibrillator

ASA – Aspirin

CMO – Chief Medical Officer

CT – Chief Therapist

EAP – Emergency Action Plan

EMS – Emergency Medical Services

GI – Gastrointestinal

IV – Intravenous

NTG – Nitroglycerin

OPA – Oralpharyngeal Airway


Neil Dilworth (2016/9/13)


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