Emergency Action Plan

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

People

Equipment

Organisation

Patients

Locations/Spaces/Rooms

Emergency Action Plan

People:

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

Equipment:

 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

Emergency: 

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

Medications:

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

Organization:

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.

Patients:

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

Locations:

Venue

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.

Abbreviations:

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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