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
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.
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)
– 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
– 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.
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)