Emergency Action Planning

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					Emergency Action Planning
Emergency Action Plan
 Emergency Care Plan (ECP) or Emergency
 Action Plan (EAP)
  – A written document that defines the standard of
    care required in every conceivable event during an
    emergency on the practice or playing field
     • Standard Operating Procedures must be explicit
     • Scope of coverage must be specified
     • Appropriate medical records must be identified &
       prepared
Emergency Action Plan
 Development of plan should be shared by
  essential medical & non-medical personnel
  including athletic department, coaches,
  administrators
 This plan should minimize time the injured
  patient needs to enter the emergency care
  system.
 This plan should provide the certified athletic
  trainer with the guidance & protection
  necessary to protect all members of sports
  medicine team against legal ramifications
Standard Operating Procedures (SOP)
 Agreed-upon procedures that are carried out
  during the execution of an ECP/EAP
 Available resources dictate who will be involved
 Must have plan for each site in which the team
  will practice or have an event at
 Key Personnel
    – Qualifications
    – Roles
   Equipment
   Implementation
   Consistency
   Contacts
Key Personnel
 Qualifications – NCAA & ACSM have published
  guidelines for ensuring that qualified individuals
  are available during an emergency
   – NATA requires that all certified athletic trainers
     maintain CPR certification
      • Non-certified students should also receive certification in basic
        or advanced first aid in order to increase their ability to
        function within the ECP
 Roles – define the role of each member of the
  sports medicine team
   – Members may assume different roles depending on site,
     specific skills, certifications
   – Roles must be assigned prior to emergency
Questions to Ponder
 Who will go onto the practice or event
  playing surface?
 How is the EMS activated?
 Where is the communication equipment?
 Who will provide crowd control?
 Who will complete the incident report that
  is thorough & accurate?
Equipment
 Appropriate equipment must be on hand to
  administer sufficient advanced life support
  techniques
 Types of equipment depend on:
  –   Budget constraints
  –   Activity type
  –   Professionals’ preference
  –   Individual athletes’ needs
  –   Team physician’s preference
Equipment
 Everyone must know how to operate emergency
  equipment
   – Avoids critical time loss
 Should be easily accessible
 Should be in good working order
 Types of equipment:
   – Backboard, splints, stethoscopes, sphygmomanometers
     (BP cuffs), blood-borne pathogen containers, oxygen,
     facemask cutters, one-way-valve pocket mask, AED,
     cellular phones, other communication, suctioning
     apparatus, physician’s “crash” kit (IV bags, meds,
     syringes, needles)
Implementation
 All personnel should know ECP/EAP well
 May want to provide each person with laminated
  card with pertinent emergency info for specific
  location
 Rehearse the plan a minimum of two times per
  year
   – Can occur during in-service sessions
 Failure to carry out ECP/EAP can be catastrophic
  to the victim & a liability to individuals involved!
 Share information with visiting athletic trainers
  (data book may be compiled)
Consistency & Contacts
 Check with departmental ECP/EAP for
  consistency with institutional ECP/EAP
   – Make sure they are consistent
   – Seek guidance from institutional legal & medical
     representatives


 Check with team physician regarding emergency
  protocols
 Check with local EMT’s regarding stabilization,
  transportation & helmet removal
 Check with local hospital
Writing the ECP
 THIS PLAN IS A NECESSITY!
 Outline of ECP/EAP (Rankin & Ingersoll, 3rd ed., p. 194)
  – Materials
       •   First aid kit
       •   Appropriate medical forms
       •   Emergency care equipment
       •   Detailed maps of facilities
   – Procedures
       • Identify responsibilities of emergency care team
       • Assign individuals to responsibilities
       • Assign duties to responsibility
            – Supervisor, emergency care provider, traffic controller,
              EMS contact, emergency vehicle
Procedures
 Chain of command
  – Team Physician
  – Head Certified Athletic Trainer
  – Assistant Certified Athletic Trainer(s)
  – Athletic Training Student
  – Emergency Medical Services
  – Nurse
  – Security Personnel
  – Administrators
Emergencies
 ECP/EAP is activated when main decision-
  maker determines emergency services
  should be summoned
 Life-threatening emergency – RECEIVES
  PRIORITY!
 Non-life threatening emergency – resources
  may be limited to stabilization until EMS
  arrives
Guidelines for Contacting
Emergency Assistance
 Identification
 Nature of emergency
 First aid implemented
 Directions
 Termination of phone call
Notification of Parents
 The athlete’s parents must be contacted during an
  emergency when the athlete is a minor

 Actual Consent – notification that permission is
  granted to give treatment for a particular incident
   – May be given at prior time
 Minor Consent – may apply when parents are not
  available or no consent is on file
 Implied Consent – takes over when parents cannot
  be contacted
Scope of Coverage
 “…a statement that will drive your functional
  goals which in turn formulates your entire medical
  operation” Reiff, 1998
 A statement may be individualized to each site or
  all-inclusive
 Development of ECP/EAP should center on care
  of athletes (everyone else is secondary)
 Issues that may be included in the statement:
   –   Budget constraints
   –   Number of spectators & participants
   –   In & out of season activities
   –   Indoor & outdoor facilities
   –   Personnel available
Records
 Fill out records completely & on
  appropriate medical forms
 Make sure they are signed, dated, & legible.



 Liability or Malpractice Insurance –
  insurance that covers AT who is practicing
  their profession legally against liability
  awards to an injured party

				
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posted:6/26/2012
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