Practice Day Unresponsive Athlete Protocol


These procedures have been developed by the medical staff to reflect standing orders for care of a injured athlete who is unresponsive during a regular season practice.  This protocol is a summary drawn from the team’s comprehensive emergency action plan, and is intended to summarize the medical team’s preparation for and initial response to the identified condition.  This protocol summary is intended to serve only as a guideline.  The following procedures are not intended to substitute for prudent autonomous medical decision-making required during actual care and management of a sick or injured individual.  Please see the comprehensive emergency action plan for a formal write-up and reference material.


 

Emergency Management Checklist
BLS Management Supplies ALS Management Considerations Management Considerations
  • AED
  • BVM ventilator
  • Seal Quick™ resuscitator mask
  • Magill forcepts
  • OPA/NPA
  • Manual suction device
  • Oxygen
  • Non-rebreather mask
  • Heart rate / blood pressure monitor
  • Pulse-oximeter
  • Pack-n-Fill Towels
  • Power screw driver
  • FMxtractor®
  • Defibrillator/monitor
  • ECG
  • SGD
  • Laryngoscope
  • ET
  • Stylette
  • Mechanical suction device
  • Airway tube securing device
  • etCO2 monitor
  • ACLS medications
  • The medical team’s Primary Objectives in hierarchical order are always:
    • Cardiac
    • Airway
    • Breathing
    • Maintain neurological status
  • Make sure to communicate unconsciousness and vital signs status to EMS dispatch to ensure that ALS services are dispatched.

 


Critical Content Overview

The medical team’s Primary Objectives® are always the same; maintaining the “CABiN” (Cardiac, Airway, Breathing, Neurological Status).  Use of heart rate monitor, blood pressure monitors, pulse-oximeter, and glucose tester can help with early detection of unstable vital signs and the need to take appropriate action prior to the arrival of ALS.

Heart Rate / Blood Pressure Pulse-Ox and Glucose
 
  • A-Man positioned with inside knee lined up with inside shoulder of patient so the head falls into A-Man’s lap upon completion of logroll;
  • A-Man grips head/helmet with palms together and the arm of the direction of the logroll positioned over the non-directional arm.
 
  •  The LR-P has been consistently demonstrated the safest patient handling for team’s meeting In 2Min or Less! benchmarks;
  •  The LR-P has consistently shown to reduce the extent to which a hockey player’s equipment will slip out from under the athlete during repositioning.  This slip occurs at when the athlete reaches about 30º perpendicular to the ice and is more profound with goalie equipment.

 

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