CONFIDENTIALITY NOTICE:  TeamEMSoft® is an emergency action planning application designed for use only by medical professionals for the efficient communication of information relevant to preparing for proper management of injuries/illness.   This EAP Summary may contain information that is confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this document by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately report to the author via email that you received this message by mistake and also permanently destroy printed copies and delete the original and all copies of this email and any attachments from your computer.


Welcome to , home of the !  Please review the following emergency action plan summary for important emergency response details and general protocol preferences.  This EAP Summary is accessible via any mobile device and includes active location and auto-dial links for use during our upcoming event.  This EAP summary will be used to complete a Pre-Event Medical Team Meeting prior to the start of any upcoming event.    Should you have any questions, please do not hesitate to contact:


Head Athletic Trainer
Phone:
Email:

Home of The

Emergency Action Plan and Pre-Event Medical Meeting Overview

 

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EAP Principals

Athletic Trainer


Office Phone: Ext:
Hotline:

 Team Physician


Office Phone: Ext:
Hotline:

EMS Coordinator


Office Phone: Ext:
Hotline:

Athletic Administrator


Office Phone: Ext:
Hotline:

Medical Team Facilitator


Office Phone: Ext:
Hotline:  



 Initiating The Emergency Action Plan

Life-Threatening Whistle Call:

 3 whistle blasts, each lasting 3 seconds

Life-Threatening Radio Call:

Life-Threatening Hand Signal:

Non-Life-Threatening Whistle Call:

2 whistle blasts, each lasting 3 seconds.

Non-Life-Threatening Radio Call:

Non-Life-Threatening Hand Signal:

Emergency Medical Services: 

Primary EMS Hotline

EMS Dispatch Hotline

Approximate EMS Response Time


Venue Specific Emergency Response Information
   Event Venue: 
 Practice Venue: 
Ambulance Service Level/Location:

 SERVICE:  
 LOCATION: 

 SERVICE:  
 LOCATION: 
EMS Rendezvous Location:    
Nearest Intersection:    
BLS Emergency Equipment Location:    
AED Location(s):    
Emergency Medication(s) Location:    
Health History/Contact Information:    

 Receiving Facilities

 

Facility Information

Designated Trauma Center:

 

 

Nearest Hospital:

 

 

Alternate Appropriate Hospital:

 

 
 

Urgent Care/Radiology:

  Hours:

 


Response Principals
   Name  Event Location  Hotline
Athletic Trainer:    
Team Physician:    
Medical Team Facilitator:      
EMS Coordinator:    
Lifeguard:    In Surveillance Rotation  
Lifeguard:    In Surveillance Rotation  
EMS Escort:    
Athlete Escort:    
Head Coach:      
Security Detail:      
Security/Resource Officer:    

Communication Tree
   Name  Event Location  Hotline
Sports Medicine Director:  
 
Administrative Liaison:     

 Emergency Medical Roster
Athlete Name Jersey #  Condition/Special Instructions/Medications
:  
:  
:  

Conditional Protocols May Be Reviewed From The Team HubPage

by Sports Medicine Concepts, Inc

© Sports Medicine Concepts, Inc.  All Rights Reserved.

Emergency Action Plan Procedural Overview


General Emergency Response Preferences
Critical Care Triangle™:  
Repositioning Technique:  
Transfer Technique:  
Stable Evacuation:  Rescue aid to or , remove from pool using ladder or 2-Person Backboard technique, evacuate to
Unstable Evacuation:  Rescue aid to or , remove from pool using Team Based Backboard technique, evacuate to
Neuro Evacuation: Rescue aid to or , remove from pool using Team Based Backboard technique, evacuate to
Shallow Water Removal Point:  
Deep Water Removal Point:  
Evacuation Zone:  

Event Day Procedures

Pre-Event Medical Meeting
Prior to the start of this event the medical team will conduct a Pre-Event Medical Meeting with on-site visiting team medical personnel, officials, EMS, security, and other appropriate EAP personnel.

Surveillance Plan
Coverage:  
Stationing:  
Rotation:  

A minimum of 2 lifeguards will provide surveillance at any given time.


Event Day Procedures

Communication
When EMS is on-site at an event, radio communication will be established as a primary means of communication between the medical team, on-site EMS, the designated Medical Team Facilitator (MTF) stationed in the Evacuation Zone, security, and the event head official.  Radio contact will be established via two-way radios set to a clear and quiet channel.  When radio communication is not possible or appropriate, the medical team’s primary means of communication will be via verbal calls, hand signals, or a runner sent to communicate with medical staff not on the main competition deck.  Site lines shall be clearly established to ensure hand signals can be effectively communicated.  Established whistle codes will be the primary means of communications coming from lifeguards responsible for surveillance.

The MTF stationed in the Evacuation Zone will use the two-way radio connected to all medical personnel not actively involved in surveillance to alert the medical team and EMS to an incoming message using three 3 second alert tones followed by verbal communication regarding medical needs.  The medical staff and EMS will confirm receipt of the message and rendezvous at the injury location to aid in on-going care.

When EMS is on-call, the designated communication device will be used to call EMS.  The designated EMS Escort will then proceed to the EMS Rendezvous Location and escort EMS to the injury scene.  The MTF will stay on the line at the scene with EMS Dispatch and communicate all relevant information between the Critical Care Triangle™ and dispatch until EMS arrives.

Once appropriate care has been completed and the ambulance has left the venue, the MTF or other designated medical person will communicate vital information regarding injury status and receiving facility information to the Administrative Liaison.  The Administrative Liaison will communicate all appropriate information to the patient’s family, team officials, and competition officials.

Scene Security
The MTF will provide initial scene security by designating an appropriate medical team member to clear the area of all non-medical personnel.  Scene security will be transferred to the Security Officer upon their arrival. If required, Back-Up surveillance coverage of all zones will be coordinated by the Head Lifeguard.  If appropriate surveillance of all zones cannot be maintained during injury management, the competition area will be evacuated by the Head Lifeguard.

Emergency Response
Water Rescue 
The first lifeguard to observe a potential emergency will alert the lifeguard corps with three whistle blasts, each lasting 3 seconds.  The alerting lifeguard will establish eye contact with another lifeguard and the head competition official, both of whom will repeat the distress signal and clear the alerting lifeguard to initiate a water rescue.  When a lifeguard indicates an emergency with three whistle blasts and wants to make contact with a specific lifeguard, they will point to the specific lifeguard while giving the 3 whistle blasts.  The receiving lifeguard will return the 3 whistle blasts with 3 call back whistle blasts.  Once in the water the first responding lifeguard will communicate rescue and care requirements using appropriate whistle blasts, hand signals, and verbal calls.  Additional lifeguards will enter the water to complete the Critical Care Triangle™ as indicated by the initial lifeguard rescuer.  Non-lifeguard medical personnel will remain on the pool deck to assist lifeguards with evacuation of the patient from the pool.

Once the patient is out of the water, the remaining lifeguard corps will fill-in necessary positions within the Critical Care Triangle™ and administer appropriate care.  The remaining medical team members will rotate into the Critical Care Triangle™ as their specific skills are needed, to provide on-going HQ-CPR, or as instructed by the MTF or lifeguard corps.  When the patient is stable enough to be moved the medical team will evacuate the patient to the evacuation zone, reassess the patient, and initiate appropriate transport procedures.

From the Competition Deck
The first person to observe a potential emergency on the competition pool deck will alert the specific zone lifeguard, MTF or a back-up lifeguard in the Evacuation Zone.  Lifeguards currently responsible for surveillance will not be available for initial response unless the potential emergency is in their current surveillance zone, back-up surveillance is initiated by the Head Lifeguard, or if surveillance zones are evacuated.  The MTF and back-up lifeguards will respond and begin initial patient assessment while remaining medical team personnel rendezvous at the scene.  When the patient is stable enough to be moved the medical team will evacuate the patient to the evacuation zone, reassess the patient, and initiate appropriate transport procedures.

From Outside the Competition Area
When special medical attention is required away from the main competition area, the medical team will use the two-way radio system to communicate needs to the designated MTF.  All appropriate and available medical personnel will respond to the radio distress call.  It is vital that surveillance and pool patron safety not be compromised at any time.  Therefore, lifeguards currently responsible for surveillance will not be available for distress calls where surveillance is currently required.  Back-up lifeguards, lifeguards not currently in the surveillance rotation, and other medical personnel will respond to the alert call as indicated by the MTF.  When the patient is stable enough to be moved the medical team and will evacuate the patient to the evacuation zone, reassess the patient, and initiate appropriate transport procedures.

Visiting Team Injuries
In the event of a visiting team injury, the Medical Team Facilitator will alert the medical team who will make themselves available to visiting team medical personnel.  Should assistance be required, visiting team medical personnel may signal the medical staff using a simple hand waive.  When assistance is required during any other time, the medical team may be reached by contacting the Medical Team Facilitator stationed in the Evacuation Zone or using the appropriate auto-dial hotline phone numbers provided in the EAP Summary.  In the absence of visiting team medical personnel, the will provide appropriate medical care.

Transport
The designated Athlete Escort will escort the patient to the receiving facility to facilitate care and management, aide emergency room personnel, provide on-going communication, and bridge any language or cultural barriers that may affect care.

Back-Up and Resumption of Activity
Prior to transport the primary ambulance crew remaining on scene shall acquire the radio communication  device and re-establish radio communications with the MTF.  The medical team will establish appropriate back-up event surveillance coverage and indicate to the Head Official that the medical staff has established appropriate back-up surveillance coverage.  The Head Official will then decide if and how the event will resume.

Practice Day Procedures

Pre-Event Medical Meeting
Prior to the start of this event the medical team will conduct a Pre-Event Medical Meeting to ensure proper personnel are available to carry out the EAP.


Surveillance Plan
Coverage:  
Stationing:  
Rotation:  

A minimum of 2 lifeguards will provide surveillance at any given time.


Communication
Radio contact will be established via two-way between the Head Athletic Trainer (HAT), lifeguards, and any other on-site medical personnel.  The radios will be set to a clear and quiet channel.  When radio communication is not possible or appropriate, the HAT and lifeguards will communicate via  verbal calls, hand signals, or a runner.  Site lines shall be clearly established to ensure hand signals can be effectively communicated.  Established whistle codes will be the primary means of communications by lifeguards responsible for surveillance.

The lifeguard stationed in the Evacuation Zone will use the two-way radio connected to all medical personnel not actively involved in surveillance to alert the medical team to an incoming message using three 3 second alert tones followed by verbal communication regarding medical needs.  The medical staff will confirm receipt of the message and rendezvous at the injury location to aid in on-going care.

When indicated, the designated communication device will be used to call EMS.  The designated EMS Escort will then proceed to the EMS Rendezvous Location and escort EMS to the injury scene.  The MTF will stay on the line at the scene with EMS Dispatch and communicate all relevant information between the Critical Care Triangle™ and dispatch until EMS arrives.

Once appropriate care has been completed and the ambulance has left the venue, the MTF or other designated medical person will communicate vital information regarding injury status and receiving facility information to the Administrative Liaison.  The Administrative Liaison will communicate all appropriate information to the patient’s family, team officials, and competition officials.

Scene Security
The MTF will provide initial scene security by designating an appropriate medical team member to clear the area of all non-medical personnel.  Scene security will be transferred to the Security Officer upon their arrival. If required, Back-Up surveillance coverage of all zones will be coordinated by the Head Lifeguard.  If appropriate surveillance of all zones cannot be maintained during injury management, the competition area will be evacuated by the Head Lifeguard.

Emergency Response
Water Rescue 
The first lifeguard to observe a potential emergency will alert the lifeguard corps with three whistle blasts, each lasting 3 seconds.  The alerting lifeguard will establish eye contact with another lifeguard who will confirm receipt of distress signal, clear the alerting lifeguard to initiate an appropriate  rescue, and use the two-way radio to alert the HAT and on-site medical personnel to the emergency.  Upon receiving the emergency alert, all medical staff will proceed to the injury scene.   Once in the water the first responding lifeguard will communicate rescue and care requirements using appropriate hand signals and verbal calls.   Additional lifeguards will enter the water to complete the Critical Care Triangle™ as indicated by the initial lifeguard rescuer.  Non-lifeguard medical personnel will remain on the pool deck to assist lifeguards with evacuation of the patient from the pool.

Once the patient is out of the water, the remaining medical staff will fill-in necessary positions within the Critical Care Triangle™ and aide in administering appropriate care.  The remaining medical team members will rotate into the Critical Care Triangle™ as their specific skills are needed, to provide on-going HQ-CPR, or as instructed by the MTF or lifeguard corps.  When the patient is stable enough to be moved the medical team will evacuate the patient to the evacuation zone, reassess the patient, and initiate appropriate transport procedures.

From the Practice Deck
The first person to observe a potential emergency on the pool deck will alert the lifeguard corps using 3 whistle blasts.  The 3 whistle blast alerts will signal lifeguards to provide immediate back-up coverage of the responding lifeguard’s surveillance zone and initiate the evacuation of all pool patrons.  Once on-scene the first responding lifeguard will begin assessment and communicate needs to the remaining corp.  Lifeguards currently responsible for surveillance will not be available for initial response unless the potential emergency is in their current surveillance zone, back-up surveillance is initiated by the Head Lifeguard, or if surveillance zones are evacuated.  A designated lifeguard will use the two-way radio to alert the HAT and on-site medical personnel to the emergency.  The HAT and on-site medical personnel will rendezvous at the injury scene to provide appropriate Critical Care Triangle™ support.  When the patient is stable enough to be moved the medical team will evacuate the patient to the evacuation zone, reassess the patient, and initiate appropriate transport procedures.

From Outside the Competition Area
When special medical attention is required away from the main practice area, the medical team will use the two-way radio system to communicate needs between the HAT, on-site medical, and lifeguard corps. All appropriate and available medical personnel will respond to the radio distress call.  It is vital that surveillance and pool patron safety not be compromised at any time.  Therefore, lifeguards currently responsible for surveillance will not be available for distress calls where surveillance is currently required.  Back-up lifeguards, lifeguards not currently in the surveillance rotation, and other medical personnel will respond to the alert call as indicated by the person initiating initial care and assessment.  When the patient is stable enough to be moved the medical team and will evacuate the patient to the evacuation zone, reassess the patient, and initiate appropriate transport procedures.

Visiting Team Injuries
In the event of a visiting team injury, the MTF will alert the medical team who will make themselves available to visiting team medical personnel.  Should assistance be required, visiting team medical personnel may signal the medical staff using a simple hand waive.  When assistance is required during any other time, the medical team may be reached by contacting the Medical Team Facilitator stationed in the Evacuation Zone or using the appropriate auto-dial hotline phone numbers provided in the EAP Summary.  In the absence of visiting team medical personnel, the will provide appropriate medical care.

Transport
The designated Athlete Escort will escort the patient to the receiving facility to facilitate care and management, aide emergency room personnel, provide on-going communication, and bridge any language or cultural barriers that may affect care.

Back-Up and Resumption of Activity
After completing all appropriate care tasks, the medical team will decide if and when activities should resume based, in part, on the ability to provide appropriate back-up surveillance coverage and on-going emergency response.


Athletic Training and Medical Personnel for

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by Sports Medicine Concepts, Inc

© Sports Medicine Concepts, Inc.  All Rights Reserved.

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