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

Home of The

Emergency Action Plan and Pre-Event Medical Meeting Overview


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EAP Principals

Athletic Trainer

Office Phone: Ext:

 Team Physician

Office Phone: Ext:

EMS Coordinator

Office Phone: Ext:

Athletic Administrator

Office Phone: Ext:

Medical Team Facilitator

Office Phone: Ext:

 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:


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:



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

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