EMERGENCY PLAN Trained Personnel –Credentials 1st Aide CPR ATC EMT MD –Emergency Care Equipment Field Kits Splint Bags Stretcher Biohazard

Emergency Transportation –Transportation Vehicles –Ambulance & Paramedics –School personnel Communication System –Equipment radios telephones on-the-scene transfer of information – Notification ER & Urgent Care Parents Administrators

Emergency Care Facility –Hospitals Services Offered Locations –Legal Considerations Group Health Care Plan Facilities Emergency Care Protocol –Chain of Command Assignments and responsibilities on the scene care telephone emergency Map (directions)

–Mock Drills Be Prepared Record Keeping –Accident Report –Emergency Cards –Documentation

911 Calls... Must give dispatcher following information –Type of emergency situation –Type of suspected injury –Present condition of athlete –Current assistance being given (CPR, ect) –Location telephone cross streets how to enter facility

Figure 12-1 © 2011 McGraw-Hill Higher Education. All rights reserved.

Assessment Procedures On The Field –Primary Survey ABCs Bleeding/Shock –Secondary Survey Vitals Signs & Symptoms

Unconscious Athlete –Note Body Position –Determine level of consciousness –ABCs –Neck & Spine –Do not remove helmet (face mask o.k. –Establish Airway –If prone and no breathing, role over (supine) –If prone and breathing, do not role over –When consciousness gained, log roll to spine board –Maintain Vitals until EMS arrives –Athlete is stabilized, 2ndary survey

External Bleeding –Direct Pressure –Elevation –Pressure points Brachial/Femoral

Shock Can occur with any injury Most likely in –severe bleeding –internal injury –fractures Definition –Not enough blood available to circulatory system

–Dilation of blood vessels & imbalance of osmotic pressure Shock if untreated can cause DEATH Risky Conditions –extreme fatigue –extreme temperature –extreme dehydration –illness

Handling Shock Signs & Symptoms –Skin Moist, pale, cool, clammy skin Weak & rapid pulse Increased & shallow breathing decreased b.p. extreme thirst

Treating Shock –Maintain body temperature –Elevate Feet Unless head & neck –If psychogenic, do not allow athlete to see injury –Do not over react, but confident & in control.

VITALS Pulse –60-80 in adults –Account for activity – in children Respiration –12 in adults –20-25 in children Blood Pressure Temperature Skin Color

Blood Pressure –Systolic over diastolic –120/80 Temperature –98.6 Skin Color Pupils –shock, heatstroke, hemorrhage –stimulants

State of Consciousness Movement –Head Injury –Stroke (cerebrovascular accident) –Abnormal Nerve Response Nerve damage blocked artery spinal cord injury head injury