How to act with confidence in a life and death situation Gary Clinton MS, ATC, ATL Yelm High School
� Addresses medical emergencies � Athletes � Staff � Officials � Spectators � A blueprint for response to all emergencies � Weather � Criminal behavior � Emergency threats � Natural disaster
� Video Miklos Feher � All schools should have one! � Administrators or healthcare professional designed and adopted. � Youth Sports Safety Alliance � February 2013 with 70 member groups
� Started in 2010 to reduce injuries � HS athletes suffer 2 million injuries � 200,000 doctor visits � 30,000 hospitalizations � Safety Statistics � Secondary School Student Athletes’ Bill of Rights
� Personnel & responsibilities � Communication � Equipment � Emergency medical care � Information � Gameday plan � Catastrophic incidents plan
� Each member has a role! � “Chain of command” initially? � MD, ATC, Head Coach � Most skilled should not perform lengthy tasks � All coaches must be CPR/FA certified and administrators should be! � Manage team, crowd, and Emergency access
� Cell phones? � Radio communications � Hand signals � Exact location for EMS � Parent communication � Public release of information � HIPAA
� Facemask removal � Cordless screwdriver (All fasteners) � Trainers Angel, FM Extractor, or Anvil Pruner � AED’s � Available on site � Maintained � Known medical conditions � Diabetic � Heart conditions � Asthma � Allergies � All personnel trained
� CPR/FA protocols � Mechanism of injury � Spinal immobilization until R/O � Transport protocol
� Emergency card � Review initially � Follow up w/concerns � Availability
� Review home or away � Local medical or visiting team � Communication system � Decision making process � Officials role � Inclement weather � Injury identification � Evacuation plan � NATA “Time Out” system
� Manage team, crowd, personnel � Evacuation plan � Collect accurate information � Release of information � Incident report form � Caleb Moore
� Ron Courson ATC, PT, NREMT-I � Site specific, Football EAP � Reviewed/Approved � On site and available � General EAP for medical conditions � Cardiac events � Neurological injuries � Environmental/exertional conditions � Dietary/substance-induced conditions
� Comprehensive pre-participation exams � Cardiac Hx and Sx � EKG when appropriate � Echocardiogram to R/O � Heart screenings � Educate about SCA � Maintain & train for AED’s � AED must be available
� WA leader for concussion legislation � Legislation in???? States � Baseline concussion testing � Neurocognitive, balance � Physical & cognitive rest � School coordination � RTP guidelines “Most conservative opinion rules” � R/O cervical spine involvement � Transport (Helicopter, Ambulance, Parent)
� Heatstroke � Practice times/temps � Cool then transport � Only core body temp � Lightning � Where to evacuate � Who makes the call � Air quality? � Wenatchee!
� Supplements, PED’s, & Energy drinks � Increase HR � Metabolism � Steroids � Creatine � Support plan in place
� Asthma � Catastrophic brain injuries � Diabetes � Cervical spine injuries � Exertional hyponatremia � Exertional heat stroke � Exertional sickling � Head-down contact in FB � Lightning � Sudden Cardiac Arrest
� Casa & Guskiewicz, et al. “NATA Position Statement: Preventing Sudden Death in Sports.” Journal of Athletic Training , 2012;47(1):96- 118. � Ron Courson. “Football EAP: Sanford Stadium Game Day.” www.georgiadogs.com/ot/sports-medicine/files/2012_EAPs/EAP_2012 � Missouri State HS Activities Association. “Emergency Action Planning.” www.mshsaa.org/resources/pdf/emergencyPlanning.pdf � NATA Official Statement on Athletic Health Care Provider “Time Outs” Before Athletic Events. www.NATA.org � Youth Sports Safety Alliance. www.youthsportssafetyalliance.org National Action Plan for Sports Safety � � Secondary School Student Athletes’ Bill of Rights � Youth Sports Safety Statistics
Gary Clinton MS, AT/C, AT/L Sports Medicine Instructor Yelm HS WCTSMA President gclinton@ycs.wednet.edu (360)458-7777
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