Emergency Action Plan

University of Georgia Sports Medicine 2012

Introduction

• Emergency situations may arise at anytime during athletic events • Expedient action must be taken in order to provide the best possible care to the athletes of emergency and/or life threatening conditions • Development and implementation of an emergency action plan (EAP) helps ensure the best care will be provided UGAA Sports Medicine 2012

Introduction

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Although most injuries in athletics are relatively minor, life or limb threatening injuries are unpredictable and can occur without warning

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due to relatively low incidence rate of catastrophic injuries, may develop false sense of security

UGAA Sports Medicine 2012

Introduction

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Although most injuries in athletics are relatively minor, life or limb threatening injuries are unpredictable and can occur without warning

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due to relatively low incidence rate of catastrophic injuries, may develop false sense of security

UGAA Sports Medicine 2012

Time Out

• NATA releasing official statement August 1, 2012 recommending athletic health care providers issue a “Time Out” system before athletic events to ensure EAPs are reviewed and in place.

UGAA Sports Medicine 2012

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Time Out

“Time Out” is a common term both in sports and medicine.

– Coaches and athletes call time outs to gather a team together and discuss game strategies or to call a play. – In medicine, doctors take a time out immediately before every surgery when all operating room participants stop to verify the procedure, patient identity, correct site and side. UGAA Sports Medicine 2012

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Time Out

Athletic healthcare providers meet before the start of each practice or competition to review the emergency action plan.

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Determine the role and location of each person present (i.e. athletic trainer, emergency medical technician, medical doctor).

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Establish how communication will occur (voice commands, radio, hand signals); what is the primary and secondary or back up means of communication.

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An ambulance should be present at all high-risk events. The medical staff should know who is assigned to call for it; if it is on stand-by or required to be on-site; where it is located, what routes it can to enter and exit the field in the least unencumbered manner.

UGAA Sports Medicine 2012

Time Out

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Ensure that in the event of transport, a hospital has been designated and is the most appropriate facility for the injury or illness.

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Review and check/test all emergency equipment available to confirm it is in working order and fully ready for use. For example, make sure all sports medicine team members know where automated external defibrillators are and how to use them.

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Consider any issues that could potentially impact the EAP (construction, weather, crowd flow), and plan accordingly and in advance of sports participation.

UGAA Sports Medicine 2012

Components of EAP

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Three basic components:

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Emergency personnel

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Emergency communication

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Emergency equipment

UGAA Sports Medicine 2012

Emergency Plan Personnel

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Sports medicine coverage for an athletic event may vary widely, based on such factors as the sport or activity, the setting, and the type of training or competition.

The first responder to an athletic emergency situation is typically a member of the sports medicine staff, usually an ATC.

Physician may not always be present at every organized practice or competition.

UGAA Sports Medicine 2012

Emergency Personnel

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Emergency training required for all UGAA athletics personnel associated with practices, competition, skills instruction, S&C

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CPR First aid Prevention of disease transmission: BBP

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Emergency action plan

UGAA Sports Medicine 2012

Emergency Medical Transportation

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Emphasis placed at having ambulance on site at high risk sporting events:

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baseball basketball (men

’

s and women

’

s)

– – – – – – –

equestrian (jumping events only) football gymnastics softball soccer T&F Ambulances may be coordinated on site for other special events/sports, such as:

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major tournaments or SEC/NCAA regional or championship events In the event an ambulance is on site, it should have a designated location with rapid access to site and cleared route for entering/exiting venue

UGAA Sports Medicine 2012

Air Medical Transport

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Decision to call for air medical transport is based on patient

’

s condition and accessibility to scene or hospital facilities

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multiple system trauma head and spinal cord injuries severe burns motor vehicle crashes traumatic amputations cardiac and respiratory emergencies disasters hospital to hospital transfers

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GPS coordinates for landing sites on venue EAPs

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Transportation Criteria

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Athens Regional Medical Center

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cardiac and vascular emergencies

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St. Mary

’

s Hospital

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all other emergencies

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Venue Specific Emergency Action Plans (EAPs)

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Baseball Basketball Cross-Country Equestrian Football Golf Gymnastics Soccer Softball Swimming and Diving Strength and Conditioning Tennis Track and Field Volleyball

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Baseball EAP: Foley Field

• 2 points of entrance for EMS – off Pinecrest St.: field, ATR, locker room, home dugout – Rutherford St.: outfield, visitors dugout UGAA Sports Medicine 2012

Baseball EAP: Foley Field

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Basketball EAP:

Stegeman Coliseum

• EMS on site – paramedics located in tunnel 1 – ambulance parks in loading dock for competition UGAA Sports Medicine 2012

Basketball EAP:

Stegeman Coliseum

• EMS on site – paramedics located in tunnel 1 – ambulance parks in loading dock for competition UGAA Sports Medicine 2012

Basketball EAP:

Stegeman Coliseum

UGAA Sports Medicine 2012

Basketball EAP:

Training Center: Practice

UGAA Sports Medicine 2012      EMS will access building through the doors next to Gate 1 Follow signs leading to sections A-B-Z Do not enter court, but turn right going up ramp Follow exit sign that leads through two sets of double doors Access to both men ’ s and women ’ s courts

Cross-Country EAP

• ATC on site for competition • radios utilized for communication over course • races are held at UGA equestrian venue • golf carts utilized to cover course UGAA Sports Medicine 2012

P A S T U R E

1171

Cross-Country EAP

Stadium P A S T U R E PASTURE

Ambulance Pathway

BARN Covered Arena

ASTONDALE ROAD

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1261

BARN Reini ng

Equestrian EAP

• off-campus site • EMS on site for jumping competition only • fixed telephone line • athletic trainer cell phone UGAA Sports Medicine 2012

P A S T U R E

1171

BARN

Equestrian EAP

Stadium P A S T U R E PASTURE

Ambulance Pathway

Covered Arena

ASTONDALE ROAD

UGAA Sports Medicine 2012

1261

BARN Reini ng

Football EAP:

Butts-Mehre Hall; Woodruff Practice Fields

• Multiple entrances – primary entrance off Smith Street • Five certified athletic trainers on-site – physicians may or may not be on site • Butts-Mehre athletic training facility • Practice shed – fixed telephone line – emergency equipment – emergency cart UGAA Sports Medicine 2012

Football EAP:

Butts-Mehre Hall; Woodruff Practice Fields

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Football EAP:

Sanford Stadium Game

• • • • • • Athletic training room in home locker room Digital x-ray on site Ambulance on ramp by home locker room (SE entrance) Emergency equipment on sideline with motorized cart Home sideline coverage – 5 certified athletic trainers – other medical staff • physicians (7): primary care, orthopedics, internal medicine, vascular, neurosurgery, emergency medicine • physician assistant • paramedics (3) Visitor sideline coverage – 3 certified athletic trainers – 1 physician (primary care) UGAA Sports Medicine 2012

Football EAP:

Sanford Stadium Game

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Football EAP:

Sanford Stadium Practice

• primary EMS entrance Gate 10 off Lumpkin Street by Tate Center • emergency equipment on sideline with motorized cart • five certified athletic trainers on-site – physicians may or may not be on site UGAA Sports Medicine 2012

Football EAP:

Sanford Stadium Practice

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Golf EAP: Boyd Golf Course

• golf coach is the only person CPR/first aid certified on site • fixed phone line inside Boyd Golf Center and Pro Shop • limited supply first aid kit on site UGAA Sports Medicine 2012

Golf EAP: Boyd Golf Course

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Gymnastics EAP:

Stegeman Coliseum Meets

• • – EMS on site paramedics located in tunnel 1 – ambulance parks in loading dock for competition Fixed telephone line inside Stegeman Coliseum ATR UGAA Sports Medicine 2012

Gymnastics EAP:

Stegeman Coliseum Meets

UGAA Sports Medicine 2012

Gymnastics EAP:

Training Center: Practice

   Ambulance to park in brick driveway just past loading dock entrance EMTs will enter through the double glass doors immediately in front of brick driveway Turn left; glass doors on right provide access into gymnastics practice facility UGAA Sports Medicine 2012

Soccer EAP: Soccer Stadium

• separate practice and competition venues • EMS on site for competition UGAA Sports Medicine 2012

Soccer EAP: Soccer Stadium

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Softball EAP:

Softball Stadium

• EMS on site for competition • EMS entrance through 1 st base side gate or LEFT field gate UGAA Sports Medicine 2012

Softball EAP:

Softball Stadium

UGAA Sports Medicine 2012

Swimming and Diving EAP:

Ramsey Center Gabrielson Natatorium

• similar to gymnastics • fixed telephone line in swimming ATR • lifeguards perform water rescue !!!

• spine board maintained on pool deck • splint bag and AED maintained in swimming ATR UGAA Sports Medicine 2012

Swimming and Diving EAP:

Ramsey Center Gabrielson Natatorium

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Tennis EAP:

Dan MaGill Tennis Complex

• must have access code for gates • 5 access points available, depending on location of the emergency • AED on site • spine board and splint bag maintained in tennis satellite ATR UGAA Sports Medicine 2012

Tennis EAP:

Dan MaGill Tennis Complex

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Tennis EAP:

McWhorter Practice Courts

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Track and Field EAP:

Spec Towns Stadium

• fixed phone line in practice shed and Butts-Mehre • emergency equipment maintained in practice shed • keycard required to open electric gate UGAA Sports Medicine 2012

Track and Field EAP:

Spec Towns Stadium

UGAA Sports Medicine 2012

Volleyball EAP:

Ramsey Center Volleyball Court

• EMS loading dock across from University Health Center provides easiest access • notify Ramsey Center front desk in case of emergency UGAA Sports Medicine 2012

Volleyball EAP:

Ramsey Center Volleyball Court

UGAA Sports Medicine 2012

Pocket Emergency Card

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carried by all medical staff

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emergency plan with written directions and highlighted map

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pertinent medical conditions specific to sport

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Spectator Injury Policies

• Medical assistance for spectators will vary depending on the venue • Football: – spectators should be directed or escorted to first aid stations or stands • stations: sections 119, 138, 203, 229 • stands: 100 level concourse, Gate 7 • EMS/ALS support available at Gates 2,5,8,10, loading dock and North Sky Suites UGAA Sports Medicine 2012

Spectator Injury Policies

• Basketball and Gymnastics: – spectators should be directed or escorted to first aid room located on concourse level of coliseum • Baseball, Equestrian, Soccer, Softball, Track & Field: – EMS support is available with paramedic crew at ambulance UGAA Sports Medicine 2012

Spectator Injury Policies

• All other sports: – no dedicated EMS support but EMS is on-call – if injury is life-threatening, call 911 and seek assistance from certified athletic trainer with UGA team – if injury is non-life threatening, UGA event management personnel should oversee situation with first aid UGAA Sports Medicine 2012

Spectator Injury Policies

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after notification of an injured spectator, have UGA police on duty at event )if available) respond to location of spectator staff member should administer first aid with materials in supplied kit; if injury cannot be treated by staff member, have police call for ambulance; if police not on site, call 911 if patient transported to hospital, confirm which hospital and contact Matt Brachowski or sport administrator if patient refuses transportation by ambulance, have sign release form complete incident report (available from event management staff) submit incident reports to Matt Brachowski

UGAA Sports Medicine 2012

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Vision Statement

The University of Georgia community will be prepared to respond effectively to large scale emergencies in order to eliminate or mitigate the loss of life and property.

Mission Statement

Our mission is to provide a comprehensive security and emergency management program for the University of Georgia in order to save lives, protect property, promote continuity of operations, and reduce the overall effects of large-scale disasters.

UGAA Sports Medicine 2012

Emer. Contact

Catastrophic Incident Guidelines

Department/Area Office Home Cell/Pager * 770 +678

Michael Adams Steve Bryant Eric Baumgarter Ron Courson Frank Crumley Claude Felton Kip Hicks Kevin Hynes Tom Jackson Arthur Johnson Barbara Boyd Robert Miles Fred Reifsteck Joe Scalise Steve Shewmaker Ed Tolley Jeanne Vaughn Craig White Peggy Whitfield Carla Williams Jimmy Williamson University President Assoc.Athletic Trainer NCAA Compliance Director of Sports Med.

Interim Athletic Director Assoc. AD/ SID Emergency Medical Dir.

Chaplain University Spokesperson Assoc. Ath. Dir.

UGAA Travel Coordinator Asst. Ath. Dir.: Life Skills Head Team Physician Counselor University Legal Affairs UGAA Legal Counsel UGAA Insurance Coord.

Assoc. Ath. Dir.

Human Resources Assoc. Ath. Dir.

Chief of Police • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

CATASTROPHIC INCIDENT GUIDELINES Contact Fred Reifsteck/Kip Hicks, MD; Ron Courson/Steve Bryant work with medical specialists assisting athlete Contact UGAA/UGA administration Frank Crumley, notifies Michael Adams, legal counsel Claude Felton, notifies Tom Jackson Contact Craig White Designate athletic administrator point person Contact/update sport staff if not yet familiar with situation Contact family by appropriate individual (assist as needed): Eric Baumgartner: compliance Barbara Boyd: travel Air Med International 800-356-2161 Assign athletic staff member to be with family at all times upon Arrival; assist family as needed; protect from outside persons Involve appropriate counseling/ministerial support Coordinated media plan No contact with media/comments from athletic training staff, hospital staff or med. personnel except through SID Meeting with athletes to discuss situation No outside discussion of meeting with media Contact catastrophic/malpractice insurance providers Molton, Allen and Williams: 800-532-0147 NCAA: American Specialty: Seabury & Smith (malpractice): 800-245-2744 800-621-3008 HPSO (malpractice): 800-982-9491 Complete documentation of events from everyone involved in incident Collect and secure all equipment/materials involved Construct detailed time line of events related to the incident Catastrophic incident stress management as necessary for individuals involved in incident

UGAA Sports Medicine 2012

Summary

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By developing and implementing an emergency plan, one can help ensure that the athlete will have the best care provided when an emergency situation does arise

UGAA Sports Medicine 2012

Emergency Action Plan

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Comments

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Questions

UGAA Sports Medicine 2012