Components of the Emergency Action Plan

Westfield High School Bulldogs 4700 Stonecroft Blvd. Chantilly, VA 20151 Athletic Training Department 703-488-6413 (Office) 703-488-6338 (Fax)

Lightening Protocol

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.

It is the responsibility of an Athletic Introduction organization to develop and maintain an emergency plan that can effectively provide Components of the Emergency Action appropriate standards of health care to all Plan sports participants.

The Emergency Team Because athletic injuries can occur at any time and during any activity, it is important Activating EMS that the sports medicine team be prepared. Preparation involves formulation of an Emergency Equipment & Transport emergency plan, proper coverage of events, maintenance of appropriate EAP for Site Venue emergency equipment and supplies, utilization of appropriate emergency o Stadium medical personnel, and continuing o Football/Lax Practice Field education in the area of emergency o DMV Field medicine. Hopefully, through careful pre- o Tennis Courts participation physical screenings, adequate o Baseball Field medical coverage, safe practice and o Softball Field training techniques and other safety o Recreation Field avenues, some potential emergencies may o Gymnasium be averted. o Gymnastics Room o Wrestling Room Components of the Emergency Plan o Weight Room o Locker Room There are 3 basic components of this plan:

Guide to Dehydration & Heat Illness 1. Emergency team/personnel 2. Emergency communication Treating Shock 3. Emergency equipment

AED Location & CPR

the athletic venue itself, or the preference of the head athletic trainer.

When forming the emergency team, it may also Emergency Plan Personnel be advantageous to have more than one individual assigned to each role. This allows the With athletic practice and competition, the first emergency team to function even though responder to an emergency situation is typically certain members may not always be present. a member of the sports medicine staff, most commonly a certified athletic trainer. A team Roles Within the Emergency Team physician may not always be present at every organized practice or competition. The type and The 4 roles within the emergency team. degree of sports medicine coverage for an athletic event may vary widely, based on such 1. Immediate care of the athlete factors as the sport or activity, the setting, and 2. Emergency equipment retrieval the type of training or competition. 3. Activation of the Emergency Medical System The first responder in some instances may be a coach or other institutional personnel. 4. Direction of EMS to scene Certification in cardiopulmonary resuscitation (CPR), first aid, prevention of disease transmission, and emergency plan review is The first and most important role is required for all athletics personnel associated immediate care of the athlete. Care in an with practices, competitions, skills instruction, emergency situation should be provided by the and strength and conditioning. most qualified individual on the scene.

The emergency plan is not complete without the The second role, equipment retrieval, may be emergency team. done by anyone on the emergency team who is familiar with the types and location of the specific equipment needed. Student athletic The Emergency Team is a cooperation trainers, managers, and coaches are good among numerous individuals including choices for this role.  physicians and surgeons  athletic trainers The third role, EMS activation, should be done  emergency medical technicians as soon as the situation is deemed an  coaches emergency or a life-threatening event. Time is  other personnel the most critical factor under emergency  the athlete. conditions. The person elected to activate the EMS system should be someone who is calm under pressure & who communicates well over the telephone. This person should also be familiar with the location & address of the Roles of these individuals within the emergency sporting event. team may vary depending on various factors such as the number of members of the team,

After EMS has been activated, the fourth role in the emergency team should be performed, that of directing EMS to the scene. One member of the team should be responsible for meeting emergency medical personnel as they arrive at the site of the contest. Depending on ease of access, this person should have keys to any locked gates or doors that may slow the arrival of medical personnel. HOME

Activating the EMS System Emergency Communication Making the Call: Communication is the key to quick delivery  911 of emergency care in athletic trauma  You may be connected to Loudoun situations. Athletic trainers and emergency County EMS. You must ask for medical personnel must work together to transfer to Fairfax County EMS. provide the best possible care to injured athletes. Communication prior to the event Providing Information: is a good way to establish boundaries and to build rapport between both groups of  Name, address, phone number of caller professionals. If emergency medical  Number of athletes transportation is not available on site during  Condition of athlete(s) a particular sporting event then direct  First aid care initiated by 1st responder communication with the emergency medical  Specific directions as needed to locate system at the time of injury or illness is the emergency scene ("come to necessary. entrance 11 of Westfield HS")  OtherWestfield’s information Emergency as requested Network by Access to a working telephone or other dispatcher telecommunications device, whether fixed or mobile, should be assured. The EMS: 911 - You may be connected to communications system should be checked Loudoun County EMS. You must ask prior to each practice or competition to for transfer to Fairfax County EMS. ensure proper working order. A back-up communication plan should be in effect Local Hospital: should there be failure of the primary  Fairfax Hospital communication system. The most common  Fair Lakes Hospital method of communication is a public telephone. However, a cellular phone is Team Physician: preferred if available. At any athletic venue,  Commonwealth Orthopaedics whether home or away, it is important to Dr. Robert Dombrowski know the location of a workable telephone. Pre-arranged access to the phone should Certified Athletic Trainers: be established if it is not easily accessible. WHS Training Room – 703-488-6413  Roslynn Weise, MA ATC o 703-932-1961 3  Karen Conboy, MS ATC

Emergency Equipment Transportation

All necessary emergency equipment should Emphasis is placed at having an be at the site and quickly accessible. ambulance on site at high risk sporting Personnel should be familiar with the events. EMS response time is additionally function and operation of each type of factored in when determining on site emergency equipment. Equipment should ambulance coverage. The athletic be in good operating condition, and department coordinates on site ambulances personnel must be trained in advance to for competition for varsity football. use it properly. Emergency equipment Consideration is given to the capabilities of should be checked on a regular basis and transportation service available (i.e., Basic use rehearsed by emergency personnel. Life Support or Advanced Life Support) and The emergency equipment available should the equipment and level of trained be appropriate for the level of training for personnel on board the ambulance. In the the emergency medical providers. It is event that an ambulance is on site, there important to know the proper way to care should be a designated location with rapid for and store the equipment as well. access to the site and a cleared route for Equipment should be stored in a clean and entering/exiting the venue. environmentally controlled area. It should be readily available when emergency In the emergency evaluation, the primary situations arise. survey assists the emergency care provider in identifying emergencies requiring critical intervention and in determining transport WHS Emergency Equipment Includes: decisions. In an emergency situation, the athlete should be transported by  AED ambulance, where the necessary staff and  Wound Care Supplies equipment is available to deliver  Cervical Collars appropriate care. Emergency care providers should refrain from transporting  Sam Splints unstable athletes in inappropriate vehicles.  Knee Joint Immobilizers Care must be taken to ensure that the  Blanket activity areas are supervised should the Additional equipment supplied with EMS *Spine boards *Life Support Equipment 4

Westfield High School Bulldogs 4700 Stonecroft Blvd. Chantilly, VA 20151 Athletic Training Department 703-488-6413 (Office) 703-488-6338 (Fax) emergency care provider leave the site in transporting the athlete.

Conclusion Athletic Venues The importance of being properly prepared when athletic emergencies arise cannot be 1. WHS Stadium Field stressed enough. An athlete's survival may 2. Football Practice Field hinge on how well trained and prepared 3. DMV Field athletic healthcare providers are. It is 4. Track / Field Hockey Field prudent to invest athletic department 5. Tennis Courts "ownership" in the emergency plan by 6. Baseball Field involving the athletic administration and 7. Softball Field sport coaches as well as sports medicine 8. Recreation Field personnel. 9. Gymnasium 10. Gymnastics Room The emergency plan should be reviewed at 11. Wrestling Room least once a year with all athletic personnel, 12. Weight Room along with CPR and first aid refresher 13. Locker Room training. Through development and implementation of the emergency plan, the athletic department helps ensure that the athlete will have the best care provided when an emergency situation does arise.

I have read and understand the Emergency Action Plan. The Certified Athletic Trainer has explained the emergency protocol and has answered questions that I may have in the event of a medical emergency.

______(Name) (Date)

5 HOME

o Contact Parents Emergency Plan: o Contact School ATC Stadium/Game Field Directing of EMS to scene Emergency Personnel: 1. Game manager(coach during practice) to  Roslynn Weise, ATC 703-932-1961 open appropriate gates (to field and to  Karen Conboy, ATC athletic complex next to the ticket office). 2. Designate individual to "flag down" EMS Certified athletic trainers are present for all High and direct to scene School Athletic Competitions o One person will be at the gate to the Sports Complex Emergency Communication: o One person to open gate of South Location of Fixed Telephone Lines Endzone onto field. o During Football Games EMS is  Athletic Training Room: (room L110) located in the SOUTH endzone 703-488 - 6413 3. Scene control: limit scene to first aid  Weight Room Office: providers and move bystanders away from  Activities Office: area. Mandate that no parking is permitted  Locker Room Office outside of the gates.

Emergency Equipment: Venue Directions: The Stadium is located to the North end of WHS. The Stadium field is accessed through the sports complex gate.  Emergency equipment (AED) is available in Once entering the complex, the field is to the the WHS athletic training room. right.  Each team keeps a stocked 1st aid kit  Maintain accurate Emergency Care Cards Driving Directions: Roles of First Responders 1. From Route 50 - (Lee Jackson Memorial Highway) From Fairfax Take 50 west past 1. Immediate care of the injured or ill route 28. Make a Left onto Stonecroft Blvd. student-athlete Pass Willard Road intersection. WHS in on 2. Emergency equipment retrieval the right. 3. Activation of emergency medical system (EMS) 2. From Route 28 - (Sully Road) From Centreville take 28 North toward Dulles airport. Make a Left onto Willard Road. To Activate EMS Make a Left onto Stonecroft Blvd. WHS will be on the right. o Call 911 (provide name, address, telephone number; number of individuals injured; EMS Transport of Athlete: condition of injured; first aid treatment; specific directions; other information as If parent is not present by the time of EMS requested) You may be connected to o Loudoun County EMS. You must ask for arrival, one coach or school administrator transfer to Fairfax County EMS. must accompany the athlete to the hospital.

Westfield High School Bulldogs 4700 Stonecroft Blvd. Chantilly, VA 20151 Athletic Training Department 703-488-6413 (Office) 703-488-6338 (Fax) o Emergency Care Card should also travel with the Athlete to the hospital

Emergency Plan: Football & Lacrosse Practice Field Directing of EMS to scene Emergency Personnel: 1. Designate individual to "flag down" EMS and direct to scene  Roslynn Weise, ATC 703-932-1961 o One person will be at the gate  Karen Conboy, ATC to the Sports Complex o One person to the gate into Emergency Communication: track area (near sheds) Location of Fixed Telephone Lines 2. Scene control: limit scene to first aid providers and move bystanders away  Athletic Training Room: (room L110) from area. Mandate that no parking is 703-488 - 6413 permitted outside of the gates.  Weight Room Office:  Activities Office: Venue Directions: The football practice field  Locker Room Office is located behind WHS. It is the field located directly behind the track facility. Emergency Equipment: Driving Directions:  Emergency equipment (AED) is available in the WHS athletic training room. 1. From Route 50 - (Lee Jackson Memorial  Each team keeps a stocked 1st aid kit Highway) From Fairfax Take 50 west past  Maintain accurate Emergency Care Cards route 28. Make a Left onto Stonecroft Blvd. Pass Willard Road intersection. WHS in on Roles of First Responders the right. 2. From Route 28 - (Sully Road) From Centreville take 28 North toward Dulles 1. Immediate care of the injured or ill airport. Make a Left onto Willard Road. student-athlete Make a Left onto Stonecroft Blvd. WHS will 2. Emergency equipment retrieval be on the right. 3. Activation of emergency medical system (EMS) EMS Transport of Athlete: To Activate EMS o If parent is not present by the time of EMS arrival, one coach or school administrator Call 911 (provide name, address, telephone o must accompany the athlete to the hospital. number; number of individuals injured; o Emergency Care Card should also travel condition of injured; first aid treatment; with the Athlete to the hospital specific directions; other information as requested) You may be connected to Loudoun County EMS. You must ask for transfer to Fairfax County EMS. o Contact Parents o Contact School ATC

8 HOME

Emergency Plan: DMV Field Directing of EMS to scene Emergency Personnel: 1. Designate individual to "flag down" EMS and direct to scene  Roslynn Weise, ATC 703-932-1961 o One person will be at the gate  Karen Conboy, ATC to the Sports Complex o One person to the gate into Emergency Communication: track area (near sheds) Location of Fixed Telephone Lines 2. Scene control: limit scene to first aid providers and move bystanders away  Athletic Training Room: (room L110) from area. Mandate that no parking is 703-488 - 6413 permitted outside of the gates.  Weight Room Office  Activities Office Venue Directions: The DMV practice field is  Locker Room Office found behind WHS. It is the field located directly behind the track facility and to the far Emergency Equipment: left of the football practice field.

 Emergency equipment (AED) is available in Driving Directions: the WHS athletic training room.  Each team keeps a stocked 1st aid kit 1. From Route 50 - (Lee Jackson Memorial  Maintain accurate Emergency Care Cards Highway) From Fairfax Take 50 west past route 28. Make a Left onto Stonecroft Blvd. Roles of First Responders Pass Willard Road intersection. WHS in on the right. 1. Immediate care of the injured or ill 2. From Route 28 - (Sully Road) From student-athlete Centreville take 28 North toward Dulles 2. Emergency equipment retrieval airport. Make a Left onto Willard Road. 3. Activation of emergency medical system Make a Left onto Stonecroft Blvd. WHS will (EMS) be on the right.

To Activate EMS EMS Transport of Athlete: o Call 911 (provide name, address, telephone o If parent is not present by the time of EMS number; number of individuals injured; arrival, one coach or school administrator condition of injured; first aid treatment; must accompany the athlete to the hospital. specific directions; other information as o Emergency Care Card should also travel requested) You may be connected to with the Athlete to the hospital Loudoun County EMS. You must ask for transfer to Fairfax County EMS. o Contact Parents o Contact School ATC

9 HOME

o Contact School ATC Emergency Plan:

Track and Field Directing of EMS to scene Emergency Personnel: 1. Designate individual to "flag down" EMS  Roslynn Weise, ATC 703-932-1961 and direct to scene  Karen Conboy, ATC o One person will be at the gate to the Sports Complex Emergency Communication: o One person to the gate into Location of Fixed Telephone Lines track area (near sheds) 2. Scene control: limit scene to first aid  Athletic Training Room: (room L110) providers and move bystanders away 703-488 - 6413 from area. Mandate that no parking is  Weight Room Office: permitted outside of the gates.  Activities Office:  Locker Room Office Venue Directions: The track and field is located behind WHS. It is the field located to Emergency Equipment: the left of the stadium and baseball field.

To Activate EMS EMS Transport of Athlete: o Call 911 (provide name, address, telephone o If parent is not present by the time of EMS number; number of individuals injured; arrival, one coach or school administrator condition of injured; first aid treatment; must accompany the athlete to the hospital. specific directions; other information as o Emergency Care Card should also travel requested) You may be connected to with the Athlete to the hospital Loudoun County EMS. You must ask for transfer to Fairfax County EMS. o Contact Parents

Tennis Courts Directing of EMS to scene Emergency Personnel: 3. Designate individual to "flag down" EMS  Roslynn Weise, ATC 703-932-1961 and direct to scene  Karen Conboy, ATC o One person at the outdoor basketball courts/drive to Emergency Communication: direct the ambulance back to Location of Fixed Telephone Lines the courts. 4. Scene control: limit scene to first aid  Athletic Training Room: (room L110) providers and move bystanders away 703-488 - 6413 from area. Mandate that no parking is  Weight Room Office: permitted outside of the gates.  Activities Office:  Locker Room Office Venue Directions: The tennis courts are located behind the school at the south end of Emergency Equipment: the track.

12 HOME

Baseball Field Directing of EMS to scene Emergency Personnel: 1. Designate individual to "flag down" EMS  Roslynn Weise, ATC 703-932-1961 and direct to scene  Karen Conboy, ATC o One person will be at the gate to the Sports Complex Emergency Communication: o One person to the gate to field Location of Fixed Telephone Lines 2. Scene control: limit scene to first aid providers and move bystanders away  Athletic Training Room: (room L110) from area. Mandate that no parking is 703-488 - 6413 permitted outside of the gates.  Weight Room Office:  Activities Office: Venue Directions: The baseball field is  Locker Room Office located to the North end of WHS. The field is accessed through the complex. Once entering Emergency Equipment: the athletic complex, the field is to the right of the track and to the left of the stadium.  Emergency equipment (AED) is available in the WHS athletic training room. Driving Directions:  Each team keeps a stocked 1st aid kit  Maintain accurate Emergency Care Cards 1. From Route 50 - (Lee Jackson Memorial Highway) From Fairfax Take 50 W past Roles of First Responders Route 28. Make a Left onto Stonecroft Blvd. Pass Willard Rd intersection. WHS is 1. Immediate care of the injured or ill on the right. student-athlete 2. From Route 28 - (Sully Road) From 2. Emergency equipment retrieval Centreville take 28 N. toward Dulles airport. 3. Activation of emergency medical system Make a Left onto Willard Rd. Make a Left (EMS) onto Stonecroft Blvd. WHS is on the right.

specific directions; other information as requested) You may be connected to Loudoun County EMS. You must ask for transfer to Fairfax County EMS. o Contact Parents o Contact School ATC HOME Emergency Plan:

Softball Field Directing of EMS to scene Emergency Personnel: 1. Designate individual to "flag down" EMS and direct to scene  Roslynn Weise, ATC 703-932-1961 o One person will be at the gate  Karen Conboy, ATC to the Sports Complex o One person to the gate to field Emergency Communication: 2. Scene control: limit scene to first aid Location of Fixed Telephone Lines providers and move bystanders away from area. Mandate that no parking is  Athletic Training Room: (room L110) permitted outside of the gates 703-488 - 6413  Weight Room Office: Venue Directions: The softball field is  Activities Office: located to the North end of WHS. The field is  Locker Room Office accessed through the complex gate to the left of the brick wall. Once entering the athletic Emergency Equipment: complex, the field is to the right of the baseball field and to the behind the stadium.  Emergency equipment (AED) is available in the WHS athletic training room. Driving Directions:  Each team keeps a stocked 1st aid kit  Maintain accurate Emergency Care Cards 1. From Route 50 - (Lee Jackson Memorial Highway) From Fairfax Take 50 west past Roles of First Responders route 28. Make a Left onto Stonecroft Blvd. Pass Willard Road intersection. WHS in on 1. Immediate care of the injured or ill the right. student-athlete 2. From Route 28 - (Sully Road) From 2. Emergency equipment retrieval Centreville take 28 North toward Dulles 3. Activation of emergency medical system airport. Make a Left onto Willard Road. (EMS) Make a Left onto Stonecroft Blvd. WHS will be on the right. To Activate EMS EMS Transport of Athlete: o Call 911 (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment;

Westfield High School Bulldogs 4700 Stonecroft Blvd. Chantilly, VA 20151 Athletic Training Department 703-488-6413 (Office) 703-488-6338 (Fax) o If parent is not present by the time of EMS To Activate EMS arrival, one coach or school administrator must accompany the athlete to the hospital. o Call 911 (provide name, address, telephone o Emergency Care Card should also travel number; number of individuals injured; with the Athlete to the hospital condition of injured; first aid treatment; specific directions; other information as requested) You may be connected to Loudoun County EMS. You must ask for transfer to Fairfax County EMS. o Contact Parents o Contact School ATC

Emergency Plan: HOME Directing of EMS to scene Recreation Field Emergency Personnel: 1. Designate individual to "flag down" EMS and direct to scene o One person will be at the gate  Roslynn Weise, ATC 703-932-1961 to the Sports Complex  Karen Conboy, ATC o One person to the corner of stadium field to direct EMS Emergency Communication: 2. Scene control: limit scene to first aid Location of Fixed Telephone Lines providers and move bystanders away from area. Mandate that no parking is  Athletic Training Room: (room L110) permitted outside of the gates 703-488 - 6413  Weight Room Office: Venue Directions: The recreation field is  Activities Office: located to the North end of WHS. The field is  Locker Room Office accessed through the complex. Once entering the athletic complex, the field is behind the Emergency Equipment: stadium, to the right of the softball field and to the left of Cub Run recreation building.  Emergency equipment (AED) is available in the WHS athletic training room. Driving Directions:  Each team keeps a stocked 1st aid kit  Maintain accurate Emergency Care Cards 1. From Route 50 - (Lee Jackson Memorial Highway) From Fairfax Take 50 west past Roles of First Responders route 28. Make a Left onto Stonecroft Blvd. Pass Willard Road intersection. WHS in on 1. Immediate care of the injured or ill the left. student-athlete 2. From Route 28 - (Sully Road) From 2. Emergency equipment retrieval Centreville take 28 North toward Dulles 3. Activation of emergency medical system airport. Make a Left onto Willard Road. (EMS)

Make a Left onto Stonecroft Blvd. WHS will 1. Immediate care of the injured or ill be on the right. student-athlete 2. Emergency equipment retrieval EMS Transport of Athlete: 3. Activation of emergency medical system (EMS) o If parent is not present by the time of EMS arrival, one coach or school administrator To Activate EMS must accompany the athlete to the hospital. o Emergency Care Card should also travel o Call 911 (provide name, address, telephone with the Athlete to the hospital number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested) You may be connected to Loudoun County EMS. You must ask for transfer to Fairfax County EMS. o Contact Parents o Contact School ATC HOME Emergency Plan: Directing of EMS to scene

Gymnasium 1. Designate individual to "flag down" EMS and direct to scene Emergency Personnel: o One person will be at the school’s entrance #11.  Roslynn Weise, ATC 703-932-1961 2. Scene control: limit scene to first aid  Karen Conboy, ATC providers and move bystanders away from area. Emergency Communication: Location of Fixed Telephone Lines Venue Directions:

 Athletic Training Room: (room L110) The gymnasium is accessed through the back 703-488 - 6413 entrance to WHS (#11). The gym is located on  Weight Room Office: the right, past the first hallway.  Activities Office:  Locker Room Office Driving Directions:

Emergency Equipment: 1. From Route 50 - (Lee Jackson Memorial Highway) From Fairfax Take 50 west past  Emergency equipment (AED) is available in route 28. Make a Left onto Stonecroft Blvd. the WHS athletic training room. Pass Willard Road intersection. WHS in on  Each team keeps a stocked 1st aid kit the right.  Maintain accurate Emergency Care Cards 2. From Route 28 - (Sully Road) From Centreville take 28 North toward Dulles airport. Make a Left onto Willard Road. Roles of First Responders

Make a Left onto Stonecroft Blvd. WHS will Roles of First Responders be on the right. 1. Immediate care of the injured or ill student- EMS Transport of Athlete: athlete 2. Emergency equipment retrieval o If parent is not present by the time of EMS 3. Activation of emergency medical system arrival, one coach or school administrator (EMS) must accompany the athlete to the hospital. o Emergency Care Card should also travel To Activate EMS with the Athlete to the hospital 1. Call 911 (provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested) You may be connected to Loudoun County EMS. You must ask for transfer to Fairfax County EMS. 2. Contact Parents 3. Contact School ATC

Emergency Plan: Directing of EMS to scene HOME 1. Designate individual to "flag down" EMS Gymnastics Room and direct to scene Emergency Personnel: o One person will be at the school’s entrance #12.  Roslynn Weise, ATC 703-932-1961 2. Scene control: limit scene to first aid  Karen Conboy, ATC providers and move bystanders away from area. Emergency Communication: Location of Fixed Telephone Lines Venue Directions: The gymnastics room is accessed through the  Athletic Training Room: (room L110) front entrance to WHS (#12). Gymnastics room 703-488 - 6413 is the first door on the left.  Weight Room Office:  Activities Office: Driving Directions:  Locker Room Office

Emergency Equipment: 1. From Route 50 - (Lee Jackson Memorial Highway) From Fairfax Take 50 west past route 28. Make a Left onto Stonecroft Blvd.  Emergency equipment (AED) is available in Pass Willard Road intersection. WHS in on the WHS athletic training room. the right. st  Each team keeps a stocked 1 aid kit 2. From Route 28 - (Sully Road) From  Maintain accurate Emergency Care Cards Centreville take 28 North toward Dulles

airport. Make a Left onto Willard Road. Make a Left onto Stonecroft Blvd. WHS will be on the right.

EMS Transport of Athlete: o If parent is not present by the time of EMS arrival, one coach or school administrator must accompany the athlete to the hospital. o Emergency Care Card should also travel with the Athlete to the hospital

Emergency Plan: Directing of EMS to scene

Wrestling Room 1. Designate individual to "flag down" EMS and direct to scene Emergency Personnel: o One person will be at the school’s entrance #11.  Roslynn Weise, ATC 703-932-1961 2. Scene control: limit scene to first aid  Karen Conboy, ATC providers and move bystanders away from area. Emergency Communication: Location of Fixed Telephone Lines Venue Directions:

 Athletic Training Room: (room L110) The wrestling room is accessed through the 703-488 - 6413 back entrance to WHS (around the corner from  Weight Room Office: entrance #10 or through #10).  Activities Office:  Locker Room Office Driving Directions:

Emergency Equipment: 1. From Route 50 - (Lee Jackson Memorial Highway) From Fairfax Take 50 west past  Emergency equipment (AED) is available in route 28. Make a Left onto Stonecroft Blvd. the WHS athletic training room. Pass Willard Road intersection. WHS in on  Each team keeps a stocked 1st aid kit the left.  Maintain accurate Emergency Care Cards 2. From Route 28 - (Sully Road) From Centreville take 28 North toward Dulles Roles of First Responders airport. Make a Left onto Willard Road. Make a Left onto Stonecroft Blvd. WHS will be on the right. 1. Immediate care of the injured or ill student- athlete 2. Emergency equipment retrieval EMS Transport of Athlete: 3. Activation of emergency medical system (EMS) o If parent is not present by the time of EMS arrival, one coach or school administrator To Activate EMS must accompany the athlete to the hospital. o Emergency Care Card should also travel 1. Call 911 (provide name, address, telephone with the Athlete to the hospital number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested) You may be connected to Loudoun County EMS. You must ask for transfer to Fairfax County EMS. 2. Contact Parents 3. Contact School ATC

HOME19

Emergency Plan: Directing of EMS to scene

Weight Room 1. Designate individual to "flag down" EMS and direct to scene Emergency Personnel: o One person will be at the school’s entrance #11.  Roslynn Weise, ATC 703-932-1961 2. Scene control: limit scene to first aid  Karen Conboy, ATC providers and move bystanders away from area. Emergency Communication: Location of Fixed Telephone Lines Venue Directions: The weight room is accessed through the back entrance to WHS  Athletic Training Room: (room L110) (#11). The weight room is the second third 703-488 – 6413 door on the left (immediately after first hallway)  Weight Room Office  Activities Office: Driving Directions:  Locker Room Office 1. From Route 50 - (Lee Jackson Memorial Emergency Equipment: Highway) From Fairfax Take 50 west past route 28. Make a Left onto Stonecroft Blvd.  Emergency equipment (AED) is available in Pass Willard Road intersection. WHS in on the WHS athletic training room. the right.  Each team keeps a stocked 1st aid kit 2. From Route 28 - (Sully Road) From  Maintain accurate Emergency Care Cards Centreville take 28 North toward Dulles airport. Make a Left onto Willard Road. Make a Left onto Stonecroft Blvd. WHS will Roles of First Responders be on the right. 4. Immediate care of the injured or ill student- EMS Transport of Athlete: athlete 5. Emergency equipment retrieval 6. Activation of emergency medical system o If parent is not present by the time of (EMS) EMS arrival, one coach or school administrator must accompany the To Activate EMS athlete to the hospital. o Emergency Care Card should also 4. Call 911 (provide name, address, telephone travel with the Athlete to the hospital number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested) You may be connected to Loudoun County EMS. You must ask for transfer to Fairfax County EMS. 5. Contact Parents 6. Contact School ATC

HOME 20

Directing of EMS to scene Emergency Plan: 1. Designate individual to "flag down" EMS Locker Room and direct to scene o One person will be at the outside Emergency Personnel: door to the locker room 2. Scene control: limit scene to first aid  Roslynn Weise, ATC 703-932-1961 providers and move bystanders away from  Karen Conboy, ATC . area.

Emergency Communication: Venue Directions: The locker room is Location of Fixed Telephone Lines accessed through the back doors around the right corner of entrance #10 (facing the track  Athletic Training Room: (room L110) facility) 703-488–6413  Weight Room Office Driving Directions:  Activities Office:  Locker Room Office 1. From Route 50 - (Lee Jackson Memorial Highway) From Fairfax Take 50 west past Emergency Equipment: route 28. Make a Left onto Stonecroft Blvd. Pass Willard Road intersection. WHS in on  Emergency equipment (AED) is available in the Right. the WHS athletic training room. 2. From Route 28 - (Sully Road) From Centreville take 28 North toward Dulles  Each team keeps a stocked 1st aid kit airport. Make a Left onto Willard Road.  Maintain accurate Emergency Care Cards Make a Left onto Stonecroft Blvd. WHS will be on the right. Roles of First Responders EMS Transport of Athlete: 1. Immediate care of the injured or ill student- athlete If parent is not present by the time of 2. Emergency equipment retrieval o 3. Activation of emergency medical system EMS arrival, one coach or school (EMS) administrator must accompany the athlete to the hospital. To Activate EMS o Emergency Care Card should also 7. Call 911 (provide name, address, telephone travel with the Athlete to the hospital number; number of individuals injured; condition of injured; first aid treatment; specific directions; other information as requested) You may be connected to Loudoun County EMS. You must ask for transfer to Fairfax County EMS. 8. Contact Parents 9. Contact School ATC

21 HOME

GUIDE TO DEHYDRATION & Signs & Symptoms HEAT ILLNESS Preventing Episodes of Heat Illness o Dry mouth o Adapt athletes to exercise in the heat o Thirst (acclimatization) gradually over 10 to 14 o Headache days. o Dizziness Cramps o Well-acclimatized athletes should train for 1 o to 2 hours under the same heat conditions o Profuse Sweating that will be present for their event. o Chills/Goosebumps o Skin can be pale, cool, hot and wet o Encourage athletes to sleep at least 6 to 8 or dry depending on the severity of hours at night in a cool environment and eat illness. a well-balanced diet o Nausea, vomiting, and diarrhea o Decreased performance o Athletes exercising in hot conditions (especially during twice-a-day practices) o Excessive fatigue require extra sodium from the diet or o Irritable/cranky rehydration beverages or both. o Seeming bored or disinterested o Schedule training sessions to avoid the hottest part of the day (10 AM to 5 PM) Treatment o Plan rest breaks to match the environmental conditions and the intensity of the activity. 1. Move athlete to a shaded or air- conditioned area, o Implement rest periods at mealtime by 2. Give him fluids to drink allowing 2 to 3 hours for food, fluids, 3. Rapidly cool body placing ice bags over nutrients, and electrolytes (sodium and the neck, axillary (armpit), and femoral potassium) to move into the small intestine (groin) region. and bloodstream before the next practice. 4. Notify emergency personnel (ATC or EMS as necessary) o Minimize the amount of equipment and clothing worn by the athlete in hot or humid (or both) conditions. (a full football uniform Encourage Rehydration prevents sweat evaporation from more than Urine should have a clear color 60% of the body) o o Consume 24 oz. or water/sports drink o Minimize warm-up time when feasible, and for every pound of weight lost during conduct warm-up sessions in the shade activity. when possible o Suggest lightly salting foods to stimulate the thirst mechanism (pretzels are a great snack)

REFERENCE: http://basic.armystudyguide.com/first_aid/check_treat_shoc k.htm

TREATING SHOCK HOME

Signs/Symptoms Is he unconscious? Not Breathing? Call 911 and Send for an AED  Sweaty but cool skin (clammy skin).  Paleness of skin.  Restlessness, nervousness. AED Locations  Thirst.  Loss of blood (bleeding). 1. Outside the Gym  Confusion (or loss of awareness). 2. Outside the Cafeteria  Faster-than-normal breathing rate. 3. Outside Attendance Office  Blotchy or bluish skin (especially around 4. Outside Subschool 3 (main level of the mouth and lips). new wing)  Nausea and/or vomiting 5. Outside Subschool 2 (2nd floor – overlooking library (1) Move the athlete to a safe environment if available and the situation permits. BASIC CPR American Heart Association (2) Lay the casualty on his back.

(3) Elevate the casualty's feet higher than the level of his heart.

WARNING: DO NOT elevate legs if the casualty has an unsplinted broken leg, head injury, or abdominal injury. For a casualty with an abdominal wound, place knees in an upright (flexed) position.

(4) Loosen clothing at the neck, waist, or wherever it may be binding.

(5) Prevent chilling or overheating.

6) Calm the casualty.

(7) Seek medical aid.

** Food and/or Drink. During the treatment/prevention of shock, DO NOT give the casualty any food or drink.

sheds, storage buildings, or dugouts will not provide adequate protection.

Use the “flash – to – bang” method of measuring lightening distance as it approaches. Using this method, one counts the seconds from seeing the stroke to hearing the thunder. For each 5-second count, he lightning is 1 mile away.

When there is thirty seconds (6 miles) between flash-to-bang, all outdoor activity must be suspended and shelter taken.

At a count of 15 seconds (3 miles) there is

Recommended Pre-hospital Care for Treating Lightning Strike Victims According to NATA Position Statement 2000

1. Survey the scene for safety 2. Activate EMS 3. Carefully move the victim to a safe area 4. Evaluate & treat for cardio-pulmonary conditions. 5. Evaluate & treat for hypothermia & shock. Basic 6. Evaluate & treat for fractures Life 7. Evaluate & treat for burns. Support for

Healthcare Providers imminent danger. copyright 1997, American Heart Association Wait a minimum of 30 minutes from the last http://depts.washington.edu/learncpr/pocket.html nearby lightning strike before resuming HOME activities (flash-to-bang count no less than 30 LIGHTNING PROTOCOL seconds).

Guidelines for Lightning Safety According to FCPS office of Risk Management

Determine the closest safe structures in advance of any activity. Safe structures include the nearest school building, a complete enclosure, or a fully enclosed metal vehicle with windows tightly closed. Press boxes,

24 HOME

4. The helmet should be slid off the CARE FOR THE SPINE-INJURED athlete with some forward rotation ATHLETE WEARING HELMET AND and slight traction of the helmet. SHOULDER PADS: 5. Be sure with the removal of the helmet to maintain neutral spinal The face mask should be removed as alignment. quickly as possible when you suspect 6. Never spread the helmet apart by player has a spinal injury and after they are the ear holes due to the fact that this stabilized on spine board. THE HELMET only serves to tighten the helmet on SHOULD BE LEFT IN PLACE. the forehead and occipital region.

Procedure for face mask removal: Procedure of shoulder pad removal:

All four loop straps should be removed, so 1. The helmet and shoulder pads the face mask can be extracted. SHOULD BE REMOVED TOGETHER. If the helmet is The helmet SHOULD ONLY BE REMOVED removed then the shoulder pads if the following occurs: should be removed as well. 2. Cut jersey and all shirts from the 1. If the face mask cannot be removed neck to the waist and from midline to to gain access to the airway. each arm. 2. If the helmet and chin straps do not 3. Cut all straps used to secure the securely immobilize the head. shoulder pads to the torso and arms 3. If the design of the helmet and chin along with all accessories such as strap cannot provide access to the neck rolls and collars. Never try to airway after the removal of the face unbuckle these straps due to the mask. potential unnecessary movement. Full access to the chest, face, neck, Procedure of helmet removal: and arms are available after all straps and shirts are cut. 1. Helmet and shoulder pads can be 4. Remove shoulder pads, shirts, and removed once x-rays have been jerseys at the same time the helmet obtained. is removed. This should be done 2. One person should stabilize the with someone holding the spine in head and neck while another person neutral position from the front or in a cuts the chin strap. cephalad direction. Once that is 3. After the chinstrap has been cut then established the athlete will be slightly the ear pads need to be removed lifted with personnel strategically with the use of tongue depressors as placed along the body. At this time well as the air bladders deflated with the helmet will be removed along an inflation needle or a large with the shoulder pads. The shoulder hypodermic needle. pads will be spread apart from the

front panels and pulled around the head. Finally the patient is lowered.

Transfer of the Athlete Chain of Command 1. Supine athlete (on back) - The six- plus person lift either to a scoop 1. Most qualified individual should stretcher or directly onto a rigid always be in charge, but should also stretcher should be used for the respect the qualifications and supine athlete rather than the log roll expertise of his or her coworkers. technique, which is used for the 2. Each healthcare provider has prone athlete. individual expertise and deserves the 2. Prone athlete (on stomach) - The log respect of the others working with roll technique should be used be for this situation. the prone athlete. There should be a 3. No one discipline should have minimum of four persons, with one entitlement to supervision or person assigned to the head and performance of any particular aspect neck. The person controlling the of the rescue. By working together, head CANNOT let go until the head the knowledge and experience of and neck are secure. individual team members can benefit o If the athlete is not breathing the athlete in a critical situation. then the log roll should be performed immediately onto the playing surface, then transferred to a rigid spine board when it is available. o If the athlete is conscious and stable, then the log roll should be delayed until the backboard is available. 3. When possible athlete with no collar should be treated with a rigid cervical collar to ensure immobilization of all segmental levels before they are moved.

26 HOME

HEAT AND HYDRATION PROTOCOL

1. Pre-event preparation 4. Coaches’ & athletes’ responsibilities  Educate coaches and athletes about  Challenge unsafe rules (eg, ability to the signs and symptoms of heat receive fluids, modify game and illnesses. practice times).  Ensure modifications are made to  Encouraging athletes to drink before reduce the risk in the heat (eg, the onset of thirst and to be well decrease intensity, change practice hydrated at the start of activity. times, allow more frequent breaks.  Be familiar with which athletes have  Adamantly discourage rapid weight- a history of a heat illness. loss practices in weight-class sports.  Discourage alcohol, caffeine, and drug use. 5. Event management  Encourage proper conditioning and  Make carbohydrate-electrolyte drinks acclimatization procedures. available at events and practices (especially during twice-a-day 2. Check hydration status practices and those that last longer  Know the pre-exercise weight of the than 50 to 60 minutes or are athletes (especially those at high extremely intense in nature) risk) with whom I work, particularly  Promptly rehydrate athletes to pre- during hot and humid conditions. exercise weight after an exercise  Familiarize athletes with how to session assess urine color? Post a urine  Use shaded or indoor areas for color chart in the locker rooms. practices or breaks to minimize  Use a refractometer or urine color thermal strain. chart present to provide additional information regarding hydration 6. Treatment considerations status in high-risk athletes.  Have a kiddy pool available to initiate immediate cold-water immersion of 3. Environmental assessment heat-stroke patients.  Regularly check the wet-bulb globe  Make ice bags available for temperature or temperature and immediate cooling when cold-water humidity during the day. immersion is not possible.  Help develop alternate plans in case  Use tent for shaded area (ATR as an risky conditions force rescheduling of air-conditioned), when athletes need events or practices. to cool down, recover, or receive treatment.