Hopewell High School Sports Medicine

Revised 12/20/14

Jay M Robinson High School

EMERGENCY ACTION PLANS For Athletics

1 Revised 12/20/14

Preface

This plan is designed for but not limited to the use of all athletic department personnel in caring for the injured whether they are a student-athlete, coach, administrator, or event spectator.

Each venue specific emergency response plan identifies several ways in which EMS can be contacted and further help can be summoned. Some of the venues have a fixed telephone line that is easily accessible in case of an emergency, for those locations that do not, a cellular phone will be used.

Prior to start of contest, the Robinson certified athletic trainer or coach should meet with visiting team coaches and visiting athletic trainers to review emergency procedures.

Each venue site emergency action plan will be posted in that venue site training room, coaches first aid kit, or home dugout.

NOTE: In the event that a certified athletic trainer is not on site during an emergency due to coverage guidelines it is the coach’s responsibility to initiate the Emergency Action Plan.

2 Revised 12/20/14 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 sport participant of emergency and/or life threatening conditions. The development and implementation of an emergency plan will help ensure that the best care will be provided. As emergencies and athletic injuries occur at anytime and during any activity, the sports medicine team must be prepared. Athletic organizations have a duty to develop an emergency plan that may be implemented immediately when necessary and to provide appropriate standards of emergency care to all sports participants. This preparation involves formulation of an emergency plan, proper coverage of events, maintenance of appropriate emergency equipment and supplies, utilization of appropriate emergency medical personnel, and continuing education in the area of emergency medicine and planning. Hopefully, through careful pre- participation physical screenings, adequate medical coverage, safe practice and training techniques and other safety avenues, some potential emergencies may be averted. However, accidents and injuries are inherent with sports participation, and proper preparation on the part of the sports medicine team should enable each emergency situation to be managed appropriately.

Components of the Emergency Plan These are the basic components of this plan: 1. Emergency Plan Personnel 2. Emergency communication 3. Emergency equipment 4. Roles of first responder 5. Venue directions with map 6. Emergency Action Plan checklist for non-medical emergency

Emergency Plan Personnel With athletic association practice and competition, the first responder to an emergency situation is typically a member of the sports medicine staff, most commonly a certified athletic trainer. A team physician will not usually be present at practices or competition. The type and degree of 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 in some instances may be a coach or other institutional personnel. Certification in cardiopulmonary resuscitation (CPR), first aid, prevention of disease transmission, and emergency plan review is required for all athletics head coaching personnel associated with practices, competitions, skills instruction, and strength and conditioning as well as the sports medicine staff. Head coaching personnel are responsible for implementation of emergency plan review among their staff. The development of an emergency plan cannot be complete without the formation of an emergency team. The emergency team may consist of a number of healthcare providers including physicians, paramedics, emergency medical technicians, certified athletic trainers; student athletic trainers; coaches, administrative staff, security personnel, venue site staff, lifeguards; and possibly bystanders. Roles of these individuals within the emergency team may vary depending on various factors such as the number of members of the team, the athletic venue itself, or the preference of the athletic trainer. All members of the emergency response team must make sure a member of the Sports Medicine staff, and the Athletic Director are notified of any/all student-athletes taken to the Emergency Room, regardless of the transportation method.

3 Revised 12/20/14 There are four basic roles within the emergency team. 1. Establishing safety of the scene and immediate care of the student-athlete. Acute care in an emergency situation should be provided by the most qualified individual on the scene (see appendix 1). Individuals with lower credentials should yield to those with more appropriate training. (In the case of an athletic injury (i.e. football helmet/shoulder pad removal), the EMS provider should consider input from certified athletic trainers). 2. EMS activation may be necessary in situations where emergency transportation is not already present at the sporting event. This should be done as soon as the situation is deemed an emergency or a life-threatening event. Time is the most critical factor under emergency conditions. Activating the EMS system may be done by anyone on the team. However, the person chosen for this duty should be someone who is calm under pressure and who communicates well over the telephone. This person should also be familiar with the location and address of the sporting event. 3. Emergency equipment retrieval may be done by anyone on the emergency team who is familiar with the types and location of the specific equipment needed. Student athletic trainers, managers, and coaches are good choices for this role. 4. 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 emergency. Depending on ease of access, this person should have keys to any locked gates or doors that may slow the arrival of medical personnel. A student athletic trainer, manager, or coach may be appropriate for this role.

Roles within the Emergency Team 1. Establish scene safety and immediate care of the student-athlete 2. Activation of the Emergency Medical System 3. Emergency equipment retrieval 4. Direction of EMS to scene

Activating the EMS System Making the Call:  Dial 9-911 (land-line telephone) or 911 (cellular)  Notify Sports Medicine staff, Athletic Director, Principal

Providing Information:  Name, address, telephone number of caller  Nature of emergency  Number of athlete(s)  Condition of athlete(s)  First aid treatment initiated by first responder  Specific directions as needed to locate the emergency scene ("come to north entrance of campus and follow the emergency access graveled road to the football stadium")  Other information as requested by dispatcher

The responding personnel will vary from venue to venue based on coverage guidelines depending on the availably of the athletic training staff. In order to cover all the venues on Robinson’s campus that student-athletes may be present will require cooperation between many groups. All of the above groups are considered an integral part of all or some of the venue specific emergency response plans.

4 Revised 12/20/14 Emergency Communication Communication is the key to quick emergency care in athletic trauma injuries. All Robinson emergency team members and EMS medical personnel must work together to provide the best emergency response capability and should have contact information for emergency situations. Communication prior to the event is a good way to establish boundaries and to build rapport between both groups of professionals. If emergency medical transportation is not available on site during a particular sporting event then direct communication with the emergency medical system at the time of injury or illness is necessary. Access to a working telephone or other telecommunications device, whether fixed or mobile, should be assured. The communications system should be checked prior to each practice or competition to ensure proper working order. A back-up communication plan should be in effect should there be failure of the primary communication system. The most common method of communication is a public telephone. However, a cellular phone is preferred if available. At any athletic venue, whether home or away, it is important to know the location of a workable telephone. Pre-arranged access to the phone should be established if it is not easily accessible. Coaches will be responsible for test checking emergency phones (cell phones) the first day of the season to ensure a working phone with service is accessible.

Emergency Equipment Emergency equipment should be at the site and quickly accessible. Personnel should be familiar with the function and operation of each type of emergency equipment. Equipment should be in good operating condition, and personnel must be trained in advance to use it properly. Emergency equipment should be checked on a regular basis and use rehearsed by emergency personnel. The emergency equipment available should be appropriate for the level of training for the emergency medical providers. Emergency equipment at venue sites may include any or all of the following: 1. Automatic External Defibrillator (AED) 2. First Aid Supplies 3. Vacuum Splints 4. Emergency Blankets It is important to know the proper way to care for and store the equipment as well. Equipment should be stored in a clean and environmentally controlled area. It should be readily available when emergency situations arise.

Transportation Emphasis is placed at having an ambulance on site at football games and varsity soccer games, per the State of North Carolina. The CCS Athletic Department coordinates on-site ambulances for competition in varsity football with Cabarrus County Rescue Squad. Ambulances may be coordinated on-site for other special events/sports, such as major tournaments or NCHSAA regional or championship events. In the event that an ambulance is on site, there should be a designated location with rapid access to the site and a cleared route for entering/exiting the venue. Pitts School Road Volunteer Fire Department provides a First Responder service due to the proximity of the closest Rescue Squad station. In the event of an emergency, the 911 system (Outside line-9-911 on campus) will still be utilized for activating emergency transport. In an emergency situation, the athlete should be transported by ambulance, where the necessary staff and equipment is available to deliver appropriate care. Emergency care providers should refrain from transporting unstable athletes in inappropriate vehicles. Care must be taken to ensure that the activity areas are supervised should the emergency care provider leave the site in transporting the athlete.

5 Revised 12/20/14 Non-Medical Emergencies

For the non-medical emergencies such as fire, bomb threats, and violent or criminal behavior, Cabarrus County School’s emergency action plan instructions will take affect and all athletes and event attendees should follow instructions accordingly.

Conclusion The importance of being properly prepared when athletic emergencies arise cannot be stressed enough. A student-athlete’s survival may hinge on how well trained and prepared athletic healthcare providers are. It is prudent to invest athletic department “ownership" in the emergency plan by involving the athletic administration and sport coaches as well as sports medicine personnel. The emergency plan should be reviewed at least once a year with all athletic personnel, along with CPR and first aid refresher training. Through development and implementation of the emergency plan, the athletic department helps ensure that student-athletes and spectators will have the best care provided when an emergency situation does arise. Pitts School Road Volunteer Fire Department, Concord Police Department, Cabarrus County Rescue Squad, and Carolinas Medical Center-NorthEast ER, CMC-University ER, will be sent the athletics master schedule to be knowledgeable of all Robinson sporting events.

Approved by ______

Team Physician – Payton Fennell, DO Date

Approved by ______

CHS Athletic Trainer – Melissa Sparks, LAT, ATC Date

Approved by ______

Principal – Greg Hall Date

Approved by ______

Athletic Director – Glenn Cook Date

6 Revised 12/20/14

Venue: Football / Soccer / Track & Field Stadium

Emergency Personnel: Certified athletic trainer on site for all practice and competitions; physician(s) are also available for football competitions (per availability), additional athletic training students, coaching staff, administrators, CCS Security Personnel for assistance and AED response.

Emergency Communication: Certified Athletic Trainer(s) or Coach’s cellular phone

Emergency Equipment: First-Aid Kit with Face Mask Removal Tool & Screwdriver; Emergency Supplies (AED) maintained behind home bench for football events; for all other events supplies will be maintained on Gator

Emergency Response/Roles of First Responders: 1. Immediate care of the injured or ill student-athlete 2. Activation of emergency medical system (EMS)

Activating the EMS System Making the Call:  Dial ‘9-911 (land-line telephone) or 911 (cellular)  Notify Sports Medicine staff, Athletic Director, Principal

Providing Information:  Name, address, telephone number of caller  Nature of emergency  Number of athlete(s)  Condition of athlete(s)  First aid treatment initiated by first responder  Specific directions as needed to locate the emergency scene ("come to bus lot-north entrance of school, football stadium located down access road to the right out of bus lot, personnel awaiting to direct to scene")  Other information as requested by dispatcher

3. Emergency equipment retrieval 4. Direction of EMS to scene a. Open appropriate gates b. Designate individual to “flag down” EMS and direct to scene c. Scene control – Limit scene to first aid providers and move bystanders away from area

Venue Directions: Bulldog stadium is located on Pitts School Road to the left of the school. Only two gates provide access to the field stadium: 1. Access Road Gate (most direct field access route): access road is located to the right of the bus parking lot, north entrance to school. 2. Main Ticket Gate: opens to home side bleacher and is adjacent to the student parking lot; access road is located through the student parking lot.

***TO REMAIN POSTED FOR THE ENTIRE 2014-2015 ATHLETIC YEAR***

7 Revised 12/20/14

Venue: Football Practice Field /Soccer Practice Field

Emergency Personnel: Certified athletic trainer and student athletic trainer(s) on site for practice and competitions; physician(s) are also available for football competitions (per availability), additional athletic training students, coaching staff, administrators, CCS Security Personnel for assistance and AED response.

Emergency Communication: Fixed Telephone Line in the Athletic Training Room (704)-788- 4500 ext. 1235; Coach’s cellular phone, or Certified Athletic Trainer(s) cellular phone

Emergency Equipment: First-Aid Kit with Face Mask Removal Tool, Screwdriver, Emergency Supplies (AED) maintained on Gator

Providing Information:  Name, address, telephone number of caller  Nature of emergency  Number of athlete(s)  Condition of athlete(s)  First aid treatment initiated by first responder  Specific directions as needed to locate the emergency scene ("come to bus lot-north entrance of school, football stadium located down access road to the right out of bus lot, personnel awaiting to direct to scene ")  Other information as requested by dispatcher

3. Emergency equipment retrieval 4. Direction of EMS to scene a. Designate individual to “flag down” EMS and direct to scene b. Scene control – Limit scene to first aid providers and move bystanders away from area

Venue Directions: Field is located on Pitts School Road to the left of the school. Take the South Entrance to Jay M Robinson High School. Take a left between the tennis courts and football stadium. Field is located behind the Stadium beside the Softball Complex.

8 Revised 12/20/14

Venue: Baseball Complex

Emergency Personnel: Certified athletic trainer and student athletic trainer(s) on site for all practice and competitions; physician(s) are also available for football competitions (per availability), additional athletic training students, coaching staff, administrators, CMS Security Personnel for assistance and AED response.

Emergency Communication: Fixed Telephone in Athletic Training Room (704) 788-4500, ext 1235; Coach/Certified Athletic Trainer(s) cellular phone

Emergency Equipment: Supplies (AED) maintained on Gator

Providing Information:  Name, address, telephone number of caller  Nature of emergency  Number of athlete(s)  Condition of athlete(s)  First aid treatment initiated by first responder  Specific directions as needed to locate the emergency scene ("Come to south entrance of school, turn left just after passing the tennis courts, baseball stadium is on the southeast corner of campus, personnel awaiting to direct to scene")  Other information as requested by dispatcher

3. Emergency equipment retrieval 4. Direction of EMS to scene a. Open gates next to batting cage b. Designate individual to “flag down” EMS and direct to scene c. Scene control – Limit scene to first aid providers and move bystanders away from area

Venue Directions: Field is located on Pitts School Road to the left of the school. Turn in the South Entrance of Jay M Robinson High School. Take a left between the tennis courts and football stadium, after tennis courts take a left between the tennis courts and softball complex, baseball field straight ahead behind concession stand.

9 Revised 12/20/14

Venue: Gymnasium/Weight Room/Auxiliary Gym

Emergency Personnel: Jay M Robinson Head Coaches (AED/CPR/First-Aid Certified); Certified athletic trainer on site for all competitions; physicians (limited basis), additional athletic training students, coaching staff, administrators, CCS Security Personnel for assistance and AED response.

Emergency Communication: Fixed telephone line in the Athletic Training Room (704) 788- 4500 ext. 1235 or Certified Athletic Trainer(s), Robinson coach’s cellular phone

Emergency Equipment: First-Aid Supply Kit and AED in main office; Supplies (AED, vacuum splint kit) maintained behind home bench during competitions or with ATC during conclusion of football season

Providing Information:  Name, address, telephone number of caller  Nature of emergency  Number of athlete(s)  Condition of athlete(s)  First aid treatment initiated by first responder  Specific directions as needed to locate the emergency scene ("come to student lot-south entrance of campus")  Other information as requested by dispatcher

3. Emergency equipment retrieval 4. Direction of EMS to scene a. Open appropriate doors b. Designate individual to “flag down” EMS and direct to scene c. Scene control – Limit scene to first aid providers and move bystanders away from area

Venue Directions: Jay M Robinson High Gymnasiums and Weight Room are located on Pitts School Road. Come to student parking lot-south entrance of campus, proceed to the far left building gymnasium and weight room facilities are in the building beside the mobile units (trailers).

10 Revised 12/20/14

Venue: Softball Complex

Emergency Personnel: Jay M Robinson Head Coach on-site for all practices and games (AED/CPR/First-Aid Certified); certified athletic trainer on-site for all competitions, additional athletic training students, coaching staff, administrators, CCS Security Personnel for assistance and AED response.

Emergency Communication: Gymnasium Coaches’ Office (M – 704-788-4500, ext 1222; W – 704-788-4500, ext 1242); Certified Athletic Trainer(s) / Robinson coach’s cellular phone

Emergency Equipment: First-Aid Supply Kit, AED located in Main Office; Other equipment (AED, vacuum splint kit) maintained on Gator during competitions

Activating the EMS System Making the Call:  Dial 9-911 (Gym Office telephone) or 911 (cellular)  Notify Sports Medicine staff, Athletic Director, Principal

Providing Information:  Name, address, telephone number of caller  Nature of emergency  Number of athlete(s)  Condition of athlete(s)  First aid treatment initiated by first responder  Specific directions as needed to locate the emergency scene ("come to student parking lot- south entrance of school, softball stadium located directly behind tennis courts, personnel awaiting to direct to scene")  Other information as requested by dispatcher

Venue Directions: Field is located on Pitts School Road to the left of the school on the southmost corner of campus. Only one road provides access which is located on the between the tennis courts and the football stadium. Softball Complex is on the left at the end of the road.

11 Revised 12/20/14

Venue: Tennis Complex

Emergency Personnel: Robinson tennis coach on-site for all practices and competitions (AED/CPR/First-Aid Certified); Certified athletic trainer (per availability), additional athletic training students, coaching staff, administrators, CCS Security Personnel for assistance and AED response.

Emergency Communication: Robinson coach’s cellular phone, fixed telephone line in Gymnasium Coaches’ Office(M – 704-788-4500 ext 1222; W – 704-788-4500, ext 1242)

Emergency Equipment: First-Aid Supply Kit and AED in Main Office; other equipment (AED, vacuum splint kit) maintained on Gator during co-running home events

Providing Information:  Name, address, telephone number of caller  Nature of emergency  Number of athlete(s)  Condition of athlete(s)  First aid treatment initiated by first responder  Specific directions as needed to locate the emergency scene ("come to student parking lot- south entrance of school, tennis courts are adjacent to student parking lot, personnel awaiting to direct to scene")  Other information as requested by dispatcher

Venue Directions: Courts are located on Pitts School Road to the left of the school. Access is provided through the student parking lot.

12 Revised 12/20/14

Venue: Off-Campus (Cross-Country, Golf, Swimming)

Emergency Personnel: Robinson head coach on site for practice and competitions (current first aid/CPR/AED training). Lifeguards on site for all swim practices.

Emergency Communication: Cellular phone carried by Robinson coach; land-line phone at main building to venue.

Emergency Equipment: First aid kit supplied by venue site

Activating the EMS System Making the Call:  Call 911 (cellular) or by land-fixed line  Notify Sports Medicine staff, Athletic Director, Principal

Providing Information:  Name, address, telephone number of caller  Nature of emergency  Number of athlete(s)  Condition of athlete(s)  First aid treatment initiated by first responder  Specific directions as needed to locate the emergency scene  Other information as requested by dispatcher

3. Emergency equipment retrieval 4. Direction of EMS to scene a. Designate individual to “flag down” EMS and direct to scene b. Scene control – Limit scene to first aid providers and move bystanders away from area

Venue Directions: Varies according to location.

In an emergency situation that takes place at an off-campus facility, the developed emergency plan for that specific facility will take affect and cooperation with the facility administration is required.

***TO REMAIN WITH FIRST AID KIT FOR 2014-2015 ATHLETIC YEAR***

13 Revised 12/20/14

Venue: Band Practice Field

Emergency Personnel: Band Director or his designee on site for all practice and competitions; physician(s) are also available for football competitions (per availability), administrators, CCS Security Personnel for assistance and AED response.

Emergency Communication: Certified Athletic Trainer(s) cellular phone, Band Directors Cellular Phone

Emergency Equipment: First-Aid Kit; Emergency Supplies (AED) maintained behind home bench for football events; for all other events supplies will be maintained inside the school building

Emergency Response/Roles of First Responders: 5. Immediate care of the injured or ill student 6. Activation of emergency medical system (EMS)

Activating the EMS System Making the Call:  Dial ‘9-911 (land-line telephone) or 911 (cellular)  Notify Sports Medicine staff, Principal or designee

Providing Information:  Name, address, telephone number of caller  Nature of emergency  Number of athlete(s)  Condition of athlete(s)  First aid treatment initiated by first responder  Specific directions as needed to locate the emergency scene ("come to bus lot-north entrance of school, football stadium located down access road to the right out of bus lot, personnel awaiting to direct to scene")  Other information as requested by dispatcher

7. Emergency equipment retrieval 8. Direction of EMS to scene d. Open appropriate gates e. Designate individual to “flag down” EMS and direct to scene f. Scene control – Limit scene to first aid providers and move bystanders away from area

Venue Directions: The band practice field is located on Pitts School Road to the right of the school. To access the field: Access Road Gate (most direct field access route): access road is located to the right of the bus parking lot, north entrance to school.

14 Revised 12/20/14

Appendix 1

Definitions:

1. Team Physician: The team physician must have an unrestricted medical license and be an MD who is responsible for treating and coordinating the medical care of athletic team members. The principal responsibility of the team physician is to provide for the well being of the individual student-athletes enabling each to realize his/her full potential. The team physician should possess special proficiency in the care of musculoskeletal injuries and medical conditions associated with sports. The team physician also must oversee the ATC protocols filed with the North Carolina Board of Athletic Training Examiners.

2. Certified Athletic Trainer (ATC): An allied health care professional educated and skilled healthcare specializing in athletic health care. Certified Athletic Trainers are required by the national certifying body and the State of North Carolina to maintain their skills through Continuing Education Requirements in health care, while also maintaining current CPR/AED certifications and qualifications in First Aid and Bloodborne Pathogens.

Athletic Trainers are certified by the National Athletic Trainers’ Association Board of Certification, after completing a university course of study leading to a bachelors or masters degree in athletic training. This body requires that qualified individuals take extensive written and oral examinations testing their skills in the prevention of injuries/illnesses, the recognition, evaluation, and immediate care of injuries/illnesses, the rehabilitation and reconditioning of injuries/illnesses, administration of this health care plan, professional development and responsibility.

In addition, as of 1997, all individuals who practice athletic training in the State of North Carolina are required to hold a specific license to practice per General Statute (S.L. 1997-387).

3. EMS/Paramedic/EMT: A healthcare professional trained in emergency care.

4. First Responder: A person designated by the school to provide first aid services at athletic events. A first responder must complete and maintain certification or be in the process of completing courses in the following: 1. Cardio-pulmonary resuscitation as certified by an organization such as the American Red Cross or the American Heart Association; 2. First aid as certified by an organization such as the American Red Cross or the American Heart Association; and 3. Injury prevention and management as certified by an organization such as the National Athletic Trainers Association, the North Carolina High School Athletic Association. In addition, each first responder must complete 20 hours in staff development each school year.

5. Head Coach: All head coaching personnel who may be associated with medical coverage for interscholastic sports participation shall be at least minimally qualified as stated in the NCHSAA Guidelines.

15 Revised 12/20/14

Appendix 2: Important Phone Numbers Athletic Trainer - Melissa Sparks: Cellular: (704) 796-5046 Office: (704) 788-4500 ext. 1235 Athletic Director - Glenn Cook: Cellular: (980) 521-4861 Office: (704) 788-4500 ext. 1145 Principal - Mr. Greg Hall: Cellular: ()- Office: (704) 788-4500 ext. 4355 School Resource Officer - Officer Joe Hough: Cellular: ()- Office: (704) 788-4500 ext. 1113

Robinson Athletic Training Room – (704) 788-4500 ext. 1235 Men’s PE/Coaching Office – (704) 788-4500 ext. 1213 or 1222 Women’s PE/Coaching Office – (704)788-4500 ext. 1242 Concord Police Department (non emergency) – (704) -786-9155 Cabarrus County EMS Dispatch – 911 CMC-NorthEast ER – (704)-783-1617 CMC-University ER – (704) 510-4960 CMC-Main ER – (704) 347-2210

Team Physician: Dr. Payton Fennell Cabarrus Family Medicine Sports Injury Center Address: 5641 Poplar Tent Rd, Ste. 102, Concord, NC 28027 Phone: 704-782-HURT (4878)

Urgent Care at Poplar Tent (M-F 6-9pm, Sat 8am – 5pm, Sun 1pm-5pm) Address: 5651 Poplar Tent Rd, Ste 101, Concord, NC 28027 Phone: (704) 782-1955

Lakeside Urgent Care (M-F 8am – 6pm, Sat 9am-5pm, Sun 12pm-5pm) Address: 7752 Gateway Lane, Ste 100, Concord, NC 28027 Phone: (704) 316-4950

CMC- Northeast Address: 920 Church St, Concord, NC 28025 Miles from Venue: 9 miles

CMC - University Address: 8800 N. Tryon St, Charlotte, NC 28262 Miles from Venue: 7.5 miles

CMC – Main Address: 1000 Blythe Blvd., Charlotte, NC 28203 Miles from Venue: 23 miles 16 Revised 12/20/14

Appendix 3: Facility Map

A: Stadium Access Road B: Gymnasium/Auxillary Gymnasium/Weight Room C: Football/Soccer/Track Complex D: Stadium Access Gate E: Football Practice Field F: Soccer Practice Field G: Softball Complex H: Baseball Complex I: Tennis Complex J: Practice Fields/Baseball/Softball Access Gate K: North Entrance of Robinson High School (Bus Lot) L: South Entrance of Robinson High School (Student Parking Lot) M: Band Practice Field

Red Telephones are landline locations

17 Revised 12/20/14 MEMORANDUM

Date: Dec. 20, 2014 To: Sgt. Moss, Concord Police Department Ofc. Joe Hough, Concord Police Department Cabarrus Country Dispatch Sherriff’s Department Dispatch Bryan Tyson, Athletic Director Cabarrus County Schools Dr. Payton Fennell, Robinson High School Team Physician From: Melissa Sparks, Head Athletic Trainer RE: Athletic Venue Emergency Plans

Emergency Plan: Enclosed along with this memorandum is a copy of the newly revised Robinson High School Sports Medicine Emergency Plan. This plan features specific information for each athletic venue and has been reviewed with all Robinson Sports Medicine staff members as well as administrators and coaching personnel. Venue specific plans have been posted in each coach’s first aid kit. The plan emphasizes proper communication with EMS services, police, and campus security and provision of specific directions applicable to each venue.

Athletic Practice and Competition Coverage With the exception of Golf, Swimming and Cross-Country, all football practices and athletic home events have a certified athletic trainer present. In addition, Cabarrus County Rescue Squad will have an ambulance at home football games. Attached is an overview of our sports medicine coverage.

Emergency Training: The Robinson High School athletic trainer holds certifications with the Athletic Training Board of Certification, Inc. and the North Carolina Board of Athletic Training Examiners. In addition, the sports medicine staff & athletic coaching staff hold CPR/AED and first aid certification.

Emergency Equipment: Basic emergency equipment is on site at each venue as outlined in the emergency plan. All Robinson emergency plan personnel have received AED training and units are accessible at venues for athletic cardiac emergencies.

Fortunately, athletic emergencies are rare occurrences. However, when they do occur, advance preparation and communication between all members of the emergency team helps effect a better outcome. We hope that sharing this information in advance with you will be beneficial. We appreciate the assistance that each of your respective departments provides to Robinson High School athletics and the sports medicine program. Please feel free to contact us if you have any questions.

CC: Glenn Cook, Director of Athletics Greg Hall, Robinson High School Principal

18 Revised 12/20/14

Inclement Weather Policies

Hot Weather Guidelines From the NATA Fluid Replacement Statement Dehydration can compromise athletic performance and increase the risk of exertional heat injury. Athletes do not voluntarily drink sufficient water to prevent dehydration during physical activity. Drinking behavior can be modified by education, increasing fluid accessibility, and optimizing palatability. However, excessive overdrinking should be avoided because it can also compromise physical performance and health. We will provide practical guidelines regarding fluid replacement for athletes.

 Acclimatization will take place over 11 days  Unlimited amounts of water will be made readily available and for events lasting >90 continuous minutes a sports drink will be made available to help replace electrolytes.  It is recommended that 6-10oz of water be consumed every 20 minutes.  Wet bulb temperatures will be taken to determine training standards using a sling psychrometer or equivalent device (see table).

Prior to practice each day the head coach is responsible for checking temperature and humidity at www.NOAA.gov.

Temperature (F) Humidity Procedure 80 – 90 < 70 Watch Obese athletes, provide unlimited water 80 – 90 > 70 Breaks recommended every half hour 90 – 100 < 70 All athletes should be under careful supervision 90 – 100 > 70 Abbreviated practice with light equipment or suspended practice > 100

 A 3% dehydration rule will be in effect using a weight chart to monitor athletes during the acclimatization period.

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Lightning Policy

From the NFHS Position Statement on Lightning Safety in Athletics

Lightning may be the most frequently encountered severe-storm hazard endangering physically active people each year. Millions of lightning flashes strike the ground annually in the United States, causing nearly 100 deaths and 400 injuries. Three quarters of all lightning casualties occur between May and September, and nearly four fifths occur between 10:00AM and 7:00PM, which coincides with the hours for most athletic or recreational activities. Additionally, lightning casualties from sports and recreational activities have risen alarmingly in recent decades.

Recommendations

Guidelines for JMRHS

 The game official, athletics director, principal or assistant principal will make the official call to remove individuals from the game field. The athletic trainer or coach will make the call to remove individuals from the practice field(s).  Thirty minutes time will be given for the storm to pass.  The athletic trainer or an assistant coach will be the designated weather watcher, actively looking for signs of threatening weather.  The athletic trainer or athletic director shall monitor weather through the use of a Sky Scan, local forecast, or www.weather.com.  The criteria for postponement and resumption of activities will be: when thunder is heard or lightning is seen fields will be cleared. Activity may resume when 30 minutes has passed from the time of the last lightning seen or thunder heard

20 Revised 12/20/14

 Safe shelters for each venue are as follows: Football/Soccer/Cross Country/Track/Field 1. Gymnasium/Locker Rooms 2. Car Baseball 1. Gymnasium/Locker Rooms 2. Car Softball 1. Gymnasium/Locker Room 2. Car Note: the secondary choice for some venues is a fully enclosed vehicle with a metal roof and the windows completely closed.

 The following first aid will be observed for lightening strike victims: 1) Survey the scene for safety 2) Activate EMS 3) If necessary move lightening victims to a safe shelter 4) Evaluate airway, breathing, circulation, and begin CPR if necessary 5) Evaluate and treat for hypothermia, shock, fractures, and/or burns

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Jay M Robinson High School Automated External Defibrillator Policies and Procedures

Medical Necessity for Use of AED Defibrillation is a recognized means of terminating certain potentially fatal arrythmias during a cardiac arrest. Automated external defibrillators, or AEDs, were introduced in 1979. AEDs accurately analyze cardiac rhythms and, if appropriate, advise/deliver an electric countershock. AEDs are currently widely used by trained emergency personnel and have become an essential link in the "chain of survival" as defined by the American Heart Association:  Early access  Early CPR by first responders or bystanders  Early defibrillation  Early advanced life support

It is recognized that successful resuscitation is related to the length of time between the onset of a heart rhythm that does not circulate blood (ventricular fibrillation, pulseless ventricular tachycardia) and defibrillation. The AHA states with every minute it takes to respond, the chance for successful defibrillation decreases 7-10%. The provision of timely emergency attention saves lives. Athletic events (both practice and competition) present a high risk for cardiopulmonary emergencies. Therefore, by training certified athletic trainers and team physicians in the use of AEDs, the emergency response time is shortened.

Explanation of the Use of AED Automated external defibrillator, or AED, means a defibrillator which:  is capable of cardiac rhythm analysis  will charge and deliver a countershock after electrically detecting the presence of cardiac dysrhythmias  is capable of continuous recording of the cardiac dysrhythmia at the scene  is capable of producing a hard copy of the electrocardiogram.

Written Medical Protocol Regarding Use of AED Use of the AED will follow the American Heart Association AED treatment algorithm (appendix). The AED is to be used only on patients in cardiopulmonary arrest. Before the device is utilized to analyze the patient's ECG rhythm, the patient must be:  unconscious  pulseless, and  not breathing spontaneously

The device is; however, not intended for children less than eight years of age and/or victims weighing less than 90 pounds. JM Robinson sports medicine staff will shock until "no shock indicated" message is received, VF is no longer present, the patient converts to a perfusing rhythm, or an advanced life support team arrives on scene and assumes control.

To prepare for ECG analysis and defibrillation:  Verify that the patient is in cardiac arrest (unconscious, no respiration, no pulse)  Press ON/OFF to turn on the AED. The connect electrodes message and voice prompt will occur until the patient is connected to the AED.  Prepare the patient for electrode placement.  Follow the screen messages and voice prompts provided by the AED

Provisions to Coordinate with Local EMS In the event of a cardiopulmonary emergency, the 911 emergency system should be activated as quickly as possible. The first responders should provide initial care as appropriate to the situation and coordinate with other emergency medical service providers upon their arrival in the provision of CPR, defibrillation, basic life support, and advanced life support. Operator Considerations

22 Revised 12/20/14 The AED is intended for use by personnel (coaches, certified athletic trainers, student athletic trainers, and team physicians) who are authorized by a physician/medical director (Kevin Buroughs, MD) and have, at a minimum, the following skills and training:  CPR training /AED training  Training in the use of the AEDs located on site.

Procedures for Training and Testing in Use of AED Personnel using the AED must complete a training session each year, to include instruction in:  The proper use, maintenance, and periodic inspection of the AED  Defibrillator safety precautions to enable the user to administer a shock without jeopardizing the safety of the patient, the user, or other individuals  Assessment of an unconscious person to determine if cardiac arrest has occurred and the appropriateness of applying an AED  Rapid, accurate assessment of the patient's post-shock status to determine if further activation of the AED is necessary  The operations of the local emergency medical services system, including methods of access to the emergency response system, and interaction with emergency medical services personnel  The role of the user and coordination with other emergency medical service providers in the provision of CPR, defibrillation, basic life support, and advanced life support  The responsibility of the user to continue care until the arrival of medically qualified personnel

Procedures to Ensure the Continued Competency Required for AED Use Personnel using the AED must complete a review session at the beginning of every semester to ensure continued competency in the use of the device. A record will be maintained documenting athletic staff competency training on the AED.

Location of and Maintenance Required for AEDs JM Robinson High School has four (4) AED units. They are housed in the following locations:  Main Office (mounted on column by front desk)  Gym Athletic Training Room (2)  Teacher Workroom in the Science Wing

Priority for AED usage will be based on the following conditions:  Competition/Scrimmage has priority over practice.  Home games have priority over away games. When multiple home events are occurring simultaneously, the AED will be located on the Sports Medicine Gator.

Parameters used to determine priority include:  Sudden cardiac death (SCD) occurs in male athletes more than female athletes.  SCD occurs in black athletes more than any other race of athletes.  Men’s basketball has the highest reports of SCD followed closely by football.  Blunt injuries to the chest can cause ventricular fibrillation.

Personnel using the AED on a regular basis and after each time the AED is used should inspect and clean the AED and check to make sure that all necessary supplies and accessories are readily available.