White Oak High School Athletics

White Oak High School EAP

Updated September 2017 CAM

WHITE OAK HIGH SCHOOL ATHLETICS

EMERGENCY ACTION PLANS

TABLE OF CONTENTS

Introduction …………………………………………………………………………..……………………………………………… Pg. 3
School Information …………………………………………..…………………………………………………………………… Pg. 3
Emergency Personnel & Communication ……………………………………………………………………….……… Pg. 4
Emergency Team ……………………………………………………………………………………………………… Pg. 4
Time Out Policy …………………………………………………….………………………………………………….. Pg. 5
Emergency Equipment ……………………………………………………………………………………………………..…… Pg. 5
Nearest Emergency Facilities ………………………………………………………………………………………………… Pg. 6
Roles of the First Responders ……………………………………………………………….………………………………. Pg. 7
Immediate Care of the Athlete ……………………………….………………………………………………… Pg. 7
Activation of Emergency Medical Services (EMS) ……………………………………………………… Pg. 7
Emergency Equipment Retrieval …….………………………………………………………………………… Pg. 7
Provide Emergency Care …………………………………………………………………………………………… Pg. 7
Direction of EMS to the Scene ………………………………………………..………………………………… Pg. 7
Provide EMS with Pertinent Information ………………………………………………………………….. Pg. 7
Contact ATC/Parents ………………………………………………………………………………………………… Pg. 7
Importance of EMS Presence & Transport ………………………………………………………….………..………. Pg. 7
Specific EmergencyProcedures ……………………………………………………………………………………….……. Pg. 8
Allergic Reaction/Anaphylaxis ………………………………………………………………………………….. Pg. 9
Asthma …………………………………………………………………………………………………………………... Pg. 10
Cardiac Arrest ……………………………………………………………………………………………..…………. Pg. 12
Diabetic Athlete ……………………………………………………………………………………….…………….. Pg. 13
Head Injury/Concussion ……………………………………………………………………………….………… Pg. 15
Heat-Illness …………………………………………………………………………………………………………….. Pg. 18
Inclement Weather ………………………………………………………………………………………………… Pg. 21
Venue Specific EAP’s:
Baseball Field ……………….……………………………………………………………………….…… Pg. 23
Field House ATR/Locker Rooms …………………………………………………………………. Pg. 24
Football Practice Field …..…………………………………………………………………………… Pg. 25
Gymnasium- Volleyball, Basketball, Wrestling …………………………………………… Pg. 26
Jacksonville Country Club- Tennis, Golf ……………………………………………………… Pg. 27
Northeast Creek Park- Cross Country ………………………………………………………… Pg. 28
Softball Field……………………………………………………………………………………………… Pg. 29
Soccer Practice Field……………………………………………………………………………..…… Pg. 30
Viking Stadium- Football, Cheer, Soccer, Cross Country, Track ………………..… Pg. 31
Wrestling Practice Room/Weight Room ………………………………………………….… Pg. 32
Venue Specific EAP Map …………………………………………………………………………………….…… Pg. 33
Conclusion …………………………………………………………………………………………………………………………… Pg. 34

INTRODUCTION:

An Emergency Action Plan (EAP) is a plan that explains the procedures needed to respond to an emergency situation. The purpose for an EAP is to ensure that the appropriate response and treatment is provided to student-athletes or other persons involved in an emergency and/or life-threatening condition. The EAP created for White Oak High School is specific to its area and athletic events.

Athletic injuries may occur at any time and during any activity; therefore, the sports medicine team and/or coaching staff must be prepared. The preparation needed to respond to an emergency situation involves formulation and implementation of an emergency plan, proper coverage of events, maintenance of appropriate emergency equipment and supplies, utilization of appropriate medical personnel, and continuing education in the area of emergency medicine. Through careful pre-participation physical screenings, adequate medical coverage, safe practice and training techniques and other safety avenues, some potential emergencies may be prevented. However, accidents and injuries are inherent with sports participation. For this reason, proper preparation on the part of the sports medicine team and/or coaching staff is vital in enabling each emergency situation to be managed appropriately.

SCHOOL INFORMATION:

White Oak High School EAP

Updated September 2017 CAM

White Oak High School

1001 Piney Green Rd.

Jacksonville, NC 28546

Office: (910) 455-1541

Fax: (910) 938-2302

Principal: Dr. Christopher M. Barnes

Assistant Principal: Stacie Friebel

Assistant Principal: Carla Bradshaw

Athletic Director: Chris Grimes

Head Athletic Trainer: Carlie Mankin

First Responder: Chris Mueller

White Oak High School EAP

Updated September 2017 CAM

White Oak High School EAP

Updated September 2017 CAM

FALL SPORTS

Cheer

Football

Cross Country

Golf (Women’s)

Soccer (Men’s)

Tennis (Women’s)

Volleyball

WINTER SPORTS

Basketball (Men’s)

Basketball (Women’s)

Cheer

Swim

Track & Field (Indoor)

Wrestling

White Oak High School EAP

Updated September 2017 CAM

SPRING SPORTS

Baseball

Golf (Men’s)

Soccer (Women’s)

Softball

Tennis (Men’s)

Track & Field (Outdoor)

EMERGENCY PERSONNEL & COMMUNICATION:

During athletic practices and competitions, the first responder to an emergency situation is typically a member of the sports medicine staff, most commonly a Certified Athletic Trainer (ATC), student aide, team physician, or coach. There is a Certified Athletic Trainer (ATC) on site for all home competitions. There is additional staff available at varsity football games, including the ATC, Emergency Services Personnel (EMS), and frequently a team physician. A team physician will not always be present at every organized practice or competition. Certification in cardiopulmonary resuscitation (CPR), first aid, and emergency plan review is required for all athletics personnel associated with practices, competitions, skills instruction, and strength and conditioning.

Carlie Mankin, LAT, ATC, Head Athletic Trainer- (513) 532-6393

Chris Grimes, Athletic Director- (919) 280-7022

Emergency Phone Number- 9-1-1

Communication is the key to quick delivery of emergency care in athletic trauma situations. ATC’s and emergency medical personnel must work together to provide the best possible care to injured athletes. Communication prior to the event is a good way to establish boundaries and to build rapport between both groups of professionals. Prior to the beginning of each fall season, the Onslow County Emergency Services will receive a schedule of the football and soccer events. It is highly recommended that they be present during the scheduled events, but appropriate planning should be taken if they are absent due to their volunteer status. If emergency medical transportation is not available on site during a particular sporting event then direct communication with emergency medical system at the time of injury or illness is necessary. Access to a working telephone or other telecommunication 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 a failure in primary communication system. The most common method of communication is mobile phone. At any athletic venue, whether home or away, it is important to know the location of a workable telephone.

WHEN CALLING 9-1-1:

-Provide the operator with as much information as possible

-Information should include:

Your name, address of event, phone number, & exact location on campus
Type of emergency
Number of injured persons
Extent of injuries/present condition of injured individual
Current assistance being given (first aid treatment initiated by first responder, CPR, etc.)
Specific directions as needed to locate the emergency scene (ex: “come to the main entrance of the gymnasium”)
ANY OTHER INFORMATION REQUESTED BY 911 OPERATOR

FOLLOW ALL DIRECTIONS AND DO NOT HANG UP FIRST!

EMERGENCY TEAM:

The development of an EAP needs the formation of an emergency team. The emergency team may consist of physicians, emergency medical technicians, ATC’s, student aides, coaches, administrators, guidance counselors, and possibly bystanders.

Roles and Responsibilities of Emergency Team Members:

-Certified Athletic Trainer (ATC): The ATC is the licensed health care professional responsible for immediate on-field and off-field injury evaluation, treatments, rehabilitation plans, and return to play decisions.

-Athletic Director: The athletic director is responsible for assisting with crowd control, flagging down EMS, locating parents if necessary, assisting ATC with immediate care, and/or delegating tasks to other trusted adults.

-Coach: The coach is responsible for assisting with immediate crowd control, locating parents if necessary, and assisting ATC with immediate care, equipment removal, transports, etc.

-Supervising Physician: The supervising physician is responsible for updating and guiding standing orders for ATC as well as helping to guide ATC in event of an off-field question. If present, the supervising physician is responsible for assisting ATC with on-field and off-field evaluations, treatments, and return to play decisions.

-Administrators: If present, administrators are responsible for assisting with excess crowd control, flagging down EMS if athletic director cannot, and locating parents if necessary.

-Guidance Counselor: The guidance counselor is responsible for in-school mental health care of student-athletes. This includes but is not limited to notifying appropriate teachers if a student-athlete has been diagnosed with a concussion and needs to be put on a return-to-learn modified protocol.

*TIME OUT POLICY*:

Before season, the Emergency Team will meet with other staff to discuss potential issues, emergency equipment, EAP procedures, at risk athletes, etc. At any time that any member of the Emergency Team feels it is necessary, a time out will be called and the Emergency Team will meet to discuss solutions to potential issues.

EMERGENCY EQUIPMENT:

All necessary emergency equipment ison site and quickly accessible.The Emergency Team should be familiar with the function and operation of each type of emergency equipment. Equipment should be in good operating condition, checked on a regular basis and personnel must be trained in advance to use it properly. The emergency equipment available should be appropriate for the level of training for the emergency medical providers. Equipment will be stored in a clean and environmentally controlled area.

Equipment Available:

-Field House ATR: AED (during fall and spring season outdoor events), crutches, splints, and first aid supplies.

-High School ATR: Crutches, first aid supplies (during winter season sports and indoor fall/spring sports)

-There is one AED located in the high school on the wall outside the gym doors.

-Emergency equipment (AED, splints, crutches, first aid supplies) will be on sidelines/nearby during all in-season home competitions.

NEAREST EMERGENCY FACILITY/HOSPITAL:

-Onslow Memorial Hospital

317 Western Blvd.

Jacksonville, NC 28546

(910) 577-2345

Open 24 hrs.

-Naval Medical Center- Camp Lejeune

100 Brewster Blvd.

Camp Lejeune, NC 28547

(910) 450-4300

Open 24 hrs.

-Med First Urgent Care of Jacksonville

325 Western Blvd.

Jacksonville, NC 28546

(910) 577-1555

Open 8am-8pm

-Jacksonville Urgent Care

114A Memorial Dr.

Jacksonville, NC 28546

(910) 353-0700

Open 10am-8pm

-Carolina Orthopedics and Sports Medicine

128 Memorial Dr.

Jacksonville, NC 28546

(910) 353-4500

By apt. only

NEAREST POLICE/EMS STATIONS:

-Onslow County Division of EMS Station 9

2720 Piney Green Rd.

Midway Park, NC 28544

(910) 353-1614

-Onslow County Sheriff’s Department

717 Court St.

Jacksonville, NC 28540

(910) 455-3113

-Jacksonville Police Department

200 Marine Blvd.

Jacksonville, NC 28451

(910) 455-4000

-Jacksonville Fire Department

190 Huff Dr.

Jacksonville, NC 28546

(910) 455-8080

ROLES OF THE EMERGENCY TEAM/FIRST RESPONDERS:

Provide immediate basic care to the injured or ill student-athlete.
Individuals with lower credentials should yield to those with more appropriate training.
Activation of Emergency Medical Services (EMS)
Time is critical under emergency situations. The person chosen for this duty should be calm under pressure and who communicates well over the telephone. This person should be familiar with the location and address of the sporting event.
911 Call- what to provide dispatcher:
Name, address, specific location of the scene
Telephone number
Number of individuals injured
Condition(s) of the injured/ill
Type of first aid and treatment rendered
Specific directions to scene (see location specific EAP)
Other information requested from dispatcher
Retrieve appropriate emergency equipment if needed
Any individual familiar with the types and location of specific emergency equipment can fulfill this role. Student aides, managers, coaches, are good choices for this role.
Provide appropriate emergency care until EMS personnel arrive and take over
Direction of EMS to scene
Designate an individual to open all appropriate gates and have them “flag down” EMS and direct them to scene. This person should have key access to any locked gates or doors.
Scene Control- designate an individual to limit the scene to first aid providers and move bystanders away from the area.
Upon arrival of EMS, provide them with pertinent information:
Mechanism of injury
Vital signs
Type of treatment rendered
Medical history
Call and notify Athletic Trainer if not present
Parents should be contacted by White Oak Emergency Team as soon as the situation permits. ATC will inform coaches and administration as soon as the situation permits. If a parent or relative is not available to accompany the athlete, a designee will accompany the student-athlete to the hospital (coach, volunteer parent, etc.)
All injury reports and paperwork will be completed as soon as possible.

IMPORTANCE OF EMS PRESENCE & TRANSPORT:

Emphasis is placed on having an ambulance on-site at high risk sporting events. The Athletic Director coordinates on-site EMS available for home varsity football games.EMS may be coordinated on-site for other special events/sports, such as major tournaments or NCHSAA regional or championship events. Consideration is given to the capabilities of transportation service available (i.e. Basic Life Support or Advances Life Support) and the equipment and level of trained personnel on board the ambulance. 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. In the emergency evaluation, the primary survey assists the emergency care provider in identifying emergencies requiring critical intervention and in determining transport decisions. If an athlete is transported to a medical facility by EMS, the parent or legal guardian must give permission and may accompany the athlete. The parent/legal guardian may also choose to transport the athlete themselves. If the parent/legal guardian is not present at the event they must be notified of the EMS transport and arrangements made for the parent/legal guardian to meet the injured athlete at the medical facility. In the event a parent/legal guardian cannot be contacted, implied consent will govern the decision to transport and a member of the coaching/school staff should accompany the athlete when possible. All military personnel and their dependents will be transported to the Naval Hospital provided Camp Lejeune provided EMS is available to transport to that facility. Anytime an athlete is transported by EMS to any medical facility, the Athletic Director or a school administrator should be notified ASAP.

SPECIFIC EMERGENCY PROCEDURES:

White Oak High School Sports Medicine has a specific Emergency Action Plan create for the following cases:

-Allergic Reaction/Anaphylaxis

-Asthma

-Cardiac Arrest

-Diabetic Athlete

-Head Injury/Concussion

-Heat-Illness

-Inclement Weather

-Venue Specific EAP’s:

Baseball Field
Field House ATR & Locker Rooms
Football Practice Field
Gymnasium- Volleyball, Basketball, Wrestling
Jacksonville Country Club- Golf, Tennis
Northeast Creek Park- Cross Country
Softball Field
Soccer Practice Field
Viking Stadium- Football, Cheer, Soccer, Cross Country, Track
Wrestling Practice Room & Weight Room

WHITE OAK HIGH SCHOOL SPORTS MEDICINE

ALLERGIC REACTION/ANAPHYLAXIS EMERGENCY ACTION PLAN

ATC and Athletics Staff Members will be trained on signs and symptoms of anaphylaxis. Principal will designate specific school personnel to be trained on Epinephrine administration. Student-athletes who have any known severe allergy needs to provide the proper paperwork and Epinephrine to the ATC or Head Coach in case of anaphylaxis. In the event they forget their own medication the school Epinephrine will be used.

SIGNS & SYMPTOMS OF ANAPHYLAXIS (include but are not limited to):

Difficulty breathing

Rapid breathing or wheezing

Hives

Lightheadedness

Low blood pressure

Dizziness

Fainting

Rapid heart rate

Trouble swallowing

In the event of anaphylaxis, those trained in administering an Epipen will follow the following instructions for injection:

Remove the cap of the individual’s Epipen
Make a fist around the syringe so the tip is pointing down
Hold orange tip near outer thigh of athlete
Swing and press firmly against outer thigh in athlete until you hear it “click”
Hold Epipen in thigh for about 10 seconds
Gently massage injection site for about 10 seconds
CALL 911 AFTER USING EPINEPHRINE

The expiration date on each student-athletes Epipen as well as the school’s Epipen will be checked every year and kept current and will be stored in a room temperature climate in the fieldhouse Athletic Training Room.

WHITE OAK HIGH SCHOOL SPORTS MEDICINE

ASTHMA EMERGENCY ACTION PLAN

Parts of these guidelines were taken from the NATA Position Statement: Management of Asthma in Athletes.

All athletes must receive pre-participation screening evaluations sufficient to identify the possible presence of asthma. In most situations, this evaluation includes only obtaining a thorough history from the athlete. However, in special circumstances, additional screening evaluations (e.g., spirometry testing or the challenge testing) should also be performed because of the history alone is not reliable. Athletes with asthma should have follow-up examinations at regular intervals, as determined by the patient’s primary care physician or specialist, to monitor and alter therapy. In general, these evaluations should be scheduled at least every 6-12 months, but they may be more frequent if symptoms are not well controlled. All athletes with asthma should have a rescue inhaler and spacer (if prescribed) readily accessible during games, practices, and conditioning. It is the student’s responsibility to bring his/her inhaler.

ASTHMA SIGNS & SYMPTOMS RECOGNITION:

-Chest tightness (or chest pain in children)

-Coughing (especially at night)

-Prolonged shortness of breath (dyspnea)

-Difficulty sleeping

-Wheezing (especially after exercise)

-Inability to catch one’s breath

-Physical activities affected by breathing difficulty

-Use of accessory muscles to breathe

-Breathing difficulty upon awakening in the morning

-Breathing difficulty when exposed to certain allergens or irritants

-An athlete who is well conditioned but does not seem to be able to perform at a level comparable with other athletes who do not have asthma

-Family history of asthma

-Personal history of atopy, including atopic dermatitis/eczema or hay fever (allergic rhinitis)

STEPS TO TAKE DURING AN ASTHMATIC EPISODE:

Assist athlete in taking medication (student should respond to treatment within 20 minutes)
Contact parent/guardian as needed
Activate EMS if student-athlete has any of the following:
Cough constantly
No improvement within 20 minutes of initial treatment with medication and a parent/guardian cannot be reached
Peak Expiratory Flow in Red Zone (see below for PEF values)
Hard time breathing with:
Chest and neck pulled in with breathing
Stooped body posture
Struggling or gasping
Trouble walking or talking
Stops playing and cannot restart activity
Lips or fingernails turn grey or blue

USING A PRESCRIBED INHALER: