Emergency Action Plan
For Graham HS
Athletics Program
In case of an emergency, personnel responsibilities, locations of emergency equipment, and other emergency information such as 911 call instructions, addresses/directions to the venue, and a chain of command with important phone numbers have been listed here.
Table of Contents
Personnel Involved in Development 3
Documentation of Recent Changes 4
Introduction 5
Staff Education 9
Chain of Command 9
Emergency Telephone Numbers 10
Emergency Situation Contact Tree 11
Emergency Equipment Locations 12
Graham HS AED Locations 13
General Plan of Action 14
Emergency Action Procedures for all venues 15
Weather/Environmental Guidelines 20
Rehearsal and Documentation of Seasonal Coaches Meeting 23
Documentation of Emergency Equipment Maintenance 25
Approval and Verification Page 26
The following individuals were involved with the creation of this Emergency Action Plan:
Mike Carroll M Ed, ATC, LAT
Head Athletic Trainer/Assistant Athletic Director
Graham High School
mike.carroll@grahamisd.com
940-549-4277x1605 (office)
940-456-0967 (cell)
Amy Arnzen, MAT, LAT, ATC
Assistant Athletic Trainer
Graham High School
amy.arnzen@grahamisd.com
940-549-4277x1811 (office)
As changes to the EAP are made, please list the change, page affected and date that the change was made.
Specific Changes Made |
Page(s) Affected |
Date |
Creation |
All |
August 15, 2018 |
Edits to Staff |
September 17, 2019 |
|
Edits to Staff |
July 7, 2021 |
|
EMERGENCY ACTION PLAN FOR ATHLETICS
OVERVIEW
Emergency situations may arise at any time during athletic events. Expedient action must be taken in order to provide the best possible care to the student athlete. The development and implementation of an emergency action plan will help ensure that the best care will be provided.
As emergencies may occur at any time and during any activity, all school activities personnel must be prepared. Athletic organizations have a duty to develop an emergency action plan that may be implemented immediately when necessary and provide appropriate standards of emergency care to all sports participants. This preparation involves formulation of an emergency action 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. 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 and efficiently.
Components of an Emergency Action Plan
Emergency Personnel
Emergency Communication
Emergency Equipment
Roles of First Responder
Venue Directions with a Map
Emergency Action Plan Checklist for Non-Medical Emergencies
Emergency Personnel
The first responder in an emergency situation during an athletic practice or competition is typically a member of the sports medicine staff, such as a certified athletic trainer. However, the first responder may also be a coach or another member of the school personnel.
Certification in cardiopulmonary resuscitation (CPR), first aid, automated external defibrillator (AED), emergency action plan review, and prevention of disease transmission, and emergency plan review is required for all athletics personnel associated with practices, competitions, skills instructions, and strength and conditioning [including: athletic director, certified athletic trainer, Copies of training certificates and/or cards will be maintained in the athletic director’s office. All coaches are required to have CPR, First Aid, AED, and concussion management training certifications.
The emergency team may consist of physicians, emergency medical technicians, certified athletic trainers, athletic training students, coaches, managers, and possibly even bystanders. Roles of these individuals will vary depending on different factors such as team size, athletic venue, personnel present, etc.
The four basic roles within the emergency team are:
Activating Emergency Medical Services
Emergency Communication
Communication is key to a quick, efficient emergency response. There is a pre-established phone tree to ensure all relevant parties are notified. Access to a working telephone line or other device, either fixed or mobile, should be assured. There should also be back-up communication in effect in case there is a failure of the primary communication. At every athletic venue, home and away, it is important to know the location of a workable telephone.
Medical Emergency Transportation
Any emergency situation where there is loss of consciousness (LOC), or impairment of airway, breathing, or circulation (ABCs) or there is a neurovascular compromise should be considered a “load and go” situation and emphasis is placed on rapid evaluation, treatment, and proper transportation. Any emergency personnel who experiences doubt in their mind regarding the severity of the situation should consider a “load and go” situation and transport the individual.
Non-Medical Emergencies
For the non-medical emergencies (fire, bomb threats, violent or criminal behavior, etc.) refer to the school emergency action plan and follow instructions.
Post EAP Activation Procedures:
Documentation
Documentation must be done by AT (or other provider) and coach immediately following activation of the EAP. Both an injury report and accident report form must be filled out.
Debriefing
A team comprising of the AT, AD, coaches, nurse and one or two other school district employees not involved with the situation(s) must discuss the event within 48 hours. This team must evaluate the effectiveness of the EAP and conduct a staff debriefing. A specific timeline for changes to EAP should be made for promptness.
Conclusion
The importance of being properly prepared when athletic emergencies arise cannot be stressed enough. An athlete’s survival may hinge on the training and preparation of healthcare providers. It is prudent to invest athletic department “ownership” in the emergency action plan by involving the athletic administration and sport coaches as well as sports medicine personnel. The emergency action plan should be reviewed at least once a year with all athletic personnel and local emergency response teams. Through development and implementation of the emergency plan Graham High School helps ensure that the athlete will have the best care provided when an emergency situation does arise.
Each season, every coach will receive a copy of the Emergency Action Plan (EAP)
Each coach will provide their signature to confirm they have read the documents and asked any potential questions
A copy of the relevant EAP will be in each medical kit which is to be kept with the coach at every practice/event
A copy of the EAP will be posted on the wall in the athletic training room.
The athletic trainer should always act as primary care-givers at the site of the injury or accident (when on-site) and would manage the situation according to the following rank:
Mike Carroll M Ed, LAT, ATC – Head Athletic Trainer/Assistant Athletic Director
Amy Arnzen MAT, LAT, ATC – Assistant Athletic Trainer
In the event that a certified athletic trainer is not on-site at the time of injury the following chain of command would be used:
Team Physician, Head Coach of Sport, Assistant Coach of Sport, Athletic Director or Game Administrator
This list is only to be used in case of an emergency.
Off Campus Contacts |
Phone Number |
Emergency |
911 |
Police department |
940-549-1212 (Dispatch) |
Fire and Ambulance |
940-549-4013 |
Graham Regional Medical Center |
940-549-3400 |
Palo Pinto General Hospital |
940-325-7851 |
Hazardous Materials |
512-239-4139 |
Poison Control Center |
800-222-1222 |
On Campus Offices |
Phone Number |
Fieldhouse Athletic Training Room |
940-549-4277 x 1605 |
Gym Athletic Training Room |
940-549-4277 x 1611 |
Athletic Director |
940-549-4277 x 1602 |
Main Office |
940-549-1504 |
Administrative Office |
940-549-0595 |
School Counselor Office |
940-549-4277 x 1099 |
Title |
Name |
Office |
Cell |
Athletic Trainer |
Mike Carroll |
940-549-4277x1605 |
940-456-0967 |
Athletic Director |
Clay McChristian |
940-549-4277x1602 |
432-413-7189 |
Principal |
Joe Gordy |
940-549-1504x1005 |
940-456-4431 |
Assistant Principal |
Necia Marin |
940-549-1504x1007 |
940-550-2233 |
Assistant Principal |
Open |
||
Assistant Athletic Trainer |
Amy Arnzen |
940-549-1504x1811 |
509-876-1127 |
Athletic Trainer may at their discretion contact sports medicine physician for guidance
Emergency Equipment:
Athletic Training Kit, Emergency Bag, Biohazard/First Aid Kit on site for events covered by ATC
First Aid Kit located with coach
AED
Located with ATC for all covered events
Located with coach of highest need, determined by athletic trainer, athletic director and coach prior to season
Additional AED located in Gymnasium athletic training room
Located in wall mounted box outside of gym athletic training facility and also fieldhouse athletic training facility
Nearest phone
Athletic Trainer’s cell phone when covering events
Coaches’ personal cell phones (with emergency numbers)
In Graham HS– there are desk phones in all classrooms and offices
Rescue Inhaler
Coaches are responsible for each student who has an inhaler and is responsible for bringing the inhaler with them to all practices/games
Inhaler must be left with coach or athletic trainer during practices and games (not left in personal bag)
Athletic trainer may be given a backup inhaler by the parent or child to keep as a backup in the med kit.
Epi Pen
Coaches are responsible for each student who has an epi pen and is responsible for bringing their epi pen with them to all practices/games
Epi pen must be left with coach or athletic trainer during practices and games
Athletic trainer may be given a backup Epi pen by the parent or child to keep as a backup in the med kit.
Splints
With ATC during events or in ATR
Spine boards/Cervical Collar
Will be provided by EMS upon arrival
Bio-hazard Materials
Red bags – in each med kit and in ATR
Disposal Bin – in ATR
The main AED for inside Graham HS is located in the front office by Mr. Gordy’s office. There is also on in the gym athletic training room. In the Graham HS Fieldhouse there are multiple AED located in the athletic training room.
Most medically qualified person will lead
Check the scene – is it safe to help?
Is the athlete breathing? Conscious? Pulse?
If NO instruct person to call 911 – LOOK PERSON DIRECTLY IN EYES and
make sure they call!
Check card for 911 call instructions for your location
Perform emergency CPR/First Aid
If severe bleeding – instruct individual to assist with bleeding control
Instruct coach or bystander to get AED
Instruct coach or bystander to control crowd
Contact the Athletic Trainer of Graham High School if they are present
at the school but not on scene
Contact parents
Contact Athletic Director
Contact Principal/Vice Principal
Instruct individual to meet ambulance to direct to appropriate site
Assist with care as necessary
Assistant coach must accompany athlete to hospital – either in ambulance or follow by car
Document the event
Graham HS
Activate the EAP:
Any loss of consciousness
Possible Spine Injury
Dislocation, Open Fracture, Displaced Closed Fracture
Difficulty or absent breathing or pulse
Uncertainty of if you have a medical emergency
Emergency Personnel:
Graham HS Athletic Trainer will be on site for select practices and events or in direct communication with coaching staff. Emergencies during practices/games not covered, EMS should be contacted immediately.
Emergency Procedures:
Check the scene
Is it safe for you to help?
What happened?
How many victims are there?
Can bystanders help?
Instruct coach or bystander to call 911
-Provide the following information
Who you are
General information about the injury or situation
Where you are (Provide: name, location of downed athlete, address, telephone #, number of individuals injured, type of injury that has occurred, treatment given, specific directions*).
Graham HS Competition Gym
1000 Brazos
Graham, Texas
EMS should park in front of gymnasium
Any additional information
*STAY ON THE PHONE, BE THE LAST TO HANG UP*
Perform emergency CPR/First Aid
Check airway/breathing/circulation, level of consciousness, and severe bleeding.
If athletic trainer is present he/she will stay with athlete and provide immediate care.
If athletic trainer is not present, most qualified coach (training/certifications) will stay with athlete and provide immediate care.
Instruct coach or bystander to GET AED!!
Designate coach or bystander to control crowd
Contact the Athletic Trainer for Graham HS if not present on scene
Meet ambulance and direct to appropriate site
Open Appropriate Gates/Doors
Designate an individual to "flag down" and direct to scene
Control injury site, limit care providers etc.
Assist ATC and/or EMS with care as directed
Retrieve Necessary Supplies/Equipment
An assistant coach must go with the athlete to the hospital or follow in a car if not allowed in ambulance
Document event and debrief
Graham HS
Emergency Action Plan
Activate the EAP:
Any loss of consciousness
Possible Spine Injury
Dislocation, Open Fracture, Displaced Closed Fracture
Difficulty or absent breathing or pulse
Uncertainty of if you have a medical emergency
Emergency Personnel:
Graham HS Athletic Trainer will be on site for select practices and events or in direct communication with coaching staff. Emergencies during practices/games not covered, EMS should be contacted immediately.
Emergency Procedures:
Check the scene
Is it safe for you to help?
What happened?
How many victims are there?
Can bystanders help?
Instruct coach or bystander to call 911
-Provide the following information
Who you are
General information about the injury or situation
Where you are (Provide: name, location of downed athlete, address, telephone #, number of individuals injured, type of injury that has occurred, treatment given, specific directions*).
Graham HS Classic Gym
1000 Brazos
Graham, TX
EMS Should enter parking lot between high school and Newton Field
Any additional information
*STAY ON THE PHONE, BE THE LAST TO HANG UP*
Perform emergency CPR/First Aid
Check airway/breathing/circulation, level of consciousness, and severe bleeding.
If athletic trainer is present he/she will stay with athlete and provide immediate care.
If athletic trainer is not present, most qualified coach (training/certifications) will stay with athlete and provide immediate care.
Instruct coach or bystander to GET AED!!
Designate coach or bystander to control crowd
Contact the Athletic Trainer for Graham HS if not present on scene
Meet ambulance and direct to appropriate site
Open Appropriate Gates/Doors
Designate an individual to "flag down" and direct to scene
Control injury site, limit care providers etc.
Assist ATC and/or EMS with care as directed
Retrieve Necessary Supplies/Equipment
An assistant coach must go with the athlete to the hospital or follow in a car if not allowed in ambulance
Document event and debrief
Graham HS
Emergency Action Plan
Activate the EAP:
Any loss of consciousness
Possible Spine Injury
Dislocation, Open Fracture, Displaced Closed Fracture
Difficulty or absent breathing or pulse
Uncertainty of if you have a medical emergency
Emergency Personnel:
Graham HS Athletic Trainer will be on site for select practices and events or in direct communication with coaching staff. Emergencies during practices/games not covered, EMS should be contacted immediately.
Emergency Procedures:
Check the scene
Is it safe for you to help?
What happened?
How many victims are there?
Can bystanders help?
Instruct coach or bystander to call 911
-Provide the following information
Who you are
General information about the injury or situation
Where you are (Provide: name, location of downed athlete, address, telephone #, number of individuals injured, type of injury that has occurred, treatment given, specific directions*).
Newton Field
located between Brazos, Carolina & Calaveras Streets
Graham, Texas
**For Varsity Football games EMS Unit will be stationed on Southwest End
Any additional information
*STAY ON THE PHONE, BE THE LAST TO HANG UP*
Perform emergency CPR/First Aid
Check airway/breathing/circulation, level of consciousness, and severe bleeding.
If athletic trainer is present he/she will stay with athlete and provide immediate care.
If athletic trainer is not present, most qualified coach (training/certifications) will stay with athlete and provide immediate care.
Instruct coach or bystander to GET AED!!
Designate coach or bystander to control crowd
Contact the Athletic Trainer for Graham HS if not present on scene
Meet ambulance and direct to appropriate site
Open Appropriate Gates/Doors
Designate an individual to "flag down" and direct to scene
Control injury site, limit care providers etc.
Assist ATC and/or EMS with care as directed
Retrieve Necessary Supplies/Equipment
An assistant coach must go with the athlete to the hospital or follow in a car if not allowed in ambulance
Document event and debrief
Graham HS
Emergency Action Plan
Activate the EAP:
Any loss of consciousness
Possible Spine Injury
Dislocation, Open Fracture, Displaced Closed Fracture
Difficulty or absent breathing or pulse
Uncertainty of if you have a medical emergency
Emergency Personnel:
Graham HS Athletic Trainer will be on site for select practices and events or in direct communication with coaching staff. Emergencies during practices/games not covered, EMS should be contacted immediately.
Emergency Procedures:
Check the scene
Is it safe for you to help?
What happened?
How many victims are there?
Can bystanders help?
Instruct coach or bystander to call 911
-Provide the following information
Who you are
General information about the injury or situation
Where you are (Provide: name, location of downed athlete, address, telephone #, number of individuals injured, type of injury that has occurred, treatment given, specific directions*).
Graham HS Steer Baseball Field Graham HS Lady Blue Softball Field
Located at Intersection of Carol St & Woody Located off of Graham East Blvd
Graham, TX Graham, Texas
EMS Should enter from US 380 onto Graham East Blvd
Any additional information
*STAY ON THE PHONE, BE THE LAST TO HANG UP*
Perform emergency CPR/First Aid
Check airway/breathing/circulation, level of consciousness, and severe bleeding.
If athletic trainer is present he/she will stay with athlete and provide immediate care.
If athletic trainer is not present, most qualified coach (training/certifications) will stay with athlete and provide immediate care.
Instruct coach or bystander to GET AED!!
Designate coach or bystander to control crowd
Contact the Athletic Trainer for Graham HS if not present on scene
Meet ambulance and direct to appropriate site
Open Appropriate Gates/Doors
Designate an individual to "flag down" and direct to scene
Control injury site, limit care providers etc.
Assist ATC and/or EMS with care as directed
Retrieve Necessary Supplies/Equipment
An assistant coach must go with the athlete to the hospital or follow in a car if not allowed in ambulance
Document event and debrief
Graham ISD Athletics Cold Policy
Exposure to excessive cold can not only be uncomfortable for the participants but also coaching/support staff, friends, and family that are in attendance at practices, contests or events. In addition to making these individuals uncomfortable, excessive cold has been proven to impair athletic performance and can lead to life-threatening medical emergencies. Hypothermia is a significant drop in body temperature and it can occur at temperatures above freezing. A wet and windy temperature in the mid-30s can feel much worse than a dry and calm evening with the temperature at 32 degrees Fahrenheit.
When developing this policy Graham ISD personnel evaluated multiple policies from districts across the state. GISD then attempted to construct a policy that will be in the best interests of the student-athletes, support staff, and fans of Steer and Lady Blues athletes. It is important to understand that what may be considered too cold to participate in one part of the state may be acceptable in another part of the state or in another state altogether.
After evaluating multiple cold weather policies it was determined that the most accurate way to evaluate environmental conditions is to use the AccuWeather RealFeel factor. This factor takes into account multiple parameters. They are ambient temperature, wind speed, solar intensity, humidity/precipitation intensity/type, elevation, and atmospheric pressure. This is a better indicator for environmental conditions. This factor can be obtained either on the Accuweather app downloaded onto the user’s smartphone or by going to www.accuweather.com and using the Graham zip code of 76450.
While adherence to the recommendations and the policy listed below is vital to the individual who will be participating in the elements it is also critical that proper clothing is worn by the athlete to help maintain body heat as best as possible. The lower the RealFeel factor is the more important it is for the athlete to dress in layers and also stay dry. Also, heat loss from the head and neck area can account for up to 50% of total heat loss so that area should be covered as well. Other extremities should also be covered as well. This includes arms, legs, and hands.
Cold Exposure:
Breathing of cold air can increase the chances of asthma attacks because of bronchospasm
Coughing, chest tightness, and burning sensations in nasal passages and throat
Reduction in strength, power, endurance and aerobic activity
Reduction in core body temperature will cause a reduction in motor output
Cold Recognition:
Shivering is a means to generate body heat
Excessive shivering contributes to fatigue and loss of motor skills
Numbness and pain in fingers, toes, ears, and exposed tissue
Reduction in core temperature can cause an athlete to exhibit sluggishness, slowed speech, and disorientation
Temperature Determination:
Coaches or Athletic Trainer will obtain weather report specifically looking at the RealFeel temperature from Accuweather app or www.accuweather.com and use Graham, Texas or 76450 zip code.
The report should be taken 30 minutes prior to the beginning of outdoor activities on practice days. On game days it should be taken at a time (suggested 2 pm) that would allow the visiting team to alter travel plans.
The RealFeel temperature should be used to make modifications/cancellations
Cold Policy Games:
This policy is for games played at Graham ISD facilities only. When GISD teams are the visiting team then that school district’s policy will be followed.
The game should be rescheduled/canceled if the RealFeel is 25 or below by 2 pm on game day or if it is forecasted to be at that level by the beginning of the contest.
If the RealFeel is between 25-30 there should be consideration given to shortening the game/contest. This could also include no extra time periods being played.
Recommended Actions for Practices:
RealFeel 32-35 with precipitation
45 minutes of exposure or less
Athletes should be in warm-ups with extremities covered
RealFeel below 32 with precipitation
Indoor activity is strongly recommended
RealFeel 32-35 (Dry)
60 minutes of exposure
Athletes should be in warm-ups with extremities covered
RealFeel 26-31 (Dry)
45 minutes of exposure
Athletes should be in warm-ups with extremities covered
RealFeel of 25 or below
Indoor activity is strongly recommended
Graham ISD Lightning Policy
Lightning is the most consistent and significant weather hazard that may affect interscholastic athletes and other outdoor activities. Within the United States, the National Severe Storms Laboratory (NSSL) estimates more than 100 fatalities and 400-500 injuries requiring medical treatment occur from lightning strikes every year. While the probability of being struck by lightning is extremely low, the odds are significantly greater when a storm is in the area and the proper safety precautions are not followed. Three-Quarters of all lightning casualties occur between May and September, and nearly four out of five occur between 10 am and 7 pm.
Chain of Command:
Athletic Trainer -> Head Coach/Game Officials->Game Administrators->Assistant Coaches
Designated Weather Watchers:
Graham ISD uses the Perry Weather lightning warning system to determine if lightning is within an unsafe distance (10 miles) of GISD athletic facilities. Athletic Trainers will monitor current weather and keep members of the chain of command informed. All representatives in the “Chain of Command” should monitor local weather forecast and maintain awareness of incoming thunderstorms.
Suspension of Activities-Participants and staff should take cover in a safe shelter until the warning has expired. Safe shelter is defined as any building where doors and windows can be closed. A baseball or softball dugout or underneath bleachers should NOT be considered safe shelter. In the absence of a building, a car or school bus with the windows up is the next best option. It is recommended that spectators seek shelter as well.
Lightning Warning Systems Locations
Graham High School Field House
Graham Junior High
Graham Baseball/Softball Complex
Lightning Warning System Activation
1. Audible horns attached to the warning systems sound when lightning is within a 10-mile radius of the location. This distance allows for the suspension of practices, games, recess, PE, roof or grounds work by maintenance, or other outdoor activity and indicate movement to indoor safe areas is required. If you are close enough to either of the two stationary warning systems, you may hear the horns, if outside.
3 horn blasts will sound announcing an active lightning event.
While lightning is present and activities are delayed, a yellow strobe light on the warning device will flash
A single long blast tone will sound the all clear.
2. Electronic alerts, SMS text messaging and emails, will be generated and sent to Emergency Management, Sports Medicine & appropriate athletic personnel, band directors, principals, assistant principals. These will signify when the alert has sounded and also when the all-clear has been given.
3. The all-clear will sound once there has not been a lightning strike within 10 miles of the facility for 30 consecutive minutes. Outdoor activity should NOT resume until the all-clear has sounded. This includes warming up, stretching, field set up or any any other outdoor activity.
The athletic trainer will be responsible for reviewing the EAP annually and rehearsing it prior to each sport season.
Coaches at Graham HS will be educated on the EAP prior to their first season of coaching during each academic year. The meeting will be a requirement for all coaches, of all levels, of each sport.
The meeting will be directed by the athletic trainer and will include a power point presentation for recent updates along with a hands-on portion. The hands-on portion will run through different scenarios to ensure the coaches understand the EAP. All coaches will be provided the opportunity to ask any and all questions and the athletic trainer will be responsible for ensuring a proper and adequate answer to all questions.
All coaches must sign in to prove their attendance, see following page. The documentation of attendance will be stored with the athletic trainer.
The athletic director(s) will be provided with a copy of the EAP and will be required to attend one of the meetings with the coaches. Athletic directors must sign in to prove attendance.
Topic: EAP Rehearsal
Sign in Sheet
Coach Name (printed) |
Sport |
HS |
MS |
Signature |
Notes:
AED
Responsible Party for ensuring AED Maintenance:
AEDs should be checked every month
Date |
AED # |
Status |
Notes |
This document has been read and revised by the [School Name] athletic trainer, team physician and athletic director.
Team Physician: _____________________________________ Date:_____________________
Athletic Trainer: ______________________________________ Date: _____________________
Athletic Director: _____________________________________ Date:_____________________
----------------------------------------------------------------------------------------------------------------------------------------------------------------
I _____________________________________________________________(print coach name/sport) have read and understand the Emergency Action Plan for Graham Athletics. I understand my roles and responsibility should an emergency occur in my presence. I have also rehearsed this Emergency Action Plan and understand my role in an emergency situation with an athletic trainer present and without. I have been given the opportunity to ask all questions and have received the proper answers to my questions.
I also understand that I must keep my CPR/AED and First Aid Certifications up to date and that it is my responsibility to ensure a lapse does not occur. I am also aware that I must be trained in concussion management and it is my responsibility to ensure a lapse does not occur.
Coach Name (print)_________________________________________ Sport _________________________
Signature _________________________________________________ Date _________________________