PRESCOTT HIGH SCHOOL INTERSCHOLASTIC ATHLETICS
EMERGENCY ACTION PLAN
Principal: Mark Goligoski
Athletic Director: Missy Townsend
Head Athletic Trainer: Trent James 928-713-4561
Interscholastic/Sports Medicine Emergency Action-Plan
These emergency procedures are applicable at the following locations at Prescott High School: Baseball Field, Softball Field, Stadium, Track/Field, Gymnasium and areas immediately adjacent to these venues.
Prescott High School, has a written emergency plan that should be followed in the event of an emergency. All medical personnel, administrators, coaches, student assistants, and other school personnel who may reasonably be called upon to assist in an emergency should be familiar with this document and their role and responsibility in an emergency. Any questions should be directed to the head athletic trainer (or school administrator, in the absence of a licensed athletic trainer).
When health care providers other than the Prescott High School Athletic Trainer are on site for an athletic event. A “Medical Time Out” shall occur prior to the event so that this EAP can be discussed.
During the Medical Time Out the following items shall be discussed and agreed upon:
- Determine the role and location of each person present (i.e., AT, Team Physician, and EMT).
- Establish how communication will occur (i.e., voice commands, cell phone, radio, hand signals).
- What is the primary means of communication? What is the secondary or back-up method of communication?
- Review of mechanism for activating the EMS system (Incident Commander will contact Yavapai Regional Medical Center-West 1003 Willow Creek Rd. Prescott, AZ. 86301)
- In the event of emergency transport, what is the designated hospital? Consider the most appropriate facility for the injury/illness when selecting the hospital.
- What emergency equipment is present? Where is it located? Has it been checked to confirm it is in working order and fully ready for use?
- Are there any issues that could potentially impact the emergency action plan (i.e., construction, weather, crowd flow)?
A medical emergency is an incident whereby the athlete’s life may be in danger or he/she risks permanent impairment. These injuries include but are not limited to: cervical spine injuries, head injuries, loss of limb, serious bleeding, shock, serious fractures, anaphylaxis, heat stress and cardiac or respiratory arrest.
It is important in these situations that coordination between the athletic trainers, coaches, administrators and student responders be effective. This guide is intended to delineate roles and outline the protocol to be followed should an emergency occur. Situations when 9-1-1should be called are:
- an athlete is not breathing
- an athlete has lost consciousness
- it is suspected that an athlete may have a neck or back injury
- an athlete has an open fracture (bone has punctured through the skin)
- suspected heat stroke
- anaphylactic shock
- severe bleeding that cannot be stopped
- any other illness or injury deemed to have the risk death or permanent impairment.
Chain of Command for Medical Emergencies:
- Incident Commander (i.e. Administrator)
- Team Physician
- Board Certified/Licensed Athletic Trainer
- Head Coach
- Assistant Coach
- Other Personnel
The highest person in the chain of command who is present at a scene will be the designated person in charge, or incident commander. That person is responsible for deciding whether or not to call 9-1-1, instructing others how they may be of help and will be the person who stays with the athlete until EMS arrives. Once it has been decided that the EMS system should be activated, the following protocol should be followed:
- The chain of command will be deemed the incident commander, and will stay with the athlete to monitor the athlete’s condition and administer necessary first aid. If possible, someone else on the chain of command should also stay and assist.
- The highest person on the chain of command will make the call to EMS (if he/she is not needed to provide emergency care) or will designate another person to make the call. The person calling EMS will dial 9-1-1 from a cell phone and a school landline. The 9-1-1 operator should be told what the nature of the emergency is, the condition of the athlete, what emergency measures are being taken and how to get to where the athlete is located. The address of Prescott High School is 1050 North Ruth Street. 86301. If enough personnel are available, tell 9-1-1 that someone will meet them at the entrance to aid in directing the emergency vehicles. DO NOT HANG UP UNTIL THE 9-1-1 OPERATOR HANGS UP FIRST!
- Phones at Prescott High are located in the athletic training room, the main office, and the coach’s offices in locker rooms. Cell phones at PHS are mostly used in emergency situations.
- After the person has finished speaking with the 9-1-1 operator, the designated caller will also come up on channel 1, on their school radio, and notify any other school personnel carrying a radio that there is a medical emergency on campus and that 9-1-1 has been called.
- The Incident Commander will send runners (when available) to the appropriate entrance of the school to direct emergency vehicles to the incident’s location.
- The Incident Commander will contact or designate another person to attempt contact with the athlete’s parents. Emergency contact information can be found in student’s Interscholastic Supplemental Form, which the athlete’s coach should have with them at all times. An additional copy is available in the Athletic Secretary’s office. If a parent is not present, a responsible adult and the form should accompany the athlete to the hospital.
- If the incident involves multiple victims the standard School Incident Command System will be implemented as needed (see Mass Casualty Guidelines below).
ATHLETIC TRAINING STAFF:
Head Athletic Trainer– Trenton James, AT, ATC – cell phone: (928) 713-4561; office phone: (928) 445-2322 Ext. 72098
Emergency communication between staff and responding personnel will be via 2-way radio (radio frequency is set on channel 1) and cellular phone(s). The preferred method of communication during an emergency is via school radio. Cell phones are a secondary method of communication. Phones and radios will be on site with the athletic trainers during practices and events. The Athletic Training Room phone is located on the main desk. When using campus phones you NEED to dial 9 to get an outside line, then number.
Emergency Equipment Retrieval: Athletic trainers will have splints and an AED with them on the golf cart. Two additional AED’s are available on Prescott High School’s campus. One in gym A on the wall next to the fire alarm, and one in the main building directly outside the nurses office on the wall. The Incident Commander or Medical Commander will instruct personnel, as needed, to retrieve emergency supplies.
VENUE SPECIFIC DIRECTIONS FOR EMERGENCY VEHICLES
- Football Stadium: Emergency vehicles should enter off of Ruth Street at the south parking lot gate, then proceed through the main gate to the stadium.
- Track: Emergency vehicles should enter off of Ruth Street at south parking lot gate, then proceed through the main gate to the stadium.
- Baseball Field: Emergency vehicles should enter off of Ruth Street at the gate near the storage sheds then proceed down dirt road to the first base dugout.
- Softball Field: Emergency vehicles should park on Ruth Street and enter through the single gate behind the third base dugout.
- Gymnasium A: Emergency vehicles should enter through the main gates past Ruth Street Theatre and park at the overhang.
- Gymnasium B: Emergency vehicles should enter through the main gates past Ruth Street Theatre and park at the overhang.
OTHER EMERGENCY SITUATIONS
School employees need to remember the acronym R-A-C-E in case of fire or any hazardous conditions.
- Rescue: Evacuate anybody in immediate danger of the fire or any hazardous conditions. Assist anyone who cannot evacuate on his or her own and evacuate your area.
- If the fire alarm has not already sounded, activate the alarm at the nearest pull box station.
- Also call 9-1-1 (Prescott’s fire alarms are local alarms only and do NOT notify
the fire department.).
- Come up on the radio (Channel 1) to alert the rest of campus that there is a fire.
- Contain: Close all doors behind you as you exit to impede to extension of the fire into
areas not already involved.
- Extinguish: Attempt to extinguish the fire if it is small and you are trained to do so.
- Check scene to make sure it is safe for you to enter. (NOTE: If the poison is airborne and possess a threat to the safety of school responders do NOT enter the area, evacuate the area of any staff, students, and/or bystanders. Call 9-1-1 and wait for Prescott Fire Department and Haz-Mat units to arrive, and follow guidelines for Haz-Mat Incident below.)
- If it is safe to do so, remove victim from source of poison.
- Check for life threatening conditions. Use a barrier device and gloves if the victim needs CPR.
- Call 9-1-1 and treat as a medical emergency above if victim is unconscious.
- If victim is conscious, ask questions to get more information about the events of the incident.
- Look for poison container and take it with you to the telephone.
- Call Poison Control Center at 1-800-222-1222. The email for Banner Poison Control center is: http://azpoison.com/
- Give care according to directions of the Poison Control Center.
- Find out what type of poison did the victim ingest, inhale or absorb? How much poison did victim ingest? When did the poisoning take place?
Critical Incident/Catastrophic Injury
- In case of a catastrophic injury the incident commander, athletic trainer, or coach or at the incident will:
- Contact/update athletic staff and school administration staff if not yet familiar with
- Athletic Director
- Head Athletic Trainer
- Assistant Principal
- Contact family by appropriate individual (use assistance as needed), through the
Athletic Director’s office.
- Once contacted the appropriate administrator will:
- Plan a coordinated media plan through the Principal’s office under the direction of the Athletic Director.
- NO CONTACT WITH MEDIA from the Athletic Training Staff, Hospital Staff or
- Medical Personnel or Coaching Staff except through the Prescott High School Principal, District Administration or Athletic Director.
- Establish hospital contact person.
- Initiate a meeting with the affected athletic team to discuss situation.
- NO OUTSIDE DISCUSSION OF MEETING WITH MEDIA
- Complete documentation of events including everyone involved, all coaches, athletic trainers, game administrators, athletic administrators, and other staff present at the event.
- Collect and secure all athletic equipment and materials involved, if applicable.
- Construct a detailed time line of events related to the incident.
- Involve appropriate PUSD District Resources.
- Assign school staff member to be with family at all times upon arrival; assist family as needed; protect from outside persons.
INCLEMENT WEATHER PROCEDURES:
In the case of inclement weather (i.e.; Thunderstorms, Lightning, Hail, Tornado, Local Flooding), it will be under the direct discretion of the on-site athletic trainer to determine if the practice/game fields should be evacuated. In the absence of an on-site athletic trainer the head coach will have the duty and responsibility to suspend the activity in the absence of an athletic training staff member.
Lightning is a dangerous phenomenon. The athletic training staff has developed a lightning policy to minimize the risk of injury from lightning strike to Prescott High School athletes, coaches, support staff and fans. To monitor lightning the Athletic Training Staff and/or Administrator will utilize a weather app. Athletic teams that practice and compete outdoors are at risk when the weather is inclement. For this reason the following guidelines, adopted from the NFHS and the NATA, must be observed if it appears that lightning is possible for the area:
- The NFHS and National Severe Storms Laboratory (NSSL), strongly recommend that all individuals leave outdoor athletic sties and reach a safe location if lightning is 6 miles or closer.
- The nearest safe shelter is the Gymnasium, weight room, and locker rooms. The dugouts are NOT safe areas. All students must be inside of a building and at least 10 feet from a door or window. Other safety tips for sheltering indoors:
- Stay off corded phones. You can use cellular or cordless phones. Don’t touch electrical equipment or cords. Avoid plumbing. Do not wash your hands, take a shower. Stay away from windows and doors. Do not lie on concrete floors or lean against concrete walls.
- If lightning is in the immediate area, the athletic trainer will notify the head coach as to the status of the inclement weather and of need to take shelter. Teams may return to the fields within 30 minutes from last sight of lightning.
- If no safe structure is within a reasonable distance, then other safe areas include:
Enclosed buildings fully enclosed metal vehicles with windows up (no convertibles or golf carts unsafe shelter areas: water, open fields, dugouts, golf carts, metal objects (bleachers, fences, etc.), individual tall trees, light poles.
- AVOID BEING THE HIGHEST OBJECT IN AN OPEN FIELD. ***Athletes/coaches etc. should not stand in groups or near a single tree. There should be 15 ft. between athletes (NLSI, 2000).
- Note: sports with metal equipment. Golfers drop your clubs and remove shoes, baseball/softball drop bats and remove shoes, and seek shelter. If unable to reach safe shelter, assume a crouched position on the ground with only the balls of the feet touching the ground, wrap your arms around your knees and lower your head. Minimize contact with the ground, because lightning current often enters the victim through the ground rather than direct overhead strike. Do not lie flat! If safe shelter is only a short distance away, it is suggested to run for shelter, rather than stay in middle of field.
- If someone is struck by lightning, activate the Emergency Action Plan. A person struck by lightning does not carry an electrical charge; immediately initiate the EAP and begin the primary survey. If possible move victim to a safe location.
- Avoid using a landline telephone except in emergency situations. People have been struck by lightning while using a landline telephone. A cellular phone or a portable phone is a safer alternative to landline telephones, if the person and the antenna are located within a safe structure, and if all other precautions are followed. Event Procedures Prior to Competition: A member of the Athletic Training staff will greet the officials, explain that we have means to monitor lightning, and offer to notify the officials during the game if there is imminent danger from the lightning.
Announcement of Suspension of Activity: Once it is determined that there is danger of a lightning strike, the Athletic Training staff member will notify the head coach or official and subsequently summon athletes (via PA or whistle) from the playing field or court.
Evacuation of the Playing Field: Immediately following the announcement of suspension of activity, all athletes, coaches, officials and support personnel are to evacuate to an enclosed grounded (Gymnasium/Locker rooms)
Evacuation of the Stands: During competition once the official signals to suspend activity, a member of the Sports Information staff will announce via the PA system something like: “May I have your attention. We have been notified of approaching inclement weather. Activity will cease until we have determined it is safe and the risk of lightning is diminished. We advise you to seek appropriate shelter at the following areas: the Gymnasium and Alumni Hall. Though protection from lightning is not guaranteed, you may also seek shelter in an automobile. Thank you for your cooperation.”
Resumption of Activity: Activity may resume once an Administrator or Athletic Trainer gives the go ahead. (Thirty (30) minutes AFTER the last lightning strike or activity using a weather app.)
High Heat Index / High Humidity
During summer and early fall and late spring, high temperatures and possibly high humidity can be present. It is important that we make ourselves aware of the dangers of this situation to prevent heat exhaustion and/illness.
- If temperatures range from 80 degrees to 90 degrees, fatigue is possible with prolonged exposure.
- Between 90 and 105 degrees, heatstroke, heat cramps, and heat exhaustion are possible. An emergency immersion tank should be filled and available on campus. For off-campus sports the responsible coach should prepare ice towels and other methods for rapid cooling.
- Then heat index climbs to 105 to 130 degrees heatstroke, heat cramps, and heat exhaustion are likely and heat stroke is possible with prolonged exposure. Coaches may need to modify practices by decreasing time outdoors and removing protective pads (that can increase body temperature). An emergency immersion tank should be filled and available on campus. For off-campus sports the responsible coach should prepare ice towels and other methods for rapid cooling.
- At 130 degrees or higher heatstroke or heatstroke are highly likely with continued exposure to sun; and all outdoor events should be suspended until the heat index is below 130 ° F.
- If heat index reaches 105 and 130 extreme caution must be taken and practice(s) may need to be postponed to a cooler part of day (6-9 AM, or 6-8 PM).
HAZARDOUS MATERIAL (HAZ-MAT) INCIDENT:
Hazardous materials accidents can occur inside buildings, on campus, in nearby areas
that can impact athletic events on campus.
When a chemical spill or hazardous material incident has occurred inside of a building:
- Immediately notify the athletic administrator or game administrator on duty, and the Incident Commander.
- Contain the spill with available equipment (e.g., pads, booms, absorbent powder, etc.) if safe to do so.
- Secure the area and alert other site personnel. Account for all student-athletes.
- Do not attempt to clean the spill unless trained to do so.
- Attend to injured personnel and call the medical emergency number (9-1-1), if required.
- Call the Fire Department (9-1-1), and follow directions of fire and emergency services officials.
- Evacuate building as necessary, and account for student-athlete once evacuated.
When a hazardous material incident has occurred outside of a building:
- Notify the athletic administrator or game administrator on duty.
- Call 9-1-1, and follow directions of fire and emergency services officials.
- If a shelter in place strategy is implemented: Close all windows and doors.
- Turn off heating/cooling systems (HVAC).
- Tape doors, windows and any access to the outside, which could allow
- Hazardous material into the building.
- Account for all student athletes.
MASS CASUALTY INCIDENT:
- Call 9-1-1 and establish contact with City of Prescott Resources
- When scene is safe; establish School Incident Command System (ICS), per
Prescott High School Incident Response Team guidelines, with personnel on scene.
- Establish a triage and treatment area with school medical personnel as available.
- Have coaches do a roll call and report to the Incident Commander.
- Upon arrival of Fire/EMS and/or Police transfer command and manage school
resources per Incident Commander.
- Release students to parents with help of coaches and Incident Commander.
- Discontinue School ICS as appropriate.