On-Field Medical Emergencies

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On-Field Medical Emergencies

• Mitchell S. Callis, MS, ATC, VATL
• Community Liaison, CHKD Sports Medicine

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What is an Emergency ???
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My background in sports medicine
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Objectives of the workshop

• Understand the importance of having a plan of
  action in the event of an on field incident.
• Develop an individualized plan for your needs
  that is specific to your situation
• How to execute a plan for handling medical
  emergencies in an athletic venue.
• Share experiences that will help us better plan
  for emergencies

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Goals of Proper Management

• To minimize further injury to the athlete.
• To maximize the athletes recovery

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What are true emergency conditions ???

• Airway
• Cardiac
• Head or neck injuries
• Hemorrhage
• Fractures
• Shock
• Anaphylaxis
• Heat

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Preparing to handle Emergencies
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You Never know when or where they will happen.
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Rugby is a great sport for training medical
personnel.
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All eyes will be upon you when this happens !
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Never expect to not have an issue.
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Nice job by the spotters
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Keep the plan simple,comprehensive and practical.
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Leadership at the Event

• Sports medicine team

• EMS team

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Checklist for Success

• Write it down on a list.

• Have multiple time lines.

• Comprehensive list
• Days before the event
• The day of the event list
• Replenish or post event list

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Algorithmic Approach to develop the Flow of
handling the Emergency
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Emergency Action Plan

• Unique to Each Venue
• Identify and Outline The roles and
  Responsibilities of medical Personnel and other
  staff
• Equipment
• Protocols
• Communications

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Specific Plans for Head and Neck Injuries

• Immobilize head and neck as one unit
• Only move to maintain vitals
• ABCs
• Leven of consciousness
• Neurological status
• Remove Facemask
• Helmet and shoulder pads are a unit

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The Sports Medicine Team

• Team Physician
• Athletic Trainer
• EMS personnel
• Coaches
• Police
• Parent
• Hospital staff
• Student interns
• Athletics staff
• Athlete

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Emergency Equipment

• Alphabetical List of Equipment
• Location of Equipment
• Description
• Inspection
• Maintenance

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Emergency Transportation

• Ambulance
• Air Ambulance
• Non Emergency Vehicle
• Campus Police
• Parent or Guardian
• Personal Vehicle

• Contracted to the event
• EMS activated
• School Van / Car
• Availability Issues
• Debatable
• Not recommended

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Communications

• Two Way Radios
• Cell Phone
• Land Line Telephones
• Sound Devices
• Flags / Signal device

• Rented / Owned/ Borrowed
• Almost Everyone Has This. Use as a backup plan
• Radio or cell to a land line for a Back up plan
• Hazardous weather notification
• Direct Attention to Event

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Communications for Medical Staffs

• Should occur between medical staffs prior to game

• EMS personnel and location
• Senior Medical Person
• Equipment and Location
• Communications
• Hospital information
• Location
• Phone s
• Trauma Level

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Communications during and after the event

• Plan to communicate to the following
• Parents and family members
• Medical staff at hospital and at the event on
  status
• Alert proper administration
• Deal with the media
• Players wishes
• Parents wishes
• HIPPA regulations

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Documentation of the incident

• Customize forms to fit your venue.
• Many examples available.

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Resources for help with Planning

• www.usa.gog
• www.nata.org
• www.ncaa.org
• www.nasa.gov

• CDC
• National Athletic Trainers Association
• National Collegiate Athletic Asso.
• National Aeronautic and Space Agency

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Review at the conclusion of the event

• Debrief with all team members
• Review plan for effectiveness and efficiency
• Share information between groups
• Make improvements where needed

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How to make Love Endure

• Tell your wife that she looks pretty, even if
  she looks like a dump truck.
• Ricky - age
  10

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Questions And Discussion
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Thank You