Athletic Emergency Action Plan Template (Page 3 of 4) in pdf

EMERGENCY ACTION PLAN

1. The highest person on the chain of command will be deemed the leader, 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 front office or an administrator

should be notified that there is an emergency situation on campus.

2. The highest person on the chain of command will make the call to EMS or will designate

another person to make the call. (911 from a cell phone or pay phone. Specific

instructions:_______________________________________________________________)

EMS should be told what the emergency is, the condition of the athlete and how to get to where

the athlete is. Also, tell EMS that someone will meet them at the closest intersection to aid in

directing the ambulance. DO NOT HANG UP UNTIL EMS HANGS UP FIRST.

3. Phones at ___________________________________ are

located:___________________________________________________________________.

4. The leader will send runners to all intersections between where the athlete is located and

_______________________________________ to direct the ambulance to the athlete. The

runners should stay in their positions and wave the ambulance through the proper turns to get to

the athlete.

5. The leader will designate another person to attempt contact with the athlete’s parents.

Emergency contact information can be found _____________________________________.

If a parent is not present, the form should accompany the athlete to the hospital.

6. If transport is deemed necessary by EMS, the athlete will be taken to

______________________________________________, unless the parent requests otherwise.

Venue is located at:

_______________________________________________________________________

The closest intersection to the venue is ____________________________________ and

_________________________________________________________.

Pertinent landmarks include:_________________________________________________

Location of AED’s

1. ________________________________________________________________

2. ________________________________________________________________

3. ________________________________________________________________

4. ________________________________________________________________

*Coaches should take note of the closest AED to their practice and game locations.

Athletic Emergency Action Plan Template Page 3