Emergency Action Plan Worksheet – Student Response Team

Coach/Advisor Name: Jesse Roselius

Activity: Golf

Level: HS

1. 911 Team

Call 911

Explain emergency and provide location.

Practice

Events

Closest Phone

Cell Phone

Cell Phone

EMS Access Point

At Clubhouse

At Clubhouse

Street Intersection

One Eagle Way

One Eagle Way

Student 1

Hailey Hill

Hailey Hill

Student 2

Bromley Forinash

Bromley Forinash

Meet Ambulance at EMS Access Point

Take EMS to the victim.

Practice

Events

Entry Door/Gate

Front of Clubhouse

Front of Clubhouse

Student 1

Hailey Hill

Hailey Hill

Student 2

Bromley Forinash

Bromley Forinash

Call Contacts

Provide location and victim's name.

Contact

Name

Phone

Athletic Trainer

N/A

Athletic AD

Eric Post

304-695-0922

Student 1

Hailey Hill

304-476-8820

Student 2

Bromley Forinash

304-669-3044

2. CPR/AED Team

Start CPR

Role

Practice

Events

Coach

Jesse Roselius

3 Minutes

Student 1

Hailey Hill

3 Minutes

Student 2

Bromley Forinash

3 Minutes

Student 3

Drew Spires

3 Minutes

CPR Instructions

  • Position person on back.

  • Put one hand on top of the other on the middle of the person's chest.

  • Keeping arms straight, push hard and fast at 100 compressions per minute.

  • Allow full chest recoil after each compression.

  • Take turns with other responders as needed.

3. AED Team

Get the AED

Role

Practice

Events

Closest AED

In the Golf Cart with Me

In the Golf Cart with Me

Student 1

Hailey Hill

Hailey Hill

Student 2

Bromley Forinash

Bromley Forinash

Athletic Trainer Location

n/a

n/a

AED Instructions

  • When AED arrives, turn it on and follow voice prompts.

  • Remove clothing from chest.

  • Attach electrode pads as directed by voice prompts.

  • Stand clear while AED analyzes heart rhythm.

  • Keep area clear if AED advises a shock.

  • Follow device prompts for further action.

  • After EMS takes over, give AED to the Athletic Administrator for data download.

CALL 911 for all medical emergencies. If unresponsive and not breathing normally, begin CPR and get the AED.

4. Heat Stroke Team

Prepare Tub Daily

Item

Practice

Events

Tub Location

In the Clubhouse

In the Clubhouse

Water Source Location

Showers in Clubhouse

Showers in Clubhouse

Ice Source Location

Back of Clubhouse

Back of Clubhouse

Ice Towel Location

In the Restaurant

In the Restaurant

Role

Practice

Events

Student 1

Drew Spires

Drew Spires

Student 2

Logan Heupp

Logan Heupp

Additional Student 1

Joshua Roselius

Joshua Roselius

Additional Student 2

Kale West

Kale West

Heat Stroke Response Instructions

  • Remove equipment and excess clothing. Move athlete to shade.

  • Immerse athlete into cold ice-water tub and stir water.

  • If no tub is available, use a cold shower or rotate cold wet towels over the entire body.

  • Monitor vital signs.

  • Cool First, Transport Second.

  • Cool until rectal temperature reaches 102°F if an ATC or MD is available.

  • If no medical staff is available, continue cooling until EMS arrives.