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.
