Emergency Action Plan Worksheet – Student Response Team

Coach/Advisor Name: Curt Rockhead

Activity: Soccer

Level: HS

1. 911 Team

Call 911

Explain emergency and provide location.

Practice

Events

Closest Phone

Coach Cell

Coach Cell

EMS Access Point

Main Gate

Main Gate

Street Intersection

One Eagle Way

One Eagle Way

Student 1

Malachi Rockhead

Malachi Rockhead

Student 2

Canaan Talarico

Canaan Talarico

Meet Ambulance at EMS Access Point

Take EMS to the victim.

Practice

Events

Entry Door/Gate

Stadium Gate

Stadium Gate

Student 1

Malachi Rockhead

Malachi Rockhead

Student 2

Canaan Talarico

Canaan Talarico

Call Contacts

Provide location and victim's name.

Contact

Name

Phone

Athletic Trainer

Athletic AD

Eric Post

304-695-0922

2. CPR/AED Team

Start CPR

Role

Practice

Events

Coach

Curt Rockhead

Curt Rockhead

Student 1

Dominick Hazuka

Dominick Hazuka

Student 2

Noah Montero

Noah Montero

Student 3

CPR Instructions

  1. Position person on back.

  2. Put one hand on top of the other on the middle of the person's chest. Keeping arms straight, push hard and fast, 100 compressions per minute. Let the chest completely recoil after each compression.

  3. Take turns with other responders as needed.

3. AED Team

Get the AED

Role

Practice

Events

Closest AED

Field House

Field House

Student 1

Ethan Lake

Ethan Lake

Student 2

Bryson Levake

Bryson Leveake

Athletic Trainer Location

n/a

n/a

Additional Student 1

n/a

n/a

Additional Student 2

n/a

n/a

AED Instructions

  1. Remove clothing from chest.

  2. Attach electrode pads as directed by voice prompts.

  3. Stand clear while AED analyzes heart rhythm.

  4. Keep area clear if AED advises a shock.

  5. Follow device prompts for further action.

  6. After EMS takes over, give AED to 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

Ice Cooler on Field – Cold Tub as Needed

Ice Cooler on Field – Cold Tub as Needed

Water Source Location

Cooler / Showers if Need to Immerse

Cooler / Showers if Need to Immerse

Ice Source Location

Cooler, Training Room as Needed

Cooler, Training Room as Needed

Ice Towel Location

Coaching Bag

Coaching Bag

Role

Practice

Events

Student 1

Orion Rorbough

Orion Rorbough

Student 2

Kamren Mayle

Kamren Mayle

Additional Student 1

Mason Kingston

Mason Kingston

Additional Student 2

Daniel Escalante

Daniel Escalante

Heat Stroke Response Instructions

  1. Remove equipment/excess clothing. Move to shade.

  2. Immerse athlete into cold ice water tub and stir water. If no tub: use a cold shower or rotate cold, wet towels over the entire body.

  3. Monitor vital signs.

  4. Cool First, Transport Second.

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

  6. If no medical staff is available, cool until EMS arrives.