Emergency Action Plan Worksheet – Student Response Team

Coach/Advisor Name: Jason Allman

Activity: Cross Country

Level: High School

1. 911 Team

Call 911

Explain emergency and provide location.

Practice

Events

Closest Phone

Closest classroom, office, cell

At event

EMS Access Point

Front of HS

At event

Street Intersection

1 Eagle Way

At event

Student 1

Morgan Pitzer

Morgan Pitzer

Student 2

Lawson Curran

Lawson Curran

Meet Ambulance at EMS Access Point

Take EMS to the victim.

Practice

Events

Entry Door/Gate

Front of HS

Student 1

Cadence Blake

Student 2

Lawson Curran

Call Contacts

Provide location and victim's name.

Contact

Name

Phone

Athletic Trainer

Athletic AD

Eric Post

304-695-0922

Student 1

Student 2

2. CPR/AED Team

Start CPR

Role

Practice

Events

Coach

Jason Allman

Student 1

Dylan Miller

Student 2

D’mitry Miller

Student 3

Trainer

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 the chest to completely recoil after each compression.

  • Take turns with other responders as needed.

3. AED Team

Get the AED

Role

Practice

Events

Closest AED

Near both gym and field house

At event

Student 1

Stevie Frame

Student 2

Davian Hyde

Athletic Trainer Location

Field House

At event

Additional Student 1

Richard Adams

Additional Student 2

Stevie Frame

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

Fieldhouse

At event

Water Source Location

Fieldhouse

At event

Ice Source Location

Fieldhouse

At event

Ice Towel Location

Fieldhouse

At event

Role

Practice

Events

Student 1

Rotating Schedule

Staff

Student 2

Additional Student 1

Rotating

Additional Student 2

Heat Stroke Response Instructions

  • Remove equipment and excess clothing. Move 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.