Waterford High School Emergency Action Plan
Clinic Phone Number: 860-447-8558
Emergency Communication: Keaton Mangi, LAT, ATC Head Athletic TrainerPhone: 860-437-6956 x7410 Email: kmangi@waterfordschools.org
Emergency Equipment: Automated External Defibrillator Locations: There is always an Automated External Defibrillator at Waterford High School, and with the Head Athletic Trainer during home competitions. The Boy’s Lacrosse Team at Waterford High School has their own AED which is brought out to all practices and competitions.
In addition to the two Automated External Defibrillators, there are four other Automated External Defibrillators located throughout Waterford High School. 1 Updated August 2022
Emergency Personnel: There is a Certified Athletic Trainer on site for contracted home competitions and everyday Therafterschool.earealso
additional staff available at varsity home football games. This staff includes the Certified Head Athletic Trainer, the Team Physician, the Team Physician’s Assistant, or a local ambulance/EMT crew.
Clinic Address: Physical Therapy and Sports Medicine Centers, 635 Broad Street, New London, CT, 06320
Waterford HS Emergency Action Plan
American Heart Association: Basic Life Support CPR & AED Certification Chris Landry Athletic DirectorOffice Phone Number: 860-437-6956 x7421 Email: clandry@waterfordschools.org
Dr. Steven Wei MD Football Team Physician Orthopedic Surgeon Office Phone: 860-889-7345 Office Address: Orthopedic Partners, 11 Industrial Park Road, Niantic, CT 06357
● DESIGNATE an individual to open all appropriate gates and have them “flag down” EMS and direct them to the scene.
A. CALL 911 Provide the location/address of the injured/ill individuals Provide the telephone number you’re calling from Provide the number of individuals involved Provide the condition(s) of the injured/ill Provide the type of emergency treatment that has been rendered Provide the SPECIFIC Directions to the scene (SEE Venue Directions) Provide any other information as requested from the dispatcher Provide the ill/injured NAME, AGE, and Date of Birth Call and notify Head Athletic Trainer 4. Notify the school administration working the school event that “EMS has been activated”
1. Provide immediate basic care to the injured student athlete.
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5. Assist the Head Athletic Trainer by providing the appropriate emergency care needed until EMS personnel arrive at the scene and take over care. 2 Updated August 2022
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2. Activation of Emergency Medical Services (EMS) and retrieve any emergency medical equipment necessary for the injured student athlete.
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The emergency equipment kept at Waterford High School includes Automated External Defibrillators, Splints, Crutches, Medical Kits, and First Aid Supplies. Spine Boards and Cervical Collars will be provided by EMS upon their arrival.
Waterford HS Emergency Action Plan Locations of Automated External Defibrillators -1 Outside of main office -1 Outside of 2nd floor office -1 In the Pool Area -1 In the Field House
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● CONTROL the SCENE: Limit the scene to first aid providers and move bystanders away from the area.
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● The school administration who need to be notified include: -Athletic Director, Chris Landry -Police or On- Site Security
THE FIRST RESPONDER ROLE:
All other emergency equipment is kept in the Athletic Training Room, which is labeled “410H Laundry Room”.
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*7. Parents/Legal Guardians MUST be contacted by the school personnel as soon as the situation permits.
● Emergency
o At ANY TIME that ANY member of AHCT feels it is necessary a “TIME OUT” will be called and the AHCT will meet to discuss SOLUTIONS to potential issues.
o The AHCT is made up of: the Athletic Trainer, the Athletic Director or designated site director, the Principal, or Assistant Principal(s), Team Physician, and/or Team Physician’s Assistant
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● “TIME OUT” Policy: o Before games the Administrative Health Care Team (AHCT) will meet with athletic staff to discuss potential issues, available emergency equipment, EAP procedures (etc.)
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Information (Cards) ●
8. Injury Reports and paperwork will be completed as soon as possible after the emergent event.
3 Updated August 2022
6. Once EMS has arrived on the scene, assist the Head Athletic Trainer with providing pertinent information: Mechanism of Injury Vital Signs Treatment Rendered Medical History/Insurance Assist with Emergency Care as needed
● If a parent is not available to accompany the student-athlete to the hospital, a member of the athletic administration will accompany the student-athlete.
Specific Emergency Procedures
Waterford HS Emergency Action Plan
Waterford HS Emergency Action Plan Venue Directions as labeled on the Map: Waterford High School 1) 20 Rope Ferry Road, Waterford, CT, 06385 2) Miner Lane, Waterford, CT, 06385 3) Alumni Turf Field 4) Field House Lobby Entrance 5) Pool/Back of Field House Entrance 6) Center Field Baseball (Alumni Field)/Lancer Softball field Emergency Entrance 7) Tennis Courts 8) Veteran’s Field- Boston Post Road Entrance 9) Veteran’s Field- Board of Education Parking Lot 4 Updated August 2022
Waterford HS Emergency Action Plan Directions to Waterford High School:
From 95 North Take Exit 75 (Rte1) and follow straight into Waterford until you get to Rte 156 where you take a right and the High School is the first left.
5 Updated August
Address of Off-Campus Locations:
From 395 South Take Exit 77 (Waterford). At the end of the ramp take a left onto Rte. 85 and proceed to Cross Road where you take a right. Follow Cross Road until you take a left onto Boston Post Road (Rte 1). Follow that past the Waterford Post Office on your right until you come to the junction of Rte 156 where you take a right and Waterford High School is the first left.
4) Cross Country Harkness Park (One entrance) 275 Great Neck Road, Waterford, CT, 06385 Follow the above directions to the High School. Proceed past the school and take a left at Great Neck Road. Follow the directions to Harkness from there. 2022
2) Lisa Dedrick Field- Dayton Road (JV Softball)
45 Dayton Road, Waterford, CT, 06385 Take a right out of the school and take a left onto Clark Lane. At the end of Clark Lane, take a right and go past New London High School until you come to a light and take a left onto Jefferson Avenue. Go past the cemeteries at the light take a left on to the hartford turnpike. At the 4th light take a right across from the Crystal mall,at the stop sign go left and then take your first right. The field is on your left.
From 95 South Cross the Gold Star Bridge and take the Crystal Mall exit. Go past Crystal Mall to Cross Road and take a left onto Cross Road. Follow above instructions.
3) Great Neck Country Club (Golf) 28 Lamphere Road, Waterford, CT, 06385
Follow the above directions to the High School. Proceed past the school and take a left at Great Neck Road. Take a Right onto Lamphere Road. Take a left into the Great Neck Country Club.
1) Leary Penelope Lane (Freshmen & JV Baseball) 739 Vauxhall Street Extension, Waterford, CT, 06385 Take a right out of the school and take a left onto Clark Lane. At the end of Clark Lane, take a right and go past New London High School until you come to a light and take a left onto Jefferson Avenue. Go past the cemeteries and across Broad Street past Illiano's and take a right. Go down to Vauxhall Street Ext and take a left onto that street and follow for about 2 miles until you see Leary Field on the right.
-When there is a predicted heat advisory placed by the national weather service the Heat Illness Prevention Protocol will be followed by all WHS Athletic Staff.
- A Wet Bulb Globe Temperature (WBGT) reading will be taken for on-site activities to determine the restrictions that all WHS Athletic Staff must obey.
5. NO athlete is to return to play without being cleared by their doctor and the ATC. Statement/Policy:
3. Notify the athlete’s parent/guardian immediately
4. Notify the ATC/AD about the incident and fill out an Accident Report documenting the injury
● Coaches should be aware and have a list of all athletes who have a history of cardiac conditions.
● Conditions involving the cardiopulmonary system should be referred to a Medical Doctor immediately In the event of a Cardiac Emergency: Treatment of emergency cardiopulmonary conditions should be handled within the guidelines set by the American Red Cross, American Heart Association or other organization with approved CPR/AED/First Aide Guidelines.
Heat Advisory/Prevention of Heat Illness Policy:
-The following chart, from the National Athletic Trainer’s Position Statement, will be used once the on-site WBGT is determined: 6 Updated August 2022
Injury Action Plan for dealing with Cardiac Emergency:
Concussion
1) Any Waterford High School athlete who is suspected of sustaining a concussion MUST be held out of all activity until evaluated by a Licensed Healthcare Professional (Either an Athletic Trainer, a Physician, a Physician’s Assistant, or APRN- Advanced Practice Registered Nurse who is trained in the evaluation and management of Concussions.)
2. If condition is acute: 1. Activate EMS 2. Treat following your level of training under the standards for CPR and AED guidelines
Waterford HS Emergency Action Plan
2) All athletes at Waterford High School must obtain Medical Clearance via completion of the Return to Play protocol.
Substitute House Bill No. 7171, Public Act No. 17-195 AN ACT CONCERNING ATHLETIC TRAINERS
Waterford HS Emergency Action Plan https://natajournals.org/doi/pdf/10.4085/1062-6050-50.9.07 Injury Action Plan for Dealing with Cold Related Illness: ● In extreme temperatures and conditions all attempts should be made to practice in safe conditions. ● Signs and symptoms of hypothermia include: ○ Shivering ○ Pale or blue skin tone ○ Slurred speech ○ Confusion ○ Slow, shallow breaths ○ Weak pulse ○ Clumsiness or lack of concentration ○ Loss of consciousness Protocol 1. Activate EMS 2. Remove from cold conditions to warmer environment. 3. Begin re-warming as soon as possible. 4. Notify the athlete’s parents of the incident. 5. Notify the ATC about the incident and fill out an Accident Report documenting the injury. This will have to be given to the Athletic Office or Nurses the next day. 6. NO athlete is to return to play without being cleared by their doctor and then the ATC.7 Updated August 2022
1. If UNCONSCIOUS:
Injury Action Plan for Dealing with Spinal Cord Injury:
● Check for head injury ● Activate EMS if injury is suspected.
Injury Action Plan for Dealing with Concussions
● Activate EMS. ● If a helmet sport, remove facemask only. (If appropriate and safe to do so) ● Perform rescue breathing or CPR if indicated.
CONCUSSION MANAGEMENT AND RETURN TO PLAY REQUIREMENTS
● If a helmet sport, remove facemask only. (If appropriate and safe to do so)
2. If CONSCIOUS: ● Immobilize head and spine
● Assume cervical spine injury and immobilize head and spine
4. NO athlete is to return to play without being cleared by their doctor (if emergency care required) and the ATC.
● Set up AED if needed or possible
1. Determine level of consciousness
“WHEN IN DOUBT – SIT IT OUT”
2. Notify the athlete’s parent/guardian immediately.
3. Notify the ATC/AD about the incident and fill out an Accident Report documenting the injury.
8 Updated August 2022
In the event of a Cervical Spine or Suspected Spinal Cord Injury:
*Public Act No. 10 62 requires that a coach MUST immediately remove a student athlete from participating in any intramural or interscholastic athletic activity who (A) is observed to exhibit signs, symptoms or behaviors consistent with a concussion following a suspected blow to the head or body, or (B) is diagnosed with a concussion, regardless of when such concussion or head injury may have occurred.
Waterford HS Emergency Action Plan
4. Notify the athlete’s parents/guardians of the possible concussion within 24 hours of the incident. Advise the athlete/parents to follow up with the athletic trainer the following day and to seek emergency medical attention should their condition worsen. 5 Notify the ATC about the injury and fill out an Accident Report documenting the injury
Signs and Symptoms of Acute Flare-Ups: ● Wheezing or spastic coughing ● Complaints of chest tightness or discomfort ● Rapid heart rate ● Rapid/shallow breathing 9 Updated August 2022
6 NO athlete is to return to play without being cleared by their doctor and then the ATC. A specific return to play protocol is required prior to return to unrestricted play.
Injury Action Plan for Dealing with Asthma
1 Immediately remove the athlete from play and seek evaluation from the covering Certified Athletic Trainer (ATC)
2 If there is NO ATC present, observe the athlete for signs and symptoms of a concussion: Signs Observed by Coach Symptoms reported by athlete ● Player appears dazed and sometimes with vacant stare ● General confusion ● Athlete forgets plays ● Player seems disoriented ● Player seems overly emotional (laughing, crying) ● Player demonstrates balance issues and difficulty standing or walking ● Loss of Consciousness CALL 911 ● Changes in normal behavior/personality ● Repetitive speech or delayed speech ● Vomiting by athlete ● Headache ● Nausea ● Balance Problems or dizziness ● Double/blurred vision ● Sensitivity to light/noise ● Feeling very fatigued ● Feeling “foggy” ● Concentration/memory problems ● Irritability ● Sadness ● Feeling more emotional
3. If any of the signs/symptoms listed above are reported/observed, the athlete is not to return to play. If unsure, keep athlete out until he/she is evaluated by a medical professional. If an athlete loses consciousness…call 911 immediately!
If you suspect that a player has a concussion…
*(based on the National Federation of High School Associations’ Sports Medicine Handbook, Third Edition)
● Coaches should be aware and have a list of all athletes who have a history of asthma and exercise induced asthma. ● All athletes with asthma who require the use of an inhaler should be instructed to carry their inhaler with them at ALL times.
Waterford HS Emergency Action Plan
● Blue lips/fingernails: if SEVERE
● Tripod positioning (leaning over with hands on knees)
9. NO athlete is to return to play without being cleared by their doctor (if emergency care required) and then the ATC.
In the event of an Acute Flare-up:
a Instruct athlete to breathe in through the nose for a count of 2 b Instruct athlete to then breathe out slowly through the mouth for a count of 4 concentrating on using the abdominal muscles to contract while exhaling 6
Emergency Care is required if the following signs occur: a Athlete has increased breathing difficulty (hunched over, gasping for air, cessation of breathing) b. Lips or fingernails turn blue or gray
7. Notify the athlete’s parents should the athlete’s condition not improve with inhaler administration or emergency care is needed. Encourage the athlete to follow up with the athletic trainer upon return to school following the incident.
Proper Use of an Inhaler: a Remove cap and hold inhaler upright b. Shake the inhaler c Instruct athlete to tilt head back slightly and exhale through the mouth d Instruct athlete to put mouth around the opening of the inhaler insuring a seal e. Instruct the athlete to push down once on the inhaler while inhaling deeply f. Instruct athlete to hold breath for about 10 seconds to get the medication down into the lungs g. Dosage may be repeated only as directed by the athlete’s physician
2. Keep the athlete calm and instruct to take deep breaths.
Injury Action Plan for Dealing with Heat Illness
● In extreme temperatures and conditions all attempts should be made to practice at cooler times of the day. 10 Updated August 2022
8. Notify the ATC about the incident and fill out an Accident Report documenting the injury.
Waterford HS Emergency Action Plan
3. Obtain the athlete’s inhaler medication and give to athlete to self administer. DO NOT HAVE ATHLETE USE ANOTHER ATHLETE’S INHALER. If the athlete does not have an inhaler with them then go to step 5.
● Prevention of heat illness begins with aerobic conditioning, which provides partial acclimatization to the heat Student athletes should be exposed to hot and/or humid environment conditions gradually over a week to achieve acclimatization
1. Immediately remove athlete from play and place athlete in seated position, leaning forward slightly.
*(based on the National Federation of High School Associations’ Sports Medicine Handbook, Third Edition)
5 Encourage the athlete to breathe “in through the nose, out through the mouth”
4 Only help the athlete should he/she have difficulty with self administration
Injury Action Plan for Dealing with Anaphylactic Shock
● Coaches should be aware and have a list of all athletes who have a history of allergies which require the use of an EPI PEN. All athletes with a severe allergy who require the use of an EPI PEN should be instructed to carry their EPI PEN with them at ALL times. and Symptoms of Anaphylactic Shock: Skin reactions including hives and itching, flushed or pale skin (almost always present with anaphylaxis) Constriction of the airways and a swollen tongue or throat, which can cause wheezing and trouble breathing weak and rapid pulse August 2022
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Signs
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Waterford HS Emergency Action Plan ● Hydration should be maintained during training with multiple breaks an hour placed into the schedule. Signs and Symptoms of Heat Illness: Heat Exhaustion o Profound weakness o Exhaustion o Dizziness/fainting o Muscle cramping ● Treatment o Rest in cool, shaded environment o Fluids o Student athletes should not be allowed to practice or compete for the remainder of that day Heatstroke o Very high body temperature, rectal temperature of ≥104° F o Hot, dry skin, which indicates failure of the body to cool itself. o Possible seizure or coma ● Treatment o Call 911 Follow Emergency Action Plan for specific location o Immediate cooling of body by removal of excess clothing o Immersion in cold water (WHS cold water immersion tub is located outside under overhang between turf and tennis courts) o Wetting the body and fanning vigorously o Cool before transporting Protocol 1. Notify the athlete’s parents of the incident. 2. Notify the ATC about the incident and fill out an Accident Report documenting the injury. 3. NO athlete is to return to play without being cleared by ATC or Physician if necessary.
4 Notify the athlete’s parents of the incident Follow the Emergency Action Plan specific to the activity location Notify the ATC about the incident and fill out an Accident Report documenting the injury
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If you suspect an athlete is going into anaphylactic shock
1. Obtain athlete’s prescribed EPI PEN and give to athlete for self administration. DO NOT ADMINISTER EPI-PEN FOR THE ATHLETE. Notify the covering ATC of athlete’s status Call 911 Inform the dispatcher that you have an athlete going into anaphylactic shock
-Who decides to and Activity? of Athletic & Directors and/or coaches must participants of the plan prior to the event.*
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Coaches *On-Site
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Lightning Protocol: Close monitoring of lightning safety will be done prior to all outdoor events by WHS Athletic Staff. WHS Athletic Staff will follow the recommendations set by the National Athletic Trainers’ Association Position Statement on Lightning Safety for Athletics and Recreation.
2.
Suspend
Chain
Command: 1. Certified
inform
WHS will promote lightning-safe slogans within the Athletic Department such as “NO Place Outside is Safe When Thunderstorms Are in the Area”, “When Thunder Roars, Go Indoors!”, and “Half an Hour Since Thunder Roars, Now It’s Safe to Go Outdoors!”. These slogans are supported by the National Weather Service.
Waterford HS Emergency Action Plan ● Nausea, vomiting or diarrhea ● Dizziness or fainting *(taken from “Anaphylaxis” from www.mayoclinic.com)
NO athlete is to return to play without being cleared by their doctor and then the ATC
IT IS THE COACHES RESPONSIBILITY TO BE AWARE OF POTENTIAL STORMS 12 Updated August 2022
Trainer 2. On-Site Director/Athletic Director 3.Officials
Resume Athletic
When is activity Suspended or Resumed?
Large Bodies of Water
-If there is a lightning delay during a game, all participants must seek shelter inside of a school building OR inside of the bus they were transported on. Whichever is closer -Nonmetal Shelters -Storage Sheds -R-Dug-Tentsoutsefreshment Stands -Scr-Gazeboseened Porches -Press -T-OpenBoxesGaragesallObjectsAre Lightning Targets
-“Fully enclosed metal vehicles such as school buses, cars, and vans are also safe locations for evacuation.” -If there is a lightning delay at Waterford High School, all practices must seek shelter inside of the school building.
Waterford HS Emergency Action Plan
-“Substantial, fully enclosed buildings with wiring and plumbing, such as a school, field house, library, home, or similar habitable (eg, where people live and work) building”
-Postpone or suspend activities if a thunderstorm appears imminent before or during activity. Watch the skies for locally developing or approaching storms that have not yet produced
-What are safe or unsafe locations? Safe Locations Unsafe Locations
must be completely within an identified safe location when thunderstorms are already producing lightning and approaching the immediate location and when the distance between the edge of the lightning storm and the location of the outdoor activity reaches 5 nautical miles (nmi; roughly 6 statute miles or 9.26 km)
-Alllightning.individuals
When athletic trainer is on-site, the National Weather Service & Lightning Bug Live will help make suspension and resumption decisions.
13 Updated August 2022
-Allowing time for individuals to evacuate the premises, leave outdoor facilities, and be completely within the designated safe location(s) must be taken into consideration in the lightning-safety plan.
EAP Annual Review & Rehearsal: This EAP must be reviewed by the Waterford High School Athletic Department, and the director of Physical Therapy and Sports Medicine Center’s New London office ANNUALLY. (sign-off is completed digitally)
All individuals have the right to vacate an outdoor site or unsafe area, without fear of repercussion or penalty, in order to seek a lightning-safe location if they feel in danger.
-Activities should be suspended until 30 minutes after the last strike of lightning is seen (or at least 5 nmi away) and after the last sound of thunder is heard. This 30-minute clock restarts for each lightning flash within 5 nmi and each time thunder is heard. Consideration must be given to patrons leaving safe locations and returning to the venue.
Name Position Signature Date All annual changes in the Emergency Action Plan must be noted in a separate document. ADDENDUM TO WATERFORD HIGH SCHOOL EMERGENCY ACTION PLAN DATED AUGUST 2021 UPDATED AUGUST 2022 Injury Action Plan for Dealing with Cold Related Issues: Added to page 7 Injury Action Plan for Dealing with Spinal Cord Injury: Added to page 8 14 Updated August 2022
http://lightningsafety.com/nlsi_pls/NATA_2013.pdf