Updated: 7/01/15

EPSD SPORTS MEDICINE

EMERGENCY ACTION PLAN

The following Sports Medicine Emergency Action Planhas been carefully designed as a guide for use in athletic emergencies. Although intended for all school district facilities, it is recognized that site location and Athletic Trainer coverage, may create situations where it cannot be followed as suggested.

MEDICAL STAFF AVAILABILITY

To ensure appropriate coverage of 58 Interscholastic Athletic Teams, TheEast Penn School District (EPSD) Sports Medicine Department has designed coverage system based on cell phone communication.

EMERGENCY COMMUNICATION
A certified Athletic Trainer (ATC) will be available during all practices and/or competitions.
Each staff Athletic Trainer has an assigned cell phone number:

Angela Formaz (484) 239-3467

Elizabeth Del Re (484) 788-1567

Edward Zellner (484) 239-0175

NOTE: The cell phone system is an EMERGENCY/SPORTS MEDICINE
COMMUNICATION SYSTEM. Cell phones are operational 24/7 for athletic department
needs. It is not to be used for general questions/conversations unless special
arrangements have been made with the Athletic Office.

These numbers should also be saved in each coach’s cell phone memory.

This system will prove itself invaluable. It will enable EPSD Sports Medicine to
provide efficient, timely management for injuries and emergencies. However,
it is up to the coach to use the system correctly and wisely in order to continue
the system’s effectiveness.

This system will be in effect on the first day of fall pre-season and will beutilized

throughout the entire academic year.

To better understand which Athletic Trainer is covering your practices and at what times services are available; please refer to the handout regarding the pre-season schedule given at the first staff meeting of the year.

In the event cell phones are unable to function the following venues have a land line telephone:

EHS Athletic Training Room

Eyer Middle School (Main Office)
Emmaus Public Library

Lower Macungie Middle School (Main Office)
Macungie Elementary School (Main Office)

Patriots Park (Press Box and Refreshment Stand)

Shoemaker Elementary School (Main Office)

Prior to each sport season Emergency Cards will be distributed to each member of
the athletic department for reference.

Appendix A Desk Copy

Emergency Contact Numbers

Administration / Office / Cell
Dennis Ramella / 21631 / 484-239-0165
Shaun Murray / 21633 / 484-614-3759
Sports Medicine Staff
Angela Formaz / 484-239-3467
Elizabeth Del Re / 610-965-1670 x21142 / 484-788-1567
Edward Zellner / 610-965-1670 x21142 / 484-239-0175
Head Custodians
EHS – Dan Marstellar / 484-239-2010
Eyer – Randy Steigerwalt / 610-633-7132
LMMS – Joe Terfinko / 610-496-4846

Pocket/Wallet Card

Emergency Contact Numbers

Administration / Office / Cell / Home
Dennis Ramella / 610-965-1671 x 21613 / 484-239-0165 / 610-791-5420
Shaun Murray / 610-965-1670 x 21633 / 484-614-3759 / 610-597-8054
Sports Medicine Staff
Angela Formaz / 484-239-3467
Elizabeth Del Re / 610-965-1670 x21142 / 484-357-9464
Edward Zellner / 610-965-1670 x21142 / 484-239-0175
Facilities Staff
Mark Warden / 610-633-7154
Joe Siekonic / 610-633-7144
Shorty Kemp / 610-633-7139
Mike Eisentraut / 484-239-8960
Building Supervisors
EHS – Dan Marstellar / 484-239-2010
Eyer – Randy Steigerwalt / 610-633-7132
LMMS – Joe Terfinko / 610-496-4846

IN-SEASON
The EPSD Athletic Trainers are on site during the academic year, Monday through Friday, starting at 2:00pm at the high school and 2:30pm at LMMS. Our athletic trainers are usually available to each individual training/practice site until the completion of the final practice/competition of the day. EPSD Sports Medicine has arranged for a team physician and ambulance to be on site at all home football games and on-call for all other interscholastic contests.

This system will be in effect on the first day of fall pre-season and will be utilized throughout the entire academic year.

Following the conclusion of daily events, the Athletic Trainers’ cell phones may be turned off. If you need to contact them please leave a voice mail and they will return your call at their earliest convenience. If you are involved in an emergency, call 9-1-1 to have the student transported to the ER.

Please refer tofurther information.

EMERGENCY HEALTH INFORMATION
All insurance information is kept in the Athletic Office with a copy given to each Athletic Trainer and respective coach. Information is carried on ALL road trips by the coaching staff and/or athletic trainer. Please remember that this information is to be safeguarded at all times and is covered under Laws of FERPA and in some instances HIPPA.

EMERGENCY PROTOCOLS
In the case of an EMERGENCY (Head, neck/spine, dislocation, or fracture):

  1. Remain calm.
  2. DO NOT move the injured person.
  3. Call one of the athletic trainers.
  4. If an Athletic Trainer is not available, call 9-1-1 and give the dispatcher your name, location and specific directions to site (address), phone number of caller, exact nature of the injury, condition of athlete, and care being provided
  5. Stay on the line until you are sure the dispatcher has summoned an ambulance for you.
  6. Follow the dispatcher’s directions exactly as stated.
  7. Notify the athletic administrator.
  8. Take personal notes afterwards.

STEPS FOR EMERGENCY SITUATIONS WHEN YOU NEED TO CALL EMS
(VENUE SPECIFIC)

1.Call 911 or other emergency number consistent with organizational policies.

2.Instruct emergency medical services (EMS) to

  1. report to (name of venue)
  2. meet (name of person meeting EMS)
  3. at (area to meet person and specific directions: see venue sites below)
  4. reason (we have an injured student-athlete in need of emergency medical treatment)

3.Provide all necessary information to EMS personnel:

  1. Name, address, telephone number of caller
  2. Number of victims
  3. Condition of victims
  4. First-aid treatment initiated
  5. Specific directions as needed to locate scene
  6. Other information as requested by dispatcher

EPSD SPORTS MEDICINE

EMERGENCY ACTION PLAN

NAME OF FACILITY:______ADDRESS: Reverse side

EMERGENCY NAME CELLPHONE #
PERSONNEL:

Certified Athletic Trainer ______

Director of Athletics ______
Site Manager ______

PIAA Contest Manager ______

PIAA Tournament Director ______

Police ______610-965-0710 (Mon – Fri)______610-967-3113 (Sat)__

Lehigh Valley Hospital ______Emergency Room______610-402-2001______

Ambulance ______610-967-5615 (Emmaus)______610-966-2601 (Macungie)

ROLE OF FIRST RESPONDERS:
1. Provide immediate medical care of the injured or ill student-athlete
2. Activate emergency medical services (EMS)
a. Call Athletic Trainer ((provide name, address, telephone number, number of individuals injured,
condition of injured, first aid treatment, specific directions, and other information request
b. If ATC cannot be reach, call 911 (provide name, address, telephone number, number of individuals
injured, condition of injured, first aid treatment, specific directions, and other information
requested).
3. Designate person(s) to meet EMS and direct to scene (if not on site) and
a. open appropriate gates/doors (if needed)
b. “Flag Down” EMS
c. control area: limit scene to first responders and move bystanders away from area
d. retrieve medical equipment as directed by doctor, athletic trainer, or EMT
4. If needed, accompany individual to emergency room
5. Activate phone chain/contact parents

ADDRESSES

Church Lane Church Lane (behind Trexlertown Giant)Macungie Pa 18062
Emmaus Community ParkShimersville Road at end of 14th Street Emmaus Pa 18049
EHS 500 Macungie Avenue Emmaus Pa 18049
Eyer MS 5616 Buckeye Rd. Macungie Pa 18062
Kiwanis Field Ridge Street (behind Emmaus Public Library) Emmaus Pa 18049
LMMS 6299 Lower Macungie Rd Macungie Pa 18062
Patriots ParkSt. John St (off S. 10th St)Allentown Pa 18103
Williams Street Field Ridge Street (behind Emmaus Public Library Emmaus Pa 18049

IMMEDIATE FIRST AID(Head, neck/spine, dislocation, or fracture):

1. Remain calm. Access the situation.
2. DO NOT move the injured person.
3. Instruct players and others to leave the injured student alone.
3. Call one of the athletic trainers.
4. If an Athletic Trainer is not available, call 9-1-1 and give the dispatcher name of caller,
phone number, location and directions to site, exact nature or injury.
5. Stay on the line until the dispatcher has summoned an ambulance.
6. Follow the dispatcher’s directions exactly as stated.
7. Notify an Athletic Administrator.
8. Take personal notes afterwards.

LOCATION OF AED’s in Athletics Facilities/Venues
1. EPSD Sports Medicine: athletic trainers have individual floating units
2. EHS Sports Lobby: on pillar next to the Field Hockey Trophy Case
3. EPSD Stadium/Memorial Field: inside field house athletic room
on the right side of the entrance door.
4. Eyer Middle School: next to the boys’ bathroom in Gym Lobby
5. Lower Macungie Middle School: in the Auditorium/Gymnasium Lobby,
on wall opposite the entrance to the right of the Bee Hive/Cafeteria.

Updated 07/01/15

VENUE DIRECTIONS

Auxiliary Gym: Meet at EmmausHigh School door number 23, 25, or 26 (based on location of athlete). Turn into the Pine Street Parking Lot and drive to towards the farthest building. If using Cedar Crest Blvd, the parking lot on the right. If using Macungie Ave, the parking lot is on the left.

Church Lane Junior Varsity Field: Meet in parking lot located off Heather Road which is accessed off of Spring Creek Road.

Church Lane Varsity Field: Meet in parking lot located on Church Lane which is off Lower Macungie Dr.

CommunityPark: Entrance is locatedat the end of 14th street, off Shimerville Road. Meet in back parking lot.

EPSD Stadium: Based on location of athlete

1. If athlete is close to the field house, meet in the small access area off of
Pine Street. If usingCedar Crest Blvd, make the first right into access
area by the double gate. If using Macungie Ave, go past the Pine Street

Parking Lot and turn left into the access area by the double gate.

2. If athlete is close to the MaintenanceBuilding – enter the Maintenance

Parking Lot on North Street, go the right and enter at the double-

gate. If using Cedar Crest Blvd,turn left at the stop light and make the

first left into the lot. If using Macungie Ave, go past the tennis courts
and softball fieldand make a right into Maintenance Lot.

Eyer Middle School Gymnasium and Practice Fields: Meet in the main parking lot next to the main entrance.

Freshman Football Practice Field: Meet in Pine Street Parking Lot. If using Cedar Crest Blvd, the parking lot is on the right. If using Macungie Ave, the parking lot is on the left.

High School Softball Field: Meet in North Street Parking Lot next to EPSD Stadium. If coming from Cedar Crest Blvd, the parking lot is on your left. If using North Street, the parking lot is on your right.

Kiwanis Softball Field: Meet at gravel lot on Ridge Street, across from the library, by batting cage.

LowerMacungieMiddle School Gymnasium and Practice Fields: Meet in the main parking lot next to the school entrance. There will be a stop light at the school entrance off Lower Macungie Avenue.

Memorial Field: Meet in the Pine Street Parking Lot. If using Cedar Crest Blvd, the parking lot is on the right. If using Macungie Ave, the parking lot is on the left.

PatriotsPark: Meet at the St. John Street Parking Lot, located off S. Tenth Street in Allentown.

Pool (Lower Deck): Meet at EmmausHigh School door number 21 or 23 (based on location of athlete). Turn into the Pine Street Parking Lot and drive to towards the farthest building. If using Cedar Crest Blvd, the parking lot on the right. If using Macungie Ave, the parking lot is on the left.

Pool (Upper Deck): : Meet in Sports Center Circle, Door 17. Enter the North Street Parking Lot (next to the tennis courts) and drive back towards the school. If coming from Cedar Crest Blvd, the parking lot is on your left. If using North Street, the parking lot is on your right.

SportsCenter: Meet in Sports Center Circle, Door 17. Enter the North Street Parking Lot (next to the tennis courts) and drive back towards the school. .If coming from Cedar Crest Blvd, the parking lot is on your left. If using North Street, the parking lot is on your right.

Tennis Courts: Meet in North Street Parking Lot. If coming from Cedar Crest Blvd, the parking lot is on your left. If using North Street, the parking lot is on your right.

Varsity/JV Football Practice Field: Based on location of athlete-

  1. Meet in the Pine Street Parking Lot. If using Cedar Crest Blvd, the

parking lot is on the right. If using Macungie Ave, the parking lot is on

the left.

2. Meeting in North Street Parking Lot. When using Cedar Crest Blvd, the lot is
on the left. When using Macungie Ave, the lot is on the right

Williams Street Softball Field: Meet at entrance of parking lot on Williams St.

EMERGENCY EQUIPMENT

LIFE SUSTAINING MECHANISMS:
CPR Certification, Auto External Defibrillator (AED) and Oxygen Tank
All athletic trainers are certified in CPR/AED. EPSD Sports Medicine has 7 AED’s available for use. Each Athletic Trainer carries a portable unit at all times, one (1) unit is located in high school sports lobby, another in the EPSD Stadium Field House, one (1) in the Eyer Gym Lobby and one (1) in the LMMS Auditorium/Gym Lobby. It should be noted that oxygen tanks are located in the AED boxes as well.

Specific Location of AED’s in Athletics Facilities/Venues
1. EPSD Sports Medicine: Athletic Trainers have individual floating units.
2. EHS Sports Lobby: on pillar next to the Field Hockey Trophy Case.
3. EPSD Stadium/Memorial Field: inside field house athletic room
on the right side of the entrance door.
4. Eyer Middle School: next to the boys’ bathroom in Gym Lobby.
5. LowerMacungieMiddle School: in the Auditorium/Gymnasium Lobby,
on wall opposite the entrance to the right of the Bee Hive/Cafeteria.

ATHLETIC TRAINING ROOMS
1. Vacuum Splints (Leg, Arm, Pump)
2. Cervical Collars (Universal)
3. Knee Immobilizer
4. Crutches
5. Spine Board
6. AED

FIRST AID KIT (GIVEN TO EACH TEAM)

  1. Band-Aids (Strip, Knuckle, 4-Wing)
  2. Gauze (Sterile, Non-Sterile)
  3. Non-Sterile Gloves
  4. Red Biohazard Bag
  5. Steri-strips

All Emergency Equipment is available in the Athletic Training Rooms and/or accessible from the Athletic Trainers

EMERGENCY CARE FACILITIES

LehighValleyHospital / Cedar Crest & I-78 / 610-402-2001

St. Luke’s Hospital / 2200 Hamilton Street
Allentown, PA18104 / 610-782-0865

LehighValleyHospital – Muhlenberg / Route 22 &
Schoenersville Rd. / 484-884-2201

Sacred HeartHospital / 421 Chew Street
Allentown, PA18102 / 610-776-4500

  • TRANSPORTATION

Should an injury requiring emergency transportation be sustained during an event, priority will be given to ensure the appropriate medical staff remains on-site. An identified person (coach, administrator, or parent) will accompany injured student-athlete to the emergency facility. If an “identified person” is not available, an Athletic Trainer will accompany the injured person.

Cetronia Ambulance Corp(610) 398-0239
Emmaus, Borough of(610) 967-5615
Macungie Ambulance Corp(610) 966-2601

  • NON-STUDENT-ATHLETIC MEDICAL CARE

Should a medical condition requiring emergency transportation occur to someone other than a student-athlete during an event, notification to appropriate event management and/or medical personnel is critical. The decision making process will take place as a joint effort between the Event Management Staff and Sports Medicine (when possible).

TYPES OF EMERGENCIES

MINOR:
Defined as ankle sprain, muscle strain, etc.
1. Ice the injured area at 20 minute intervals every hr for first 24 hrs.
2. Keep the injured part elevated (when possible).
3. DO NOT HEAT THE AREA!!!
4. Call one of the Athletic Trainers.
5. Ice the affected area (20 minute interval every hour for the first 24 hrs.

SERIOUS:
Defined as knee ligament, severe ankle sprain, etc.
1. Remain calm.
2. Ice the injured area: 20 minute intervals every hr for the first 24 hrs.
3. Call one of the athletic trainers.

CATASTROPHIC INCIDENT GUIDELINES:
The East Penn School District Athletic Department Catastrophic Incident Guidelines will be activated when the following incidents occur:

1. Sudden Death of a Student-Athlete, Coach or Athletic Staff Member
a. Death during competition, practice, or conditioning.
b. Death during travel (team or personal).
c.Non-athletic accidents (e.g. falls at home).
d.Unknown medical anomalies (e.g. heart attack, stroke, illness).
e. Victim of a crime (e.g. homicide).
f. Suicide.

2. Disability/ Life Altering Injuries
a. During EPSD Athletics participation and/ or travel, or non-athletic
activities.
b. Spinal Cord Injury resulting in partial or complete paralysis.
c. Loss of Paired Organ.
d. Severe Head Injury.
e. Injuries resulting in severely diminished mental capacityor other
neurological injury that results in inability to performdaily functions
(e.g. coma, post concussionsyndrome).
f. Diminished/or loss of speech, hearing, sight.
g. Loss of one extremity.
h. Loss of both extremities.

SUDDEN CARDIAC ARREST

DEFINITION/BACKGROUND INFORMATION:
Sudden Cardiac Arrest (SCA) is the leading cause of death in exercising young athletes and is defined as “sudden and unexpected loss of heart function”. The heart stops beating, the student-athlete stops breathing and collapses. The student-athlete may lie motionless or be convulsing. The underlying cause of SCA is usually a structural cardiac abnormality such as hypertrophic cardiomyopathy, “Marfan’s Syndrome” or coronary artery anomalies. “Commatio Cordis” is also a cause of SCA.

PREVENTION:
SCA prevention can be very difficult due to the fact that most student-athletes do not exhibit signs or symptoms until SCA suddenly occurs. The pre-participation examination can be helpful because it includes the completion of a standardized history form and attention to episodes of exertional syncope or presyncope, chest pains, a personal or family history of sudden cardiac arrest or a family history of sudden death, and exercise intolerance. Further research is needed to understand whether additional tests such as electrocardiograms and echocardiograms can be performed with acceptable cost-effectiveness and an acceptable false-positive rate.

RECOGNITION
Although SCA happens unexpectedly, some student-athletes may have
some of the following signs and symptoms:

  • dizziness, fainting (syncope)
  • unexplained shortness of breath, chest pains
  • racing or fluttering heartbeat (palpitations), unexplained seizures
  • fatigue (extreme tiredness)

Sudden Cardiac Arrest (SCA) should be suspected in any athlete who has
collapsed and is unresponsive. The student-athlete’s airway, breathing, and
circulation must be assessed immediately and heart rhythm must be
assessed using an Automatic External Defibrillator (AED). All EPSD Athletic
Trainers have portable AED units with them at all indoor/outdoor
practices/games. In addition, AED units are strategically placed inside
school district buildings (see p. 14)