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Coppin State University Department of Sports Medicine

Emergency Action Plan

2014-2015

Purpose of the Emergency Action Plan (EAP)

Athletic injuries are inherent in sports. They can occur at any time and during any activity. Athletic emergencies are rare occurrences, but when they do occur, advance preparation and communication among all members of the emergency team are vital to ensure a safe outcome. Proper and expedient action is necessary to provide the best possible care to the student-athletes. The development and implementation of an athletic emergency action plan will ensure that the best possible care is provided. The emergency plan should be implemented immediately when necessary to provide appropriate standards of care to all student-athletes. Proper advance preparation will enable each emergency situation to be managed appropriately. The importance of being properly prepared when athletic emergencies arise is vital. The survival of a student-athlete may depend on the training and preparation of the athletic healthcare providers. Time is a critical factor in emergency situations.

Emergency Personnel

The type and degree of coverage for an athletic event may vary based on factors such as the sport, activity, and location. The first responder to an athletic emergency is usually a member of the Coppin State University Sports Medicine staff. It may be a licensed/certified athletic trainer, graduate assistant athletic trainer, or sports medicine major student. All Coppin State University Sports Medicine personnel receive annual training in CPR, blood borne pathogens, emergency equipment, emergency procedures and transportation of the injured athlete. It is recommended that all Coppin State University Athletic Department personnel receive training in CPR, first aid, and blood borne pathogens. An emergency team is necessary to insure that appropriate care is provided. It can include the Athletic Trainers, Graduate Assistant athletic trainer, athletic training student, emergency medical personnel, and team physicians. It is important to adapt personnel to each sport and situation. The emergency team member with the highest credentials takes the lead role.

Emergency Team Roles

• Immediate care of the athlete • Emergency equipment retrieval • Activation of Emergency Medical System • Direction of EMS to scene • Scene Control

Emergency Communication

Communication is the key to immediate delivery of appropriate healthcare in an athletic emergency situation. The athletic trainers, emergency medical personnel, and team physicians must work together to provide the best possible care to the student-athlete. Communication among all personnel prior to events will help establish roles and improve rapport. If emergency transportation is not available on site of an event, direct communication with the EMS is necessary. Immediate access to the EMS will be available by telephone. All communication equipment will be checked prior to each event to ensure proper working order.

Activation of EMS – Call 911

• Caller name, address, phone number • Number of victims • Condition of victims • Emergency first aid initiated • Specific directions to location • Other information as requested • Contact Campus Police

Emergency Equipment

All emergency equipment will be on site and quickly accessible. All Sports Medicine personnel will be familiar with the operation and function of all equipment. Regular training will be provided to all Sports Medicine personnel. Equipment will be checked on a regular basis and will be in good operating condition. All equipment will be cleaned, maintained, and stored in a controlled and readily available location.

Equipment

• Automated External Defibrillator (AED) • Spine Board • Vacuum Splints • Ice and Wraps • Crutches • Slings • Immobilizers • Blood-Borne Pathogen Kit

Transportation

An ambulance will be on site at high risk events. This will be coordinated by the Sports Medicine Director. If an ambulance is not available at an event, Sports Medicine personnel will have direct access to the EMS by appropriate communication equipment. In an emergency situation, the primary survey will identify the need for emergency intervention and transportation. All unstable student-athletes will be transported by EMS and not inappropriate vehicles. This ensures that the student-athlete receives care by trained personnel with necessary equipment. An athletic trainer will accompany the student-athlete to the emergency room IF there is adequate coverage for all home events. In the event an athletic trainer cannot accompany an athlete, the designated Emergency Transport Personnel*. Care should be taken so that the event will be covered by Sports Medicine personnel. Transportation for stable athletes will be coordinated by the Athletic Trainer. * Emergency Transport Personnel are pre-‐determined by each individual Coaching Staff. These individuals may be Head Coaches, Assistant Coaches, or Sport Supervisors. Non-‐staff and non-‐family members will not be allowed to accompany CSU athletes

Venue Specific Emergency Action Plans

Coppin State University Physical Education Complex- Athletic Training Room, Basketball, Volleyball, Fitness Center

Venue Directions - 2523 Gwynns Falls Parkway • The PEC is located at the corner of Gwynns Falls Parkway and Warwick Ave.

• EMS should be directed to the loading dock on the West side of the building via the

campus entrance off of Gwynns Falls Parkway.

Emergency Personnel

Licensed/Certified Athletic Trainer and Sports Medicine Major Student(s) will be on site for practice and competition.


Telephone line in Sports Medicine Suite

• CSU Sports Medicine Front Desk 410-951-6855 • Daniel Bellamy Cell: 301-908-9094 • Aisha Russell Cell: 410-322-6085 • Campus Police (410)951-3900 • Athletics Director: 410-951-3737

Emergency Equipment

Emergency equipment is available in the Sports Medicine Suite and/or on site.

• AED • Splints • Crutches • Ice/Wraps • Spine Board • Blood-Borne Pathogen Kit

Role of First Responders


Emergency Information

• Caller name, address, phone number • Number of victims • Condition of victims • Emergency first aid initiated • Specific directions to location • Other information as requested

Coppin State University Tennis Center

Venue Directions- Adjacent to H Parking Lot • The Coppin State Tennis Center is located southwest of the Physical Education

Complex.

• EMS should be directed to the campus entrance off of Gwynns Falls Parkway

• Instruct EMS to follow the driveway around the H parking lot to the tennis center on the left.

• EMS should park in the lot directly west of the Talon Center.

Emergency Personnel

Licensed/Certified Athletic Trainer and Sports Medicine Major Student(s) will be available for practice and competition.




Emergency Equipment







Coppin State University Softball Field

Venue Directions- Adjacent to H parking Lot • The Coppin State Softball Field is located southwest of the Physical Education

Complex.

• EMS should be directed to the campus entrance off of Gwynns Falls Parkway

• Instruct to follow the driveway around the H parking lot to the Softball on the left.

• EMS should park along the driveway west of the field.

Emergency Personnel

Licensed/Certified Athletic Trainer and Sports Medicine major Student(s) will be on site for practice and competition.




Emergency Equipment







Joe Cannon Stadium*-Baseball

Venue Directions- 7551 Teague Rd Hanover, MD 21076 • Take I-95 South to exit 43A onto MD 100 East toward Glen Burnie.

• Take exit 10A/MD 713 South onto Arundel Mills Blvd.

• Turn left at 2nd light onto Ridge Rd.

• Take immediate left onto Ridge Chapel Rd.

• Take immediate left onto Teague Rd.

*For games not played at this location a supplemental sheet will be given for emergency management

Emergency Personnel

Licensed/certified athletic trainer and student athletic trainer(s) will be on site for all games. Additional athletic training staff is available in the Sports Medicine Suite.

• CSU Sports Medicine Front Desk 410-951-6855 • Daniel Bellamy Cell: 301-908-9094 • Aisha Russell Cell: 410-322-6085 • Campus Police (410)951-3900 • Athletic Director: 410-951-3737


Athletic Training staff will have a cell phone for emergency purposes and will be in charge of calling 911. If there is no athletic trainer on site, the head coach will assume responsibility of calling 911 and will have a cell phone on site.

Emergency equipment available at the fields for games

• AED • Splints • Crutches • Ice/Wraps • Blood-Borne Pathogens Kit

AED Locations

• The Athletic Training Room • The Fitness center Ground Level Middle Column

Emergency Personnel

Position Name Contact Sports Medicine Director/ Head Athletic Trainer

Daniel Bellamy (C) (301) 908-9094

Asst. Athletic Trainer Aisha Russell (C) (410) 322- 6085 Medical Director Leonie Prao, MD

(O) (410) 554- 6868 (C) (202) 607-8791

Team Physician Andrew Tucker, MD (O) (410) 821-8079 Sports Medicine Fellows

Oladunni Filani, MD Louis Kovacs, MD

Student Intern Graduate Assistant Campus Police/ Public Safety

(P) (410) 951- 3900

Athletics Director Derek Ramsey (O) (410) 0951-3737 Insurance Coordinator Kelly Dando [email protected]

EMERGENCY CONTACT TREE

Coach or First Responder to the Scene

Life Threatening Illness Non-Life Threatening Condition

Call 911

Athletic Trainer Daniel Bellamy (301)908-9094

Assistant Athletic Trainer Aisha Russell (410)322-6085

Campus Police Team Physicians Athletics Director

Examples of Life Threatening – Loss of Consciousness, Unresponsive, Altered Consciousness, Possible Cervical Spine Injury, Excessive Bleeding or Blood Loss, Severe Head Trauma, Complex Fracture

Preferred Local Emergency Rooms

There are 2 hospitals within a 13-15 mile radius that we will utilize primarily. If possible EMS will be directed to Union Memorial Hospital for Emergency Care.

• MedStar Union Memorial Emergency Department 201 East University Parkway, Baltimore, MD 21218 410-554-2626

• Johns Hopkins Emergency Medicine

1800 Orleans St. Baltimore, Maryland 21287 410-955-5000

Cervical Spine Injury Protocol

While Cervical Spine (C-Spine) injuries are more of a rarity in the sports that our student-athletes compete in, they are possible and preparedness is key. In any case where a student-athlete has a suspected injury to the cervical spine, the following procedure will be followed:

• If unconscious, no COACHES, TEAMMATES, PARENTS, or other athletics personnel should be allowed to move said athlete without direct instruction and supervision of the Certified Athletic Trainer, Team Physician, or Emergency Medical Personnel.

• All-athletes with a SUSPECTED C-Spine Injury will be treated as such • A cervical collar will be placed on said athlete upon immediate suspicion of C-spine

injury, barring any prohibitive circumstances or contraindications o Cervical Collars are ONLY to be applied by the Certified Athletic Trainer or

Emergency Medical Personnel. • A Log Roll will be used to further stabilize a patient if and only there are at least 4

trained and willing persons available to perform the maneuver • Emergency Airway or Artificial Airway procedure will only be performed by the Team

Physician or Emergency Medical Personnel

Weather Related Protocols

Heat and Heat-Related Illness Protocol

Prevention of Heat Illness

To identify heat stress conditions, regular measurements of environmental conditions are recommended. Use the ambient temperature and humidity to assess heat stress (see the figure below). Utilize the wet-bulb temperature, dry-bulb temperature and globe temperature to assess the potential impact of humidity, air temperature and solar radiation. A wet-bulb temperature higher than 75 degrees Fahrenheit (24 degrees Celsius) or humidity above 90 percent may represent dangerous conditions, especially if the sun is shining or the student-athletes are not acclimatized. A wet-bulb globe temperature (WBGT) higher than 82 degrees Fahrenheit (28 degrees Celsius) suggests that careful control of all activity be undertaken. The value for caution may need to be adjusted down when wearing protective equipment.

Signs of Heat Illness

HEAT EXHAUSTION= Heavy Sweating; Weakness; Cold, pale, and clammy skin; Fast, weak pulse; Nausea or vomiting; Fainting

HEAT STROKE=High Body Temperature (>103 F); Hot, red, dry or moist skin; Rapid and Strong pulse; Possible unconsciousness

Guidelines for Emergency Care to Heat Illness

1. Remove the athlete from the heat. CALL 911 2. Remove excess clothing 3. Determine severity of the illness 4. Monitor ABC’s

5. Attempt to cool the body 6. Stay with the athlete at all times 7. Contact the nearest certified athletic trainer *Pack the athlete in ice if possible.

The following chart shall be used to identify heat stress conditions and provide guidelines for participation.

High - Only fit and heat-acclimatized athletes can participate safely Moderate - Heat sensitive and not acclimatized athletes may suffer. Low - Little danger of heat stress for acclimatized athletes.

Lightning Procedures

Lightning poses a serious threat to the safety of athletes, coaches, personnel, and spectators during outdoor athletic events. To avoid incident and protect the safety of all participants, the following Guidelines will be adhered to.

1. Coaches, Certified Athletic Trainers, and game management staff should obtain a weather report before practice or competition, and be aware of the potential for dangerous weather conditions. Coaches and athletic trainers on the site during practices should pay close attention to signs of developing thunderstorms in the area, and be aware of thunderstorm “watches” and “warnings” that may have been issued by the National Weather Service.

2. If there is no lightening detecting device available during the event, the athletic trainer should use the “flash to bang method” for evaluating conditions.

3. If there is a lightning strike within eight 8-10 miles of outdoor playing field, the playing field must be cleared immediately.

4. During an event, a public address announcement will be made to inform student-athletes, staff, and spectators that lightening is in the area and that they need to seek a safe shelter by evacuating to an indoor facility or vehicle. Persons should avoid going underneath or near trees, metal fences, gates, light/power poles, water, high ground, or open spaces.

5. Student Athletes and Athletic Personnel will be instructed to seek shelter in the PEC via the East Entrance Double doors or Entrance Closest to the Lot H parking Lot

6. During practice, the Athletic Director, Coaches, and Student Athletes will be informed by the athletic trainer that there is lightening in the area. The student-athletes and personnel will be evacuated to the PEC Arena or Auxiliary Gym for shelter.

7. Return to practice or competition will be granted 30 minutes after the last lightning strike within the 8-10 mile radius of the facility. NO ATHLETICS DEPARTMENT PERSONELL, STUDENT ATHLETES, OR SPECTATORS should be allowed to return to the competition site until an “ALL-CLEAR” signal or announcement is given.

Cold Weather Policy

Cold exposure can be uncomfortable, impair performance and even become life threatening. Conditions created by cold exposure include wind chill, frostbite, frostnip, hypothermia, and chilblain.

Wind chill can make activity comfortable and can impair muscle performance when muscle temperature declines. Frostbite is the freezing of body tissues; usually of the face, ears, fingers, and toes, frostnip is the mildest from of cold injuries to the skin and is a precursor to frostbite. Hypothermia is a decrease in core temperature below 95F; it occurs with rapid cooling, exhaustion, and energy depletion. Females are two times more likely to obtain hypothermia because they lose heat at a greater rate. Chilblain, also known as pernio, is an injury associated to cold, wet conditions. The resulting failure of the temperature-regulating mechanisms constitutes a medical emergency. Prevention of cold stress is a primarily a matter of dressing properly to control the climate next to the skin. Inadequate energy and fluid intake can significantly decrease cold tolerance. to prevent health concerns due to cold temperatures, student-athletes should:

A. Clothing - Dress in layers and try to stay dry. Layers can be added or removed depending on temperature, activity, and wind chill. Because heat loss from the dead and neck may account for as much as 40% of total heat loss, the head and ears should be covered during cold stress. Hand covering should be worn as needed (mittens being warmer than gloves).

B. Energy/hydration - Maintain energy levels via use of meals, energy snacks, carbohydrate/electrolyte sport drinks. Staying hydrated will help with regulating the body’s temperature and prevent frostbite.

C. Fatigue/exhaustion - Fatigue and exhaustion increase the susceptibility to hypothermia. D. Warm-Up - A proper warm-up and staying warm throughout the practice or competition

prevents a drop in muscle or body temperature. Time the warm-up to lead into the competition. After competition, add clothing layers to prevent rapid cooling.

E. Partner Training - Never train alone. An injury or delay in recognizing of early cold exposure could become life-threatening, if it occurs during a cold-weather workout on an isolated trail.

Conditions should be constantly re-‐evaluated for change in risk, including the presence of precipitation.

Temperature (degrees Fahrenheit) Recommendations 30 and below Be aware of the potential for cold injury and notify

appropriate personnel of the potential 20 and below Provide additional protective clothing; cover as

much as exposed skin as practical, provide opportunities and facilities for re-‐warming

10 and below Consider modifying activity to limit exposure or allow more frequent chances to re-‐warm

0 and below Consider terminating or rescheduling activity *Wind Chill of 0 degree or below is strongly recommended activity is terminated or rescheduled

(2013-‐2014 NCAA Sports Medicine Handbook, guideline 2b, Cold Stress and cold exposure) **Should the college be closed due to inclement weather, the Sports Medicine Staff is not required to provide services to practicing/competing teams. A good faith effort will be made to provide necessary services and treatment should conditions permit travel.

Sickle Cell Trait Athletes

While Sickle Cell trait is not a disease, it can pose a serious threat to the health of student-athletes who carry it. Unconditioned athletes, athletes from different climates, and athletes with other pre-existing conditions are especially susceptible to harmful (even fatal) effects of experiencing sickle cell crisis during extreme conditions. In order to protect these athletes and ensure safe participation, the following guidelines will be strictly adhered to:

1. Student Athletes must know and submit documentation on there Sickle Cell Status before participating in athletic PRACTICES, COMPETITIONS, or OTHER TEAM ACTIVITIES. They may acquire that information via the hospital of their birth or take a blood test.

2. Student-Athletes with Sickle Cell Trait will be allowed to participate in intercollegiate athletics.

3. For athletes with sickle cell, the following guidelines will be adhered to: a. Build up slowly in training to allow longer periods of rest and recovery between

repetitions b. Encourage participation in pre-season strength and conditioning programs to

enhance preparedness c. Athletes with sickle cell will be excluded from participation in performance tests

such as mile runs, serial sprints, etc, either completely, or until appropriate time is given for acclimatization and conditioning.

d. Athletes will be allowed to cease activity with the onset of symptoms of muscle cramping, muscle pain, swelling, weakness, inability to catch breath, inappropriate fatigue, abnormal physical distress

e. Athletes who are experiencing acute illness, fever, or feelings of illness will refrain from extreme exercise

4. It is the coaches responsibility to be aware of Athletes with Sickle Cell trait and to cooperate with the Sports Medicine Team to apply safe adaptations to activity

Walk-On Tryouts Protocols

1. Walk-on student-athletes who are invited to short-term scheduled group tryouts must submit a valid physical, documentation of Sickle-Cell Status, and fill-out a medical history questionnaire.

2. The student-athlete must be 18 years of age or older to complete this waiver. Any minor must have this form completed by his/her parent or guardian prior to a scheduled try-out session.

3. Each walk-on candidate must provide adequate proof of insurance coverage.

4. Final approval for the tryout must be obtained from the supervising certified athletic trainer based on the student-athlete’s medical history.

Physicians and Allied Healthcare Professionals

The Department of Sports Medicine at Coppin State recognizes the importance of student athletes having access to physicians and other allied healthcare professionals, in the cases of injury and illness. The objective of this department is to provide comprehensive care for all student athletes under its supervision. The CSU Sports Medicine Staff will arrange appointments with Physicians and Allied Healthcare Professionals. Any unauthorized visits will not be the responsibility of the Sports Medicine Department.

Pre-Participation Screening

An addition to the Sickle Cell Screening, each student-athlete must have participate in a pre-participation physical, a general health screening, and fill out a detailed medical history in order to participate in Coppin State Athletics. Each athlete must also provide proof of insurance coverage. These screenings will be done annually to ensure that all CSU student-athletes are healthy enough to participate in athletic activities safely. All paperwork in the Pre-Participation Physical Examination packet must be filled out and signed appropriately.

Physician Coverage

Physicians will be readily available and accessible for the care and treatment of athletic related injuries and/or illness. In, addition physicians volunteer their time throughout the year to assist in the coverage of Conference/NCAA championship events, and major tournaments. The team physicians for CSU are employees of Medstar Union Memorial Hospital.

Student Health Center

Students are able to receive care from the student health center via there Student Health Insurance Policy*. Athletes with general medical issues and non-athletics related injuries will be referred to and may receive care via this entity. Any discharge orders or paperwork given during the visit should be given to the athletic trainer, and added to the athletes file.

*See Student Health Insurance Section

Student Health Insurance

All registered students taking 12 or more credit hours, including off campus students taking internet and television (TV) course, are automatically enrolled in this Insurance Plan at registration and the cost is included in tuition. All student athletes are covered under this plan and are restricted from waiving coverage*. Under the ACA, all-students must have a policy that

meets the Minimum Essential Standard (MES). Students will have the option of enrolling in a Primary Student Insurance plan (for students w/o insurance) and a Supplemental Health Plan (for students with insurance). Any bills that are accrued based on non-disclosure of this information will be the responsibility of the student. Students also have the option to apply for Dental Coverage as well. Not all Student Health Insurance plans cover injuries caused by participation in Intercollegiate Athletics. For additional information regarding specific coverage details visit www.coppinstudentinsurance.com .

*Student Athletes are restricted from waiving Student Health Insurance under Athletic Department Policy

Athletics Department Secondary Insurance

SOME TYPE OF INDIVIDUAL HEALTH INSURANCE SHOULD COVER ALL COPPIN STATE UNIVERSITY STUDENT-ATHLETES BEFORE PARTICIPATING IN ANY PRACTICE, GAME, AND/OR COMPETITION. The student-athlete’s insurance should cover athletic related injuries and/or illnesses, and shall be considered the PRIMARY insurance coverage for all athletic related injuries. The student-athlete must complete all forms that are in the CSU Sports Medicine Package and supply a photocopy (front & back) of the health insurance card on a yearly basis. Coppin State University Athletic Department utilizes secondary insurance coverage. Any intercollegiate student-athlete who sustains an athletic related injury or illness; their medical bill will be filed to their personal insurance as primary insurance coverage (i.e., school insurance, parent’s private policies). The athletic association will be responsible for those expenses not covered by the primary insurer. In the event of a student-athlete who has no personal insurance or student-athlete primary insurance rejects treatments, the athletic association will serve as the primary insurer. It should be noted that the athletic association can only cover injuries sustained during Coppin State University supervised practices or scheduled activities. Additionally, the secondary insurance will only be filed when the student-athlete comes into the athletic training room, is evaluated by the certified athletic trainer, and is referred to the appropriate physician by the certified athletic trainer. Any other circumstances under which injuries occur are regarded as non-athletic in nature and are not the financial responsibility of Coppin State University Athletics, nor is it legal for the athletic department to assume such responsibility. For additional information regarding the Athletics Department Secondary Insurance, please visit http://www.coppinstatesports.com/ssp/sports-medicine .

Any questions or concerns about the secondary insurance policy, or any questions about claims or billing, can be submitted to our Insurance Coordinator, Ms Kelly Dando at [email protected]

Administrative Approval

The above document has been reviewed and approved by the following administrative personnel:

Name (Print) Signature Title Date



Revisions Each coach or volunteer in every sport providing instruction, assistance, or supervision in an athletic activity for the student athletes at Coppin State University must sign this form certifying that the coach or volunteer has completed reviewed and understands the emergency action plan. The Emergency Action must be reviewed annually. I hereby verify by signing below that I have reviewed and understand the emergency action plan.

1. ______________________ (signature) ___________________ (title or position)

_____________ (date completed)

















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