Resources and Information

 Information about Sudden Cardiac Arrest (SCA) and AEDs

Potential Sources of Funding

  • Parent-Teacher Association
  • Athletic Booster Club
  • Charity/service organizations, e.g., Kiwanis or Lions Club
  • Local businesses
  • Traditional fundraisers
  • Funding For Your AED Program – National Center for Early Defibrillation

AED Manufacturers

Other Resources

Preparing for and Managing SCA

  • Planning for cardiac emergencies in the school setting
    • Establish an emergency action plan for each venue.
    • Identify anticipated first responders (e.g., teachers, administrators, coaches, athletic trainers, officials) and provide training in sudden cardiac arrest (SCA) recognition, cardiopulmonary
    • resuscitation (CPR) and automated external defibrillators (AED) use.
    • Develop an internal communication system and a means to activate the local emergency response system.
    • Install AEDs in strategic locations and equip key staff with portable AEDs as needed for athletic events to ensure early access to defibrillation (within 3 min of collapse).
      • Register AEDs with the local emergency medical system.
      • Identify the person responsible for AED maintenance.
    • Determine routes for emergency vehicles to easily access each athletic venue in case of a cardiac emergency.
    • Practice and review the emergency action plan at least annually with all potential first responders.
    • Coordinate onsite ambulances and other mobile responders for certain high-risk sporting events.
  • Management of cardiac emergencies in the school setting
    • Promptly recognize a cardiac emergency by maintaining a high level of suspicion.
      • Assume SCA in any collapsed and unresponsive person.
      • Avoid misdiagnosis as a result of agonal breathing and/or seizure-like activity.
    • Elicit help from people nearby.
    • Activate the local emergency response system.
    • Begin chest compressions, retrieve an AED and apply it as soon as possible for defibrillation (if indicated).
    • Continue CPR, AED use, and resuscitative efforts until the victim becomes responsive or care is transferred to an emergency facility capable of advanced cardiac life support.

Adapted from: Toresdahl B, Courson R, Börjesson M, Sharma S, Drezner J. Emergency cardiac care in the athletic setting: from schools to the Olympics. Br J Sports Med. 2012 Nov;46 Suppl 1:i85-9. doi: 10.1136/bjsports-2012-091447.

 

Emergency Action Plan (EAP) Checklist

  • Development of an Emergency Action Plan
    • Establish a written EAP for each venue.
    • Coordinate the EAP with the local EMS agency, campus public safety officials, onsite first responders, administrators, athletic trainers, school nurses, and team and consulting physicians.
    • Integrate the EAP into the local EMS response.
    • Determine the venue-specific access to early defibrillation (within 3 minutes from collapse to first shock recommended).
  • Emergency Communication
    • Establish an efficient communication system to activate EMS at each venue.
    • Establish a communication system to alert on-site responders to the emergency and its location.
    • Post the EAP at every venue and near telephones, including the role of the first responder, a listing of emergency numbers, and street address and directions to guide the EMS personnel.
  • Emergency Personnel
    • Designate an EAP coordinator.
    • Identify who will be responsible and trained to respond to a SCA (likely first responders include athletic trainers, coaches, school nurses, and team physicians).
    • Train targeted responders in CPR and AED use.
    • Determine who is responsible for personnel training and establish a means of documentation.
    • Identify the medical coordinator for on-site AED programs.
  • Emergency Equipment
    • Use on-site or centrally located AED(s) if the collapse-to-shock time interval for conventional EMS is estimated to be > 3 minutes.
    • Notify EMS dispatch centers and agencies of the specific type of AED and the exact location of the AED on school grounds.
    • Acquire pocket mask or barrier-shield device for rescue breathing.
    • Acquire AED supplies: scissors, razor, and towel, and consider an extra set of AED pads.
    • Determine who is responsible for checking equipment readiness and how often and establish a means of documentation.
  • Emergency Transportation
    • Determine transportation route for ambulances to enter and exit each venue.
    • Facilitate access to SCA victim for arriving EMS personnel.
    • Consider on-site ambulance coverage for high-risk sporting events.
    • Identify the receiving medical facility equipped in advanced cardiac care.
    • Ensure that medical coverage is still provided at the athletic event if on-site medical staff accompany the athlete to the hospital.
  • Practice and Review of Emergency Action Plan
    • Rehearse the EAP at least annually with all anticipated first responders.
    • Consider mock SCA scenarios.
    • Establish an evaluation system for the EAP rehearsal, and modify the EAP if needed.
  • Post Event Catastrophic Incident Guidelines
    • Establish a contact list of individuals to be notified in case of a catastrophic event.
    • Determine the procedures for release of information, aftercare services, and the postevent evaluation process.
    • Identify local crisis services and counselors.
    • Consider preestablished incident report forms to be completed by all responders and the method for system improvement.

Adapted fromDrezner JA, Courson RW, Roberts WO, Mosesso VN Jr, Link MS, Maron BJ; Inter Association Task Force. Inter Association Task Force recommendations on emergency preparedness and management of sudden cardiac arrest in high school and college athletic programs: a consensus statement. Prehosp Emerg Care. 2007 Jul-Sep;11(3):253-71.

 

 

References