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Preventing sudden death on the athletic field: The emergency action plan

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Current Sports Medicine Reports

Abstract

Sudden cardiac arrest (SCA) is the leading cause of death in young athletes. Proper management of SCA in the athletic venue is critical. Preparation should include education and training, maintenance of emergency equipment and supplies, appropriate use of personnel, and the formation and implementation of an emergency action plan (EAP). The EAP should be specific to each individual athletic venue and encompass emergency personnel, emergency communication, emergency equipment, medical emergency transportation, and venue directions with map. With SCA, access to early defibrillation is essential. A target goal of under 5 minutes from time of collapse to first shock is strongly recommended. An automated external defibrillator should be part of standard emergency planning for coverage of athletic activities. Through development and implementation of an EAP, healthcare providers help to ensure that the athlete will have the best care provided when an emergency situation does arise.

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References and Recommended Reading

  1. Maron BJ:Sudden death in young athletes.N Engl J Med 2003,349:1064–1075.

    Article  PubMed  CAS  Google Scholar 

  2. Maron BJ, Shirani J, Poliac LC, et al.:Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles.JAMA 1996,276:199–204.

    Article  PubMed  CAS  Google Scholar 

  3. Maron BJ, Doerer JJ, Haas TS, et al.:Profile and frequency of sudden death in 1463 young competitive athletes: from a 25 year U.S. national registry: 1980–2005. Presented at the American Heart Association Scientific Sessions. Chicago, IL: November 12, 2006.

  4. Inter-Association Task Force Recommendations on Emergency Preparedness and Management of Sudden Cardiac Arrest in High School and College Athletic Programs. Sponsored by National Athletic Trainers’ Association. Atlanta, GA: April 24, 2006.

  5. Andersen J, Courson RW, Kleiner DM, McLoda TA:National Athletic Trainers’ Association position statement: emergency planning in athletics.J Athl Train 2002,37:99–104.

    PubMed  Google Scholar 

  6. NCAA Sports Medicine Handbook 2006–07: Guideline 1c: Emergency Care and Coverage. Available at http://www. ncaa.org/library/sports_sciences/sports_med_handbook/2006-07/2006-07_sports_medicine_handbook.pdf. Accessed January 18, 2007.

  7. Sideline preparedness for the team physician: consensus statement.Med Sci Sports Exerc 2001, 33:846-849.

  8. 36th Bethesda Conference.Eligibility recommendations for competitive athletes with cardiovascular abnormalities.J Am Coll Cardiol 2005, 45:1315-1375.

    Google Scholar 

  9. American Heart Association scientific statement:response to cardiac arrest and selected life-threatening emergencies.Circulation 2004, 109:278-291.

    Google Scholar 

  10. Larsen MP, Eisenberg MS, Cummins RO, Hallstrom AP:Predicting survival from out-of-hospital cardiac arrest: a graphic model.Ann Emerg Med 1993,22:1652–1658.

    Article  PubMed  CAS  Google Scholar 

  11. Hallstrom AP, Ornato JP, Weisfeldt M, et al.:Public-access defibrillation and survival after out-of-hospital cardiac arrest.N Engl J Med 2004,351:637–646.

    Article  PubMed  CAS  Google Scholar 

  12. Page RL, Joglar JA, Kowal RC, et al.:Use of automated external defibrillators by a U.S. airline.N Engl J Med 2000,343:1210–1216.

    Article  PubMed  CAS  Google Scholar 

  13. Valenzuela TD, Roe DJ, Nichol G, et al.:Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos.N Engl J Med 2000,343:1206–1209.

    Article  PubMed  CAS  Google Scholar 

  14. White RD, Asplin BR, Bugliosi TF, Hankins DG:High discharge survival rate after out-of-hospital ventricular fibrillation with rapid defibrillation by police and paramedics.Ann Emerg Med 1996,28:480–485.

    Article  PubMed  CAS  Google Scholar 

  15. Myerburg RJ, Fenster J, Velez M, et al.:Impact of community-wide police car deployment of automated external defibrillators on survival from out-of-hospital cardiac arrest.Circulation 2002,106:1058–1064.

    Article  PubMed  Google Scholar 

  16. White RD, Bunch TJ, Hankins DG:Evolution of a community-wide early defibrillation programme experience over 13 years using police/fire personnel and paramedics as responders.Resuscitation 2005,65:279–283.

    Article  PubMed  Google Scholar 

  17. National Athletic Trainers’ Association.Official Statement-Automated External Defibrillators. Available at http://www.nata.org/statements/official/AEDofficialstatement.pdf. Accessed January 18, 2007.

  18. Drezner JA, Rogers KJ:Sudden cardiac arrest in inter-collegiate athletes: detailed analysis and outcomes of resuscitation in 9 cases.Heart Rhythm 2006,3:755–759.

    Article  PubMed  Google Scholar 

  19. Hazinski MF, Markenson D, Neish S, et al.:Response to cardiac arrest and selected life-threatening medical emergencies: the medical emergency response plan for schools: a statement for healthcare providers, policymakers, school administrators, and community leaders.Circulation 2004,109:278–291.

    Article  PubMed  Google Scholar 

  20. Drezner JA, Rogers KJ, Zimmer RR, Sennett BJ:Use of automated external defibrillators at NCAA Division I universities.Med Sci Sports Exerc 2005,37:1487–1492.

    Article  PubMed  Google Scholar 

  21. Coris EE, Miller E, Sahebzamani F:Sudden cardiac death in division I collegiate athletics: analysis of automated external defibrillator utilization in National Collegiate Athletic Association division I athletic programs.Clin J Sport Med 2005,15:87–91.

    Article  PubMed  Google Scholar 

  22. Terry GC, Kyle JM, Ellis JM Jr, et al.:Sudden cardiac arrest in athletic medicine.J Athl Train 2001,36:205–209.

    PubMed  Google Scholar 

  23. Maron BJ, Gohman TE, Kyle SB, et al.:Clinical profile and spectrum of commotio cordis.JAMA 2002,287:1142–1146.

    Article  PubMed  Google Scholar 

  24. Maron BJ, Wentzel DC, Zenovich AG, et al:Death in a young athlete due to commotio cordis despite prompt external defibrillation.Heart Rhythm 2005,2:991–993.

    Article  PubMed  Google Scholar 

  25. Strasburger JF, Maron BJ:Images in clinical medicine. Commotio cordis.N Engl J Med 2002,347:1248.

    Article  PubMed  Google Scholar 

  26. Link MS, Maron BJ, Stickney RE, et al.:Automated external defibrillator arrhythmia detection in a model of cardiac arrest due to commotio cordis.J Cardiovasc Electrophysiol 2003,14:83–87.

    Article  PubMed  Google Scholar 

  27. Salib EA, Cyran SE, Cilley RE, et al.:Efficacy of bystander cardiopulmonary resuscitation and out-of-hospital automated external defibrillation as life-saving therapy in commotio cordis.J Pediatr 2005,147:863–866.

    Article  PubMed  Google Scholar 

  28. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.Circulation 2005,112(24 Suppl):IVl-IV203.

  29. 2005International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Part 1: introduction.Resuscitation 2005, 67:181-186.

  30. 2005International Consensus on Cardiopulmonary Resus-citation and Emergency Cardiovascular Care Science with Treatment Recommendations. Part 3: overview of CPR.Circulation 2005,112(24 Suppl):IV12–IV8.

  31. 2005International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Part 4: adult basic life support.Circulation 2005,112(24 Suppl):IV19–IV34.

  32. 2005International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Part 5: electrical therapies: automated external defibrillators, defibrillation,cardioversion, and pacing.Circulation 2005,112(24 Suppl): IV35-IV46.

  33. Eftestol T, Sunde K, Steen PA:Effects of interrupting precordial compressions on the calculated probability of defibrillation success during out-of-hospital cardiac arrest.Circulation 2002,105:2270–2273.

    Article  PubMed  Google Scholar 

  34. Kern KB, Hilwig RW, Berg RA, et al.:Importance of continuous chest compressions during cardiopulmonary resuscitation: improved outcome during a simulated single lay-rescuer scenario.Circulation 2002,105:645–649.

    Article  PubMed  Google Scholar 

  35. Yu T, Weil MH, Tang W, et al.:Adverse outcomes of interrupted precordial compression during automated defibrillation.Circulation 2002,106:368–372.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Sports Medicine, University of Georgia Athletic Association, Butts-Mehre Hall, 1 Selig Circle, 30602, Athens, GA, USA

    Ron Courson ATC, PT, NREMT-I, CSCS

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  1. Ron Courson ATC, PT, NREMT-I, CSCS
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Correspondence to Ron Courson ATC, PT, NREMT-I, CSCS.

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Courson, R. Preventing sudden death on the athletic field: The emergency action plan. Curr Sports Med Rep 6, 93–100 (2007). https://doi.org/10.1007/BF02941149

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