GYM EMERGENCY ACTION PLAN 

For Culbreth Middle School 

School Address: 225 Culbreth Road Chapel Hill NC, 27516 - Google Map

35°53'22.3"N 79°04'00.2"W

Venues: Gym, Baseball, Softball

Gym, Baseball, Softball Field

Sports: Basketball, cheerleading, softball, baseball, volleyball, wrestling, 

Individuals in charge/Chain on command

AD, Administrator, Head Coaches, Asst Coaches

Principal: Diego Mureno  AD: Leo Brunelli cell: 919-691-3849

EMS Ambulance access directions

Gym/softball/baseball Field - From Smith Level Road take 2nd entrance. From 15-501 to Culbreth Road, take the 1st entrance. You will see a softball/baseball field on the left. If you see the track exit, turn right and take the next entrance.  Gym is all the way in the back across from baseball/softball field. 

Activation of EMS 911 (8-911) from School

Phone

If possible, the Asst AD or Assistant

Coach present to activate EMS while AD/Head Coach attends to injured-collapsed athlete. If support staff or other 1st Responders are not available,then AD activates EMS and attends to injured athlete. If attending AD is not immediately

available, a member of coaching staff initiates

EAP and immediately contacts AD after EMS

has been activated.

1. Call EMS (911) 

2. Provide the following information to EMS:

• Name of person making call

• Telephone number of caller

• Number of injured athletes

• Condition of injured athletes

• First Aid Treatment being given

• Specific location of emergency

• Other information as requested

3. Begin CPR if indicated

4. Appoint someone to:

• get Automated External Defibrillator (AED)

• notify Athletic Director, Athletic Trainer & Principal

5. On-site ambulance:

• identify exit from venue

6. Off-site ambulance:

• meet EMS and direct to location of victim (1st responder in firetruck and EMTs in ambulance may arrive separately, so need to meet both)

7. Provide to EMS staff health info/action plan/incident details

8. Limit scene to 1st Aid Responders for the safety of the victim

1. 9. Submit 911 report for all EMS calls

2. 10. School will acts as en loco parentis

3. in the absence of parents

4. 11. EMS will transport to most appropriate facility

In case of Lock Down

In case of a lockdown, teams and spectators will go to the nearest locker room and the door will be locked. 

AED/Emergency Equipment Availability

A wall mounted AED is available on the gym wall on the boys locker room side. 

Ensuring scene safety and accessibility to athlete

Use of Asst AD/Coaching staff to relocate bystanders, parents, teammates, etc. to an appropriate location away from the scene as well as maximize access to athlete by EMS personnel and their equipment. 

Transfer of care from onsite staff to EMS

● AD, Asst AD or Attending First Responders prepares

transfer report for EMS personnel

● Cooperative care for collapsed athlete by AD and EMS staff until the athlete is removed from the facility.

● Contact Parent/Guardian Re: emergency & ambulance

transport of injured athlete. UNC Emergency Room located at Emergency Room Drive & Manning Road unless

parent/guardian opts for another  ER venu

Game Field EMERGENCY ACTION PLAN 

For Culbreth Middle School 

School Address: 225 Culbreth Road Chapel Hill NC, 27516 - Google Map

Venues: Game Field

Sports: Basketball, cheerleading, softball, baseball, volleyball, wrestling, 

Individuals in charge/Chain of command

AD, Administrator, Head Coaches, Asst Coaches

Principal: Diego Mureno AD: Leo Brunelli cell: 919-691-3849

EMS Ambulance access directions

Game Field - From Smith Level Road take 1st entrance. From 15-501 to Culbreth Road, take the 2nd entrance. You will see Track/Game Field on your left with Concession Stand. If you see the Softball/baseball field exit, turn left and take the next entrance. 

Activation of EMS 911 (8-911) from School

Phone

If possible, the Asst AD or Assistant

Coach present to activate EMS while AD/Head Coach attends to injured-collapsed athlete. If support staff or other 1st Responders are not available,then AD activates EMS and attends to injured athlete. If attending AD is not immediately

available, a member of coaching staff initiates

EAP and immediately contacts AD after EMS

has been activated.

1. Call EMS (911) 

2. Provide the following information to EMS:

• Name of person making call

• Telephone number of caller

• Number of injured athletes

• Condition of injured athletes

• First Aid Treatment being given

• Specific location of emergency

• Other information as requested

3. Begin CPR if indicated

4. Appoint someone to:

• get Automated External Defibrillator (AED)

• notify Athletic Director, Athletic Trainer & Principal

5. On-site ambulance:

• identify exit from venue

6. Off-site ambulance:

• meet EMS and direct to location of victim (1st responder in firetruck and EMTs in ambulance may arrive separately, so need to meet both)

7. Provide to EMS staff health info/action plan/incident details

8. Limit scene to 1st Aid Responders for the safety of the victim

1. 9. Submit 911 report for all EMS calls

2. 10. School will acts as en loco parentis

3. in the absence of parents

4. 11. EMS will transport to most appropriate facility

In case of Bad Weather

Teams will go with their coach to the gym and will remain in the gym. Teams are not to run around but remain seated. Spectators will report to their cars. Officials may go to either their car or the gym and remain in contact with AD. 

In case of lock down

Spectators and Teams will enter the school by gym. Teams will go to the locker rooms and spectators will sit in the gym. 

AED/Emergency Equipment Availability

A wall mounted AED in the concession stand to your left. 

Ensuring scene safety and accessibility to athlete

Use of Asst AD/Coaching staff to relocate bystanders, parents, teammates, etc. to an appropriate location away from the scene as well as maximize access to athlete by EMS personnel and their equipment. 

Transfer of care from onsite staff to EMS

● AD, Asst AD or Attending First Responders prepares

transfer report for EMS personnel

● Cooperative care for collapsed athlete by AD and EMS staff until athlete is removed from facility.

● Contact Parent/Guardian Re: emergency & ambulance

transport of injured athlete. UNC Emergency Room located at Emergency Room Drive & Manning Road unless

parent/guardian opts for another  ER venu

IMPORTANT INFORMATION FOR EMERGENCIES

Chain of Command for Medical Emergencies: AD, Administrator, Head Coaches, Asst Coaches

Once it has been decided that EMS should be called, the following protocol should be followed:

1. The highest person on the chain of command will be deemed the leader, and will stay with the

athlete to monitor the athlete’s condition and administer necessary first aid. If possible,

someone else on the chain of command should also stay and assist. The front office or an

administrator should be notified that there is an emergency situation on campus.

2. The highest person on the chain of command will make the call to EMS (9-1-1) or will designate another person to make the call

*******ALWAYS BE SURE TO FOLLOW UP TO ENSURE THE CALL WAS MADE. Make sure parents have been notified and in form parent who is riding with the athlete to the hospital. Coaches should have critical information sheet with them. Critical information can also be obtained from 8to18. 

Emergency Communication Protocol

1. Initiate Emergency Medical Services (EMS) immediately for any medical emergency.

2. If parent/guardian is present, talk with them. If not present, immediately call

parents/guardian to inform them of situation. Use critical  information from 8to18 .

3. If parent/guardian is unavailable, send assistant coach or other adult designee to the

hospital to accompany the injured student-athlete until parent/guardian arrives.

4. Inform coach or pre-determined designee (assistant coach in charge of injured players) of necessary measures taken.

5. Inform appropriate administrator covering the event of your actions as well as the name of the injured student-athlete.

6. If the injured student-athlete is from a visiting team, call opposing teams AD to

provide appropriate information regarding the student-athlete and the measures taken.

What to tell EMS:

● What's the location (address) of your emergency?

 225 Culbreth Road Chapel Hill NC, 27516 - Google Map

● What's the phone number you're calling from?

● Answer the remaining questions as directed by the operator.

● Give clear directions to the specific venue

● Tell EMS that someone will meet them at the end of the road at the front entrance of the school to

aid in directing the ambulance.

DO NOT HANG UP TILL EMS HANGS UP FIRST!

3. The leader will send runners to all intersections between where the athlete is located and the

entrance to Riverside High School to direct the ambulance to the athlete. The runners should

stay in their positions and wave the ambulance through the proper turns to get to the athlete.

4. The leader will designate another person to attempt contact with the athlete’s parents. Coaches are responsible for having Emergency Contact information for all athletes. Athletic trainer should also have this information on file in the office.

Important Phone Numbers:

(**Please Note: The cell service inside the school is not consistent, so you may need to call the the school number.)

Athletic Director:  Leo Brunelli  Cell - 919-691-3849  School - 919 - 929 - 7161  ext 56018

EMS: 911  or 8-911 if using a school phone

Main Office: 919 - 929 -7161

FRONT DESK: x 51110

Tony: x 51134

Principal (Diego Mureno): x 51116

Asst. Principal (Wendy York): 51104 & 51523

School Resource (Officer Anderson):  x 51132

School Nurse (Kaori Brahna):   x 51120

Guidance (Mr. Straub ) 51103

STANDARD PROFESSIONAL CARE GUIDELINES FOR SPORTS

It is the expectation that the certified athletic trainer maintains an open line of communication,

maintains timely and accurate records, and use professional discretion when communicating

with coaches and when referring a student-athlete for specialized medical attention.

For Coaches and Athletic Directors, the following guidelines are provided:

General

1. The Athletic Director and certified athletic trainer shall plan and prioritize on-site

medical care for events and practices

2. Along with the certified athletic trainer, Coaches are directly responsible for preventing

injuries by seeing that student-athletes have undergone a preventive injury conditioning

program.

3. Along with the certified athletic trainer, Coaches must ensure that the sports

equipment used is of the highest quality, is properly fitted and is maintained.

4. Coaches must be keenly aware of what produces injuries in their sport and what

measures must be taken to avoid them.

5. Coaches must understand the limits of their ability to function as a health care

provider in the state (depends on qualifications), and to seek the services of their

certified athletic trainer when needed.

6. It is highly recommended that every Coach and related staff be CPR and First Aid

certified in order to provide the most complete level of on-site medical care.

7. The athletic trainer will provide coaches with the Emergency Action Plan and Red Flag

List for their team.

- Coaches are responsible for keeping updated emergency contact information for their

student-athletes

‘On-field’ Injuries

1. Coaches, student-athletes, parents, and other non-authorized persons should be kept

a significant distance away from injured student-athlete(s) and not touch, move, roll an

injured student-athlete or pull an injured student-athlete from a pile.

2. Coaches or student-athletes should not try to assist a student-athlete who is lying on

the field or court (including removing a helmet or chin strap, or attempting to assist

breathing by elevating the waist), except in a swimming pool where an injured

student-athlete should be remove from the pool to avoid drowning.

3. Once the medical staff begins to work on an injured student-athlete, they should be

allowed to perform services without interruption or interference.

STANDARD CARDIAC ARREST GUIDELINES

Early recognition and early access to the emergency medical services (EMS) system: The sooner

someone calls 9-1-1 or the local emergency number, the sooner EMS personnel will take over.

● Early CPR: CPR helps supply blood containing oxygen to the brain and other vital organs. This helps to keep the person alive until an AED is used or advanced medical care is provided.

o Goal of initiating CPR within 1 minute of collapse

o Athletic trainer, coaches, and administrators should receive CPR training and maintain

certification

● Early defibrillation: An electrical shock, called defibrillation, may help to restore an effective

heart rhythm.

o Goal of a “shock” from defibrillator within 3-5 minutes of collapse—ASAP

o Important to know locations of AED

- During all seasons: AED will be stored in the sports medicine room. Athletic

trainer will keep AED with her next to field/court during practice/games.

● Early advanced medical care: EMS personnel provide more advanced medical care and transport

the person to a hospital.

STANDARD HEAT ILLNESS GUIDELINES

Recommendations for Coaches: 

Keep each athlete’s individual level of conditioning and medical status in mind and adjust activity according.  These factors directly affect exertional heat illness risk: 

a.Obesity 

b.Lack of fitness 

c.Recent illness 

d. Previous history of exertional heat illness 

e. Sickle Cell Trait- those with trait: 

I. Should not be subject to timed workouts  

Ii. Should be removed from participation immediately if any sign of “exhaustion” or “struggling” is observed 

• Be aware not only of heat, but of humidity levels when evaluating conditions for practice. A good measure is the web bulb globe temperature (WBGT) – the standard  index of temperature and humidity combined. Measuring devices are available commercially. 

• Physical exertion and training activities should begin slowly and continue progressively. 

• Begin with shorter, less intense practices and training activities with longer recovery intervals between bouts of activity 

• Minimize protective gear (helmets only, no shoulder pads) during first several practices, and introduce additional uniform and protective gear progressively over successive days 

• Emphasize instruction over conditioning during first several practices 

• During hot and humid weather, enforce regular rest periods in the shade and see that players drink water every 15 minutes, regardless of whether they are thirsty

Suspect Heat Illness

Activate EMS- Call 911 immediately. 

● If appropriate medical staff is on-site, cool first and transport second whenever possible 

● Cold Water Immersion

1. Immerse the athlete in a tub of cold water (the colder the better) 

2. Water temperature should be between 35-60 degrees Fahrenheit 

3. Ice water is ideal but even tepid water is helpful 

4. Monitor vital signs (temperature, heart rate, respiratory rate, blood pressure) 

5. and mental status continuously

Alternative Cooling: when immersion is not available, follow all other steps (Activate EMS, monitor vitals, etc.) and do the following

• Place ice packs at head, neck, axillae arm pits), and groin 

• Bathe face and trunk with iced or tepid water 

• Fan athlete to help the cooling process 

• Move to shaded or air conditioned area if available near practice site

CONCUSSION PROTOCOL

Prior to participation in the first day of practice, all student-athletes must read and sign the Student/Parent Concussion Statement with their parent or legal guardian and return the signed form to their coach or athletic trainer.  

Prior to the first day of practice, all coaches, school nurses, and any volunteers associated with the team must read and sign the Coach/School Nurse/Volunteer Concussion Statement and return the signed form to the athletic trainer or athletic director.  

What is a Concussion? 

A concussion is a type of ​traumatic brain injury​,  caused by a bump, blow, or jolt to the head that can change the way your brain normally works. Concussions can also occur from a blow to the body that causes the head to move rapidly back and forth. Even a “ding,” “getting your bell rung,” or what seems to be a mild bump or blow to the head can be serious. Concussions can occur in any sport or recreation activity. So, all coaches, parents, and athletes need to learn concussion signs and symptoms and what to do if a concussion occurs. 

How Can I Recognize a Possible Concussion? 

Athletes who experience any of the signs and symptoms listed below after a bump, blow, or jolt to the head or body should be kept out of play the day of the injury and until a healthcare professional, experienced in evaluating for concussion, says they are symptom-free and it’s OK to return to play.

Signs observed by Coach/AD

Appears dazed or stunned 

•Is confused about assignment or position 

•Forgets an instruction 

•Is unsure of game, score, or opponent 

•Moves clumsily 

•Answers questions slowly 

•Loses consciousness (even briefly) 

•Shows mood, behavior, or personality changes 

•Can’t recall events prior to hit or fall 

•Can’t recall events after hit or fall

Symptoms reported by athlete

Headache or “pressure” in head 

•Nausea or vomiting 

•Balance problems or dizziness 

•Double or blurry vision 

•Sensitivity to light 

•Sensitivity to noise 

•Feeling sluggish, hazy, foggy, or groggy 

•Concentration or memory problems 

•Confusion 

•Does not “feel right” or is “feeling down”

Thunder lightning

The AD will monitor for threatening weather conditions and notify the athletic director and coaches as severe weather systems are moving into area 

● Lightning advisory: lightning has struck within 15 miles of athletic facilities 

       May continue activity but prepare for a possible need to seek shelter if severe weather   system continues to approach 

● Lightning warning:  lightning has struck within ​10 miles of athletic facilities 

● When thunder is heard or a cloud-to-ground lightning bolt is seen, the leading edge of the thunderstorm is close enough to strike your location with lightning.​ ​Suspend play for thirty minutes and take shelter immediately. 

Must stop activity.  Athletic trainer will contact athletic director and coaches in order to 

1. move student-athletes into a safe shelter

2. Shelter will be provided inside the school in the front lobby.  The administrator covering  the event will be in charge. 

3. All persons will be mandated to evacuate the field and spectator area. 

Safe shelter options:  

1. Building (with four walls, a ceiling, and plumbing or wiring that acts to electrically ground the structure) Inside school 

Secondary option is a metal roof vehicle with all windows completely rolled up 

1. School bus 

2. Car 

Athletic Director will continue to monitor severe weather and will give verbal clearance to resume activity 30 minutes after last visible lightning or sound of thunder 

● Restart 30 minute count after each visible lightening or sound of thunder

Documentation of Professional Communication

(Team/s) at Culbreth Middle School have

reviewed a copy of the Emergency Action Plan, Athletic Training On-site Medical Care

Policy, Professional Guidelines for Injury Management for Coaches & Athletic Directors,

Guidelines for Red Flags, and Standard Procedures for:

● Sudden Cardiac Arrest

● Heat Illness

● Concussion

● Cervical Spine Injury

● Anaphylaxis

● Asthma

● Seizure

● Lightening

● COVID-19

I understand it is my responsibility to read and understand these materials and refer to

the athletic trainer with any questions or concerns.