front page heading emergency action plan template - SA Rugby
front page heading emergency action plan template - SA Rugby
front page heading emergency action plan template - SA Rugby
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Emergency Action Plan <strong>template</strong><br />
FRONT PAGE HEADING<br />
MAIN HEADING<br />
Sub Headings<br />
Body Copy<br />
Body Copy + Bold<br />
Body Copy + Bold + Italic<br />
Body Copy + Normal + Italic<br />
EMERGENCY Style Body for tables ACTION PLAN<br />
TEMPLATE<br />
STYLE HEADING FOR TABLES<br />
Dr P L Viviers – Sports Physician, MACSM<br />
Dr Pierre Viviers is the Senior Executive for Sports Medicine and Rehabilitation at the<br />
Stellenbosch University Sport Performance Institute (SUSPI), Team Physician to the<br />
<strong>SA</strong> U/20 team and Chairman of the South African <strong>Rugby</strong> Medical Association<br />
(<strong>SA</strong>RMA).<br />
0 Copyright BokSmart © 2009
Emergency Action Plan <strong>template</strong><br />
EMERGENCY ACTION PLAN – POTENTIAL CATASTROPHIC INJURY:<br />
Action Responsibility Confirmed<br />
Name & Contact<br />
Information<br />
Management Protocol: Pitch<br />
Management Protocol: Medical Room<br />
Evacuation Protocol: Field<br />
• Communication from field (signs)<br />
• Equipped spinal board/Scoop<br />
stretcher<br />
• Golf cart<br />
Evacuation Protocol: Medical Room<br />
• Carry/motorised<br />
Evacuation Protocol: Spinal Unit:<br />
• Onsite Ambulance<br />
• Stand-by Ambulance<br />
• Air (helicopter)<br />
Evacuation Protocol: General Hospital:<br />
• Onsite Ambulance<br />
• Stand-by Ambulance<br />
• Air<br />
Final Communication with:<br />
• Ambulance Service<br />
• Spinal Unit<br />
• General Hospital A&E<br />
BokSmart Spineline<br />
Match Doctor/ Venue<br />
Doctor/ Highest<br />
Qualified Paramedic,<br />
rugby medic or first<br />
aider<br />
Match Doctor/ Venue<br />
Doctor<br />
Match Doctor/<br />
Paramedic, rugby<br />
medic or first aider<br />
Match Doctor/<br />
Paramedic<br />
Match Doctor/<br />
Paramedic<br />
Match Doctor/<br />
Paramedic<br />
Venue Doctor/ Match<br />
Doctor/ Paramedic<br />
Match Doctor/<br />
Paramedic<br />
(Addendum: Flow diagram of events in the case of a suspected catastrophic injury)<br />
1 Copyright BokSmart © 2009
Emergency Action Plan <strong>template</strong><br />
ADDENDUM: FLOW DIAGRAM<br />
Suspected<br />
Catastrophic Injury<br />
Mobilisation Field side Medical Team<br />
(Signs)<br />
Management<br />
(Pitch Protocol)<br />
Evacuation<br />
(Evacuation Protocol)<br />
Medical Room<br />
Field Side<br />
Medical Management<br />
Evacuation<br />
On site Ambulance<br />
Standby Ambulance<br />
Air (Helicopter)<br />
Spinal Unit<br />
(General Hospital)<br />
Spineline<br />
2 Copyright BokSmart © 2009
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