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Game Day Emergency Action Plan

This football game day emergency action plan outlines key contact information and procedures in case of an emergency during a game. It lists the visiting team, field location, ambulance access directions, emergency phone numbers, nearest hospitals, contact persons for both teams, available medical supplies, and signals to indicate if a doctor, ambulance, or life-threatening emergency is needed. Signatures of host and visiting therapists are included to acknowledge the plan.

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coach b
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0% found this document useful (0 votes)
161 views1 page

Game Day Emergency Action Plan

This football game day emergency action plan outlines key contact information and procedures in case of an emergency during a game. It lists the visiting team, field location, ambulance access directions, emergency phone numbers, nearest hospitals, contact persons for both teams, available medical supplies, and signals to indicate if a doctor, ambulance, or life-threatening emergency is needed. Signatures of host and visiting therapists are included to acknowledge the plan.

Uploaded by

coach b
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FOOTBALL GAME DAY EMERGENCY ACTION PLAN

Date: ________________________

Visiting Team: __________________________

Location: (name of field and address)

Ambulance Access: (list directions or address for the ambulance)

Emergency Phone Numbers

Ambulance/Fire/Police - 911

Nearest Hospital: (give address and phone number)

Alternate Hospital: (give address and phone number)

Taxi:

Host Charge Person: ________________ Visiting Charge Person: _________________


Call Person: _____________________ Control Person: ________________________

Emergency Phone Locations: (give location and phone number)

Medical Supplies/Personnel Available:


q Ice
q Crutches
q Splints
q Sport Medicine Physician’s Kit
q Team Physician Present ________________________________________________

Signals:
Ø Doctor Needed: Hand on top of head
Ø Ambulance: Arms held out to side
Ø Life Threatening- Cross arms over chest

Host Therapist Signature: _________________


Visiting Therapist Signature:_______________

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