When Football Stadiums Attack - Page #4
 

Working Diagnosis:
1. 2 concussions
2. Right distal radius fracture
3. Multiple lacerations and abrasions: 8 students

Treatment:
The majority of the students were easily treated on the sideline with supplies from our medical kits and the paramedics. One student’s laceration was sutured and monitored by the PCSM fellow at the school, with suture removal one week later. All lacerations and abrasions were given verbal instructions to obtain tetanus booster. This was followed up by written instructions via email to parents from the school. Both concussions were treated symptomatically. They were not student athletes and were treated by their PCPs. The distal radius fracture had a closed reduction, and was treated in a cast for 6 weeks without complication.

Outcome:
Always be prepared for a mass causality event
Mass causality action plan was reviewed
New signs, and monitoring of the stadium closely by school staff and security.

Author's Comments:
Sporting events were canceled at the stadium, where both the HS and Jr high play, for a week until it could be assessed by the engineers and the rail replaced. The next home game was able to be played there 2 weeks later without incident

Editor's Comments:
Preparation for an emergency in mass event arenas, such as stadiums, requires advanced planning, awareness and situational preparedness of an emergency action plan, and identification of the key response team in the event of an emergency.

Venues such as stadiums should have an individualized, written emergency plan addressing a variety of scenarios, such as failure of bleechers/stands, response to sudden cardiac arrest, lightning strike response.

An evaculation plan should be discussed and practiced by relevant school personell, including athletic trainers, event staff, school administrators, and team medical providers. Ideally, this plan should be coordinated with local EMS, to best understand access routes, medical triage, and a rapid response to injury or illness. Equipment necessary for emergency response, including AED's, equipment removal devices, and spine boards, must be identified and made available at events hosted at the relevant venue.

References:
1. FEMA special events planning manual. http://training.fema.gov/emiweb/downloads/is15aspecialeventsplanning-jamanual.pdf
2. Drezner JA et al. Inter-Association Task Force Recommendations on Emergency Preparedness and Management of Sudden Cardiac Arrest in High School and College Athletic Programs: A Consensus Statement. J Athletic Training. 2007; 42(1): 143-158.
3. Anderson JC et al. National Athletic Trainers’ Association Position Statement: Emergency Planning
in Athletics.Journal of Athletic Training 2002;37(1):99–104.

Acknowledgments:
Dr. Andrew Islam; Dr. Pamela Rizza; Perry Denehy, AT; Carrie Ottopal, AT WLWT images used with permission

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