EMERGENCY MEDICAL RESPONSE ACTION PLAN FOR AUTOMATIC EXTERNAL DEFIBRILLATOR (AED)

Purpose: 

To provide direction and detailed procedures for the implementation of New Jersey State Law regarding the placement and use of Automated External Defibrillators (AED) in the public gathering places. It is estimated that over 382,000 people experience sudden cardiac arrest (SCA) in the United States annually. Approximately 92% of those people do not survive. According to the American Heart Association (AHA), the only definitive treatment for SCA is a defibrillation shock that restores normal heart rhythm. The chance of a SCA victim’s survival decreases approximately 10% for every minute that passes without intervention.

Applicability & Background:

Beginning on June 15, 2018, The Professional Softball Club, Inc. shall ensure that each facility designated for sanctioned softball events has an automated external defibrillator, as defined by the State Laws of New Jersey, which is made available in an unlocked location on the immediate property with an appropriate identifying sign. The defibrillator shall be accessible during the work day and any other time when a company-sponsored athletic event or team practice is taking place. The defibrillator shall be within reasonable proximity of the athletic field, as applicable; a team coach, licensed athletic trainer, or other designated staff member if there is no coach or licensed athletic trainer, who is present during the athletic event or team practice, is trained in cardio-pulmonary resuscitation and the use of the defibrillator in accordance with this plan.

Emergency Action Plan Responsibility: 

The Professional Softball Club, Inc. and its representatives shall be immune from civil liability in the acquisition and use of defibrillators pursuant to the provisions of New Jersey State and Federal Law. The Coaches shall be responsible for ensuring that the provisions of this plan are implemented and enforced by coordinating their efforts to ensure all elements of this program are followed at each applicable location.

Automated External Defibrillator (AED), General: 

A portable electronic device that automatically diagnoses potentially life threatening cardiac arrhythmias in patients, and is able to treat them through defibrillation – the application of an electrical shock which stops the arrhythmia, allowing the heart to reestablish an effective rhythm. AEDs are simple to use, provide audio and visual commands and their use is taught in CPR/AED classes available to laypersons as well as professional level rescuers. An AED shall be available within reasonable proximity of the athletic field at which a company-sponsored athletic event or team practice is taking place.

Emergency Action Plan, AED:

The AED device may be located in a clearly marked, unlocked AED cabinet or mounted in another manner that allows ease of access in an emergency. “Fixed” AEDs shall not be removed from their designated location except in an emergency situation. Portable AEDs shall be housed in a weather-proof, shock-absorbent, brightly colored, highly visible carrying case. AEDs shall be so located as to be within reasonable proximity to the covered event. As much as practical, this shall be within a three minute response time to retrieve the AED and begin emergency care.

Designated Responders: 

Each location shall have no less than two (2) coaches that hold a current CPR/AED certification. This shall include team coaches, licensed athletic trainers or other designated staff members. Designated Staff Responders shall hold a current certification in a training program recognized by the NJ Department of Health and Senior Services in cardio-pulmonary resuscitation (CPR) and in the use of an Automated External Defibrillator (AED).

Response: 

In the event of an emergency, Designated Staff Responders shall be contacted by any available means and shall begin the care of the injured or ill person consistent with their training. Bystanders may be asked to assist in contacting additional personnel. All staff participating or attending a school sponsored function are expected to be cognizant of the activities of the participants in the event. In the event that a participant is observed to be in distress due to a medical or traumatic event, the staff member shall assure that the appropriate Designated Responders as identified in this document are alerted to the emergency, that 9-1-1 is activated, and assist if needed. Designated Staff Responders shall assure that the injured or ill person is provided the appropriate care, including administration of CPR and application of the Automated External Defibrillator as needed and provided for in their training.

The following actions must be performed:

  1. Recognize that an emergency situation exists.
  2. Assess situation/scene for safety of responders and bystanders.
  3. Evaluate patient’s consciousness, breathing and circulation status and intervene as needed/appropriate in accordance with their training.
  4. Note that 9-1-1 activation should be considered for ANY illness or injury, and all injured or ill patients should be fully assessed and evaluated despite responsiveness and breathing status.
  5. For non-responsive persons; immediately activate the Emergency Response, alert 9-1-1 and on-scene personnel, and send for the AED.
  6. For non-breathing patients; alert 9-1-1 and on-scene personnel, send for the AED, immediately begin CPR in accordance with provided training.
  7. Apply and use the AED when available and appropriate.
  8. Follow the AED Voice Prompts for application.
  9. Follow any additional manufacturer’s recommended guidelines for use of the AED.
  10. Patient shall be transported by Ambulance to hospital; assure prompt transport to medical facility by way of properly staffed Ambulance. Do not transport by personal vehicle.
  11. Replace any used AED equipment, as recommended, post-event.
  12. Inspect the AED for any damage prior to returning to storage.

Equipment Maintenance Plan: 

All AEDs placed in service must be inspected at regular intervals in accordance with the manufacturer’s guidelines to assure functionality when needed. An inspection checklist shall be maintained for EACH in-service AED. The Coaches shall designate a representative among them to have overall responsibility for AED inspection and maintenance.