Preventing Sudden Cardiac Death: Automated External Defibrillators in Ohio High Schools

Lear, Aaron; Hoang, Minh-Ha; Zyzanski, Stephen J.

doi:10.4085/1062-6050-50.8.01

Cited by 18 publications

(20 citation statements)

References 16 publications

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“…Our finding that 95% of athletic directors reported having an EAP was higher than previously reported in surveys of athletic directors, which indicated that approximately 55% of schools in Vermont, 18 Ohio, 20 and North Carolina 17 had EAPs in place. Our results also suggest a higher percentage of schools with EAPs than in previous surveys of ATs, perhaps demonstrating the results of targeted efforts to educate health care providers and schools to develop EAPs.…”

Section: Emergency Action Planscontrasting

confidence: 86%

“…A call to action was developed to address the primary causes of sport-related death and catastrophic injury in secondary school sports: head injury, heat illness, and cardiac arrest. 13 Some attempts have been made to determine the readiness of secondary schools regarding head injury, 14,15 heat illness, 16 and cardiac arrest [17][18][19][20][21] ; however, these have typically focused on preparedness for only 1 condition. To date, only 1 group 22 has studied multiple areas of emergency planning, including written EAPs, AT presence, availability of emergency equipment, communication, and guidelines for inclement weather and prevention of exertional heat illness.…”

mentioning

confidence: 99%

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Emergency Preparedness of Secondary School Athletic Programs in Arizona

McLeod

Cárdenas

2019

Journal of Athletic Training

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Context: Schools that sponsor athletic programs have an obligation to provide a safe environment with appropriate policies for addressing emergencies.Objective: To describe the emergency preparedness of secondary schools in Arizona specific to emergency action plans (EAPs), cardiac arrest, concussion, and heat illness.Design: Cross-sectional study. Setting: Online survey.Patients or Other Participants: Athletic directors from 143 Arizona secondary schools (response rate ¼ 54%).Intervention(s): A 6-section survey that included questions related to athletic trainer (AT) access, EAPs, automated external defibrillators (AEDs), concussion, heat illness, and other policies.Main Outcome Measure(s): Descriptive statistics were reported. Comparisons of responses between schools with and without AT access were conducted with Mann-Whitney U tests.Results: Most respondents (81%, n ¼ 116) indicated their school had access to an AT, and 95% (n ¼ 125) of respondents reported their school had a written EAP. The AEDs were available at most (93%, n ¼ 121) schools. All respondents were familiar with the interscholastic concussion policy, and 98% (n ¼ 123) indicated they had a school-specific policy. Almost all respondents (99%, n ¼ 121) reported being familiar with the state heat-illness policy. Environmental measures were taken before practices at 48% (n ¼ 60) of schools. Schools with access to an AT were more likely to have an EAP, venuespecific EAPs, physician approval of EAPs, AEDs, heat-illness policies, and cold-water immersion tubs and to take environmental measures.Conclusions: Whereas the majority of schools reported AT access, not all schools had adequate EAPs in place. Schools would benefit from educational opportunities regarding best practices and policy development to improve emergency preparedness.Secondary schools with access to athletic trainers had better emergency preparedness in all areas except concussion. Emergency action plans and automated external defibrillators were present in almost all schools. Schools would benefit from educational opportunities regarding best practices and policy development to improve emergency preparedness.

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Section: Emergency Action Planscontrasting

confidence: 86%

mentioning

confidence: 99%

Emergency Preparedness of Secondary School Athletic Programs in Arizona

McLeod

Cárdenas

2019

Journal of Athletic Training

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“…Emergency preparedness and training of high school coaches have been investigated extensively. [6][7][8][9][11][12][13][14]20 However, to our knowledge, this is the first study to compare emergency preparedness and training among high school coaches and coaches of high school-aged club teams.…”

Section: Discussionmentioning

confidence: 99%

“…[20][21][22] We observed that high school coaches were more likely than club sport coaches to be aware of the EAPs for their practice venues, but the majority of both groups had not practiced their EAPs in the past 12 months. Previous researchers 7,8,[11][12][13][14]23 found that between 38% and 84% of high schools had venue-specific EAPs. Our high school coaches' awareness of emergency preparedness was at the higher end of this range, which may indicate improved implementation of these recommendations.…”

Section: Discussionmentioning

confidence: 99%

“…In the United States, 34% to 70% of high schools used the services of an athletic trainer (AT), [5][6][7][8] 48% to 94% had at least 1 automated external defibrillator (AED) on campus, [7][8][9][10][11][12][13] and 38% to 84% had established an emergency action plan (EAP). [7][8][9][11][12][13][14] These improvements in emergency preparedness are very important, as the implementation of an EAP by trained medical professionals that led to prompt use of an AED dramatically increased survival rates after sudden cardiac arrest in adolescents. 7,12,13,15 Additionally, the presence of an AT has been cited as integral to prompt evaluation and management of more common but still serious injuries, such as concussion.…”

mentioning

confidence: 99%

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A Comparison of Emergency Preparedness Between High School Coaches and Club Sport Coaches

Post

Schaefer

Biese

et al. 2019

Journal of Athletic Training

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Context Recent studies suggested that a large population of high school-aged athletes participate on club sport teams. Despite attempts to document emergency preparedness in high school athletics, the adherence to emergency and medical coverage standards among club sport teams is unknown. Objective To determine if differences in emergency preparedness and training existed between coaches of high school teams and coaches of high school-aged club teams. Design Cross-sectional survey. Setting Online questionnaire. Patients or Other Participants A total of 769 coaches (females = 266, 34.6%) completed an anonymous online questionnaire regarding their emergency preparedness and training. Main Outcome Measure(s) The questionnaire consisted of (1) demographics and team information, (2) emergency preparedness factors (automated external defibrillator [AED] availability, emergency action plan [EAP] awareness, medical coverage), and (3) emergency training requirements (cardiopulmonary resuscitation/AED, first aid). Results High school coaches were more likely than club sport coaches to be aware of the EAP for their practice venue (83.9% versus 54.4%, P < .001), but most coaches in both categories had not practiced their EAP in the past 12 months (70.0% versus 68.9%, P = .54). High school coaches were more likely to be made aware of the EAP during competitions (47.5% versus 37.1%, P = .02), but the majority of coaches in both categories indicated that they were never made aware of EAPs. High school coaches were more likely than club coaches to (1) have an AED available at practice (87.9% versus 58.8%, P < .001), (2) report that athletic trainers were responsible for medical care at practices (31.2% versus 8.8%, P < .001) and competitions (57.9% versus 31.2%, P < .001), and (3) be required to have cardiopulmonary resuscitation, AED, or first-aid training (P < .001). Conclusions High school coaches displayed much greater levels of emergency preparedness and training than coaches of high school-aged club teams. Significant attention and effort may be needed to address the lack of emergency preparedness and training observed in club coaches.

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Weltweite Erfahrungen mit automatisierten externen Defibrillatoren

Trappe

2016

Herzschr Elektrophys

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Preventing Sudden Cardiac Death: Automated External Defibrillators in Ohio High Schools

Cited by 18 publications

References 16 publications

Emergency Preparedness of Secondary School Athletic Programs in Arizona

Emergency Preparedness of Secondary School Athletic Programs in Arizona

A Comparison of Emergency Preparedness Between High School Coaches and Club Sport Coaches

Weltweite Erfahrungen mit automatisierten externen Defibrillatoren

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