Emergency Action Planning in United States High Schools.

IF 2.7 2区 医学 Q1 SPORT SCIENCES
Riley Michael Hedberg, Jack Michael Ayres, William Messamore, Jordan P Baker, Armin Tarakemeh, Richard Burkholder, Luis Salazar, Bryan George Vopat, Jean-Philippe Darche
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引用次数: 0

Abstract

Background: Rates of emergency action plan (EAP) implementation and compliance with EAP guidelines vary in United States secondary schools. There are limited data on emergency preparedness in schools without athletic trainers (ATs).

Hypothesis: Rural and high poverty schools have poor emergency preparedness for high school athletic events due to financial barriers and lack of ATs.

Study design: Cross-sectional study.

Level of evidence: Level 5.

Methods: A web-based questionnaire was emailed by each State High School Athletics Association to ATs, athletic directors, and coaches of recipient schools to assess emergency preparedness.

Results: A total of 686 responses were received (response rate ~3.5%). Schools with an AT on staff were more likely to have an EAP (P < 0.01). Schools with a higher enrollment were more likely to have an EAP (P < 0.01), an AT on staff (P < 0.01), require additional training for coaches (P < 0.01), and have an automated external defibrillator (AED) onsite for all events (P < 0.01). Urban (odds ratio [OR], 3.514; 95% CI [2.242, 5.507]; P < 0.01) and suburban (OR, 4.950; 95% CI [3.287, 7.454]; P < 0.01) districts were more likely than rural districts to have an AT on staff. High poverty districts were less likely to have an AED (OR, 0.660; 95% CI [0.452, 0.964]; P = 0.03) or EAP (OR, 0.511; 95% CI [0.306, 0.853]; P < 0.01) at athletic venues.

Conclusion: Lower enrollment, high poverty, and rural schools are less prepared for athletic emergencies than their higher enrollment, low poverty, and suburban counterparts as these schools are generally less likely to have an AT on staff, AEDs, and EAPs and less likely to provide additional training to coaches and other staff.

Clinical relevance: This study assesses athletic emergency preparedness-a critical component of ensuring athlete safety and recovery after injury.

美国高中的应急行动规划。
背景:在美国的中学中,应急行动计划(EAP)的实施率和 EAP 指南的遵守率各不相同。没有运动训练员(ATs)的学校在应急准备方面的数据有限:研究设计:横断面研究:研究设计:横断面研究:研究方法方法:各州高中体育协会通过电子邮件向接受调查的学校的体育教师、体育主管和教练发送网络问卷,以评估应急准备情况:共收到 686 份回复(回复率约为 3.5%)。拥有一名体育教师的学校更有可能拥有紧急应变计划(P < 0.01)。注册人数较多的学校更有可能拥有紧急求助计划(P < 0.01)、配备助产士(P < 0.01)、要求对教练进行额外培训(P < 0.01)以及在所有活动现场配备自动体外除颤器(AED)(P < 0.01)。城市(几率比 [OR],3.514;95% CI [2.242,5.507];P <0.01)和郊区(OR,4.950;95% CI [3.287,7.454];P <0.01)地区比农村地区更有可能配备一名助产士。高贫困率地区在运动场地配备自动体外除颤器(OR,0.660;95% CI [0.452,0.964];P = 0.03)或紧急救护人员(OR,0.511;95% CI [0.306,0.853];P < 0.01)的可能性较低:结论:与入学率较高、贫困率较高和郊区的学校相比,入学率较低、贫困率较高和郊区的学校在应对体育突发事件方面准备不足,因为这些学校一般不太可能配备医务人员、自动体外除颤器和紧急救护设备,也不太可能为教练和其他工作人员提供额外的培训:本研究评估了运动员的应急准备情况--这是确保运动员安全和伤后恢复的重要组成部分。
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来源期刊
Sports Health-A Multidisciplinary Approach
Sports Health-A Multidisciplinary Approach Medicine-Orthopedics and Sports Medicine
CiteScore
6.90
自引率
9.10%
发文量
101
期刊介绍: Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals. Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS). The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor. Topics include: -Sports Injury and Treatment -Care of the Athlete -Athlete Rehabilitation -Medical Issues in the Athlete -Surgical Techniques in Sports Medicine -Case Studies in Sports Medicine -Images in Sports Medicine -Legal Issues -Pediatric Athletes -General Sports Trauma -Sports Psychology
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