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Emergency Action Plans for Football Teams

By 4Football Staff · · 10 min read

What an emergency action plan is, who needs to know it, what it should contain for practices and games, and how a team can rehearse it so help arrives fast when seconds count.

A player collapses during conditioning drills on a Tuesday afternoon. He is not responding. A coach shouts for someone to call 911, and three people reach for their phones. One calls and cannot give the dispatcher an address for the practice field, which sits behind the school and has no street number. Another runs to the gym for the defibrillator and finds the door locked. The ambulance, when it comes, goes to the front of the school while the player is behind it.

Nobody in that scene is careless or uncaring. They are confused, because the plan for what to do was never written down or practiced. In an emergency, people do not rise to the occasion so much as fall to the level of their preparation.

An emergency action plan, often shortened to EAP, is the document and the rehearsal that prevent that scene. It is a written, venue-specific plan that says who does what, with what equipment, and how help is summoned and guided to the right place. This article explains what a good plan contains, who is involved, how to adapt it to practices and games, and how to rehearse it. It is general information. A team's official plan should be developed with its athletic trainer, school or league officials and local emergency medical services.

What an emergency action plan is

An EAP is a written protocol for responding to serious injuries and medical emergencies at a particular location. The word "particular" matters. A plan for the high school stadium is not the plan for the practice field across the road or the away field the team visits. Each site has its own entrances, phone coverage, nearest hospital and equipment.

The purpose is to answer a handful of questions before anything happens.

  • Who is in charge of the medical response?
  • Who calls for help, and exactly what do they say?
  • Who gets the equipment, and where is it?
  • Who meets the ambulance and leads it to the athlete?
  • Who stays with the injured player, and who manages everyone else?
  • Where does the patient go, and who goes with them?

If these are decided in advance, the first minutes of an emergency, which are often the most important, are used for care rather than for deciding.

Why written and rehearsed plans matter

In a medical emergency such as cardiac arrest, a severe head or neck injury or heat stroke, outcomes depend heavily on how quickly the right actions begin. That is not a reason for panic. It is a reason for preparation. Several things make a plan valuable.

  • It removes guesswork. Everyone knows their job.
  • It reduces delay. Calls, equipment and guidance to the field happen at the same time instead of one after another.
  • It prepares for the unlikely. Serious emergencies are rare, so most people have never faced one, and a rare event is the hardest one to improvise.
  • It protects everyone. Athletes, coaches and families can count on a standard of care.

Medical and athletic-training organizations have long recommended that schools and teams have such plans, and many state associations and school districts require them. Whether yours does depends on where you are, so ask.

The parts of a good plan

Templates published by athletic-training and sports-safety organizations list similar elements. Here are the ones that matter most.

1. The people and their roles

A plan should name roles, not just individuals, so that it still works when someone is absent. Typical roles include:

  • The lead medical responder. Usually the athletic trainer, team physician or most qualified person present. This person directs the care of the athlete.
  • The caller. The person who dials 911 and stays on the line. The caller needs a script, and it is often better for a second person to relay information.
  • The equipment runner. The person who brings the AED and other gear to the scene.
  • The gate or road guide. The person who goes to the entrance to meet the ambulance and lead it to the athlete.
  • The crowd and team manager. A coach or administrator who keeps the other players, spectators and traffic away so responders have space.
  • The family contact. Someone who notifies parents or guardians and goes with the athlete if appropriate.

Our article on the role of the athletic trainer explains who usually leads the response where a trainer is present. In programs without one, a coach, a school nurse or a trained volunteer fills that gap, and the plan should say who.

2. Communication

The plan should say how people reach emergency services and each other.

  • Working phones. Identify which phone will be used and confirm there is cell service at the field. If coverage is poor, a landline or radio is needed.
  • What to say. The caller should give the exact location, the nature of the emergency, the athlete's condition and the nearest entrance. A written script on the sideline helps.
  • A way to be found. Fields often lack street addresses. The plan should provide a usable address, nearby cross streets or landmarks and the gate to use.
  • Staying on the line. The caller should stay on the line until the dispatcher says to hang up.

3. Equipment

The plan should list the emergency equipment, its location and who is responsible for checking it. Common items include:

  • An automated external defibrillator, known as an AED, kept close to the field and checked regularly. Our article on cardiac safety and AEDs at football fields explains why they matter.
  • A first-aid kit and supplies for bleeding, including any items the staff is trained to use.
  • Equipment for managing suspected spine injuries and tools for removing a face mask quickly, along with training in their use.
  • Materials for treating heat illness, such as ice, towels and a way to cool an athlete rapidly. See our article on heat illness prevention and response.
  • Any medications prescribed for athletes with known conditions, such as asthma inhalers or epinephrine auto-injectors for allergic reactions, with a way to know which athletes have them.

Equipment is only useful if it is accessible. Doors must be unlocked or the key holder must be identified, and the gear must be near the field, not in a distant office.

4. Transportation and hospitals

The plan should say how an injured athlete will get to care.

  • Is an ambulance on site? Some games have one standing by. Practices typically do not. If not, the plan should say how long local responders take to arrive.
  • Which hospital? The plan should name the nearest appropriate facility and the route.
  • Who goes along? A responsible adult should accompany the athlete and carry the medical information.
  • Do not transport by private car in serious cases. For serious emergencies, calling emergency services is generally the safe choice. A trained crew can start care and notify the hospital.

5. Maps and access

A simple site map is one of the most useful pieces. It shows entrances, gates, the route to the field, the location of equipment and where the ambulance should park. It should also mark locked gates and who has keys. The plan should include written directions that can be read aloud to a dispatcher.

6. Specific emergencies

A good plan includes short instructions for the most likely serious events. These do not replace training, but they remind responders of the first steps.

Emergency Core first actions
Cardiac arrest (unresponsive, not breathing normally) Call 911, start CPR, use the AED as soon as it arrives
Suspected head or neck injury Do not move the athlete unless there is an immediate danger; stabilize; call 911
Heat stroke (very high body temperature, confusion, collapse) Call 911 and cool the athlete rapidly, ideally by immersion in cold water, while waiting
Heavy bleeding Apply direct pressure, call 911, use supplies the staff is trained to use
Severe allergic reaction or asthma attack Call 911, use prescribed medication as directed
Lightning strike Move to safety if lightning persists, call 911, give CPR and use the AED if needed
Fractures and dislocations Immobilize, do not force the limb, call for medical help

Our article on lightning and severe weather policies describes how weather emergencies fit in. The table is a reminder, not training. Staff should get formal first-aid, CPR and AED instruction from a recognized provider.

Adapting the plan: practices, games and away sites

A plan that works on a game night may fall apart at a Tuesday practice.

Practices

Practices often occur with fewer adults, at more remote fields, with no ambulance on standby and sometimes in empty buildings. The plan should assume that and spell out who is present and who responds. Summer conditioning and early-season practices carry the risk of heat illness, so the plan should include temperature monitoring and cooling supplies.

Home games

Home games usually involve more resources, such as an ambulance, a physician or athletic trainers, an announcer and administrators. The plan should show how those people coordinate. It should also consider crowd control, including how an ambulance can reach the field through a full parking lot.

Away games and travel

At an away field, the team's staff should ask about the host's plan, the location of emergency equipment and nearby hospitals, ideally before the game. The visiting trainer or coach should know whom to call and how to reach the field. Teams that travel on buses should have a plan for emergencies on the road.

Off-site and summer activities

Camps, seven-on-seven events, workouts at public parks and training at private gyms all involve different locations. A plan should cover each place where the team gathers, not only the home stadium.

Rehearsing the plan

A plan sitting in a binder is not enough. People need to practice.

  1. Share it. Give every coach, trainer, volunteer and administrator a copy, and post a short version where staff can see it.
  2. Walk through the roles. Before the season, the staff should meet at the field, stand where they would stand and say what they would do.
  3. Run a drill. A simulated emergency, with a practice dummy or a volunteer, reveals problems. Time the response. Find out whether the AED is reachable and whether the gate opens.
  4. Involve local responders. Invite the local EMS crew or fire department to walk the site. They can advise on access, tell you what information they need and often are glad to be asked.
  5. Review and update. After drills and at least once a year, revise the plan for changes in staff, phone numbers, facilities and equipment.
  6. Debrief after real events. After any actual emergency or near-miss, the team should review what worked and what did not.

Many states and associations recommend or require rehearsals. Check your own requirements, since they differ.

Common mistakes

  • No address for the field. Dispatchers need a location they can find.
  • Locked doors and gates. If the AED room or the gate is locked, valuable minutes are lost.
  • A dead or missing AED battery. Equipment needs scheduled checks.
  • Relying on one person. If that person is absent or injured, the plan fails.
  • A plan for games only. Most emergencies are in practices.
  • Moving a person with a possible neck injury. Unless there is an immediate danger, avoid moving the athlete and wait for trained help.
  • Never practicing. A plan nobody has rehearsed is a plan nobody remembers.
  • Forgetting the visitors. Spectators, officials and opposing players can also need help.

What parents, players and volunteers can do

Even if you are not a coach, you can help.

  • Ask whether the team has a written plan and whether it covers practices.
  • Ask about CPR and AED training. Find out who on the staff is certified and consider taking a course yourself.
  • Learn the location of the AED at your child's field.
  • Offer to help with gate duty, a first-aid kit or a clipboard of medical information, if you are in a volunteer-run league.
  • Make sure the school has current emergency contacts and medical information for your child, such as allergies and medications.

The high school directory can help you reach your school's athletic department, and recreational leagues in the Play section can tell you what safety measures they have. Our stadiums page lists professional and college venues where full emergency systems are in place.

The short version

  • An emergency action plan is a written, rehearsed, venue-specific protocol that says who does what when a serious medical emergency happens.
  • It names roles, including a lead responder, a caller, an equipment runner, a gate guide and a crowd manager, so it works even when people are absent.
  • It covers communication, equipment such as the AED, transportation, maps and a usable address for the field, and short instructions for likely emergencies.
  • It should be adapted for practices, home games, away games and off-site events, not only for game night.
  • Rehearse it, ideally with local emergency responders, and review it at least once a year and after any real event.
  • Parents and players can ask whether a plan exists, learn where the AED is and consider CPR training.

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