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      National Athletic Trainers’ Association Position Statement: Emergency Action Plan Development and Implementation in Sport

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          Abstract

          Objective

          An emergency action plan (EAP) is a written document detailing the preparations and on-site emergency response of health care professionals and other stakeholders to medical emergencies in the prehospital setting. The EAP is developed to address any type of catastrophic injury response and should not be condition specific. The objective of this National Athletic Trainers’ Association position statement is to provide evidence-based and consensus-based recommendations for developing and implementing an EAP for sports settings.

          Methods

          These recommendations were developed by a multidisciplinary expert panel that performed (1) a comprehensive review of existing EAP evidence, (2) a modified Delphi process to define consensus recommendations, and (3) a strength of recommendation taxonomy determination for each recommendation.

          Results

          An EAP is an essential tool designed to facilitate emergency preparedness and an efficient, coordinated emergency response during an athletic event. A comprehensive EAP should consider modes to optimize patient outcomes, the various stakeholders needed to develop the plan, the factors influencing effective implementation of the EAP, and the roles and responsibilities to ensure a structured response to a catastrophic injury.

          Conclusions

          These evidence-informed recommendations outline the necessary steps for emergency planning and provide considerations for the immediate management of patients with catastrophic injuries. Increasing knowledge and implementation of the EAP to manage patients with catastrophic injuries improves the overall response and decreases errors during an emergency.

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          Most cited references107

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          Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies.

          To investigate how consensus is operationalized in Delphi studies and to explore the role of consensus in determining the results of these studies. Systematic review of a random sample of 100 English language Delphi studies, from two large multidisciplinary databases [ISI Web of Science (Thompson Reuters, New York, NY) and Scopus (Elsevier, Amsterdam, NL)], published between 2000 and 2009. About 98 of the Delphi studies purported to assess consensus, although a definition for consensus was only provided in 72 of the studies (64 a priori). The most common definition for consensus was percent agreement (25 studies), with 75% being the median threshold to define consensus. Although the authors concluded in 86 of the studies that consensus was achieved, consensus was only specified a priori (with a threshold value) in 42 of these studies. Achievement of consensus was related to the decision to stop the Delphi study in only 23 studies, with 70 studies terminating after a specified number of rounds. Although consensus generally is felt to be of primary importance to the Delphi process, definitions of consensus vary widely and are poorly reported. Improved criteria for reporting of methods of Delphi studies are required. Copyright © 2014 Elsevier Inc. All rights reserved.
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            A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population

            New England Journal of Medicine, 360(5), 491-499
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              National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses.

              To present best-practice recommendations for the prevention, recognition, and treatment of exertional heat illnesses (EHIs) and to describe the relevant physiology of thermoregulation.
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                Author and article information

                Journal
                Journal of Athletic Training
                Journal of Athletic Training/NATA
                1938-162X
                1062-6050
                June 01 2024
                June 26 2024
                June 01 2024
                June 26 2024
                : 59
                : 6
                : 570-583
                Article
                10.4085/1062-6050-0521.23
                333468ee-1540-4f46-9b3c-6a0db5b49e85
                © 2024
                History

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