Maryland Code § ED-7-452

Section ED-7-452
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(a) (1) Each nonpublic middle school and high school that receives State
funding shall develop a venue-specific emergency action plan for all athletic facilities.
(2) A venue-specific emergency action plan developed by a nonpublic
school shall include:
(i) The operation and use of automated external defibrillators
in a manner consistent with the requirements of § 13-517 of this article;

(ii) Heat acclimatization in a manner consistent with the
model policy developed under § 7-434 of this subtitle;
(iii) Coordination of care for other emergent injuries, including
cervical spinal injury, concussion and closed head injury, major orthopedic injuries,
and severe weather for outdoor facilities; and
(iv) A cardiac emergency response plan in accordance with
subsection (e) of this section.
(b) A venue-specific emergency action plan developed under this section
shall be:
(1) Posted at each athletic facility at the school;
(2) Available on the school's website for viewing by a student
athlete's parent or guardian at the beginning of each school year;
(3) Distributed to each member of the coaching staff; and
(4) Rehearsed in person and interactively by all of the coaching staff
of each sport before each of their respective seasons.
(c) The provisions of a venue-specific emergency action plan for the
operation and use of automated external defibrillators shall ensure that:
(1) An automated external defibrillator is provided on-site and is
located at or within a brief walk from an athletic practice or event on school property;
(2) An automated external defibrillator is freely accessible during all
school functions;
(3) All members of the coaching staff are trained in the operation and
use of an automated external defibrillator; and
(4) A trained member of the coaching staff is present at all athletic
practices and events on school property.
(d) The provisions of a venue-specific emergency action plan for heat
acclimatization shall:
(1) Include guidelines for student athletes consistent with the Model
Policy for Preseason-Practice Heat Acclimatization Guidelines for Student Athletes
established under § 7-434 of this subtitle;

(2) Ensure that each school is properly prepared and equipped to
initiate cold water immersion for the treatment of exertional heat stroke;
(3) Ensure that the cooling modality is readily available to student
athletes at all athletic practices and events on school property;
(4) Ensure that all members of the coaching staff are trained in cold
water immersion; and
(5) Ensure that a trained member of the coaching staff is present at
all athletic practices and events on school property.
(e) (1) Each venue-specific emergency action plan shall include a
cardiac emergency response plan.
(2) The cardiac emergency response plan shall:
(i) Identify the appropriate school personnel to serve as the
cardiac emergency response team who will be tasked with responding to incidents
involving an individual experiencing sudden cardiac arrest or a similar life-
threatening emergency while at an athletic facility;
(ii) Coordinate with first responders in the local emergency
medical services to integrate the cardiac emergency action plan into local emergency
response protocols; and
(iii) Include, at minimum, the following evidence-based core
elements recommended by an appropriate national organization, including the
American Heart Association:
1. Procedures for activating the cardiac emergency
response team during incidents involving an individual experiencing sudden cardiac
arrest or a similar life-threatening emergency while at an athletic facility; and
2. Requiring specified school personnel to have
training in first aid, cardiopulmonary resuscitation (CPR), and the operation and use
of automated external defibrillators, in a manner consistent with § 7-425 of this
subtitle, including cardiac emergency response team members, athletic coaching and
training staff, school nurses, and any other individuals identified by the cardiac
emergency response team.
(3) Each year, each middle school and high school shall review and
update the cardiac emergency response plan required under this subsection.

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