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Athletic trainers, AEDs called vital after teen’s life saved

Article reposted from Edge Radio
Author: Ryan O’Leary

Robin Hunt understands the praise and attention she’s received the past two weeks. She just doesn’t want people calling her a hero.

Hunt will be the first to tell you: She was simply doing her job on Monday, Feb. 20, when a junior varsity basketball game that seemed like countless other junior varsity basketball games suddenly went terribly, terribly wrong.

Rhys Daigle, a 14-year-old freshman from Nute High School, was spotted by one of the referees in the third quarter and the game at Epping was stopped. Daigle seemed to be wobbly and looked pale, so the officials removed him from the game and the boy took a seat on the bench. Hunt, Epping’s personal athletic trainer through Access Sports Medicine, hurried over to check on him.

“I sat with him on the bench and he was just super pale, super dizzy,” said Hunt, a Hampton native who graduated from Winnacunnet High School in 2010, “and then he just fainted. He just passed out right on me.”

Hunt brought Daigle down to the ground, as two men — one an off-duty EMT, the other off-duty Epping police officer A.J. Towle — rushed over from the stands to assist. But they lost the boy’s pulse as he laid there on the basketball court, and it was Hunt who quickly retrieved the school’s automated external defibrillator (AED) and placed it on the boy’s chest.

“You just hope that it sticks on (his chest) and turn it on,” Hunt said of that moment, “and you hope that it doesn’t have to shock. But when it says ‘shock’ — that’s real.

“‘This machine right here is actually going to save this kid’s life, hopefully,'” she remembers thinking. “You don’t ever think you’re going to see that. It’s scary.”

The AED shocked Daigle twice before a pulse returned. He was breathing on his own again when help arrived to transport him first to Exeter Hospital, and then to Boston by helicopter.

It was learned later that Daigle had an unknown heart condition. Ironically, Hunt did her entire graduate thesis on unknown heart conditions and sudden death in high school athletes.

“That was my last two years of research,” she said of her studies down in Tennessee, “and then here I am, doing it right there.

Hunt was there.

That might be the real miracle in this story, that a school as small as Epping not only had an AED stationed in its gymnasium, but that it has its own athletic trainer who knew where to find it and how to use it when crisis struck.

Personal athletic trainers are not the norm for the smaller New Hampshire schools. Out of the state’s 88 schools in the New Hampshire Athletic Association, 29 do not have an athletic trainer listed in the NHIAA Handbook.

Most will use the per diem approach, bringing in trainers on a game-by-game basis. Some don’t use trainers at all, relying instead on EMTs or coaches, who are required by the NHIAA to be trained in both CPR and First Aid.

“The per diem thing, I would say it’s in the category of being better than nothing,” said Mike Feld, who works out of Marsh Brook Rehab in Somersworth and has been Oyster River’s athletic trainer for 14 years. “There’s also something to be said about having a relationship with the athletes, the coaches, the parents. Having them trust in your knowledge and your skills, trust in your recommendations … as opposed to some random person that shows up twice a week on game days that you really don’t have that relationship with.

Feld continues: “A concussion, a head injury, how the athlete is acting, their personality, is a big part of kind of seeing what’s wrong. If I have no idea how they are normally, I have nothing to compare that to.”

Generally, it comes down to budget, and the high cost of AEDs (which can run into the thousands) is another important part of the story. The state has evolved enough over the past couple years that almost all schools have at least one AED on site. But where? How accessible is it? And in a situation like Epping’s, will there always be somebody there, trained and ready to take immediate action?

“The smaller schools where it’s really not that important yet, who knows?” said Mikaela Harding, who’s in her third year as Winnacunnet’s athletic trainer. “They might not have an AED, and it would take a death or something really bad to happen for them to institute that rule of having one.

“When have we ever seen something like that happening in the New England area? You haven’t. So I think everyone always thinks, like anything in life, ‘It’s never going to happen to me, never going to happen at my school.’ So it’s really eye-opening to know that it could happen anywhere and we always need to be prepared for it.”

Each March, the NATA celebrates National Athletic Training Month, which is a movement that helps spread awareness on the important work that athletic trainers are doing, from the schools to the colleges and pros. Their 2017 slogan is “Your Protection Is Our Priority.”

“I think it’s important,” Access Sports Medicine and Exeter AT Heidi Kirby said. “I’ve been at Exeter 15 years and there’s still people who don’t know what I do. These parents come in and they’re like ‘Well, who are you?'”

It’s part of the struggle that athletic trainers face on a daily basis. It’s a job that taxes the social life, requiring long hours, nights and weekends. More often than not, the job’s a whole lot less exciting than what Hunt encountered on Feb. 20.

“The goal is to do nothing,” Portsmouth High School AT Ryan Dolan put it, “but be ready for anything.”

The crux of the job, aside from counselling, stretching and rehab, is recognizing when an athlete is seriously hurt or in trouble, and when an athlete can safely be treated and put back into a game.

“I’d like people to know that we’re here to care for their children,” Kirby said. “We’re here on the sidelines. We give care that’s equal to what they’re going to get at the college level, sometimes the pro levels.

“We’re there to help. We’re not there to hurt, and if I can keep a kid playing I’m going to keep a kid playing — safely.”

But as we’ve seen here and throughout the country, particularly when the fall high school teams return to the field under the blazing summer sun, things can turn from safe to serious in a heartbeat.

“It’s interesting because you start to think of it as just your daily job, you show up, you do what you do, wrap up a couple kids, and that’s it,” said Taylor Brown, an Exeter grad who’s now the AT at Sanborn Regional. “But the potential for something more is always there. Things like this are kind of a reminder of that.”

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With the schools on vacation this week, Hunt had some time Tuesday to visit Boston Children’s Hospital, where she officially met Daigle for the first time.

“He’s doing well,” Hunt said. “He was sleeping. His dad woke him up.

“He just said ‘Thanks for saving my life.’ And then he went back to sleep. But I’ll take it. That’s all I need.”

Most of the athletic trainers we see at games throughout the Seacoast have never encountered a situation so dire. But they can all find comfort in the fact that they’re trained professionals, that in the case of an emergency, like if a 14-year-old boy is laid down on the basketball court and his heart stops, that there’s a process in place that can save a life.

Hunt was there. Next time, it could be any one of her peers.

“Something like this happens and you kind of think, Do I know?” Dolan said. “What would I do? How would I handle it? And do I have everything with me that I would need to handle a situation with a young kid? It’s good it happened the way it did with (Hunt), but it’s good for everybody else locally to kind of remember and go through their training one more time, in hopes that it happens that way again.”

“It’s great that she was there,” Kirby added of Hunt. “It’s such a small school. It’s just another example as to why, even if you’re a small school, to find it in your budget to at least have a per diem, if not a part-timer, because it could happen at any contest and it could be anything.”

 

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Pennsylvania athletic trainer saves teen’s life at lacrosse camp

Article reposted from The Morning Call
Author: Sarah M. Wojcik

It’s a scene all athletic trainers and coaching staffs train for, but one they never hope to see: an athlete collapses, unresponsive.

During a lacrosse camp Sunday at DeSales University, a 17-year-old boy from Montvale, N.J., fell in a heap on the ground. Staff rushed to his side; among them Catasauqua Area School District athletic trainer John Capozzolo.

He saw the teen collapse face-first from the corner of his eye. He and a colleague tore off the teen’s helmet and pads. Immediately, he could tell the teen’s breathing had stopped and his pulse was undetectable. Capozzolo wasted no time.

“I kind of just went into a zone,” the trainer said Friday. “I heard nothing around me other than the people right next to me. Everything in my head was playing in order, like in a book.”

Capozzolo, in his 13th year at Catasauqua , was at the event to help with staff shortages. He started CPR and delegated. He asked Matthew Brancaccio, head lacrosse coach at DeSales, to fetch an automated external defibrillator and had another trainer call 911.

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Athletic trainers jump into action to save student’s life

Article reposted from Fox 29 San Antonio
Author: Darlene Dorsey

Last week, MacArthur High School athletic trainer –Chad Sutherland had to jump into action.

“This was my first and hopefully my last to every use It,” said Sutherland.

He and another trainer, Jeff Schmidt, worked together to use an automated external defibrillator went a student lost consciousness, last Tuesday.

They worked quickly to help resuscitate the high school junior who they said had no known history of heart issues.

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Sutherland says the student with doing typical drills with other students outside.

When he returned to the building, he had difficulty breathing and collapsed, said Sutherland.

When they opened the AED case, the trainers also immediately dialed 9-1-1 to get EMS on the way.

The AED uses voice commands to help you know what to do.

“You can see it’s telling you where to place each pad,” said Schmidt.

Sutherland hopes others won’t be afraid to get basic CPR training to help someone in a medical emergency.

Chad Sutherland, “If this was your brother or sister or mom or dad, you would want to act so if someone is having problems you would want to help them out as well.”

SAFD Fire Chief Charles Hood will stop by MacArthur high school Tuesday to thank the trainers. He considers them heroes.

The chief says AED or automatic external defibrillators are in many public places like schools, airports, malls or stadiums.

“about 350-thousand people suffer heart attacks every single year,” Hood said.

He hopes others will consider basic CPR training to know how to use an AED. It takes just four minutes he says, for someone in cardiac arrest to lose oxygen to the brain.

But knowing how to use the device, until medical professionals arrive, could help save a life.

“It can happen at any age.

Anywhere. It can happen anytime. What this does is turn an everyday person into a hero because you’re going to be able to follow directions,” said Chief Hood.

The American Red Cross and American Heart Association of San Antonio have information about training to help you know how to use the automated external defibrillator.

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Texas Athletic Trainers Use AED to Revive Football Player on Field

Article reposted from KENS5
Author: James Keith

Parents send their children to school every day assuming they’ll return home. But that didn’t happen Tuesday for the family of a MacArthur High School football player who briefly lost his life on campus.

Brianna Major will never forget the phone call she received about her brother, Kenny Major.

“They told me they just had to do CPR on him and I lost it,” Brianna recalled.

Kenny collapsed on the football field. The details were hard for her to hear.

“His heart did stop. He wasn’t breathing. They did have to revive him,” Brianna said as she held back tears.

MacArthur trainers Chad Sutherland and Jeffrey Schmidt are used to seeing students injured or sick, not dead.

“It got real pretty quick when I came out here and Coach Sutherland had already begun compressions and I knew he wasn’t breathing just by looking at him. He was already becoming pale,” Schmidt said.

Schmidt grabbed an AED. Using the device and providing multiple rounds of CPR brought Kenny back to life.

“I kind of feel like I was floating outside of myself and just doing all the procedures and everything we had been taught,” Sutherland said.

“There was a brief time my brother was gone, and not just from me and my family, but from this world. It was the worst pain I ever felt,” Brianna said.

Kenny is now recovering in the hospital. To his sister, the two and the coaches who helped her brother are heroes.

“I don’t feel like a hero. I feel like that’s what I’m trained to do and what I went to school for, why I do what I do,” Schmidt said.

“I don’t feel like a hero, I just did my job,” Sutherland said.

“When the emergency happened, our guys did what they’re trained to do and they saved this young man’s life,” said Ben Cook, MacArthur’s head football coach.

Brianna has this advice for everyone who hears her brother’s story:

“No matter what happened, no matter what your sibling ruined in your personal mind, make sure they know you love them,” she said.

Parents of high school athletes wanting to have their child’s heart screened have an opportunity this weekend. August Hearts will conduct screenings at Alamo Stadium on Saturday.

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California High School Athletic Trainer leads team in life-saving effort

Article reposted from The San Diego Union Tribune
Author: Elizabeth Marie Himchak

Two hours before last Friday’s basketball games, Rancho Bernardo High’s head athletic trainer, Robbie Bowers, reviewed with his team its emergency protocols.

They do the review frequently so — on the rare occasion their skills might be needed — they are ready to act, he said.

The fourth quarter of the boys game against Westview became that rare occasion.

“I heard a commotion going on and my wife sitting nearby yelled something to me,” he said. “I started to rip my jacket off and went up (the bleachers).”

Robbie Bowers
Robbie Bowers (Courtesy photo)

There he found a Westview staff member’s grandparent — Rancho Bernardo resident Bill Parkhurst — in medical distress, which Bowers said he identified as cardiac arrest.

“I immediately started chest compressions, my intern from SDSU brought the defibrillator and my athletic trainer prepped his chest,” Bowers said on Monday when asked to recall the incident. Among others who stepped in to help was Westview’s athletic trainer, Christina Scherr.

Parkhurst had been sitting on the bleachers’ top tier with the wall behind him, so that was the perfect spot to perform the lifesaving actions, Bowers said, adding it would have been difficult to move him.

An automatic external defibrillator — AED for short — indicates if the person needs to be shocked to get the heart going. It indicated a shock was needed and after the AED applied electricity to the man’s body Bowers said he began chest compressions again. After 30 seconds, Parkhurst started to show signs of life, making sounds and, when asked, was able to correctly say his first name.

As all this was going on, another staff member called 911 and additional staffers went to the two campus entrances to meet paramedics and direct them to the correct venue, Bowers said.

Bowers, who is certified in medical procedures through the National Athletic Trainers Association, said there is a difference between sudden cardiac arrest and heart attack. He said the latter is triggered by a blockage in the heart’s arteries and in many cases the person does not lose consciousness. In sudden cardiac arrest the heart stops, the person loses consciousness and if the heart is not returned to a normal rhythm the person could die within minutes.

In his three decades in the field (27 years at RB High), Bowers said this is the second time he has been called into action like this. The first was about 10 years ago while at a game in Riverside. In that case the man had an extensive history of heart attacks and cardiac disease, and an AED was not available. “The ref died doing what he loved,” Bowers said.

This time, the result was dramatically different. Bowers said he heard through a third-party that the man is hospitalized but doing well, and that night his family told Bowers that his swift efforts “appear to have saved his life.”

On Tuesday afternoon, Barbara Jean Parkhurst said her husband was undergoing surgery. She said she had not wanted her husband of more than six decades to attend the game, but is now glad he did because if he had collapsed at home the outcome might have been different. She credits Bowers and the others with saving his life.

While trained in how to use an AED, Bowers said this was his first time to deliver a shock. He said it is so simple even someone without training could do it.

“It turned out (using an AED) was exactly like we trained,” Bowers said. “It’s that easy. You do not have to be specially trained.”

He said RB High has three AEDs — one in the nurse’s office, another at the pool’s lifeguard tower and a third in the gym, near his office, which due to protocol he takes to games, keeping it nearby just in case.

“(Robbie) and his team’s response was perfect,” said RB High Principal Dave LeMaster. “They basically saved a life. … I was impressed to see them in action.”

Bowers said because of their frequent protocol reviews everyone knew what role they had so the rescue was “seamless.” However, Bowers said he couldn’t sleep that night and he reviewed the situation repeatedly to see what they could do better in the future. The team has also discussed its efforts.

“We could improve on crowd control, because it was a little bit of an issue hearing the prompts,” Bowers said, adding he was so focused on what he was doing that he did not realize the game was stopped. “But we did have a lot of support in maintaining modesty of the patient.”

He added, “Every experience is a learning opportunity. I’m very proud of (my team’s) response.”

 

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Athletic Trainer, Teachers and Defibrillator save student’s life

Article reposted from Savannah Morning News
Author: G.G. Rigsby

An automated external defibrillator (AED) was used to save the life of a student at South Effingham High School on Dec. 12, marking the first time the equipment was used to save a student.

The student participating in after-school soccer conditioning collapsed, became unconscious and stopped breathing, Assistant Superintendent Yancy Ford said in a report to the school board.

CPR was started while the AED was brought to the scene and 911 called. The student was shocked twice before responding and was transported to Memorial Hospital, Ford said.

“He was stable and doing well,” he said. “He was later sent to Children’s Healthcare of Atlanta for testing and followup treatment. This was the first time we have needed to use the AED on a student. The SEHS staff in attendance responded quickly and appropriately and with the help of the AED saved the young man’s life.”

Staff members involved in the rescue were presented with Hero Award certificates, as part of Georgia Project Heart Save.

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Wisconsin Athletic Trainer Performs CPR, Saves Life

Article reposted from The Waunakee Tribune
Author: Roberta Baumann

A Waunakee JV basketball player will receive a warm reception today when he is released from Children’s Hospital of Wisconsin in Wauwatosa.

Michael Saxby, 16, was competing in a game Dec. 27 at West Allis Central High School when he suffered sudden cardiac arrest, according to a press release from Children’s Hospital of Wisconsin in Wauwatosa.

Athletic trainer Scott Barthlama performed CPR on the Waunakee player until paramedics arrived. They then performed CPR and used an automated external defibrillator (AED) to keep Saxby’s heart pumping.

Saxby was transported to the hospital, where he was diagnosed with a genetic heart condition called hypertrophic cardiomyopathy, according to the press release. It is a disease that causes a portion of the heart muscle to be enlarged and is the leading cause of death in young athletes.

AEDs are placed in West Allis Central High School through Project ADAM, a Children’s Hospital of Wisconsin project. It has saved more than 100 lives nationwide, according to the release.

Saxby was greeted by members of the West Allis Fire Department, West Allis Mayor, Waunakee School officials and medical staff upon his release from the hospital.

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‘Not trying to be a hero’: Athletic trainer prepared for years; then the day came

Article reposted from The Herald
Author: JOHN MARKS

It’s been a week now since Matt Bressler had the day of his professional life. It’s a day he never wants to experience again, but one that he’ll train for just in case.

Bressler, an athletic trainer at Clover High School, heard his name radioed after school on Oct. 25. He was at football practice. They needed him on the softball field. When he arrived, Bressler found a student athlete unresponsive.

He’d trained for years for just such a scenario. Now, it was time to act.

“That was the first time in a live situation I’ve had to apply it,” Bressler said.

Through the Clover school district, the student’s family gave permission to tell the story of what happened, to thank Bressler and staff. The family declined to comment or give details of the medical incident and did not want the name of the student to be released.

Bressler himself said he isn’t crazy about reliving his actions to publicize the story. But he and the school staff will if it helps show the need for life-saving equipment on school grounds.

“When you get a phone call like that, the first half of it is, how is something like this happening?” said Clover High Principal Rod Ruth, who was away from school but was told that Bressler had resuscitated a student.

“It’s an awful feeling,” Ruth said. “Then you find out how it turned out and the second half is, we had the right people there with the right equipment, trained the right way.”

Clover High School has nine automated external defibrillators. Five are stationed strategically around campus. The athletic training staff has three mobile ones. The school district auditorium has one. The new district aquatic center is getting one to be donated by the Lake Wylie Rotary Club.

Designs of the devices vary, but some go so far as to give verbal commands on when and where to place pads on someone in need of assistance, and read vitals from that person to determine if a shock is necessary.

“If warranted, if it detects it, it will apply an electric shock across the heart,” Bressler said.

School leaders can say little about the incident on the softball field, except that it involved a student who regained consciousness after the device was used. An unresponsive student in need of the equipment isn’t something that someone like Bressler would expect. But there is a reason many of the machines are stationed at athletic sites.

“It is not common with this age group, but there are certain injuries,” he said.

Bryan Dillon, public information officer for the Clover district, said there are other reasons for the equipment, from sport spectators to ticket holders at the auditorium to swimmers at the new aquatic center.

“That’s equally as important an aspect of it,” Dillon said.

Having them accessible throughout school grounds is key.

“Any time the heart stops, then time is always critical,” Bressler said.

Bressler sees athletes all day long. He spends most of his time taping ankles, icing buckets, fielding comments or complaints — important tasks, but far from the critical nature of emergency medical care.

Since the incident, he said, school staff members have thanked him. There have been school and other recognitions.

“I understand what happened,” Bressler said. “I’m not trying to be a hero. I was doing what I was trained to do.”

School leaders said they don’t look at the incident as a trainer helping a student, but as family helping one another.

When Bressler arrived at Clover High in 2008, his wife Kim had been a trainer there four years already. The school keeps at least one trainer on-site during games and practices, meaning student athletes are all but family to the Bresslers for all the time they spend together.

“It works well for us,” Bressler said about he and Kim working the same job, at the same school, for long hours during sports seasons. “It’s seamless now.”

Ruth, the principal, is also a parent; he has two children who are students in the Clover district. He knows what parents expect when students show up by the bus and car loads every morning.

“Every parent has that same experience every morning,” Ruth said. “Are they going to learn something today? Are they going to be safe today?”

Maybe it was coincidence, but Bressler said he had three college interns with him on the day the student needed to be revived. They saw something in one day with Bressler that he had never seen in his more than 20-year career.

Maybe, Bressler thinks, it could help if those students ever find themselves needing to act. Should they, Ruth figures they got about the best education possible.

“The thing that stood out to me was how calm and confident he was,” Ruth said of Bressler. “It’s one thing to train for it. When it happens, that’s when you know or you don’t know how things are going to play out.”

Bressler said he gets why people are making a big deal of his actions. And part of him shies from the attention. The rest is just glad the incident isn’t a far bigger deal than it ended up being.

“It could have,” he said.

Read more here: http://www.heraldonline.com/news/local/community/lake-wylie-pilot/article111862427.html#storylink=cpy

 

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Teacher Survives SCA Thanks to Quick Actions of Athletic Trainer and Fans

Article reposted from: Advocates for Injured Athletes
Author: Heather Clemons

It was a Friday in September at Francis Parker School and the football game was in full swing. Athletic trainer Niki Dehner heard her name being yelled from the stands and she turned to realize some of the fans were trying to get her attention near the top of the bleachers – a spectator had collapsed suddenly. Upon reaching the collapsed spectator Niki found two physicians (spectators) performing CPR on the collapsed gentleman. She ensured 9-1-1 had been called and retrieved the automated external defibrillator (AED) from the sidelines. Niki applied the AED and administered a shock, at which time the emergency medical technicians arrived and transported the gentleman to the hospital for further treatment.

Niki is happy to report the spectator, a teacher at Francis Parker School, was ultimately revived and survived sudden cardiac arrest (SCA). After missing a few weeks, he has returned to work at the high school.

For Niki, she is proud of all those who played a role in helping save this man’s life. The emergency action plan (EAP) was executed as designed and an AED was readily available when it was needed. All those involved responded effectively. Of note, the students working with Niki acted quickly and confidently to locate the AED as instructed and direct the ambulance to the stands. Having the AED available on the field and not inside the building was critical in getting to the collapsed spectator quickly, as time is of the essence when SCA is suspected. For every one minute delay in defibrillation, the survival rate of a cardiac arrest victim decreases by 7 to 10%.

Francis Parker School made a commitment to be prepared in an emergency with an emergency action plan (EAP), an athletic trainer, and an AED – it has paid off in saving the life of one of its teachers. Being prepared for an emergency is ultimately a benefit for the entire school community, not just its student athletes. Being prepared with the proper planning, staffing and equipment saves lives. Thank you to Niki and Francis Parker School for your commitment to emergency preparedness.

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Michigan High school athletic trainers receive AEDs

Article reposted from Click on Detroit
Author: Sarah Mayberry, M.P.H.

A growing number of schools are purchasing automated external defibrillator, or AEDs, but that does not mean they’re always readily available for student athletes or their fans.

Kanisha Ward is responsible for the safety of more than 300 athletes as an athletic trainer for Ypsilanti Community High School.

“There’s an AED right outside our gym that I usually take for the basketball games and soccer, but our track, football field, baseball diamond, they’re all maybe a half a mile up,” Ward said.

She worries about having their AED so far away.

“Even our best sprinter, it would take him at least 5 minutes,” Ward said.

It’s also a concern for Jesse Johnson, athletic trainer for Father Gabriel Richard High School in Ann Arbor.

“Cross country, when we’re out at Hudson Mills, it’s probably a five minute walk just to get to your car. They call the ambulance or the park safety people, depending on where they’re at, easily it could be a half an hour or more to get somebody there,” Johnson said.

Both trainers know that’s far too long for a student suffering a cardiac arrest.

“It’s a matter of seconds,” Ward said. “Every second that ticks off is closer to not being able to have them here on Earth with us.”

But taking the AED out of their schools is not a good solution.

“That’s always our fear that if I take one from the school and the school needs it, then they don’t have one anymore,” Johnson said.

The University of Michigan MedSport program recognized the problem and is taking steps to solve it by providing 21 AEDs for trainers at all of the schools and athletic programs they have contracts with — in Wayne, Oakland, Washtenaw, and Livingston counties. The AEDs can travel with the trainers to practices and competitions.

“For an athletic trainer to have one at their side would be the difference between life and death,” Pat Dyer, coordinator of athletic training services at U-M MedSport, said. “I think it’s always been in the back of their mind, ‘Oh, I hope I don’t get stuck on a field where a kid goes down, and I have to run back to the school to get this.’ To have one next to you to be able to place the pads on and start the program right away will be critical to saving a life.”

The trainers said it’s not just students that could be saved, but also officials, parents, grandparents and other spectators.

“It’s definitely going to reassure us to know that we will have the tools necessary,” Johnson said. “If something like this were to come up and we needed to get an AED, that we have one. We can utilize it and hopefully save a life and not have to say, ‘Well, if we only had, then we could have done better.'”