Diana L. Malone, Ph.D. Training & Consultation Coordinator Allegheny Intermediate Unit David G. McBain, CAA, ATC, LAT Director of Athletics West Allegheny School District

Signed into law on May 30, 2012 Effective on July 30, 2012

Purpose of the legislation is to ensure the safety of student athletes. 1) Includes certain requirements for:  Pennsylvania schools  Personnel who supervise schools’ student athletes  Medical personnel who support them 2) Establishes standards for preventing sudden cardiac arrest and death in student athletes.

Nothing about scholastic sports is life and death — at least it shouldn’t be. Yet every year, for about 100 teenage athletes, it is.

FACTS : Sudden Cardiac Arrest Fact Sheet Sudden Cardiac Arrest Fact Sheet Sudden Cardiac Arrest is NOT a Heart Attack.  A heart attack may cause SCA, but they are not the same. A heart attack, also called myocardial infarction (MI), is caused by a blockage that stops the flow of blood to the heart and causes damage to heart muscle. SCA is a malfunction in the heart’s electrical system, causing the heart to suddenly stop beating. 1 American Heart Association  Sudden cardiac arrest (SCA) is when the heart abruptly and unexpectedly stops beating, resulting in no blood flow to the brain and other vital organs. 2 National Heart Lung and Blood Institute The Centers for Disease Control and Prevention estimate that every year approximately 300,000 out-of-hospital cardiac arrests occur in the United States. 3 Centers for Disease Control & Prevention About 2,000 patients under 25 years of age die of SCA. 4 American Academy of Pediatrics In 1999 in Pennsylvania, 154 individuals under the age of 25 died due to SCA. 5 Centers for Disease Control and Prevention

Warning Signs and Symptoms of Sudden Cardiac Arrest.  Although SCA happens unexpectedly, some people have symptoms, such as dizziness or lightheadedness, shortness of breath or difficulty breathing, racing or fluttering heartbeat (palpitations), fainting (syncope), fatigue, weakness, nausea, vomiting or chest pains. 1 American Heart Association,,4 American Academy of Pediatrics,6 Mayo Clinic Risks of continuing to play or practice after experiencing one or more symptoms of Sudden Cardiac Arrest.  When the heart stops, oxygenated blood stops flowing to the brain and other vital organs. Death or permanent brain damage can occur in only a few minutes. 6 Mayo Clinic Most people who have SCA die from it. 1 American Heart Association

Requirements of the Law PA Governor Tom Corbett

 Section 1. Name “Sudden Cardiac Arrest Prevention Act P.L. 574, No. 59, Cl24.”  Section 2. Definitions  Section 3. Sudden Cardiac Arrest  Section 4. Effective Date July 30, 2012

Section 2. Definitions “Athletic Activities” What activities are covered? (1) Interscholastic athletics (2) Contest or competition sponsored by or associated with a “school entity” includes cheerleading, club sports or activities sponsored by school affiliated organizations (3) Noncompetitive cheerleading (4) Practices and scrimmages

Section 2. Definitions “Interscholastic athletics” All athletic contests or competitions conducted between or among school entities situated in counties of the second class, second class A, third class, fourth class, fifth class, sixth class, seventh class and eighth class. DOH Section 1602-A of the Act of March 10, 1949 (P.L. 30, No. 14) Public School Code of 1949

Section 2. Definitions “Department” Department of Health of the Commonwealth (DOH)

Section 2. Definitions “School Entity” A public school, school district, nonpublic school or private school in this Commonwealth other than a private or nonpublic school which elects not to become a member of the association. DOH Section 1602-A of the Act of March 10, 1949 (P.L. 30, No. 14) Public School Code of 1949

Section 3 Sudden Cardiac Arrest Prevention a) Educational Materials b) Informational Meeting c) Removal From Play d) Training Course e) Penalties f) Other Youth Activities g) Construction

Section 3 Sudden Cardiac Arrest Prevention (a)(1) Educational Materials Department of Health, PA Department of Education websites offer guidelines & other relevant educational materials for students, parents, and coaches about the nature and warning signs of sudden cardiac arrest.  PA Department of Heath  PA Department of Education

Section 3 Sudden Cardiac Arrest Prevention (a)(1) Educational Materials continued Students, parents, and coaches must be educated about the nature and warning signs of sudden cardiac arrest including the risks associated with continuing to play or practice after experiencing one or more symptoms of sudden cardiac arrest, including:  Fainting  Difficulty breathing  Chest pains  Dizziness  Abnormal racing heart rate.

Section 3 Sudden Cardiac Arrest Prevention (a)(2) Educational Materials  The Department of Education may utilize existing materials developed by other organizations (i.e., Parent Heart Watch and Sudden Arrhythmia Death Syndromes)

Section 3 Sudden Cardiac Arrest Prevention (a)(3) Educational Materials Parents and student athletes must sign and return acknowledgement of receipt and review of Sudden Cardiac Arrest symptoms and warning signs Information Sheet each year prior to participation by the student in an athletic activity.

The Pennsylvania Department of Health Athlete/Parent/Guardian Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and Acknowledgement of Receipt and Review Form Athlete/Parent/Guardian Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and Acknowledgement of Receipt and Review Form which has been reviewed and adopted by the PIAA – CIPPE Form.CIPPE Form.

Section 3 Sudden Cardiac Arrest Prevention (b) Informational Meeting  School entity may hold Informational Meetings prior to the start of each athletic season for all ages of competitors regarding: Symptoms and warning signs of sudden cardiac arrest, In addition to students, parents, coaches and other school officials, Informational Meetings may include physicians, pediatric cardiologists, and athletic trainers.

Section 3 Sudden Cardiac Arrest Prevention (c) Removal from Play

Section 3 Sudden Cardiac Arrest Prevention (c)(1) Removal from Play  Student athlete exhibits signs or symptoms of sudden cardiac arrest shall be removed by the Coach from participating in an athletic activity. Subject to paragraph (c) (3).

Section 3 Sudden Cardiac Arrest Prevention (c)(1) Removal from Play  Determination may be made by game official, coach, certified athletic trainer, physician, physical therapist, or other designated by school entity. Subject to paragraph (c) (3).

Section 3 Sudden Cardiac Arrest Prevention (c)(2) Removal from Play  If student is known to have exhibited signs or symptoms of sudden cardiac arrest at any time prior to or following an athletic activity, the student shall be prevented from participating in an athletic activity. Subject to paragraph (c) (3).

Section 3 Sudden Cardiac Arrest Prevention (c)(3) Removal from Play A student removed or prevented from participating in an athletic activity under paragraph (c)(1) or(2) shall not return to participation until the student is evaluated and cleared for return to participation in writing by a licensed physician, certified registered nurse practitioner, or cardiologist.

Section 3 Sudden Cardiac Arrest Prevention (c)(4) Removal from Play To help determine whether a student is ready to return to play, the licensed physician or certified registered nurse practitioner may consult any other licensed or certified medical professionals.

Medical Clearance Form PIAA – CIPPE Form.CIPPE Form. [Section 8: Re-Certification By Licensed Physician of Medicine or Osteopathic Medicine]

Section 3 Sudden Cardiac Arrest Prevention (d) Training Course  (d)(1) All Coaches must complete sudden cardiac arrest training course offered by approved provider. (Beginning July 30, 2012 for school year)  (d)(2) A coach shall not coach any athletic activity until completing the required training course.

Certification Training for Coaches and Medical Professionals Provider(s) approved by PA Department of Health 1. PA Department of Health - Sudden Cardiac Arrest Education and Information Sheet must be reviewed and signed. (hyperlink is the abbreviated training)Sudden Cardiac Arrest Education and Information Sheet

Section 3 Sudden Cardiac Arrest Prevention (e) Penalties for Coaches (Required July 30, 2014)

Section 3 Sudden Cardiac Arrest Prevention (e) Penalties for Coaches (1) 1st violation – Suspension from coaching for remainder of season (2) 2nd violation – Suspension from coaching for remainder of current season and for the next season (3) 3rd violation – Permanent suspension from coaching any athletic activity

Section 3 Sudden Cardiac Arrest Prevention (f) Other Youth Activities  The sponsors of youth athletic activities not Associated with a school entity are encouraged to follow these guidelines.

Section 3 Sudden Cardiac Arrest Prevention (g) Construction Nothing in this act shall be construed to: (1) abridge or limit any rights provided under a collective bargaining agreement or Public Employee Relations Act. (2) create, establish, expand, reduce, contract or eliminate any civil liability on the part of any school entity or school employee.

Section 4 Effective Date The “Sudden Cardiac Arrest Prevention Act” shall take effect on: July 30, 2012.

PSBA No. 123_2 Sudden Cardiac Arrest PSBA No. 123-AR-3-PIAA Forms SCA PSBA No. 123 Interscholastic Athletics PSBA No. 122 Extra Curricular Activities PSBA No. 123-AR-6 Athletic Safety

ACTION PAPER  Implementation of Sudden Cardiac Arrest Prevention Implementation of Sudden Cardiac Arrest Prevention

Resources

 AIU Mediasite On Demand viewing of PPT and all attachments, forms, and links  PA Department of Heath  PA Department of Ed  Pennsylvania Interscholastic Athletic Association (PIAA)  PA School Boards Association (PSBA)

Diana L. Malone, Ph.D. Training and Consultation Coordinator/Interagency Coordinator Allegheny Intermediate Unit Phone: Fax: David G. McBain, CAA, ATC, LAT Director of Athletics West Allegheny School District Chair, WPIAL Sports Medicine Advisory Committee Member, PIAA Sports Medicine Advisory Committee Phone: Thank You