PBSC Emergency Response
& Medical Action Plan

Section 1

Medical Coverage Requirements

All PBSC-sanctioned events shall have:

• Qualified medical personnel on-site, including an EMT, Nurse, Paramedic, Physician, or other approved medical professional.
• First aid supplies readily available.
• Emergency contact information accessible.
• Direct access to Emergency Medical Services (EMS).
• Clear venue access routes for emergency responders.

Medical personnel shall have final authority regarding athlete participation when health or safety concerns exist.

Section 2

Emergency Chain of Command

In the event of an injury or emergency, the following chain of command shall be followed:

1. Referee identifies and stops the action.
2. Head Official assumes control of the situation.
3. Medical Personnel evaluates the athlete.
4. Event Director coordinates emergency procedures.
5. Emergency Medical Services (EMS) are activated when necessary.

Section 3

Authority to Stop Competition

The referee may immediately stop a bout for:

• Injury or illness.
• Excessive contact.
• Signs of physical distress.
• Equipment failure.
• Blood exposure.
• Medical emergencies.
• Dangerous mismatches.
• Any situation that may compromise athlete safety.

Athlete safety shall always take precedence over competition results.

Section 4

Head Injury & Concussion Protocol

Competition shall be stopped immediately if an athlete displays:

• Dizziness.
• Loss of balance.
• Confusion.
• Disorientation.
• Visual disturbances.
• Memory impairment.
• Suspected concussion symptoms.

The athlete shall be evaluated by medical personnel before any further participation is considered.

When in doubt, stop the bout.

Section 5

Bloodborne Pathogen & Sanitation Procedures

If blood is present:

• The referee shall immediately stop action.
• Medical personnel shall assess the athlete.
• Bleeding must be controlled before competition resumes.
• Any contaminated surface shall be cleaned and sanitized.
• Gloves, equipment, and competition areas shall be disinfected as necessary.

No bout shall continue while active bleeding is present.

Section 6

Nosebleed Procedure

When a nosebleed occurs:

1. The referee stops the bout immediately.
2. Medical personnel or coach addresses the bleeding.
3. Up to two minutes may be allowed for treatment.
4. If bleeding is controlled, competition may resume.
5. If bleeding cannot be controlled, the bout shall be stopped for safety reasons.

Section 7

Mismatch Protocol

PBSC prioritizes safe and fair competition.

A bout may be stopped when:

• One athlete is clearly outmatched.
• An athlete cannot intelligently defend themselves.
• Repeated unanswered scoring techniques occur.
• A significant skill disparity places an athlete at risk.

The referee may stop the contest and declare the appropriate result in accordance with PBSC rules.

Section 8

Emergency Medical Incidents

In the event of a serious injury or medical emergency:

1. Stop all competition immediately.
2. Clear the competition area.
3. Notify medical personnel.
4. Activate EMS if necessary.
5. Provide emergency responders unrestricted access.
6. Document the incident.

Examples include:

• Suspected concussion.
• Loss of consciousness.
• Cardiac emergency.
• Breathing difficulties.
• Seizure activity.
• Neck or spinal injury.
• Severe bleeding.
• Fractures or major trauma.

Section 9

EMS Activation Procedure

Emergency Medical Services (911) shall be activated immediately in the event of:

• Loss of consciousness.
• Cardiac distress.
• Respiratory emergency.
• Suspected spinal injury.
• Serious head trauma.
• Severe uncontrolled bleeding.
• Any life-threatening condition.

Competition shall be suspended until the emergency has been stabilized and emergency personnel have assumed control.

Section 10

Incident Reporting

Section 11

Safety First Policy