Emory University Medical Time Out (MTO)
The goal is that all members listed attend the MTO. It is understood this may not be possible. As a result, at a minimum, the following agenda items should be covered with ALL parties attending the MTO prior to the start of the contest.
Your Name*
MTO Type*
Pre-Game Pre-Practice Daily Away Contest/Practice
Date
Month Day Year
Date Hour Minutes AM/PM Option
Select the Sport
Baseball Softball M - Basketball W - Basketball M - Cross Country W - Cross Country M - Golf W - Golf M - Soccer W - Soccer M - Swim/Dive W - Swim/Dive M - Tennis W - Tennis M - Track/Field W - Track/Field Volleyball
Introduce each team member - name and role
Please ensure you specifically explain their role in the event of an emergency.
Select Yes or No if the team member attended the MTO conference
Yes No
Team
Physician
Visiting AT
Visiting
Representative
Game
Manager/
Administrator
Officiating
Crew
Representative
Select Yes or No if the Staff Member attended the MTO conference
Yes No
John Dunham
Karli Dill
Dan Meyer
Holli Dawson
Jake Forker
Olivia King
If an above listed team member is not at the MTO, I reviewed access to care or who will serve in their role during an emergency in their absence.*
Yes No All Team Members Were Present
I am Comfortable with the following:
Yes No

Verify and Review Daily
Yes No
Communication
Schedule
Review
any issue
that could
potentially
impact
EAP (crowd,
weather,
construction)
Review Environmental Concerns
Yes No
Inclement
Weather
Safe
Structures
Communication
Other Items Discussed
During the MTO, all questions and concerns were addressed. There were no questions or concerns brought forward during the MTO.

	Yes	No
Emergency Personnel Roles and Locations
Communication
Hand Signals
Location of Stadium Entrance/ Exit for EMS
Unlocking of gates prior to activities
Review medical facilities that may be used
Review AED location
Review the location of emergency equipment
Review any issue that could potentially impact EAP (crowd, weather, construction)

	Yes	No
Team Physician
Visiting AT
Visiting Representative
Game Manager/ Administrator
Officiating Crew Representative

	Yes	No
Communication
Schedule
Review any issue that could potentially impact EAP (crowd, weather, construction)

Emory University Medical Time Out (MTO)

Introduce each team member - name and role