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Student's death spurs school safety review

By Katie Friedman, Monticello Times.com
May 31st, 2005

On May 10, Marissa Towler went to class at Whitmore Lake Elementary School like any other day. But she never came home. The 10-year-old collapsed on a school track and died a short time later.

Marissa's death raises questions about emergency medical response in schools and has caused officials from the school district and the ambulance company to review their policies. The tragedy also provides lessons for parents who may wonder just how safe their children are at school. About 715,000 sports- or recreation-related injuries occur in and around schools each year, according to the National Safe Kids Campaign.

A bill pending in the state Legislature, sponsored by state Sen. Beverly Hammerstrom, R-Temperance, is aimed at reducing injuries by requiring school coaches to be certified in sports safety training, including injury prevention, first aid, cardiopulmonary resuscitation and emergency procedures by July 2007.

Marissa's mother, Melinda Kelley, said she wants to start a campaign to pass legislation in her daughter's memory requiring schools to have an automated electronic defibrillator, or AED, an ambulance and staff trained in CPR on athletic fields during sporting events.

"Parents aren't really aware; they expect their children to be in good hands," Kelley said. "I don't want anyone to go through this. I want something done so no one else loses their baby. It's the last thing I can do for her."

Teachers called for emergency medical assistance within five minutes after Marissa sat down on the track at Whitmore Lake High School, where the fourth-grader was participating in a fitness run, according to Superintendent Scott Menzel. But Kelley disputes the timing and said officials waited too long before calling for help.

The Northfield Township Fire Department arrived in five minutes and found Marissa on her side. She had vomited before the firefighters arrived. A few minutes later Marissa stopped breathing and firefighters, who were unable to restart her heart with an AED, began administering cardiopulmonary resuscitation.

It took an ambulance dispatched from downtown Ann Arbor 15 minutes to reach the child. But the ambulance lost three precious minutes getting to Marissa because there was no one from the school directing it to the athletic field, said Joyce Williams, spokeswoman for Huron Valley Ambulance.

Emergency workers worked on Marissa for about eight minutes on the track before placing her in the ambulance and continued CPR all the way to the University of Michigan Hospital, Williams said. She was pronounced dead a short time later. Laboratory tests are being conducted to determine the exact cause of Marissa's death.

"These are life and death situations," said Dr. Mark Stern, chief executive officer of the Emergency Physicians Medical Group, which provides services to St. Joseph Mercy Hospital's locations in Washtenaw and Livingston counties. "Time is critical and anything you can do to reduce response time is crucial. Schools need a plan and to have people trained in CPR who are comfortable taking care of a collapsed child."

The Whitmore Lake Public Schools district has an emergency medical response policy that was followed properly in Marissa's case, Menzel said. As a result of the death, school officials provided the ambulance company with a map of the campus and plan to expand CPR training for staff, he said.

A defibrillator was located inside the high school and some school staffers are trained to use it, Menzel said. Another staff member trained in CPR was also at the track. But neither procedure was used because Marissa was still breathing when emergency workers arrived, he said.

Huron Valley Ambulance, which provides services in Washtenaw, Jackson and Lenawee counties and parts of Oakland and Wayne counties, is reviewing where its ambulances are placed, as a result of Marissa's death, Williams said.

State law does not require schools to have an emergency medical policy but most districts have them as part of their administrative policy for the protection of students, said Brad Banasik, legal counsel for the Michigan Association of School Boards.

But policies can vary by district.

In the Rochester Community Schools in Oakland County, there is an AED in each of the district's 22 buildings, said Donn Tignanelli, spokesman for the district. At least three staff members are trained to operate the machine and also have CPR training. The emergency policy is also posted in all buildings, he said.

Keeping staff training up to date is also a crucial part of an emergency plan, according to Stern.

"You need to make sure someone is available to operate an AED," he said. "The worst thing is to have a piece of equipment with no one who knows how to use it."

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