dr. o'donoghue presentation
TRANSCRIPT
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The Athletic Health Care Team
PART I
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Athletic Health Care Team Members• Athlete• Parents• Coaches• EMT or Paramedic• Doctors• Athletic Trainer• Physical Therapist• Dentist or Oral Surgeon• Optometrist• Strength and Conditioning Coach• Equipment Manager
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Coach’s Role on AHCT
• Rules of legal system
• Rules of your school administration
• Expectations of parents
• Interact with AHCT members
• Have fun, improve skills, exercise, teamwork
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Coach’s Role on AHCT9 Legal Definitions
1. Plan activity 2. Provide Proper Instruction3. Warn of inherent Risks4. Provide safe physical environment5. Provide adequate and proper equipment6. Match your athletes appropriately7. Evaluate athletes for injury or incapacity and refer to ATC
or appropriate health care provider: Do not go beyond scope of care!
8. Supervise activity9. Provide appropriate emergency assistance
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You & Parental Expectations in the AHCT
• Will look to you for guidance
• Communication
• Role of parents
• Understand other AHCT members can help
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Athletes of the AHCT
• Buy into the health care system
• Preseason physicals
• Fitness screenings
• Conditioning
• Injury assessment & care
• Report injuries
• Adhere to restrictions
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Parents of the AHCT
• Ensure their child participates in:– preseason physical & fitness screening– Conditioning– Don’t be a “Helicopter Parent”
• Watch for injuries / illness & report them• Support decisions by AHCT*YOU keep parents informed of possible
injuries / illnesses to child
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Emergency Medical Personnel and Paramedics of AHCT
• Trained for emergency care
• Familiarize yourself with your local emergency medical personnel
• Volunteer vs. Contract
• Tournaments, contact events
• Once on the scene they take care of athlete unless C-spine immobilization is involved
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Emergency Medical Personnel and Paramedics of AHCT con’t.
• YOUR role:1. Provide information on how injury occurred
& care given
2. Crowd control
3. Other tasks-Refer to EAP
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Emergency Medical Personnel and Paramedics of AHCT cont.
• IF NOT PRESENT:
1. Protect the athlete from further harm
2. Send for help (if needed)
3. Evaluate the injury w/in scope of care*
4. First Aid
5. Provide EMTs info. of MOI and care provided
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Physicians of the AHCT
ATCs and Physicians work together to diagnose injuries / illnesses.
Together they also prescribe treatment & rehabilitation.
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Physicians of the AHCT con’t
Types of Physicians:
-Family practitioners
-Pediatricians
-Orthopedists
-Ophthalmologists
-Physiatrists
-Podiatrists
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Working with Physicians
• Establish working relationship
• Assist with preseason screenings
• Medical coverage for home events
• Support recommendations made
-May have 2nd opinions
After evaluation by a Physician:
-urge follow-up care
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Certified Athletic Trainers(ATCs)
• Nationally certified allied health professionals trained specifically in:
• Prevention• Evaluation/Diagnosis of injuries• Treatment• Rehabilitation
• Must work under supervision of physician or referral• Perform initial injury evaluation• Return athletes safely back to participation• Work at facility or contract out• Help develop preseason conditioning• Provide instruction for proper exercise techniques
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Your Role Working with an ATC
• Provide information on how the injury occurred
• Support the ATC decisions regarding the athlete’s care & ability to participate
• Encourage the athlete to be compliant in doing rehab. exercises
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Physical Therapists (PTs)
• Health professionals who rehabilitate individuals suffering from disease or injury
• Trained to handle:• Cerebal palsy• Strokes• Heart problems• Paraplegia• Burns• Athletic injuries*-Separate Certification
• Specialize
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Your Roles Working with a PT
• Provide info. of how the injury occurred
• Support the PT’s decisions regarding the athlete’s care & ability to participate
• Encourage the athlete to be compliant in doing rehab. exercises
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Dentists or Oral Surgeons
• Trained to evaluate and treat conditions and injuries of the mouth, teeth, jaw
• Dentist’s education:• 3-4 yrs of undergrad.• 4 yrs of dental school
• Oral Surgeon’s education:• Completed hospital surgical residency program for
training in surgical treatment of conditions affecting the mouth, teeth, jaw, & portions of the face
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Your Role Working with a Dentists or Oral Surgeon
• Encourage athletes in contact sports to wear appropriate protective mouth pieces or face protectors
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Optometrists
• Not a medical doctor
• Special training & certification in diagnosing vision problems & eye disease
• Prescribe eye glasses, contact lenses, & drugs to treat eye disorders
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Your Role Working with Optometrists
• Encourage athletes in contact sports to wear appropriate protective eyewear or face protectors
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Strength & Conditioning Coaches
• Can help save you time
• Perform fitness assessments & develop specialized conditioning programs
• Certifications through National Organizations:• National Strength & Conditioning Association
• American College of Sports Medicine
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Your Role Working With Strength & Conditioning Coaches
• Insist that athletes attend fitness assessments and participate in all conditioning workouts
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Equipment Managers
• Oversee:• Inspection• Cleaning• Maintenance• Storage • Fitting
• Enforce proper equipment usage• In some programs, you are the equipment manager
for your team
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Your Role Working With an Equipment Manger
• Help watch for wear and tear
• Enforce proper equipment use by your athletes
• i.e.: no sitting on helmets
• Fit of equipment
• Maintenance
• Use for what it is intended for
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Sport First Aid Game Plan
PART II
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Sport First Aid Education
• Continue with Certifications:– First Aid– Cardiopulmonary resuscitation (CPR)– Automated external defibrillator (AED)
• American Red Cross
• American Heart Association
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Sport First Aid Education: Keeping Current
• Always changing
• Sports medicine books, articles, forums, etc
• Keep certifications current– CPR & AED = 1 yr– First Aid = 3 yr
• Participate in “mock” drills
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Sport First Aid Education: Recognizing Limitations
DO NOT ATTEMPT THE DUTIES OF A PHYSICIAN, ATC, PT…etc.!!!!!!
• ONLY provide care that you are qualified for: Do not go beyond “scope of care”.
• You may assist medical personal
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Keeping Athlete’s Health Records
• You should have from each player’s:– Consent form– Health History form– Emergency Information form
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Keeping Athlete’s Health Records: Consent Form
• Cannot give care to a minor unless you have consent!
• Parent or Legal Guardian must complete & return• Form informs parents, legal guardian, & athlete
of:– possible risks of participation– requests permission to treat the child in an emergency,
illness, or injury situation
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Keeping Athlete’s Health Records: Health History Form
• Helps to determine predisposing health factors that could affect participation (Red Flags)– i.e.: diabetes, asthma, epilepsy, heart murmurs, allergies, skin
conditions
• If physician clears an athlete, you need:– Description of health problem
– List of Medications that the athlete may need
– Restrictions
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Keeping Athlete’s Health Records: Emergency Information Card
• Provides names & numbers of parents & guardians• Alerts you of pre-existing medical problems that may
affect medical treatment– Ie: allergies to medications (sulfur, penicillin)
• Must be completed before the start of the season• Copy should be with team at all times• Reminder: this is confidential material and you may
not distribute it without the permission of the athlete, parent, or guardian
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Developing a Weather Emergency Plan
• Helps prevent chaos
• Key items:– Weather decision maker– Specific criteria for when to suspend activities– Weather watcher– Method for monitoring weather conditions– Designated safe place– Guidelines for resuming activity
• Educate staff, athletes, & spectators
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Checking Facilities & Equipment
• It is still your responsibility for your athlete’s safety• Equipment check prior to start of season• First aid & ice cool must be present on sideline at all
times– Only basic first aid items– Stocking the First Aid Kit
**It is illegal for you to administer medication of any sort unless given written permission by parent or guardian!!!!
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Getting Players Ready to Perform
• To ensure the safety of your athletes complete the following:– Preseason physical exam– Preseason screening– Preseason conditioning– Proper warm-up & cool-down– Protective equipment, bracing, & taping– Correct skill instruction– Sound nutritional guidance– Ban on horseplay
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Getting Players Ready to Perform: Preseason Physical Exam
• Require a physical exam• Physician conducts the following exams:
– General health exam– Circulatory– Respiratory– Neurological– Orthopedic– Vision– Hearing– Blood* – Urine*
• Must be completed prior to in-season participation• Become familiar with your athlete’s conditions
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Getting Players Ready to Perform: Preseason Screening
• Provides insight about athlete’s fitness• Conduct during off-season (post & pre)• Possible evaluation of:
– Strength– Flexibility– Endurance– Cardiovascular endurance– Body composition– Upper and lower body coordination
• Have present:– ATC– Strength Coach
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Getting Players Ready to Perform: Preseason Conditioning
• Start at least 6 wks prior to season• Focus on:
– Muscle strength– Endurance– Flexibility– Power– Speed needed for position/ sports
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Getting Players Ready to Perform: Proper Warm-up & Cool-Down
• Warm-up:– before workouts, practices, & competitions– Prepares the body – At least 15 min prior to activity
1. General body warm-up
2. Light calisthenics exercises
3. Sport specific drills
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Getting Players Ready to Perform: Proper Warm-up & Cool-Down
• Cool Down:– Performed at the end of workout, practice, or
competition– Reduce the intensity of activity
• Brings HR, breathing back to baseline
– May include walking or light jogging– Include Stretching
• Target each muscle group
• 2-5 min total
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Getting Players Ready to Perform: Protective Equipment, Bracing, & Taping
• Expert on how to properly fit & use your sport’s protective equipment-Coach? ATC? Equipment Manager?
• Instruct athletes how to properly wear their protective equipment-Coach? ATC? Equipment Manager?
• Conduct surprise inspections…?• What about protect bracing & taping? ATC!!
This is not a FA skill (do not go beyond scope of care)– Is it mandatory?
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Getting Players Ready to Perform: Correct Skill Instruction
• Eval during preseason
• Inform athletes of possible risks– i.e.: diving head first in baseball/ softball
• Proper tackling techniques – Decrease head & neck injuries
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Getting Players Ready to Perform: Sound Nutritional Guidance
• Encourage:– Balance meals– Water consumption– Sports drink– Eating 3hrs prior to work out, practice, or
competition– Avoid junk food
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Getting Players Ready to Perform: Ban on Horseplay
• Establish rules on day one and follow them!– No exceptions!!!
• Can lead to injury
• Could lead to inappropriate touching or behavior
• Distracting
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Developing a Medical Emergency Plan
• AKA Emergency Action Plan (EAP)• Use for home & away events• Activating the the Emergency Medical System (EMS):
– Check, Call, Care• American Red Cross: 3 C’s
• Location of phones• Emergency phone numbers• Directions• Access points
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Developing a Medical Emergency Plan: Check
• Specify how you will evaluate the injured athlete
• Plans should address:– What to do first when you arrive at an injured athlete’s
side– Steps for evaluating conscious and unconsciousness– Techniques for assessing breathing when an athlete's
wearing a helmet or is lying face down
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Developing a Medical Emergency Plan: Call
• Indicate how to activate the EMS• How do send for medical assistance• Have a Plan:
1. Delegate the responsibility of seeking medical help
2. Write out a list of emergency telephone numbers
3. Take each athlete’s emergency information card to every practice and game
4. Give an emergency response card to the contact person calling for emergency assistance
5. Complete an injury report form & keep it on file
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Developing a Medical Emergency Plan: Care
• How will first aid be given?
• If Medical person are there = assist
• If Medical personal are not there = first aid to your qualifications
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Handling Minor Injuries
• Many don’t require emergency medical attention
• Steps to monitor & evaluate1. Evaluate the injury
2. Administer first aid
3. Remove the athlete if there is pain or loss of function
4. Contact athlete’s parents
5. Suggest the athlete see a physician
6. Complete injury report form
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Handling Serious Injuries
• Initiate your EAP1. Check athlete’s level of consciousness2. Send a contact person to Call EMS & athlete’s parents3. Send someone to wait for EMS to help open doors, gates, & direct4. Check the injury5. Administer first aid (Care)6. Assist emergency medical personal7. Appoint someone to go with athlete if parents are not available
(assistant coach)8. Complete injury report form
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INJURIES….or
• QUESTIONS
• COMMENTS
• CONCERNS
• ….Let’s Hear It….