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Dr. O'Donoghue presentation

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Dr. O'Donoghue presentation

  1. 1. The Athletic Health Care Team PART I
  2. 2. Athletic Health Care Team Members <ul><li>Athlete </li></ul><ul><li>Parents </li></ul><ul><li>Coaches </li></ul><ul><li>EMT or Paramedic </li></ul><ul><li>Doctors </li></ul><ul><li>Athletic Trainer </li></ul><ul><li>Physical Therapist </li></ul><ul><li>Dentist or Oral Surgeon </li></ul><ul><li>Optometrist </li></ul><ul><li>Strength and Conditioning Coach </li></ul><ul><li>Equipment Manager </li></ul>
  3. 3. Coach’s Role on AHCT <ul><li>Rules of legal system </li></ul><ul><li>Rules of your school administration </li></ul><ul><li>Expectations of parents </li></ul><ul><li>Interact with AHCT members </li></ul><ul><li>Have fun, improve skills, exercise, teamwork </li></ul>
  4. 4. Coach’s Role on AHCT 9 Legal Definitions <ul><li>1. Plan activity </li></ul><ul><li>2. Provide Proper Instruction </li></ul><ul><li>3. Warn of inherent Risks </li></ul><ul><li>4. Provide safe physical environment </li></ul><ul><li>5. Provide adequate and proper equipment </li></ul><ul><li>6. Match your athletes appropriately </li></ul><ul><li>7. Evaluate athletes for injury or incapacity and refer to ATC or appropriate health care provider: Do not go beyond scope of care! </li></ul><ul><li>8. Supervise activity </li></ul><ul><li>9. Provide appropriate emergency assistance </li></ul>
  5. 5. You & Parental Expectations in the AHCT <ul><li>Will look to you for guidance </li></ul><ul><li>Communication </li></ul><ul><li>Role of parents </li></ul><ul><li>Understand other AHCT members can help </li></ul>
  6. 6. Athletes of the AHCT <ul><li>Buy into the health care system </li></ul><ul><li>Preseason physicals </li></ul><ul><li>Fitness screenings </li></ul><ul><li>Conditioning </li></ul><ul><li>Injury assessment & care </li></ul><ul><li>Report injuries </li></ul><ul><li>Adhere to restrictions </li></ul>
  7. 7. Parents of the AHCT <ul><li>Ensure their child participates in: </li></ul><ul><ul><li>preseason physical & fitness screening </li></ul></ul><ul><ul><li>Conditioning </li></ul></ul><ul><ul><li>Don’t be a “Helicopter Parent” </li></ul></ul><ul><li>Watch for injuries / illness & report them </li></ul><ul><li>Support decisions by AHCT </li></ul><ul><li>* YOU keep parents informed of possible injuries / illnesses to child </li></ul>
  8. 8. Emergency Medical Personnel and Paramedics of AHCT <ul><li>Trained for emergency care </li></ul><ul><li>Familiarize yourself with your local emergency medical personnel </li></ul><ul><li>Volunteer vs. Contract </li></ul><ul><li>Tournaments, contact events </li></ul><ul><li>Once on the scene they take care of athlete unless C-spine immobilization is involved </li></ul>
  9. 9. Emergency Medical Personnel and Paramedics of AHCT con’t. <ul><li>YOUR role: </li></ul><ul><ul><li>Provide information on how injury occurred & care given </li></ul></ul><ul><ul><li>Crowd control </li></ul></ul><ul><ul><li>Other tasks-Refer to EAP </li></ul></ul>
  10. 10. Emergency Medical Personnel and Paramedics of AHCT cont. <ul><li>IF NOT PRESENT: </li></ul><ul><li>1. Protect the athlete from further harm </li></ul><ul><li>2. Send for help (if needed) </li></ul><ul><li>3. Evaluate the injury w/in scope of care* </li></ul><ul><li>4. First Aid </li></ul><ul><li>5. Provide EMTs info. of MOI and care provided </li></ul>
  11. 11. Physicians of the AHCT <ul><li>ATCs and Physicians work together to diagnose injuries / illnesses. </li></ul><ul><li>Together they also prescribe treatment & rehabilitation. </li></ul>
  12. 12. Physicians of the AHCT con’t <ul><li>Types of Physicians: </li></ul><ul><li>-Family practitioners </li></ul><ul><li>-Pediatricians </li></ul><ul><li>-Orthopedists </li></ul><ul><li>-Ophthalmologists </li></ul><ul><li>-Physiatrists </li></ul><ul><li>-Podiatrists </li></ul>
  13. 13. Working with Physicians <ul><li>Establish working relationship </li></ul><ul><li>Assist with preseason screenings </li></ul><ul><li>Medical coverage for home events </li></ul><ul><li>Support recommendations made </li></ul><ul><li>-May have 2nd opinions </li></ul><ul><li>After evaluation by a Physician: </li></ul><ul><li>-urge follow-up care </li></ul>
  14. 14. Certified Athletic Trainers (ATCs) <ul><li>Nationally certified allied health professionals trained specifically in: </li></ul><ul><ul><ul><li>Prevention </li></ul></ul></ul><ul><ul><ul><li>Evaluation/Diagnosis of injuries </li></ul></ul></ul><ul><ul><ul><li>Treatment </li></ul></ul></ul><ul><ul><ul><li>Rehabilitation </li></ul></ul></ul><ul><li>Must work under supervision of physician or referral </li></ul><ul><li>Perform initial injury evaluation </li></ul><ul><li>Return athletes safely back to participation </li></ul><ul><li>Work at facility or contract out </li></ul><ul><li>Help develop preseason conditioning </li></ul><ul><li>Provide instruction for proper exercise techniques </li></ul>
  15. 15. Your Role Working with an ATC <ul><li>Provide information on how the injury occurred </li></ul><ul><li>Support the ATC decisions regarding the athlete’s care & ability to participate </li></ul><ul><li>Encourage the athlete to be compliant in doing rehab. exercises </li></ul>
  16. 16. Physical Therapists (PTs) <ul><li>Health professionals who rehabilitate individuals suffering from disease or injury </li></ul><ul><li>Trained to handle: </li></ul><ul><ul><ul><li>Cerebal palsy </li></ul></ul></ul><ul><ul><ul><li>Strokes </li></ul></ul></ul><ul><ul><ul><li>Heart problems </li></ul></ul></ul><ul><ul><ul><li>Paraplegia </li></ul></ul></ul><ul><ul><ul><li>Burns </li></ul></ul></ul><ul><ul><ul><li>Athletic injuries*-Separate Certification </li></ul></ul></ul><ul><li>Specialize </li></ul>
  17. 17. Your Roles Working with a PT <ul><li>Provide info. of how the injury occurred </li></ul><ul><li>Support the PT’s decisions regarding the athlete’s care & ability to participate </li></ul><ul><li>Encourage the athlete to be compliant in doing rehab. exercises </li></ul>
  18. 18. Dentists or Oral Surgeons <ul><li>Trained to evaluate and treat conditions and injuries of the mouth, teeth, jaw </li></ul><ul><li>Dentist’s education: </li></ul><ul><ul><ul><li>3-4 yrs of undergrad. </li></ul></ul></ul><ul><ul><ul><li>4 yrs of dental school </li></ul></ul></ul><ul><li>Oral Surgeon’s education: </li></ul><ul><ul><ul><li>Completed hospital surgical residency program for training in surgical treatment of conditions affecting the mouth, teeth, jaw, & portions of the face </li></ul></ul></ul>
  19. 19. Your Role Working with a Dentists or Oral Surgeon <ul><li>Encourage athletes in contact sports to wear appropriate protective mouth pieces or face protectors </li></ul>
  20. 20. Optometrists <ul><li>Not a medical doctor </li></ul><ul><li>Special training & certification in diagnosing vision problems & eye disease </li></ul><ul><li>Prescribe eye glasses, contact lenses, & drugs to treat eye disorders </li></ul>
  21. 21. Your Role Working with Optometrists <ul><li>Encourage athletes in contact sports to wear appropriate protective eyewear or face protectors </li></ul>
  22. 22. Strength & Conditioning Coaches <ul><li>Can help save you time </li></ul><ul><li>Perform fitness assessments & develop specialized conditioning programs </li></ul><ul><li>Certifications through National Organizations: </li></ul><ul><ul><ul><li>National Strength & Conditioning Association </li></ul></ul></ul><ul><ul><ul><li>American College of Sports Medicine </li></ul></ul></ul>
  23. 23. Your Role Working With Strength & Conditioning Coaches <ul><li>Insist that athletes attend fitness assessments and participate in all conditioning workouts </li></ul>
  24. 24. Equipment Managers <ul><li>Oversee: </li></ul><ul><ul><ul><li>Inspection </li></ul></ul></ul><ul><ul><ul><li>Cleaning </li></ul></ul></ul><ul><ul><ul><li>Maintenance </li></ul></ul></ul><ul><ul><ul><li>Storage </li></ul></ul></ul><ul><ul><ul><li>Fitting </li></ul></ul></ul><ul><li>Enforce proper equipment usage </li></ul><ul><li>In some programs, you are the equipment manager for your team </li></ul>
  25. 25. Your Role Working With an Equipment Manger <ul><li>Help watch for wear and tear </li></ul><ul><li>Enforce proper equipment use by your athletes </li></ul><ul><ul><ul><li>i.e.: no sitting on helmets </li></ul></ul></ul><ul><ul><ul><li>Fit of equipment </li></ul></ul></ul><ul><ul><ul><li>Maintenance </li></ul></ul></ul><ul><ul><ul><li>Use for what it is intended for </li></ul></ul></ul>
  26. 26. Sport First Aid Game Plan PART II
  27. 27. Sport First Aid Education <ul><li>Continue with Certifications: </li></ul><ul><ul><li>First Aid </li></ul></ul><ul><ul><li>Cardiopulmonary resuscitation (CPR) </li></ul></ul><ul><ul><li>Automated external defibrillator (AED) </li></ul></ul><ul><li>American Red Cross </li></ul><ul><li>American Heart Association </li></ul>
  28. 28. Sport First Aid Education: Keeping Current <ul><li>Always changing </li></ul><ul><li>Sports medicine books, articles, forums, etc </li></ul><ul><li>Keep certifications current </li></ul><ul><ul><li>CPR & AED = 1 yr </li></ul></ul><ul><ul><li>First Aid = 3 yr </li></ul></ul><ul><li>Participate in “mock” drills </li></ul>
  29. 29. Sport First Aid Education: Recognizing Limitations <ul><li>DO NOT ATTEMPT THE DUTIES OF A PHYSICIAN, ATC, PT…etc.!!!!!! </li></ul><ul><li>ONLY provide care that you are qualified for: Do not go beyond “scope of care”. </li></ul><ul><li>You may assist medical personal </li></ul>
  30. 30. Keeping Athlete’s Health Records <ul><li>You should have from each player’s: </li></ul><ul><ul><li>Consent form </li></ul></ul><ul><ul><li>Health History form </li></ul></ul><ul><ul><li>Emergency Information form </li></ul></ul>
  31. 31. Keeping Athlete’s Health Records: Consent Form <ul><li>Cannot give care to a minor unless you have consent! </li></ul><ul><li>Parent or Legal Guardian must complete & return </li></ul><ul><li>Form informs parents, legal guardian, & athlete of: </li></ul><ul><ul><li>possible risks of participation </li></ul></ul><ul><ul><li>requests permission to treat the child in an emergency, illness, or injury situation </li></ul></ul>
  32. 32. Keeping Athlete’s Health Records: Health History Form <ul><li>Helps to determine predisposing health factors that could affect participation (Red Flags) </li></ul><ul><ul><li>i.e.: diabetes, asthma, epilepsy, heart murmurs, allergies, skin conditions </li></ul></ul><ul><li>If physician clears an athlete, you need: </li></ul><ul><ul><li>Description of health problem </li></ul></ul><ul><ul><li>List of Medications that the athlete may need </li></ul></ul><ul><ul><li>Restrictions </li></ul></ul>
  33. 33. Keeping Athlete’s Health Records: Emergency Information Card <ul><li>Provides names & numbers of parents & guardians </li></ul><ul><li>Alerts you of pre-existing medical problems that may affect medical treatment </li></ul><ul><ul><li>Ie: allergies to medications (sulfur, penicillin) </li></ul></ul><ul><li>Must be completed before the start of the season </li></ul><ul><li>Copy should be with team at all times </li></ul><ul><li>Reminder : this is confidential material and you may not distribute it without the permission of the athlete, parent, or guardian </li></ul>
  34. 34. Developing a Weather Emergency Plan <ul><li>Helps prevent chaos </li></ul><ul><li>Key items: </li></ul><ul><ul><li>Weather decision maker </li></ul></ul><ul><ul><li>Specific criteria for when to suspend activities </li></ul></ul><ul><ul><li>Weather watcher </li></ul></ul><ul><ul><li>Method for monitoring weather conditions </li></ul></ul><ul><ul><li>Designated safe place </li></ul></ul><ul><ul><li>Guidelines for resuming activity </li></ul></ul><ul><li>Educate staff, athletes, & spectators </li></ul>
  35. 35. Checking Facilities & Equipment <ul><li>It is still your responsibility for your athlete’s safety </li></ul><ul><li>Equipment check prior to start of season </li></ul><ul><li>First aid & ice cool must be present on sideline at all times </li></ul><ul><ul><li>Only basic first aid items </li></ul></ul><ul><ul><li>Stocking the First Aid Kit </li></ul></ul><ul><ul><li>**It is illegal for you to administer medication of any sort unless given written permission by parent or guardian!!!! </li></ul></ul>
  36. 36. Getting Players Ready to Perform <ul><li>To ensure the safety of your athletes complete the following: </li></ul><ul><ul><li>Preseason physical exam </li></ul></ul><ul><ul><li>Preseason screening </li></ul></ul><ul><ul><li>Preseason conditioning </li></ul></ul><ul><ul><li>Proper warm-up & cool-down </li></ul></ul><ul><ul><li>Protective equipment, bracing, & taping </li></ul></ul><ul><ul><li>Correct skill instruction </li></ul></ul><ul><ul><li>Sound nutritional guidance </li></ul></ul><ul><ul><li>Ban on horseplay </li></ul></ul>
  37. 37. Getting Players Ready to Perform: Preseason Physical Exam <ul><li>Require a physical exam </li></ul><ul><li>Physician conducts the following exams: </li></ul><ul><ul><li>General health exam </li></ul></ul><ul><ul><li>Circulatory </li></ul></ul><ul><ul><li>Respiratory </li></ul></ul><ul><ul><li>Neurological </li></ul></ul><ul><ul><li>Orthopedic </li></ul></ul><ul><ul><li>Vision </li></ul></ul><ul><ul><li>Hearing </li></ul></ul><ul><ul><li>Blood* </li></ul></ul><ul><ul><li>Urine* </li></ul></ul><ul><li>Must be completed prior to in-season participation </li></ul><ul><li>Become familiar with your athlete’s conditions </li></ul>
  38. 38. Getting Players Ready to Perform: Preseason Screening <ul><li>Provides insight about athlete’s fitness </li></ul><ul><li>Conduct during off-season (post & pre) </li></ul><ul><li>Possible evaluation of: </li></ul><ul><ul><li>Strength </li></ul></ul><ul><ul><li>Flexibility </li></ul></ul><ul><ul><li>Endurance </li></ul></ul><ul><ul><li>Cardiovascular endurance </li></ul></ul><ul><ul><li>Body composition </li></ul></ul><ul><ul><li>Upper and lower body coordination </li></ul></ul><ul><li>Have present: </li></ul><ul><ul><li>ATC </li></ul></ul><ul><ul><li>Strength Coach </li></ul></ul>
  39. 39. Getting Players Ready to Perform: Preseason Conditioning <ul><li>Start at least 6 wks prior to season </li></ul><ul><li>Focus on: </li></ul><ul><ul><li>Muscle strength </li></ul></ul><ul><ul><li>Endurance </li></ul></ul><ul><ul><li>Flexibility </li></ul></ul><ul><ul><li>Power </li></ul></ul><ul><ul><li>Speed needed for position/ sports </li></ul></ul>
  40. 40. Getting Players Ready to Perform: Proper Warm-up & Cool-Down <ul><li>Warm-up: </li></ul><ul><ul><li>before workouts, practices, & competitions </li></ul></ul><ul><ul><li>Prepares the body </li></ul></ul><ul><ul><li>At least 15 min prior to activity </li></ul></ul><ul><ul><ul><ul><li>General body warm-up </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Light calisthenics exercises </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Sport specific drills </li></ul></ul></ul></ul>
  41. 41. Getting Players Ready to Perform: Proper Warm-up & Cool-Down <ul><li>Cool Down: </li></ul><ul><ul><li>Performed at the end of workout, practice, or competition </li></ul></ul><ul><ul><li>Reduce the intensity of activity </li></ul></ul><ul><ul><ul><li>Brings HR, breathing back to baseline </li></ul></ul></ul><ul><ul><li>May include walking or light jogging </li></ul></ul><ul><ul><li>Include Stretching </li></ul></ul><ul><ul><ul><li>Target each muscle group </li></ul></ul></ul><ul><ul><ul><li>2-5 min total </li></ul></ul></ul>
  42. 42. Getting Players Ready to Perform: Protective Equipment, Bracing, & Taping <ul><li>Expert on how to properly fit & use your sport’s protective equipment-Coach? ATC? Equipment Manager? </li></ul><ul><li>Instruct athletes how to properly wear their protective equipment-Coach? ATC? Equipment Manager? </li></ul><ul><li>Conduct surprise inspections…? </li></ul><ul><li>What about protect bracing & taping? ATC!! This is not a FA skill (do not go beyond scope of care) </li></ul><ul><ul><li>Is it mandatory? </li></ul></ul>
  43. 43. Getting Players Ready to Perform: Correct Skill Instruction <ul><li>Eval during preseason </li></ul><ul><li>Inform athletes of possible risks </li></ul><ul><ul><li>i.e.: diving head first in baseball/ softball </li></ul></ul><ul><li>Proper tackling techniques </li></ul><ul><ul><li>Decrease head & neck injuries </li></ul></ul>
  44. 44. Getting Players Ready to Perform: Sound Nutritional Guidance <ul><li>Encourage: </li></ul><ul><ul><li>Balance meals </li></ul></ul><ul><ul><li>Water consumption </li></ul></ul><ul><ul><li>Sports drink </li></ul></ul><ul><ul><li>Eating 3hrs prior to work out, practice, or competition </li></ul></ul><ul><ul><li>Avoid junk food </li></ul></ul>
  45. 45. Getting Players Ready to Perform: Ban on Horseplay <ul><li>Establish rules on day one and follow them! </li></ul><ul><ul><li>No exceptions!!! </li></ul></ul><ul><li>Can lead to injury </li></ul><ul><li>Could lead to inappropriate touching or behavior </li></ul><ul><li>Distracting </li></ul>
  46. 46. Developing a Medical Emergency Plan <ul><li>AKA Emergency Action Plan (EAP) </li></ul><ul><li>Use for home & away events </li></ul><ul><li>Activating the the Emergency Medical System (EMS): </li></ul><ul><ul><li>Check, Call, Care </li></ul></ul><ul><ul><ul><li>American Red Cross: 3 C’s </li></ul></ul></ul><ul><li>Location of phones </li></ul><ul><li>Emergency phone numbers </li></ul><ul><li>Directions </li></ul><ul><li>Access points </li></ul>
  47. 47. Developing a Medical Emergency Plan: Check <ul><li>Specify how you will evaluate the injured athlete </li></ul><ul><li>Plans should address: </li></ul><ul><ul><li>What to do first when you arrive at an injured athlete’s side </li></ul></ul><ul><ul><li>Steps for evaluating conscious and unconsciousness </li></ul></ul><ul><ul><li>Techniques for assessing breathing when an athlete's wearing a helmet or is lying face down </li></ul></ul>
  48. 48. Developing a Medical Emergency Plan: Call <ul><li>Indicate how to activate the EMS </li></ul><ul><li>How do send for medical assistance </li></ul><ul><li>Have a Plan: </li></ul><ul><ul><li>Delegate the responsibility of seeking medical help </li></ul></ul><ul><ul><li>Write out a list of emergency telephone numbers </li></ul></ul><ul><ul><li>Take each athlete’s emergency information card to every practice and game </li></ul></ul><ul><ul><li>Give an emergency response card to the contact person calling for emergency assistance </li></ul></ul><ul><ul><li>Complete an injury report form & keep it on file </li></ul></ul>
  49. 49. Developing a Medical Emergency Plan: Care <ul><li>How will first aid be given? </li></ul><ul><li>If Medical person are there = assist </li></ul><ul><li>If Medical personal are not there = first aid to your qualifications </li></ul>
  50. 50. Handling Minor Injuries <ul><li>Many don’t require emergency medical attention </li></ul><ul><li>Steps to monitor & evaluate </li></ul><ul><ul><li>Evaluate the injury </li></ul></ul><ul><ul><li>Administer first aid </li></ul></ul><ul><ul><li>Remove the athlete if there is pain or loss of function </li></ul></ul><ul><ul><li>Contact athlete’s parents </li></ul></ul><ul><ul><li>Suggest the athlete see a physician </li></ul></ul><ul><ul><li>Complete injury report form </li></ul></ul>
  51. 51. Handling Serious Injuries <ul><li>Initiate your EAP </li></ul><ul><ul><li>Check athlete’s level of consciousness </li></ul></ul><ul><ul><li>Send a contact person to Call EMS & athlete’s parents </li></ul></ul><ul><ul><li>Send someone to wait for EMS to help open doors, gates, & direct </li></ul></ul><ul><ul><li>Check the injury </li></ul></ul><ul><ul><li>Administer first aid ( Care ) </li></ul></ul><ul><ul><li>Assist emergency medical personal </li></ul></ul><ul><ul><li>Appoint someone to go with athlete if parents are not available (assistant coach) </li></ul></ul><ul><ul><li>Complete injury report form </li></ul></ul>
  52. 52. INJURIES….or <ul><li>QUESTIONS </li></ul><ul><li>COMMENTS </li></ul><ul><li>CONCERNS </li></ul><ul><li>… .Let’s Hear It…. </li></ul>

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