Transcript Sports Medicine/Compliance Power Point

Sports Medicine Department
2014-2015
Today’s Goals
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Review staffing changes in the department
Concussion education
Management of a concussion
Review drug testing policy and procedure
Sickle Cell Trait education
Sports Medicine Staff
• Director of Sports Medicine/Head Athletic Trainer
– Michael Sirois, MS, ATC, PES
• Office: 603-641-7807
• Fax: 603-222-4091
• [email protected]
• Sports: Head Football, Golf, Men’s Basketball, Men’s and
Women’s Ski, Softball
• Team Physician – Orthopedic Surgeon
– James Vailas, MD – New Hampshire Orthopedic Center
• Team Physician’s Assistant – Orthopedics
– Scott Evans, PA-C – New Hampshire Orthopedic Center
Sports Medicine Staff
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Assistant Athletic Trainers
– Danny Gay, ATC
• Office: 603-222-4089
• [email protected]
• Sports: Assistant Football, Volleyball, Men’s Soccer, Men’s Ice Hockey,
Baseball
– Amy Esborn, Med, ATC
• Office: 603-222-4090
• [email protected]
• Sports: Women’s Soccer, Men’s and Women’s Tennis, Women’s Basketball,
Men’s Lacrosse
– Alyssa Van Patten, MS, ATC
• Office: 603-222-4081
• [email protected]
• Sports: Field Hockey, Men’s and Women’s Cross Country, Women’s Ice
Hockey, Women’s Lacrosse
Concussion Education
Recognition of Concussion
• Classified as a Mild Traumatic Brain Injury
(MTBI)
• Can be caused by:
– Direct blow to the head
– A hit to another part of the body leading to an
“impulsive” force transmitted to the head
You can have a concussion even if you
are NOT knocked out!
Common signs and symptoms of
sports-related concussion
Signs (observed by others):
Symptoms (reported by athlete):
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Athlete appears dazed or stunned
Confusion (about assignment, plays,
etc.)
Forgets plays
Unsure about game, score, opponent
Moves clumsily (altered coordination)
Balance problems
Personality change
Responds slowly to questions
Forgets events prior to trauma
Forgets events after the trauma
Loss of consciousness (any duration)
Headache
Fatigue
Dizziness, lightheadedness
Feeling unsteady on feet
Nausea or vomiting
Double vision, blurry vision
Sensitive to light or noise
Feels sluggish
Feels “foggy”
Problems concentrating
Problems remembering
Not Just Football!
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Injury rate per 100,000 athletic exposures
Football
Boys Ice Hockey
Girls Soccer
Boys Lacrosse
Girls Lacrosse
Field Hockey
Girls Basketball
Boys Soccer
Softball
70
54
33
43
33
23
20
19
16
Data from 2 articles in American Journal of Sports Medicine, 2011/2012
Before your season begins…
• You will take a baseline
ImPACT test
• Freshman year only
• Your athletic trainer may
conduct BESS Testing
• Baseline balance test
ImPACT Testing
• A computerized
neurocognitive test
required for all
collision/contact sports
• You will do a baseline
test before your season
starts
• If a concussion happens
during the season, this
test will be repeated
Sports – 2014-15 Seasons:
• Every team this season
will be ImPACT tested.
• Each athlete must have a
baseline ImPACT score
on file with the
department in order to
participate.
How Can I Prevent a Concussion?
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Do not initiate contact with your head or helmet.
You can still get a concussion while wearing a helmet.
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Avoid striking an opponent in the head.
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Practice and perfect the skills of the sport.
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Practice good sportsmanship at all times.
What should I do if I think I have a
concussion?
Don’t Hide It.
– Tell someone if you or a teammate has symptoms!
Report Symptoms.
– The sooner you get checked out, the soon you may be able to
return to play
Get checked out.
– A concussion can affect your ability to perform everyday
activities, your reaction time, balance, sleep, and classroom
performance .
Take time to recover.
– You are more likely to have a repeat concussion when your brain
is still healing!
• These concussions can lead to permanent brain damage or
death.
• SECOND IMPACT SYNDROME
What to expect if you have a
concussion during the season
• You will not be allowed to return to play or drive
home the day of your injury.
• Your athletic trainer or coach will decide the
safest way for you to get back to campus.
• Your AT will closely monitor your symptoms.
– You must follow up every day.
What to expect if you have a
concussion during the season
• You will be withheld from all physical activity
until you are symptom free
• If needed, accommodations with classes will be
made. If you have trouble, speak up!
– Director of Health Services, Academic Dean and the
Academic Resource Center
• Once all signs/symptoms have resolved, you will
take a follow up ImPACT test and complete a
new BESS test
What to expect if you have a
concussion during the season
PROGRESSION
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Your athletic trainer will gradually progress
you into sport-specific activities following a
concussion.
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The AT will decide what activities are
appropriate for you during your recovery.
For your own safety!
What to expect if you have a
concussion during the season
CLEARANCE
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You must have written medical clearance from
our team Orthopedic, be asymptomatic both at
rest and during activity, and have returned to
full school activities to start the return to play
program.
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If your AT has treated you s/he will be responsible for
clearing you.
If you saw a primary care physician or specialist, you
must provide written clearance for progression to
activity.
Final Points
• Concussions are:
– Different for each athlete
– Serious medical injury
Questions?
Drug Testing
NCAA Drug Testing
• NCAA banned performance enhancement
drugs and street drugs to protect the
health of Student Athletes and also to
insure fair play.
– You are eligible for random year round testing and at
post season events
– You are responsible for what goes in your body
– Ignorance is no excuse for a positive test
Banned Substances
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Stimulants
Anabolic Agents
Peptide Hormones
Diuretics/Masking Agents
Anti-Estrogens
Beta-2 Agonists
Street Drugs
• There is no complete list of banned substance
Medical Exceptions
• “The NCAA recognizes that some banned
substances are used for legitimate medical
purposes. The NCAA allows exceptions to be
made for those student-athletes with a
documented medical history demonstrating the
needs for treatment with the banned medication”
• All medications should be on record with
Sports Medicine staff so if you’re selected
you can ask for an exception.
Supplements
• Dietary supplements that are sold over the
counter and through the internet are underregulated by the U.S. FDA.
– We cannot guarantee the product’s purity or
safety. Impure supplements can cause a positive
drug test under the NCAA drug testing program.
– Athletes are advised that the use of dietary
supplements is at the user’s own risk.
– The list of ingredients and claims made by a
manufacturer are not necessarily backed up by
reliable, scientific research.
– Before taking any supplement you should ask
your AT
NCAA Drug Testing
• Acceptable Banned substances:
Asthma medications
ADD/ADHD medications
Only when prescribed by your physician
• Anything else can be searched on:
– REC website
– http://www.drugfreesport.com/rec/
» Password NCAA2
» Ask about dietary supplements
NCAA Drug Testing
• Which vitaminwater products contain
impermissible or banned substances?
– Currently, vitaminwater has five products that
contain impermissible or banned substances.
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NCAA Drug Testing
• Supplement Advisory:
– Weight loss products or products sold to reduce water
retention, or any masking agents may contain
stimulants and diuretics, banned by the NCAA.
– Student-athletes have tested positive for using these
products and lost their eligibility.
NCAA Drug Testing
• NCAA have a ban on tobacco use during
practice and competition for coaches,
athletics personnel, and game officials.
NCAA Drug Testing
• Midol Information:
– Midol Cramps
– Midol Extended Relief
– Midol Menstral Complete
– Midol Teen Formula
Not Banned
Not Banned
Banned
Banned
Drug Testing process
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If selected you must report at designated time.
Your test will be considered positive if you do not show up.
You must stay until you are able to provide a proper sample.
You will be under constant observation while giving urine specimen
to prevent tampering.
Specimen will be mailed out to testing site.
Results are given directly to AD.
A positive test will affect your eligibility, you will not be able to
participate effective immediately.
A positive test at in the post season can affect your teams place of
finish.
Final Points
• The goals of NCAA Drug Testing are to
protect the health of Student Athletes and
to provide clean and equitable
competition.
• All Student Athletes sign a consent form
that you understand the drug testing
process.
• You must sign this form in order to
participate.
Sickle Cell Trait Education
Sickle Cell Trait Education
• What it is:
– Sickle cell trait is the inheritance of one gene for
sickle hemoglobin and one for normal hemoglobin.
– Sickle cell trait will not turn into the disease.
– Sickle cell trait is a life-long condition that will not
change over time.
Sickle Cell Trait Education
• During intense exercise, red blood cells containing the
sickle hemoglobin can change shape from round to
quarter-moon, or “sickle.”
• Sickled red cells may accumulate in the bloodstream
during intense exercise, blocking normal blood flow to
the tissues and muscles.
• During intense exercise, athletes with sickle cell trait
have experienced significant physical distress, collapsed
and even died.
Sickle Cell Trait Education
• Heat, dehydration, altitude and asthma can increase the
risk for and worsen complications associated with sickle
cell trait, even when exercise is not intense.
• Athletes with sickle cell trait should not be excluded from
participation as precautions can be put into place.
• People at high risk for having sickle cell trait are those
whose ancestors come from Africa, South or Central
America, India, Saudi Arabia and Caribbean and
Mediterranean countries.
Sickle Cell Trait Education
• How to Prevent a Collapse
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Know your sickle cell trait status.
Engage in a slow and gradual preseason conditioning regimen.
Build up your intensity slowly while training.
Beware when adjusting to a change in altitude, e.g., a rise in
altitude of as little as 2,000 feet. Modify your training and request
that supplemental oxygen be available to you.
– Use adequate rest and recovery between repetitions, especially
during “gassers” and intense drills.
– Avoid pushing with all-out exertion longer than two to three
minutes without a rest interval or a breather.
Sickle Cell Trait Education
• How to Prevent a Collapse (cont.)
– Stay well hydrated at all times, especially in hot and humid
conditions.
– Avoid using high-caffeine energy drinks or supplements, or other
stimulants, as they may contribute to dehydration.
– Refrain from extreme exercise during acute illness, if feeling ill,
or while experiencing a fever.
– If you experience symptoms such as muscle pain, abnormal
weakness, undue fatigue or breathlessness, stop the activity
immediately and notify your athletic trainer and/or coach.
– Seek prompt medical care when experiencing unusual physical
distress.
Saint Anselm College Sports
Medicine Requirements
• Deadline for paperwork – Returners Only – July 27, 2015
– Medical Questionnaire
– Sports Physical – Dated within 6 months of the season start date
– Acknowledgement of Insurance
– Copy of Front & Back of Ins card
– Summer Drug Testing Form
• All forms can be found on the athletic website, inside-athletics,
student-athlete forms.
• Your athletic trainer will meet with each team in the spring to have
this paperwork completed before you leave for the summer.
QUESTIONS??