Room 535 Jeff Perry, MS, ATC Deborah Cassidy, ATCOffice: Cell: Nottingham Athletic Training Center Sports Medicine Support Staff Team Physician: Dr. Marc Childress, MD Family/Sports Medicine, Fairfax Family Practice, Fair Oaks 3650 Joseph Siewick Dr. Ste. 400 Fairfax, VA Team Orthopaedic: Dr. Amy Henning, DO Orthopedic Surgeon OrthoVA, 8501 Arlington Boulevard Suite 400 Fairfax, Virginia (703) Please contact athletic trainer first for expedited appointments Sports Medicine Support Staff George Mason Univ. ATS: Grace Fehan (Spring 2016) The ATS is a University athletic training student studying in the professional educational program at GMU. They spend from 150 to 300 hours outside of their academic classes observing, assisting, and receiving instruction in each semester long clinical rotation. RHS ATSAs: Alexia, Alisha, Kelly, Megan The ATSA or high school athletic training student aide interested in going to college to study athletic training, physical therapy, medicine, or other allied health care field. Valuable experience observing and assisting can be obtained in the Athletic Training Center. Certified Athletic Trainer (ATC) What is an Athletic Trainer? At least 4 to 5 year degree and successful completion of National Accreditation Exam Licensed by Virginias Board of Medicine to practice athletic training Often confused with personal trainer or sports trainer at a gym or fitness club Visitfor more information on Athletic Trainers or sports medicine. AT Responsibilities 1.Prevention of injury 2.Recognition, evaluation, and assessment of injuries and conditions resulting 3.Immediate care of injuries 4.Rehabilitation and reconditioning of injuries 5.Organization and administration of Athletic Training/Sports Medicine Program 6.Professional development and education (for athletes, coaches, community) Athletic Trainer Coverage Athletic Training Center Room 535 Located upstairs locker room hallway on south side of field house. The Athletic Trainer is available for evaluations, treatments, rehabilitation, and questions from student athletes, parents and physicians each school day afternoon. Office Hours: generally M-F 12:30 to 5 PM, then practice or event coverage to 8, 9 or10 PM. FALL Football (all games and equipment/contact practices) Field Hockey Volleyball* Cheer Competition Cross Country Meets* WINTER Wrestling Basketball Gymnastics Indoor Track Swim/Dive playoffs* Athletic Trainer Event Coverage SPRING Boys and Girls Lacrosse Track and Field Soccer Tennis* Softball* Baseball**ATC on site VHSL Sports Physicals (PPE) Tips 1.Before participation, Athletes must have a sports physical completed after May 1 st and before sport season. It is valid until June 30 th following year. 2.It Must be completed on a current VHSL Pre- Participation Exam form (Revised March 2013). 3.A Commonwealth School Entrance Exam or BSA forms are NOT valid for high school sports. 4.Find the current form on the athletic training website. Dont save a copy to your computer as forms are occasionally updated and the VHSL does not accept older versions of their own form. 5.A PPE is needed to join in team related conditioning and green day activity as well. VHSL Sports Physicals directions 1.Complete page 1 of VHSL form and student signs it. 2.Complete page 2 health questions and use box to explain Yes answers. Student and parent sign p.2 3.The doctor (MD, DO, LNP, or PA) completes page 3, Make sure they have signed, stamped, and dated it 4.Page 4 should be completed by parent including medical insurance company name and requires a parent signature in 2 places at bottom of page 5.SAVE time--Do not turn in incomplete forms! 6.Sports Physicals are offered at school each June as a convenience for parents and fundraiser for athletics. Contact athletic trainer or web site for more information. Concussion Education Requirement 1.Student-athletes and a parent must complete State mandated concussion education on an annual basis before sport tryout. 2.This component of compliance can be completed by going toand following path for Concussion Education. Please read directions carefully.3.There is a link for parents and a separate link for students. 4.Enter Student ID number for each High School student in your family that may tryout for a sport. 5.Include correct date of birth. 6.Be sure to choose the correct school---Robinson Secondary! 7.It is best to complete Concussion Education early to avoid a last minute rush that may cause web or system problems. 8.Results are recorded automatically and reported to coaches. 9.Address any questions to the athletic trainer. Assumption Of Risk There is inherent risk of injury in all sports Not all injuries can be prevented Even catastrophic injuries can occur in any sport A comprehensive Athletic Training health care program has proven to influence a reduction in the severity of injury and prevalence of re-injury. When Injury Occurs: Any injury, illness, or medical condition must be reported to Athletic Trainer (AT) regardless of severity, or prior consultations with another Health Care Professional Minor injuries are evaluated and treatment instructions given to the athlete, with daily follow up to full resolution For injuries that MAY be more serious (where a physician evaluation recommended), parents will be contacted and receive a written report as well When Injuries Happen If present at game, please check on your childs injury status on bench, sideline, or in AT clinic after their initial evaluation. Referral decisions are based on injury type and severity, potential complication, lack of progress with rest and treatment, etc. AT philosophy is to keep injured athletes involved with their team while protecting injured area to allow sufficient healing It is valuable for athlete to do rehabilitation with AT supervision until released. Immediate Treatment = RICES Rest it!! Ice 20 minutes max each hour (if freezer ice-- use wet cloth barrier) Compression wrap with even pressure towards heart Elevation Raise Above the Heart Support Crutches, Cane, Brace, Sling all help to protect injury Physician Visits Please bring in a note* that informs us of diagnosis, what rehab or treatment the physician recommends, and participation status. Physical Therapist of Chiropractor PT or DC Intervention should be in conjunction with school based (ATC) treatment and rehab. The Physician Response Form can be found on the Athletic Training web page. Bring it to your MD appointment or Urgent Care visit so we have clear feedback from treating physician conducted by AT may include the use of modalities in the form of cold, heat, manual therapy, electrical stimulation, or ultrasound. Communication between AT, PT, MD or other HCP and parent may enhance the overall treatment and recovery of the student-athlete. The Physical Therapist Response Form found on web page to be filled out by PT to help coordinate care or transfer of care Treatments Rehabilitation Rehabilitation and reconditioning is another primary role of Certified Athletic Trainers We have the tools and time to work with your student-athlete on a daily basis to restore, motion, strength, and function Every injured athlete will benefit from some form of rehabilitation Athletes who are compliant with a proper rehabilitation program are less likely to become re- injured or have detrimental long-term consequences to health or athletic performance They must also be evaluated by an ATC to determine a schedule for safe return to full participation REHA B I L I T A T I O N Return To Play A Parent, Coach, Treating Physician, Athlete, Administrator, ATC, or Team Physician may exclude an athlete from participation. The Athletic Trainer is to ensure athlete is returned to play in the quickest and SAFEST manner possible to avoid re- injury. The Athletic Trainer gives final medical clearance. Tx Summary Fall 2015 Injury Treatment Encounters: 2,690 Total Unique Athletes Seen: 296 Evaluations and Tests: 2,632 Modalities(ice, heat, ES, US,etc): 3,099 Manual Therapy: 580 Rehab Exs: 4,674 Protection (tape, wrap, pad, brace): 1,502 Wound Care: 407 Some Common Concerns MRSA Personal Hygiene Nutritional Concerns Supplements & Energy Drinks Steroids Medications Concussions (Education & Management Issues) MRSA: What Is It? MRSA is a Staph infection. Methicillin Resistant Staphylococcus Aureus It does not respond to some antibiotics It is treatable Like other infections, this can become serious if left untreated Severe infections can be prevented by practicing proper hygiene and early detection MRSA: What Does It Look Like? Mild infections may look like a pimple or boil. Can be red, swollen, painful, have pus or other drainage and are usually easily treated. More serious infections may cause pneumonia or bloodstream infections. MRSA: What Are We Doing? FCPS Certified Athletic Trainers provide information to athletes specific to MRSA during the athlete meetings at the beginning of each season. Included in this session: View a DVD specific to MRSA Prevention strategies for staph and other communicable diseases. Importance of proper personal hygiene and clothes washing. Importance of bringing all questionable lesions to the attention of the certified athletic trainer and parent immediately. MRSA: What Are We Doing? The FCPS Athletic Training Program includes the use of a cleansing product for wound care that contains 4% CHG (chlorhexidine gluconate) which specifically targets MRSA and provides a continuous action to kill MRSA on contact for 6 hours. Suspicious lesions will be treated, covered and referred to parents with information to take to family physician. Contact History Inventory and implementation of disinfecting of specific facilities/equipment as needed. What Can Do? What Can Parents Do? Encouraging good hygiene (i.e. hand washing) and following these tips can minimize the risk of infectious diseases including MRSA: 1.Clean clothes and equipment daily Wash in warm water and dry completely in hot dryer Spray equipment with diluted 1-5% bleach solution or commercial product (Lysol, i.e.) 2.Shower right after all practices/competitions 3.Proper use and daily cleaning of water bottles 4.Check with your family physician if suspicious skin lesion is present 5.Read communicable disease info on ATP web site at Nutrition Nutrition is often not a priority for teens Encourage sufficient water intake, proper eating habits--and adequate sleep! Proper Hydration is essential Top choices: WATER! (At least 64 oz./day) Sports Rehydration Drinks Chocolate Milk (after exercise) There is no quick fixreal food is far better than any pill or supplement Avoid junk food. Provide a good balanced diet 65-70% carbs, 15-20% pro, 10-15% fats Nutrition For serious athletes, and those with specific nutritional concerns, consultation with an registered dietician or sports nutritionist at least once in their athletic career is a great idea. Discourage the use of supplements; they are not regulated--may not state all ingredients, and usually are not appropriate for adolescents without consulting a physician or dietician. No FCPS employee may supply, endorse, or encourage the use of supplements. BANNED Using products like these may disqualify a student from participating in contest Anabolic Steroids Signs and Symptoms: Severe Acne, mood swings, aggression, depression, unusually fast strength/wt. gains, change in physical characteristics, among others. The consequences for being caught using steroids is 2 years disqualification from sports. (Virginia state law) Certified athletic trainers are a resource on negative health effects of Anabolic Steroids For more info visit Medications Inhalers, Epi Pens & any other Emergency Meds must be with athlete at all times. If they dont have it, they should not play or practice until they get it The same authorization form you turn in to Health Room is used for us to hold medicines after school. Avoid giving your child prescribed or OTC pain medication before OR during a game. Masking pain may make existing or potential injury worse. NSAIDs may increase bleeding.Talk with your family doctor. Your Name Concussions In 2004 and beyond, getting bell rung or just dinged = Concussion It is an injury to the brain Metabolic, physiological, or microscopic as opposed to visible physical damage. ThereforeA Negative CT Scan cannot diagnose or rule out a concussion Can be life threatening if ignored Signs & Symptoms include : Headache, confusion, dizziness, change in personality, difficulty sleeping, difficulty concentrating, loss of appetite, loss of memory, feeling foggy, among others. Concussions can alter a students ability to learn Most are resolved in two weeks although some can take much longer, especially if not proper rest. Concussion Management Concussions are managed on Individual Basis Standardized sideline tests at time of injury ACE Care Plan, Recommendation for rest, no school or partial days for initial period Clinical Evaluation Follow-ups Symptoms scores Vestibular/Balance and Vision Testing Computerized Neuro-cognitive Test is a web based concussion management tool used to help us identify if the brain has recovered to a point the athlete is safe to begin or continue a progressive return to sport. (Baseline tests are completed on Freshmen and Juniors. Academic Instructional Strategies Are given to teachers through Counselor to assist teachers and students with return to full academic workload Step-wise return to play protocol, usually 4-5* days to full return to play after all symptoms are resolved. *May be much longer if student had a lengthy inactive period. MD referral may be warranted for a prolonged recovery (3 plus weeks w/o expected progress). Proper physical and mental rest, & minimizing academic and social anxiety athletes often experience during recovery is very important. Concussion Management What to Expect Following Concussion When a concussion is suspected acutely during an AT covered event, the athlete will be evaluated for a head injury. If signs and symptoms of concussion are present, athlete is removed from play and monitored. If stable with follow-up tests and observation they are released to parent with the ACE Care Plan & recommendations for appropriate rest. Appropriate staff is alerted through counselor. A Symptom checklist may be provided to help monitor progress at home and help determine readiness to return to school. Student must then follow up with AT until injury is completely resolved. Physical and cognitive activity is modified/recommendations for participation level and supports in the classroom are given to teachers as though out recovery. Daily monitoring as student heals ensures that sufficient progress is being made. As the student progresses back to full return to academics and increasing physical activity, neurocognitive testing is administered, monitored cardio and agility workout conducted, and vestibular therapy is provided as needed. Many concussions are self-reported by the student-athlete that has had a recent head trauma and suspect something is not right. They seek care themselves or are referred to us by a parent, teacher or coach. It is wise to assume a concussion regardless of how seemingly minor the trauma or blow to head has been. If any symptoms linger more than 24 hours it is generally diagnosed as a concussion. While some initial symptoms may be predictors of a longer recovery period, it can be very difficult to determine the severity of injury. Concussion Management Resources Resources for Parents if AT not available or student having a prolonged recovery: SCORE Fairfax Office, Maegan Sady, PhD Dr. Scott Ross, MD, Manassas/S. Riding Fairfax Family Medicine Concussion Center, Pediatric Neuropsychology.(Jillian Schneider, PhD) Announcements VHSL Sports Physicals at Robinson Monday, JUNE 13, :30 to 8 PM Although a convenience for parents, this is a also Fundraiser, in which proceeds cover about 90% of AT budget for supplies and equipment used for and by all activities, sports, and student-athletes. $50 donation Robinson Secondary Athletics Look for KIT message after spring break for on-line registration details. Medical Professionals interested in volunteering to help, Please contact Mr. Perry or Dr. Childress for more information or to register. On-Line ResourcesClick on Athletic Training under Year- Round Activities You are here! Check other tabs: News, health information, Photos, Web Links, Files,click on for more Sports Medicine information, forms, etc. Look for more information, forms, on Web site Click on