Health and Injury Reduction in Athletic Competition

1. Health and Injury Reduction in Athletic Competition

2. Individual School Forms • PPE (Physical) • OHSAA form must be used • Pick up the form from the school or go to http://www.ohsaa.org/medicine/PPE_2013-14.pdf • HIPAA-Authorization to permit use and disclosure of Protected Health Information • Emergency Medical Form • Ohio Department of Health Concussion Information Sheet • ImPACT permission form

3. Emergency Medical Release Form • Every athlete must fill one out. • Anyone that will be on the sideline during activity should have one on file (ball boys, managers, water boys, yearbook staff, etc).

4. Concussions • Ohio Department of Health Concussion Information Sheet • Review concussion basics • State law • No return that day • Doctor visits-Emergency room, Urgent Care, Primary Care Physician • 6 Step progress for return to full activity • Must have a doctor’s release http://ohsaa.org/medicine/AuthorizationToReenter.pdf • 24 hours between each step

5. Education • It is highly recommended that parents and student-athletes take one or both of the following courses • National Federation of State High School Associations http://www.nfhslearn.com/electiveDetail.aspx?courseID=38000 • Centers for Disease Control and Prevention http://www.cdc.gov/concussion/HeadsUp/online_training.html

6. ImPACT • A computerized test to help better manage concussions • Help determine the severity of the concussion and when it is fully healed • Given at the beginning of the season in a video game format • Tracks memory, concentration, reaction time, and speed. It is NOT an IQ test. • Given every other year to athletes in contact sports an any athlete diagnosed with a concussion

7. Doctor’s notes • If your son or daughter sees a doctor (ER, office visit, etc) he/she must have a note for medical release. • Will NOT be permitted to return to activity without Healthcare Provider’s permission

8. How To Prevent Communicable Disease and Skin Infections • Proper Hand Hygiene with soap and water or an alcohol hand rub. • Encourage immediate showering following activity. No bar soap. • Avoid whirlpools or common tubs. • Avoid sharing towels, razors, and daily athletic gear. • Avoid contact with other people’s wounds, or material contaminated from wounds. • Properly wash athletic gear and towels after each use. • Maintain clean facilities and equipment. • Refer people with skin lesions to see medical provider. • Cover lesions/wounds before participation.

9. Heat Management Guidelines • Heat Rash (Prickly Heat) • Heat Cramps (Usually in the legs) • Heat Exhaustion (Dizzy, light headed) • Heatstroke (Stop sweating) Monitor the heat index PREVENTABLE!!!

10. Heat management Guidelines • Heat Exhaustion • Cool environment • Replenish fluids • Cold towel • Sponge with cool water • Bed rest in a cool room • Dry clothing • Heat Stroke • 911 • Immersion in ice water or sponge with cool water in front of a fan Heat Rash • Keep area dry • Powder Heat Cramps • Ingesting fluids • Stretching • Ice

11. Lightning and Inclement Weather OHSAA regulations… • First sight of lightning or hearing thunder…off the field • Wait 30 minutes from the last lightning strike seen or thunder heard

12. Wound Care • All wounds should be thoroughly cleansed and covered. • All wounds need to be covered prior to participation in athletics. • If you have concerns about a particular wound, please seek medical attention.

13. Strength and Conditioning • Not only a pre-season activity. • Too much, too soon can lead to injury. • Stretching should be performed before and after activity. • Always warm up properly and use a partner when weight training. • All performance enhancing supplements should be avoided.

14. Acute Injury Management • RICE • Rest: Crutches for lower extremity or sling for upper extremity. • Ice: 15-20 minutes every hour • Compression: Use an ace wrap, but make sure it is not too tight. • Elevation: Above the heart

15. Water: Minimal 2 liters per day, with additional during activity • Sports drinks: Good for pre and post activity, but not recommended during activity • Soda, tea, coffee, energy drinks with caffeine should be avoided Hydration

16. Nutrition • Balanced diet-”MY PLATE” • 5-6 small meals a day • Snack after school • Pre-game meal: Low in fat, low in protein (meat), high in carbohydrates (pasta); Should be eaten 2-4 hours prior to activity. • High protein meal of the week should be 48 hours prior to activity.

17. Highland District Hospital’sOccupational Health Department • Offers sports physicals on Mondays and Wednesdays • $22/physical • Do not accept insurance for physicals • Call 937-393-6398 to schedule an appointment

18. Kari Terrell, MSEd, AT • 937-763-0703 Nick Fite, AT • 937-763-1063 Ellen Marrinan, AT • 937-403-4135