TJ’s Athletic Trainers

1. TJ’s Athletic Trainers Heather Murphy, MS, ATC, VATL Head Athletic Trainer Full Time Athletic Trainer Heather.murphy@fcps.edu 703-932-1953 Tim Cocrane, ATC, VATL Associate Athletic Trainer TJ Lab Instructional Assistant tmcocrane@fcps.edu 703-869-8734

2. Team Physician Dr. Bruce Zimmer -Orthopedic Surgeon -Offices with Commonwealth Orthopaedics and Rehabilitation in Burke and Alexandria -Athletes should see ATC prior to seeing the team physician George Mason Athletic Training Students Tara Bowman Sports Medicine Staff

3. What is an Athletic Trainer? Minimal 4 year degree and successful completion of National Accreditation Exam Not the “trainer” at the local gym. Please don’t use tem “trainer”. Use athletic trainer or ATC. Licensed by Virginia’s Board of Medicine to practice athletic training March is National Athletic Training Month Certified Athletic Trainer (ATC)

4. Responsibilities Responsibilities • Prevention of injuries/ re-injury • Recognition, evaluation, and assessment of injuries and conditions resulting • Immediate care of injuries • Rehabilitation and reconditioning of injuries • Organization and administration • Professional development and responsibility

5. Assumption Of Risk Risk of Injury • Not all injuries can be prevented • Catastrophic injuries can occur in any sport • The FCPS comprehensive Athletic Training health care has proven to influence a reduction in the severity of injury and prevalence of reinjury.

6. Coverage Athletic Training Room Coverage • The Athletic Trainer will be available for evaluations, treatments, rehabilitation, and questions from student athletes, parents, and physicians each school day afternoon. Athletic Contest Coverage • All contests indicated below are covered by the home ATC. Spring • Boys and Girls Lacrosse (Varsity, JV) • Boys and Girls Soccer (Varsity, JV) • Softball • Baseball • Outdoor Spring Track (Boys and Girls) • Boys and Girls Tennis *

7. Injuries • All injuries & illnesses must be reported to your school’s Athletic Trainers • All injuries must be reported prior to return to activity regardless of severity or physician consultation • Our philosophy is to return injured athletes to participation in the quickest and SAFEST manner possible.

8. Injuries • Rest • Ice – Freezer vs Ice Machine • Compression • Elevation – Above the Heart • Support – Crutches, Cane, Brace, Sling • Physician – Please bring in a note that informs us of diagnosis, what rehab or treatment the physician would like, and the playing status. • When an athlete is hurting… • For a problem, athlete will receive treatment in the ATR • For a minor injury, a written note may be sent home or a phone call will be made • If a serious injury has occurred, the ATC will call home. If no parent answers, we will call the emergency contacts. • If an injury happens at a contest, the ATC will speak to the parent regarding return to play

9. Return To Play • A Parent, Coach, Family Physician, Athlete, Administrator, ATC, or Team Physician can exclude an athlete from participation. • All of these individuals must agree that the athlete can and should play • The role of the Athletic Trainer is to make sure your athlete is safe to return to play.

10. Rehabilitation • Rehabilitation and reconditioning is a primary role of the Certified Athletic Trainers • We have the tools and time to work with your athlete • Every injury will benefit from some form of rehabilitation

11. MRSA: What Is It? • MRSA is a “Staph” infection • 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

12. MRSA: What Does It Look Like? Mild infections may look like a pimple or boil and can be red, swollen, painful, or have pus or other drainage and are usually mildly infectious and easily treated. More serious infections may cause pneumonia, bloodstream infections, or surgical wound infections.

13. MRSA: What Are We Doing? • FCPS Certified Athletic Trainers provide information to all 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 immediately.

14. MRSA: What Are We Doing? • The FCPS Athletic Training Program includes the use of a cleansing product for wound care that contains 4% w/v chlorhexidine gluconate (CHG) 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.

15. Universal Hygiene • Clean clothes and equipment daily • Showering after all practices/competitions • Proper use of water bottles and cleaning them daily • Encouraging these practices are essential to minimizing the risk of infectious disease including MRSA and H1N1

16. Nutrition • Proper Hydration is essential • There is no quick fix… real food is far better than any pill or supplement • Supplements are not regulated are often not recommended for children • FCPS procedure dictate that no employee shall supply, endorse or encourage the use of nutritional supplements. • A very common supplement is Creatine. Creatine use does appear to have some detrimental side effects such as dehydration, susceptibility to heat illness, severe muscle cramping and muscle tendon strains. • Ephedra and products containing Ephedra are listed on the FCPS banned list an shall be avoided. See attached memo.

17. Steroids • Signs and Symptoms: Severe Acne, mood swings, aggression, depression, very fast strength gains, change in physical characteristics , and others. • Certified athletic trainers are a resource regarding effects of Steroids • The consequences for being caught using steroids is 2 years disqualification from sports. (Virginia state law)

18. Concussions • A concussions is an injury to the brain • Concussions can alter a student’s ability to learn • Concussions can be life threatening • Signs & Symptoms include: Headache, confusion, dizziness, change in personality, difficulty sleeping, difficulty concentrating, loss of appetite, loss of memory, and others. • Treatment is rest and hydration

19. What Is ImPACT? • Web Based Concussion Management Tool • www.impacttest.com • Why Are We Using It? • It is a tool that can help us identify if the brain has recovered to a point that the athlete is safe to begin a progressive return to sport. • It also helps us with the progression for safe return to sport.

20. Baseline Testing • Held two 8th periods already • Goal to get everyone a baseline • Done every two years • Monday 11th • Wednesday 13th • Friday 15th

21. Devices • Students who require a special device like an inhaler, epi-pen, glucagon kit or any other health related device, should have it with them at EVERY team activity. • The required paperwork should be on file with the school. • Please make sure ECC are as accurate as possible.

22. March is National Athletic Training Month If a school has a library, you will find a librarian. If a school has a math department, you will find math teachers. Students become ill, so there is a nurse. Unfortunately, when a student-athlete sustains an injury, only about 42% of schools have access to a qualified health care professional who is capable of assessing and making return-to-participation decisions. March is National Athletic Training month and the theme is Every BODY Needs an Athletic Trainer. Fairfax County Public School is fortunate to employ two certified athletic trainers at each of our 25 schools. That makes 50 athletic trainers for roughly 23,000 student-athletes. And although we are outnumbered we are never outmanned. Every day we strive to provide quality healthcare and education through injury clinics, game coverage, Sports First Aid and CPR classes, PPEs as well as other school-sponsored events. Heather and I are thankful to work in Fairfax County and especially at TJ. We consider ourselves extremely lucky to work with great administration, coaches, parents and student-athletes. Thank you to everyone for allowing Heather and I to truly love what we do.

23. Conclusion • Contact info • Heather.Murphy@fcps.edutmcocrane@fcps.edu • (O) 703-750-8387, (C) 703-932-1953 • Special Requests • Attachments • What is Athletic Training, FCPS ATP Injury/Illness reporting policy, Athletic Trainers Not Trainers, Facts about athletic trainers, Acute Injury Treatment, Steroids-Make the Right Choice, Energy Products, MRSA handout, Heads Up Concussion Fact sheet • Thank you and Good Luck