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SPORTS MEDICINE FOR ATHLETES

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					SPORTS MEDICINE
 FOR ATHLETES
 The “Who, What, Where,
   Why & How” of it all.
      What is athletic training
         at Augustana?
We manage your health care needs, including:
   Injury care (from injury to return)
   Illness management and referrals
   Health Care questions and referrals
   Nutrition guidance
   Conditioning
   Flexibility
   Emotional support
      What is athletic training
         at Augustana?
We manage all health care needs of your child
 including:
   Injury care (from injury to return to play)
   Illness management and referrals
   Health Care questions and referrals
   Nutrition guidance
   Prevention of Injury, i.e. conditioning, flexibility,
    strength assessment, balance training, etc.
   Emotional support
   Others
     Where can we be found?


   The Center for Athletic Medicine (main
    facility) is at the east end of Carver
    Center.
   Satellite facility in the Erikson Stadium,
    west end.
        Hours-Preseason
   Center for Athletic Medicine
     During announced rehab times (not 7 am)
     Before practice by appointment
     After practice for ½ hour
     By appointment
Hours-During the Season

   Center for Athletic Medicine
     Hours 7:00 am to 7:00 pm except lunch
     Last Chill pool entry 6:45
     1 1/2 hours before each competition
     By appointment
                    Hours
   Stadium Facility
     1 hour & 15 mins before practices
     3 hours before varsity competitions
     1 ½ hours before junior varsity competitions
     For ½ hour after practices and games
                     Staff
   Certified Athletic Trainers
     Rochel Rittgers
     Denise Yoder
     Mark Doren
     Craig Wainwright
        Football
Student Athletic Trainers
 Desiree Butcher
                       Frank Weglarz
 Nicolas Grahovec
                       Cheryl Tymonko
 Katie Mecklenburg
                       Kelly McKendry
 Ryne Richardson
                       Erin Blecha
        Reporting Injuries
   Remove your shoes, place on mat.
   Check in with receptionist at counter, or
    sign in on clip board.
   Report to SAT for initial evaluation.
   ATC will oversee & review findings.
   Follow treatment or rehab instructions.
   ATC must provide release for practice.
If you are injured & unable to
       practice fully. . .
 Report twice daily for rehab. Once in
  Athletic Medicine Center & once before
  practice. This continues until you are
  practicing fully. (7 AM during fall)
 Dress for practice and participate as
  much as allowed by AT staff.
 Your name, rehab progress & practice
  status will appear on the daily coaches
  report .
If you are injured & unable to
       practice fully. . .
   Plan enough time BEFORE practice for
    treatment taping or rehab.
   Report injuries and illness to us early in
    the day. Coaches reports are generated
    by 10:00 AM during the year.
   You may NOT use Sports Medicine as an
    excuse to be late for practice.
           If there is blood?
   Don’t drip or wipe it on your clothes.

   Report to athletic training staff
    immediately for care and clean-up.
Our Proactive Stance on
 Issues of heat illness
HOW HOT IS IT?
   What is heat illness?
It is our bodies’ response to an
excessively low water level in our system.
Our core body temperature can no longer
be cooled efficiently.
     What do we do to insure
        athlete safety?
   We educate them.
          What is it like?
   Mild - cramps, heavy sweating, head
    ache, mild dizziness, fatigue, 
    performance.
   Moderate - chills, unsteadiness, pale skin,
    mental slowness, nausea, vomiting, stiff
    joints, visual disturbance, weak/rapid
    pulse
   Severe - flush skin, no sweating, collapse,
    incoherence, seizures, unconsciousness,
    LIFE THREATENING!
      Who is most at risk?
1.   Not acclimated
2.   Overweight
3.   Highly driven in practice.
4.   Ill from infection or fever.
5.   Recent immunizations.
6.   Taking OTC meds, i.e. antihistamines
7.   Consumed excessive alcohol.
8.   Consumed excessive caffeine drinks.
    How can you reduce
       your risks?
Acclimate to the hot, humid conditions
gradually.
   Recognize  your current tolerance to
   the conditions.
   Increase  intensity AND duration of
   activities over several days.
         How can you reduce
            your risks?
Monitor your body wt before & after
practice. Weight should be returned to
its starting point before the next
practice.
     Loss of 5% of body wt is a dangerous level.
     Weight charts will be posted for your use.
     It takes 20 oz of fluid to replace each lb lost.
         How can you reduce
            your risks?
Stay hydrated
     Drink often throughout the day. Carry a water
      bottle with you at all times.
     Drinks like Gatorade absorb quickly and
      replace lost electrolytes.
     Drink 10 oz fluid right before practice.
     Drink 28-48 oz of fluid for each hour of px.
     Drink BEFORE you are thirsty.
     Avoid alcohol, caffeine and carbonation.
       How can you reduce
           your risks?
Keep cool when you can.
     Wear loose fitting, light-weight clothing.
     Avoid excessive padding or tape.
     Avoid use of excessive clothing, long
      sleeves, tall socks, etc.
     Remove gear during breaks.
     Rest in the shade.
 How can you reduce
    your risks?


Recognize any symptoms you may be
 experiencing and report them to the
  athletic training staff immediately.
Handout and Signature
       Sheet
        What do we do to insure
           athlete safety?
   We record their weight at physicals.
       They record their weight before & after each
        practice.
       Beginning weight must be maintained.
       Athlete is removed from practice if 3-4% of
        weight is lost.
    What do we do to insure
       athlete safety?
   We measure heat and humidity before
    each practice.
       We make practice recommendations,
        based on the guidelines of the NCAA &
        NATA, for dangerous climate.

   We watch for any individual warning
    signs during practice.
    What do we do to insure
       athlete safety?
   We encourage unlimited fluid intake.
       We provide Gatorade and water on the
        field and in the locker room.
       We provide reusable cups in locker room.
       We provide water bottles with their names
        on them. Athletes are instructed to carry
        them at all times.
    What do we do to insure
       athlete safety?
   We have them read and sign a
    Prevention of Heat Illness         information
    form.
       This offers additional exposure to the
        educational information.
       It also allows us to have a record of who
        has had the education and who has not.
The most dangerous game may
  not be the one on the field.
  NCAA
PROGRAM
DRUG EDUCATION
      WHY BANNED DRUGS?
   TO MAINTAIN A LEVEL PLAYING
    FIELD FOR ALL COMPETITORS

   TO INSURE THE HEALTH AND
    SAFETY OF ALL ATHLETES
              DRUG CLASSES
   DIURETICS-
       i.e. WATER PILLS
       used to lose weight & fool drug test

   STIMULANTS
       i.e. CAFFEINE, EPHEDRINE
       found in many nutritional & diet
        supplements, & prescription meds
            DRUG CLASSES
   ANABOLIC AGENTS
    –   i.e. STEROIDS
    –   have been linked to supplements
    –   some can stay in your system 6 months
        or more
    –   TESTOSTERONE &T-BOOSTERS
                  DRUG CLASSES
   STREET DRUGS
       i.e. MARIJUANA, COCAINE, ETC.
          even   second-hand smoke
       Some can stay in your system
        a month or more.
   TOBACCO
       All tobacco products are banned from use
        during practices & competitions. This
        includes all athletes, athletic personnel &
        game officials.
                DRUG CLASSES
   Peptide Hormones
       i.e. HCG, HGH
       Some can stay in your system 6-9 months.

   Blood Doping
   Local Anesthetics
       Some are banned.
       Use must be medically justified and must not
        increase injury risk to athlete.
                 WARNING!
PRESCRIPTION DRUGS
    Many are banned.
    Must have a legitimate illness in order to take
     them.
    Must have prescription from a physician for all
     prescription medications.
    Some asthma medications are not approved
     even with a prescription.
      Regarding Nutritional
         Supplements
   We educate them.
                    WARNING!

ERGOGENIC AIDS - Any substance taken to
enhance your performance
     i.e. NUTRITIONAL SUPPLEMENTS
       May   contain stimulants, hemp seeds/oil, ephedrine,
        possibly other banned substances.

     Are not regulated by any government agency.
     Labels are deceptive.
     CONSENT FORM
   Demonstrates an understanding
    of the testing possibility.

   Must sign (already signed) if you want
    to participate in your sport.
TESTING DETERMINATION
   Division III athletes are tested by the
    NCAA during post season competitions.
   Selection criteria
       Playing position
       Playing time
       Final standing at championships
       Random selection
       Any combination of the above
         TESTING PROCEDURES

   Following notification
       Athlete must report to testing site within one hr.
   Urine is collected under direct observation by
    a crew member of your same gender.
   They are sent in specially sealed packaging to
    the NCAA approved Olympic testing lab at
    UCLA in Los Angeles.
      TESTING PROCEDURES
   Urine is collected under direct observation
    by a crew member of your same gender.
   Urine specimen must be suitably
    concentrated & have an appropriate acidity
    value.
   Specimen is bottled in 2 sealed containers
    and number coded.
    TESTING PROCEDURES

   They are sent in specially sealed
    packaging to the NCAA approved testing
    lab in Los Angeles.
   Handling by lab personnel is strictly
    regulated and all findings recorded
    by ID number.
       TESTING PROCEDURES
   Any positive test information will be released
    to the athletic director, who will then notify
    the athlete.
   All positive drug tests result in a one-year
    suspension from participation in any NCAA
    sport.
      Regarding Nutritional
         Supplements

   We warn them.
CONTACT YOUR ATHLETIC TRAINING
   STAFF BEFORE TAKING ANY
       MEDICATIONS OR
        SUPPLEMENTS!

    WWW.NCAA.ORG
        list of banned drug classes
    WWW.DRUGFREESPORT.ORG
        questions regarding the safety of any
         supplement on the market
       Regarding Nutritional
          Supplements


   We have them read and sign a Drug and
    Alcohol Policies information sheet.
    Drug and Alcohol Policy
Information & Signature sheet.
     If there is an emergency. .
   Provide the highest level of care available.
     ATC/L with 20 years of experience always
      present.
     All SAT’s and coaches are trained in
      emergency procedures.
     CPR instructor w/ AED on site.
     All emergency equipment and medication is on
      the field always.
     Ambulance response time is 3-4 minutes.
     Paramedics are trained in our Emergency Plan.
     Hospital is 8 minutes away.
Questions?
         AND FINALLY...

For physicals tomorrow
     Wear tank tops or sports bras and loose
      fitting shorts.

     Come at your designated time.

     Specimen need only be a half cup.
THANK YOU!

				
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