Components of a Safe Athletics Program Flashcards
1
Q
things needed for a safe athletics program
A
- ppe
- health insurance
- acceptance of risk
- planning/supervision
- safe environments
- equipment
- minimizing liability
- equitable care
- equipment
- BBP
- facilities
- preseason preparation
2
Q
other things needed
A
- security and safety plan
- emergency care
- catastrophic incident plan
- concussion management plan
- drug testing
- legislation
3
Q
Preseason Preparation
A
- the athlete should be protected from premature exposure to the full rigors of sports
- conditioning should get athlete ready for first practice
- athlete may have to prepare on their own
- should include educational component
4
Q
Preseason prep
A
- six to eight weeks is ideal
- 10-14 days of heat acclimation
- gradual progression: type, frequency, intensity, duration and recovery of training
5
Q
PPE
A
- required upon entering an athletics program
- purpose: identify athletes that may be at risk
- establishes a baseline
- satisfies insurance and liability issues
- conducted by MD or DO
6
Q
PPE effectiveness
A
- identify disease or processes that will affect the athlete
- be sensitive and accurate
- be practical and affordable
7
Q
PPE includes
A
- physical exam
- medical history
- orthopedic screening
- immunization history
- cardio, neuro, and musculo eval
8
Q
Physical Exam includes
A
- ht/wt
- BP/pulse
- skin
- ear nose throat eye
- heart/lungs
- abdomen
- lymphatic and genitalia
9
Q
Cardiovascular screening
A
- SCD is leading medical cause of death in NCAA and reps 75% of all sudden death cases
- AHA recommends CV screening as part of the PPE
- subsequent years, history and BP should be taken
- changes in status or abnormalities will require a more formal CV eval
10
Q
How to CV screen
A
- stand/supine auscultation
- sitting brachial BP
- screening for marina’s syndrome
11
Q
Marfan’s Syndrome
A
- a hereditary degenerative disorder of CT bones, muscles. and ligaments
- symptoms: tall lean body type, dilation of ascending aorta, abnormal joint mobility, flat feet, scoliosis, dislocation of optic lens, ocular problems, joint mobility
- treatment is symptomatic
- advised to not participate in collision or contact sports
12
Q
Orthopedic exam
A
- can be done by an ATC or other qualified personnel
- ROM
- flexibility
- muscle strength
- joint motion and stability
- orthopedic special tests
- body comp
- dental
- maturity (high school)
- wellness screening
13
Q
Maturity assessment
A
- protect young, physically active athletes
- sexual maturity
- skeletal assessment
- dental dam
- last bones to ossify are facial around age 21-22
14
Q
Wellness Screening
A
- purpose is to determine if athlete is engaged in a health lifestyle
- questions about: diet, rest, exercise and wt. control
- lifestyle habits: alcohol, drugs, tobacco use, stress
15
Q
Sickle cell trait screening
A
- NCAA mandated screening
- blood test prior to first season
16
Q
Immunization Records
A
- defined by the CDC and recommended by the NCAA
- measles, mumps, rubella (MMR)
- hepB
- diphtheria, tetanus
- meningitis
- seasonal flu
17
Q
Herd immunity
A
- vaccination of a significant portion of a population provides a measure of protection for people who have not developed immunity
- greater proportion of people who are resistant the less probability that someone will come into contact with an infectious person
- different thresholds for different diseases
- measles 83-94%
18
Q
Timing of the PPE
A
- need sufficient time to correct any deficiencies
- deal is 6-8 weeks prior to first practice
- not a good idea to perform PPE on first day of practice
19
Q
Six options for level of participation
A
passed passed with conditions passed with reservations failed with reservations failed with conditions failed
20
Q
Station vs personal physician physical exam
A
- rotate between stations vs. everything with one doc
21
Q
Education and counseling
A
- ppe is an opportunity for education and counseling
- important component of PPE
- nutrition, vaccinations, alcohol, STDs
- mass physical exams not as good a setting as physicians office
22
Q
Sport disqualification
A
- this action should be taken only in cases where participation would worsen the condition or would cause harm to other athletes
- team physician is the final authority
- not decision to be taken lightly
- ADA of 1990 dictates the athlete makes the final decision about participation
23
Q
Medical Hardship waiver documentation
A
- medical hardship: diagnosis, contemporaneous, same time, same injury, incapacitating has to be in letter
24
Q
Medical Records
A
- student athletes have a responsibility to truthfully and fully disclose their medical history and to report any changes in their health to their heart care provider
25
Q
Medical records should include
A
- record of present and past injuries, illnesses, medications, allergies, pregnancies, surgeries
- comprehensive health-status questionnaire
- referrals for and feedback from consultation, treatment and rehab
- subsequent care and clearances
26
Q
Release of Medical Records
A
- should include written permission, signed annually, which authorizes release of medical information to others
- should specify all people to whom the student-athlete authorizes the information to others
- specify which information may be released and to whom.
