FISDMandatory Safety and
UIL Training
2010-2011
WHY WE ARE HERE
To comply with SB 82 also known as the ‘ATHLETIC SAFTEY BILL”
All Coaches, Sponsors and Band Directors must complete both the on-line program and a yearly safety drill.
All Students participating in extracurricular activities ARE REQUIRED TO VIEW STUDENT SAFETY COURSE -- To be done by each individual coach/sponsor.
Heat
PRACTICE IN HOT WEATHER POLICY
• Ultimately the responsibility of the coaching staff of each sport to monitor the weather
• Resources– www.intellicast.com– www.click2houston.com– www.weatherunderground.com
PRACTICE IN HOT WEATHER POLICY CONTINUED
Extra-curricular activites(except cross country and tennis)
100-104 F
30 minutes of outside activity followed by 30 minutes in an air conditioned location
105 F
Stop all outside activities
PRACTICE IN HOT WEATHER POLICY CONTINUED
Cross Country and Tennis
95-101 F
30 minutes of outside activity followed by 30 minutes in an air conditioned location
102 F
Stop all outside activity
PRACTICE IN HOT WEATHER POLICY CONTINUED
All FISD Students (PreK-12) PE/Recess
90-94 F
30 minutes outside activity followed by 30 minutes in an air conditioned location
95 F
Stop all outside activity
PRACTICE IN HOT WEATHER POLICY CONTINUED
When temperatures reach 90 F all coaches/sponsors/teachers planning outside activity need to
1) watch all students for heat related problems
2) allow all athletes unlimited access to water
3) encourage your athletes to drink water before, during and after practices
HEAT ILLNESS/INJURY
Can occur in any sport, including indoor sports, at any time of the year
Encourage your athletes to drink lots of water before, during and after practices
Give plenty of water breaks during practices
Discourage the use of energy drinks
Do not add salt to drinks
HEAT ILLNESS/INJURY
Symptoms are progressive and often confused with other issues, such as not being in shape. Even the athlete at the peak of their physical performance can suffer from heat related problems.
HEAT ILLNESS/INJURY
SIGNS/SYMPTOMProfuse sweating
Cramps in abdomen and/or extremities
TREATMENTRest in cool areaDrink water(no
Gatorade)Gently stretchCan go back once all
symptoms are gone but must be monitored
HEAT CRAMPS
HEAT ILLNESS/INJURYHEAT SYNCOPE
WEAKNESS
FATIGUE
FAINTING
MAY PREDISPOSE TO HEATSTROKE
HEAT ILLNESS/INJURY
SIGNS/SYMPTOMSWeakness/FaintDizzyHeadacheNauseaPaleProfuse sweatingSkin is grey, ashen, cold
and clammy
TREATMENTRest in cool areaDrink lots of waterSponge with cool waterDiscontinue all activity
HEAT EXHAUSTION- WATER DEPLETION
HEAT ILLNESS/INJURYHEAT EXHAUSTION – SALT DEPLETION
SIGNS/SYMPTOMS
Exhaustion
Nausea
Vomiting
Muscle cramps
Dizziness
TREATMENT
Rest in cool area
Drink lots of water
Sponge with cool water
Discontinue all activity
Be aware of Excessively Salty Sweaters
HEAT ILLNESS/INJURY
SIGNS/SYMPTOMS
Possible unconsciousness
Hysteria progress to apathy
Disoriented
Skin will be hot, dry and red
Will not be sweating
Pulse will be rapid
Low blood pressure
Treatment
CALL 911 ASAP
Cool by any means possible
Do not force them to drink if unconscious
HEAT STROKE
HEAT-ACCLIMATIZATION GUIDELINES (NATA)
• RELEASED FROM NATA IN JUNE
• RECOMMENDS PROGRESSIVE ACCLIMATIZATION IN THE INITIAL 14 CONSECUTIVE DAYS OF PRACTICE
• GOAL TO ENHANCE HEAT TOLERANCE
PRE-SEASON REGULATIONS(UIL)
• If only have 1 practice should not be longer than 3 hours a day• If having 2 practices total should not exceed 5 hours with max
length of a single practice 3 hours and must take a 1 hour recovery/rest period between with no practice activities planned
What Counts What Doesn't Count
Actual on field/court practice Meetings
Sport specific skill instruction Weight training
Mandatory conditioning Film study
Water breaks
Rest breaks
Injury treatment
Voluntary conditioning
Lightning/Severe Weather
CHAIN OF COMMANDPractices
Staff Athletic Trainer, if present, otherwise it is the coaches responsibility to monitor the weather
Games/EventsThe officials for that contest will be the ones to make the call for suspension of play (in sports where coaches are the officials – tennis, golf, swim, cross country, track, etc this will be the responsibility of the home team coaching staff if a staff athletic trainer is not present)
Removal of Fans It is the responsibility of the administrator on duty to remove all fans and spectators from the stands. If an administrator is not present, it is the responsibility of the staff athletic trainer (if present ) and/or the coach
30-30 FLASH TO BANG RULE
When there is 30 seconds between the flash of lightning and the bang of thunder, play must be suspended immediately and seek safe shelter
A count of 30 seconds from flash to bang puts the lightning at a distance of 6 miles
Audible thunder with or without lightning puts the storm within a 10 mile radius from your location
30-30 FLASH TO BANG RULE
It is safe to return to play/practice when there as been 30 minutes from the last flash to bang that is longer 30 seconds
During the suspension of activity, any time a flash to bang is less then 30 seconds, the 30 minute wait time starts again
SAFE SHELTER
Primary Locations
Any location normally occupied or frequently used by people.
Any building with plumbing and/or electrical wiring that acts as a ground
Do not use the showers, plumbing facilities, and land line phones
SAFE SHELTER CONTINUED
Secondary Locations
In the absence of a sturdy, frequently inhabited building use any vehicle with a hard metal roof and rolled up windows
Do not use a golf cart or convertible
OTHER SEVERE WEATHER ISSUES
For all other sever weather issues, follow your Campus Emergency Plans for where to seek shelter
CATASTROPHIC INJURIES
• Can happen in any sport at anytime
• Can be a serious injury or life threatening
What should you doRemain calm
If present, get the athletic trainer on duty.
Activate EMS
Follow all emergency policies and procedures of the school or venue you are at
HEAD INJURIES
CONCUSSIONS
SIGNS/SYMPTOMS OF CONCUSSIONS
Unequal pupilsPERLAHeadacheDrowsinessMemory LossDisorientationFeeling “slowed down”Feeling “foggy, not sharp”Ringing in earsSlurred speech
Sensitivity to light and/or noise
Difficulty staying awake or waking up
Unco-ordinationBlurred visionChange in personalityChange in behaviorConfused mental statusAmnesia(Retrograde and
Anterograde)
GRADES OF CONCUSSIONS
GRADE 1
MILD
GRADE 2
MODERATE
GRADE 3
SEVERE
MINIMAL CONFUSSION
OR CONFUSSION THAT DOESN’T LAST LONG
MINIMAL CONFUSSION
OR CONFUSSION THAT DOESN’T LAST LONG
ANY LOSS OF CONSCIOUSNESS EITHER BRIEF OR PROLONGED
NO LOSS OF CONSCIOUSNESS
NO LOSS OF CONSCIOUSNESS
ALL SYMPTOMS RESOLVE IN LESS THAN 15 MINUTES
ALL SYMPTOMS RESOLVE IN MORE THAN 15 MINUTES
MANAGEMENT OF CONCUSSIONS
GRADE 1
MILD
GRADE 2
MODERATE
GRADE 3
SEVERE
Remove from game/event/practice
Remove from game/event/practice and do not allow to return
Activate EMS
Check immediately and every 5 minutes for changes in mental and physical status
Check immediately and every 5 minutes for changes in mental and physical status
May return to play if symptoms resolve in less than 15 minutes
Evaluate again the following day
Maybe asked to see physician
MULTIPLE CONCUSSIONS
Cumulative effect
Several Grade 1 Concussions could be similar to having a Grade 2 Concussion
Each athlete must be treated individually and not taken lightly
SECOND IMPACT SYNDROME
Can be seen in an athlete that has returned before all concussion symptoms are resolved
Causes rapid and fatal brain swelling and can result in death in as little as 2 to 5 minutes
Progressive signs/symptoms are
Previous history of concussion(s)
Visual, sensory, motor changes
Difficulty with memory and/or thought processes
Coma
RETURN TO PLAY FOLLOWING A CONCUSSION
Any athlete that suffers a concussion will be monitored on a daily basis by the Athletic Training Staff and will not be allowed to return to play until they have been symptom free for 24 hours.
Any athlete that has seen a physician for a concussion will not be released to play until they have been cleared by that doctor. They will only be allowed to return to play if they are symptom free.
ImPACT TESTING
Available through St. John Hospital
Used by NFL, NHL, and NCAA
Athletes take a baseline test to determine normal mental functioning
If have a concussion, will take another test to determine how far from normal they are
Can not and will not be used to exclude an uninjured athlete from play
SPINAL CORD INJURIES
Not all Spinal Cord Injuries cause paralysis
If head and neck injury is suspected, stabilize the head and neck
“GET YOUR GUNS UP”
STRAINS AND SPRAINS
Most common injuries in sports
If a staff athletic trainer is not present, use RICE
Rest
Ice
Compression
Elevation
FRACTURESUSE BASIC FIRST AID, IF YOU SUSPECT
ILLNESS/INFECTIONS
Asthma
High school athletes with asthma are encouraged to keep an inhaler in the athletic training room or with their junior high coach.
No one but the athlete that the inhaler is prescribed for will be allowed to have, transport, get or take the inhaler to the athlete
MRSA AND STAPH INFECTIONS
• STAPH INFECTIONSSTAPH INFECTIONS– VERY COMMON(20-35% OF ADULTS AND
CHILDREN IN US ARE COLONIZED– CAUSES BOILS AND SOFT TISSUE INFECTIONS– SPREAD THROUGH DIRECT CONTACT WITH A
CUT OR SCRAPE OR WITH CONTACT OF INANIMATE OBJECTS SOILED WITH WOUND DRAINAGE
– WILL RESPOND TO NORMAL ANTIBIOTICS AND IS FAIRLY EASY TO CONTROL AND CURE
MRSA AND STAPH INFECTIONS
• MRSA (METHICILLIN RESISTANT STAPH)MRSA (METHICILLIN RESISTANT STAPH)– CAN NOT BE TREATED WITH PENICILLIN OR
OTHER SIMILAR TYPE ANTIBIOTICS– MAY BE LONGER LASTING– CAN REAPPEAR– CAN BE A VERY AGGRESSIVE INFECTION– SPREAD IN A SIMILAR MANOR TO COMMON
STAPH
H1N1 (SWINE FLU)
• Good Hygiene
• Wash hands (Happy Birthday)
• Cover mouth and nose when coughing or sneezing
• Use universal precautions
• Resources – www.cdc.gov– www.flu.gov
PREVENTION OF COMMON INFECTIONS
UNIVERSAL PRECAUTIONS
• Use proper hand washing techniques and good hygiene
• Wash all dirty clothes
• Keep open wounds covered
• Staff athletic trainers are more than happy to monitor all wounds
SUDDEN DEATH
IN ATHLETES
WHAT IS SUDDEN DEATH?
• AN ABRUPT UNEXPECTED DEATH OF CARDIOVASCULAR CAUSE, IN WHICH THE LOSS OF CONCIOUSNESS OCCURS WITHIN 1 TO 12 HOURS OF ON SET OF SYMPTOMS
HOW COMMON
• 1 OUT OF 100,000 TO 1 OUT OF 300,000 HIGH SCHOOL ATHLETES PER YEAR
• 80 SCD’S PER YEAR IN 25 MILLION ATHLETES COLLEGE AGE OR YOUNGER
• HIGH SCHOOL ATHLETES ARE 100 TIMES MORE LIKELY TO DIE IN A CAR CRASH
CAUSES OF SUDDEN CARDIAC DEATH (SCD)
• HYPERTROPHIC CARDIOMYOPTHY
• COMMOTIO CORDIS• CONGENITAL
CORONARY ANOMALIES
• ASTHMA• HEAT STROKE
• DRUG ABUSE• TRAUMA• RUPTURED AORTIC
ANEURYSM• MYOCARDITIS• OTHER CARDIAC
ISSUES
HYPERTROPHIC CARDIOMYOPATHY
• CAUSES 26% OF SCDs• GENETIC DISEASE WHICH CAUSES
THE THICKENING OF THE LEFT VENTRICLE OF THE HEART
• COMMON IN GENERAL POPULATION 1 IN 500 PEOPLE
• CAN BE DIAGNOSED WITH AN ECHOCARDIOGRAPH BUT CAN BE VERY DIFFICULT TO DIAGNOSE
COMMOTIO CORDIS
• ALSO KNOWN AS INNOCENT CHEST BLOW
• MAY CAUSE SUDDEN DEATH WHEN ATHLETE IS STRUCK IN THE CHEST AT JUST THE RIGHT MOMENT IN THE HEART RHYTHM
• ONLY 10% OF VICTIMS ARE KNOWN TO SURVIVE
CONGENITAL CORONARY ANOMALIES
• CAUSES APPROXIMATELY 14% OF SUDDEN DEATHS
• USUALLY THE LEFT MAIN CORONARY ARTERY IS IN THE WRONG LOCATION
ATHLETE’S HEART
• ENDURANCE AND POWER TRAINING HAVE BEEN KNOWN TO INCREASE HEART MASS
• CAN LOOK LIKE HYPERTROPHIC CARDIOMYOPATHY
• MAKING IT DIFFICULT TO TELL THE DIFFERENCE BETWEEN NORMAL AND ABNORMAL
HOW TO PREVENT
PREPARTICIPATION PHYSICAL EXAM
ACCESS TO AUTOMATED EXTERNAL DEFIBRILATORS
DETAILED AND CAREFUL MEDICAL HISTORY
MEDICAL HISTORY• IMPORTANT TO GET A DETAILED MEDICAL
HISTORY OF ATHLETE AND FAMILY• AS RECOMMENDED BY UIL – ANY ATHLETE
ANSWERING YES TO QUESTION 5 ON MEDICAL HISTORY FORM MUST HAVE FURTHER SCREENING DONE
• ITEMS ASKED IN #5 INCLUDE – PASSING OUT/DIZZY, CHEST PAIN, SKIPPED HEARTBEATS, ANY FAMILY HISTORY OF HEART PROBLEMS
PRE-PARTICIPATION PHYSICAL EXAMINATION (PPE)
RECOMMENDED BY AMERICAN HEART ASSOCIATION TO HAVE A PHYSICAL EVERY 2 YEARS
UIL HAS FOLLOWED THAT RECOMMENDATION
FISD REQUIRES AN ANNUAL PHYSICAL
ECHOCARDIDOGRAM, ECG,EKG WILL NOT ALWAYS CATCH ISSUES
AUTOMATED EXTERNAL DEFIBRILATORS
• EARLY DEFIBRILLATION
• SHOCK FIRST THEN PERFORM CPR IS LATEST RECOMMENDATION FROM AHA
RECOGNIZING THE WARNING SIGNS
• FEELING FAST OR SKIPPED HEART BEATS
• DIZZINESS
• CHEST PAIN OR TIGHTNESS WITH EXERCISE
• SHORTNESS OF BREATH
• FAINTING OR PASSING OUT
• ELEVATED BLOOD PRESSURE
CPR/AED
FIRST AID
BASIC FIRST AID
• SPLINTING– ABOVE AND BELOW
THE INJURED AREA– MAKE SURE TOES
AND FINGERS HAVE GOOD CIRUCLATION
– BE CREATIVE IF YOU DO NOT HAVE ACCESS TO SPLINTS
• BURNS– FLUSH WITH COOL
WATER– DO NOT RUB SKIN– IF NO PAIN, IT IS
SUPER SERIOUS
BASIC FIRST AID
• WOUND CARE– CONTROL BLEEDING– PRESSURE ON WOUND– ELEVATE– PRESSURE POINTS– DO NOT REMOVE ANY
IMBEDDED OR IMPALED OBJECT
• ANIMAL/INSECT BITES– CONTROL BLEEDING– MONITOR FOR
ALLERGIC REACTIONS– IF NOT SURE IF
POSIONOUS CALL 911– DO NOT REMOVE ANY
IMBEDDED OR IMPALED OBJECT
BASIC FIRST AID
• ALLERGIC REATCTIONS– MAY BE UNABLE TO BREATH– MAY FEEL LIKE TONGUE IS SWOLLEN– FACE AND HANDS MAY SWELL– USE EPIPEN IF THEY HAVE ONE
• POP THE CAP, STAB IT IN THEIR THIGH
– IF NO EPIPEN, CALL 911
Calling 911• REMAIN CALM!!!!!• DIAL 911 OR 9911 IF
CALLING FROM A CAMPUS LANDLINE
• TELL EMS THAT YOU HAVE AN INURED ATHLETE AT FHS AND FJH AND AT WHAT VENUE YOU ARE AT
• ANSWER ALL QUESTIONS, IT IS OK TO SAY I DO NOT KNOW
• REMAIN ON THE PHONE UNTIL THE DISPATCHER HANGS UP
DIRECTIONS TO VENUES
Please consult your Sports Medicine Coaches Handbook directions
Should not need to give Friendswood EMS directions to our facilities.
Emergency Policies and Procedures
Chain of Command
• 1st Attending Team Physician if Present
• 2nd Adult Staff Athletic Trainer if Present
• 3rd Coach in charge of team
• At no time should a fan or spectator be allowed to render treatment to an athlete that they are not the parent or legal guardian of.
THINGS TO KNOW
• Location of telephone (land line or cell phone)
• What keys unlock all doors and/or gates to athletic facilities
• Location of nearest AED
• Consent cards of your athletes (these should be carried with you to ALL PRACTICES AND GAMES/EVENTS)
TRANSPORTING AN ATHLETE TO LOCAL HOSPITAL
• If the athlete’s parents are not available or present the following need to happen– Responsible school official should go with the
athlete– Athlete’s Consent Card should be sent– Parents and/or Emergency Contact should be
notified immediately– If not present, contact one of the staff athletic
trainers
Away Contest or Events
• Make the home team and/or home athletic training staff aware of the situation
• Follow the procedures and policies of the home team for activating EMS
FHS SPORTS MEDICINE POLICIES AND PROCEDURES
BEGINNING OF SEASON CHECKLIST
Put your game schedule in RankOne
Put your roster (all kids that may try out) in RankOne
Check RankOne to see if all athletes have a physical on file prior to the first practice/tryout
Copies of all tournament brackets
Any special requests for supplies or equipment
WEEKLY CHECKLIST• DEPARTURE TIMES FOR ALL
EVENTS/GAMES/CONTESTS FOR THAT WEEK ARE ENTERED IN RANKONE
• MAKE ANY CHANGES TO PRACTICE AND GAME SCHEDULES IN RANKONE
• MAKE ANY CHANGES IN LOCATIONS OF GAMES AND PRACTICES IN RANKONE
• READ DAILY/WEEKLY INJURY REPORTS AND MISSED TREATMENT REPORTS
END OF YEAR CHECKLIST
• RETURN ALL EQUIPMENT AND SUPPLIES TO TRAINING ROOM
• RETURN ALL CONSENT CARD BOOKS• DISUCSS SUMMER CAMP NEEDS
(COOLERS, WATER BOTTLES, STAFFING)
• ENTER ROSTERS/PRE-ENROLLMENT SHEETS FOR THE NEXT YEAR INTO RANKONE
STUDENT TRAINERS
• EXTENSION OF THE STAFF ATHLETIC TRAINERS
• GIVEN VERY SPECIFIC INSTRUCTIONS ON WHAT TO DO SHOULD AN INJURY OCCUR
• DO NOT KNOW HOW TO EVALUATE INJURIES
TREATMENT POLICYMORNING TREATMENTS
AUGUST TO OCTOBER• 6:30 AM FRESHMAN
FOOTBALL, VOLLEYBALL, CROSS COUNTRY
• 7:00 AM ALL VARSITY ATHLETES
• 7:30 AM ALL JUNIOR HIGH ATHLETES
NOVEMBER TO MAY• 7:00 AM ALL HIGH
SCHOOL ATHLETES• 7:30 AM ALL JUNIOR
HIGH ATHLETES
IMPORTANT CHANGE – IF AN ATHLETE DOESN’T COME TO MORNING TREATMENTS AND WE FEEL TREATMENT IS NEEDED, WE WILL DO THAT TREATMENT AT THE BEGINNING OF THEIR ATHLETIC PERIOD.
CLOSING TIMES
• TRAINING ROOM WILL REMAIN OPEN DURINING FOOTBALL SEASON UNITL PRACTICE/GAMES ARE OVER
• AFTER FOOTBALL, WE WILL CLOSE AT 5:30 PM OR IF THERE ARE EVENTS GOING ON THAT WE ARE COVERING WE WILL REMAIN ON CAMPUS UNTIL THEY ARE FINISHED
TAPING
• Any athlete that needs/requires taping for practice/games/events will be taped by an FHS staff athletic trainer unless other arrangements have been taped
• No athlete is allowed to tape themselves
• Athletes that want wrists and ankles taped, will be required to perform strengthening exercises 3 times a week
WATER
• We will supply water and bottles to all teams that practice on campus where a fountain is not available. Please let the athletic trainers know of any changes in practice location prior to 6th period
• Water will be provided for all High School home events, if we know that they are going on. We will not provide cups or bottles to visiting teams.
USE OF COOLERS
• PLEASE NOTIFY/ASK THE STAFF ATHLETIC TRAINERS PRIOR TO TAKING COOLERS FROM THE TRAINING ROOM
PHYSICALS
• ALL ATHLETES MUST HAVE A COMPLETED PHYSICAL PACKET ON FILE IN THE ATHLETIC TRAINING ROOM PRIOR TO BEING ALLOWED TO WORKOUT/TRYOUT/COMPETE IN ANY SPORT
• IT WILL BE YOUR RESPONSIBILITY TO MAKE SURE ALL YOUR ATHLETES ARE CLEARED TO PARTICIPATE
DOCTOR’S NOTES
• ANY ATHLETE THAT SEES A DOCTOR/PHYSICIAN FOR ANY REASON MUST HAVE A NOTE FROM THAT DOCTOR EVERYTIME THEY SEE THAT DOCTOR.
• THE NOTE MUST BE TURNED IN BY THAT ATHLETE TO THE ATHLETIC TRAINERS PRIOR TO PRATICIPATING IN ANY FASHION
• AN ATHLETE THAT FAILS TO BRING A DOCTOR’S NOTE WILL NOT BE ALLOWED TO WORK OUT UNTIL THEY HAVE TURNED IN A NOTE
WEIGHT ROOM
• THE STAFF ATHLETIC TRAINERS WILL NOT SUPERVISE THE WEIGHT ROOM.
• WE WILL REMOVE ANY ATHLETE FROM THE WEIGHTROOM THAT IS LIFTING UNSUPERVISED
SUMMER CAMPS
• THE FHS ATHLETIC TRAINING STAFF WILL NOT COVER ANY SUMMER CAMPS.
• IF YOU ARE WANTING US AT YOUR CAMP, YOU MUST PAY US.
HOMEWORK
VISIT WWW.UIL.UTEXAS.EDU FOR THE ON-LINE PORTION FOR THE ADULTS ONCE COMPLETED PLEASE PRINT YOUR CERTIFICATE AND TURN IN TO EITHER MYSELF OR KAREN
CAN BE FOUND UNDER THE SAFTEY TRAINING HEADLINE
WATCH YOUR EMAIL/COACHES CONFERNCES FOR THE STUDENT POWER POINT
SCHEDULE TIME TO SHOW THIS TO YOUR KIDS.
UIL WEBSITE
UIL SAFETY TRAINING FOR ATHLETES
COORDINTAED COMMUNICATION WITH UIL
STAFF• STEVE VANMETER OR DR. KENNEDY
ONLY WILL COMMUNICATE WITH UIL STAFF
COPE
• MUST BE COMPLETED AND TURNED INTO ATHLETIC DIRECTORS OFFICE PRIOR TO THE START OF YOUR SEASON
• GO TO UIL WEBSITE
• PROCEED TO UIL GATEWAY
• COMPLETE COPE PROGRAM
• PRINT CERTIFICATE
“DON’T DO ANYTHING THAT I CAN NOT DEFEND”
“24 HOUR COOLING OFF PERIOD”
HEAD COACHES CHECKLIST