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essentials of athletic injury management
Quiz 1, Chapter 1,2
55
Sports
Undergraduate 2
08/30/2017

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Term
fitness Professionals
Definition
to supervise and oversee recreational sport and physical activity and include coaches, fitness professionals, athletic administrators. PE teachers, and others in various aspects of exercise and sports science
Term
What is sports medicine
Definition
generically, to a broad field of health care related to PA and sport. The ACSM defines as a multidisciplinary approach to health management/ achievement of full potential associated with exercise and sports including physiological, biomechanical, psychological and pathological
Term
The umbrella of sports medicine includes
Definition
a lot of specialized aspects to do with physical activity or athletic populations
Term
How is the umbrella divided
Definition
2 things
1 performance enhancing
2 injury care and management
some can be both
Term
Those to do with enhancing are
Definition
exercise physiology, bio mechanics, sport psychology, nutrition, strength and conditioning, Personal fitness training, coaching and PE
Term
Those to do with injury
Definition
physicians and PA, athletic training, sports physical therapy, massage, dentistry, osteopathic med, orthopedists/prosthetists, chiropractic, podiatry, Emergency medical specialists.
Term
System / method health care is delivered by any of the sports team depends on __
Definition
if the activity is recreational or organized
Term
It is critical that the sports be aware of
Definition
are aware of both treatment and prevention
Term
Athletes have the right to
Definition
have overseers that view their health and safety as a priority.
Term
Well-trained professions of the health care team may be in violation
Definition
if they try to provide treatment or care t DO NOT ATTEMPT THE DUTIES OF A PHYSICIAN, ATC, PT…etc. ONLY provide care that you are qualified for: Do not go beyond “scope of care”. You may assist medical personal
Term
All should be certified in
Definition
CPR and AED
Term
Injury care management members are
Definition
physicians and PAs, , sports PT, Athletic training, Massage Therapy, orthotists, sports dentists, Osteopathic, chiropractors, podiatrists, Emergency treatment specialists
Term
You should have from each player’s:
Definition
Consent form
Health History form
Emergency Information form
Term
Sports Medicine organizations
Definition
National Athletic Trainers Association (1950)
American College of Sports Medicine (1954)
American Orthopaedic Society for Sports Medicine (1972)
National Strength and Conditioning Association (1978)
American Academy of Pediatrics, Sports Committee (1979)
Sports Physical Therapy Section of APTA (1981)
Term
What are the goals of sports medicine organizations?
Definition
making and maintaining a set of professional standards aka code of ethics aka ethical standards
Bring professionals together for ideas and research to advance profession
To provide opportunities to collaborate toward single purpose
Term
The sports medicine team description
Definition
group effort. involves many. each member of the team must perform specific functions in the care for the injured athlete
Term
The FITNESS Professional's role in the sports medicine team
Definition
focus on performance, performance enhancement and injury prevention are critical
Term
Role of strength and conditioning coaches:
Definition
Oversees fitness
often in collegiate level for team and individual training
Usually NSCA certified
CPR/AED and basic first aid certified.
Work with athletic trainer in strength training related to injury
Term
Who is responsible to communicate with the athletic trainer as to how the conditioning program should be limited or modified?
Definition
the strength and conditioning coach
should tell the athletic trainer the limits
Term
The athletic trainer dictates what an injured athlete can or cannot do when
Definition
engaging in strength and conditioning program...
strength and conditioning coaches are not at high schools usually; and so the athletic trainer or team coach assumes this role and have to program develop and oversee the weight room
Term
Personal fitness trainer
Definition
strongest growth segment
increasing services in post-rehab training, sport conditioning, special medical needs and weight management.
Term
Recreational Specialist
Definition
certified in CPR/AED basic First Aid. provide first aide and refer for medical assistance
Serve an recreation and Parks Directors
to manage recreation programs a man settings and make budgets for recreational programs SUPERVISIORS are liaisons between parts director and recreation leaders.. plan, organize, manage activities direct events and activities
Term
Athletic Administrator
Definition
Oversees policies and procedures, risk management, emergency action plans, responsible for budget and funding all the healthcare program ... salaries, supplies, equipment, insurance
The administration has huge impact on success of athletic programs
Term
The Coach
Definition
has to be aware of each persons responsibility in the team especially if there is no athletic trainer
Know the state limits legally certified in CPR/AED and first aid
Role preventive conditioning program
provide equipment
coaching license and certification
know environmental factors and skill techniques
and be a coach
Term
Athletic trainer ATC
not to be confused with personal fitness trainer that can be certified from 400 different places and work with people already health to just enhance
Definition
big academic preparation and experience
Board of Certification requirements
Work with athletes from time of injory to resolution
Directly responsible for all phases of health care in an athletic environment
Work at Universities S[ports medicine clinics armature/professional athletic military NASA NASCAR Performing arts equipment sales
PREVENT INJURY AND PROMOTE HEALTH
Ensure right training, monitor environment, nutrtion, maintain and fit equipment, appropriate use of medication
Clinical examination and diagnosis
Term
Role of the Athletic Trainer ***
Definition
training, monitor environment, nutrition, maintain equipment, use of medication, clinical examination and diagnosis (recognize nature and extent of injury)
provide acute care of injury and illness
first aid and manage acute injury
Recognize abnormal behavior use intervention and refer
Theraputic intervention equipment, manual therapy,m therapeutic modalities
Health care administrated, budget, inventory, injury records, supervises, insurance EAP development
educate public seminars, research and care
Term
Role of team physician
Definition
medical histories and physical exams
pre-participating screening, diagnosing injury, decided on disqualification, and when can return .. supervises athletic trainer.. attends practice and games..
Term
who educates the athlete?
Definition
athletic trainer and coach
athletic trainer much deal with multiple healthcare providers at parent's request may be required by ins. Must make sure athlete and family know HIPAA Health Insureance Portability and Accountabilit Act..
Term
What is the most often limiting factor in health care for athletes?
Definition
budget $$$$$$$$
Term
Rules of operation for an Athletic Health care program
Definition
Decide who will take care of the health care facility
Develop polices and procedures + delineate daily routine of porbram
Define scope of program like who will be served by what program. to what extent ans what service will be rendered, who else can be served and what are the legalities.
Term
The Ideal situation in every secondary school would be to hire who?
Definition
A Certified Athletic Trainer
Term
Athletic Health Care Facility policies
Definition
Used only for prevention and care of sports injuries
OSHA clean sweep floors daily
clean drinking fountains, showers, sinks, toilet daily
air out and sanitize lockers often
clean mats daily
use clean towels for each
No swapping of equipment
change clothing often
Wear dry stuff
Term
Rules about sanitation
Definition
no cleats shower before treatment No roughhousing or profanigty no food or tobacco adhere to OSHA
( Occupational Safety and Health Administration ) standards
Clean treatment tables, disinfect hydrotherapy modalities clean equipment
Term
Health habits for the athlete
Definition
must be cleared to participate
must be insured
report injuries and illness
no share clothing or towels
good hygiene
avoid common drinking sources
Term
Emergency phone
Definition
Phones in all major areas
be able to contact 911 and athletic training assistance
Radios, cell and digital phones give flexibility
Term
Emergency Action Plan
Definition
A plan for getting emergency personnel
Include transportation of athletes to ER
meet with outside personnel to determine roles and rules about athlete and equipment care
Know local and community halth servies and agencies for referrals
Must have a plan for each site
Term
Record Keeping
Definition
Document everything, now
critical to health care program
document all practices to assure responsibilities are being met
medical records, injury reports, insurance info, injury eval, progress notes, equipment inventory, annual reports.. paper vs electronic
Term
Pre-participation Exam purpose:
Definition
Identify athlete at risk
establish base line
reveal condition that may disqualify
satisfy insurance and liability issues for schools and you
Term
What are the 2 ways of doing a pre-participation exam ( PPE )?
Definition
1. personal physician that gives good history but may miss things
2. Station examination gives detailed exam in short time It is a team of 9 ideally, 2 physicians, 2 non-physicians and 5 managers/student athletic trainers.
The goal is to establish if they are ready to play
Term
PPE administration consists of
Definition
Medical History for past and existing medical conditions, done yearly. Done before exam + collect medical release and insurance info
Physical exam ht, wt, BMI BP, pulse, vision, skin, dental, ear, nose, throat, heart, lungs, abd, lymph, genitalia, maturation index, urinalysis and blood work
Maturity Assessment..methods circumpubertal (sexual maturely), skeleton, dental and Tanners 5 stage
Orthopedic screening
Sport disqualification Americans with disability Act (190) dictates athlete makes the final decision.
Term
release of medical records
Definition
The release of medical records cannot occur without written consent
If the athlete wants records released to colleges/universities, professional organizations, insurance companies or news media, he/she and the parents/guardians must provide written consent
Waiver must specify information to be released
Term
HIPAA
Definition
Regulates how any members of the sports medicine team can share health information concerning an athlete
Provides athletes with access to their medical records and control over how their health information is used and disclosed
Athlete can provide blanket authorization for release of specified medical information on a yearly basis
Term
FERPA
Definition
Family Educational Rights and Privacy Act
Protects privacy of student educational records
Provides parents certain rights with respect to inspection of child’s educational records
Can request corrections if inaccurate or misleading
Rights transfer to child
Age 18 or upon entering school beyond high school (become “eligible student”)
School must have written permission to release information
Term
Injury reports
Definition
Injury reports serve as future reference
Reports can shed light on events that may be hazy following an incident
Necessary in case of litigation
All reports should be filed in the athletic health care facility
Filled out in triplicate
Copy to school health office, physician and one copy should be retained
Term
Treatment Log
Definition
Sign-in to keep track of services
Daily treatments can be recorded
Can be used as legal documentation in instances of litigation
Subject to HIPAA and FERPA regulations
Term
Personal Information Card
Definition
Contains contact information for family, personal physician, and insurance information.. like a chipped pet.
Term
Injury Evaluation and Progress Notes
Definition
Injured athlete should be evaluated by an athletic trainer or physician
Record of the evaluation should be kept
If not available, a coach should encourage athlete and parents to set appointment with a local physician for injury assessment, diagnosis and documentation
Term
Supply and Equipment Inventory
Definition
Managing budget and equipment/supplies is critically important
Inventory must be taken yearly in order to effectively keep track of:
New equipment that is needed
Equipment that needs to be replaced
Equipment needing to be replenished
Term
Annual Report
Definition
Summary of athletic health care function
Can be used to evaluate/recommend potential changes for program
Includes number and types of injuries seen/treated
Term
Developing a Budget
Definition
Different settings = different size budgets and space allocations
Many high schools have difficulty providing sufficient funding
Equipment needs and supplies vary depending on the setting
College vs. high school
Continuous planning, inventory and prioritizing is necessary to effectively manage monetary allocations to meet programmatic goals
Term
What are expendable items?
Definition
Supplies that cannot be reused-
first aid and injury prevention supplies
Term
Equipment
Fixed vs non-fixed
Definition
Items that can be used for a number of years
Fixed (remain in the training room- ice machine, tables)
Non-fixed (crutches, coolers, training kits)

Yearly inventory and records must be maintained in both areas
Term
Additional Budget Considerations
Definition
operating costs
Telephone and postage expenses
Contracts for outside services
Purchases relative to liability insurance and professional development
Clothing to be worn in the facility
Term
Purchasing Systems
Definition
Direct buy vs. competitive bidding
competitive bidding can save money .. (unless it's a corrupt system)
Term
Athletic Health Care Facility Design
Definition
Interact with architect relative to needs of program and athletes
Existing space or newly designed
Location
Outside entrance (limits doors that must be accessed when transporting injured athletes)
Double door entrances and ramps are ideal
Proximity to locker rooms and toilet facilities
Distinct areas
Taping and bandaging
Injury treatment with rehabilitation equipment and/or therapeutic modalities
Wet area (whirlpools, refrigerator, ice machine)
Physicians examination room
Office space
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