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Health and Injury Reduction in Athletic Competition

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Individual School Forms

• PPE (Physical)

•OHSAA form must be used•Pick up the form from the school or go to http://www.ohsaa.org/medicine/PPE_2013-14.pdf

•HIPAA-Authorization to permit use and disclosure of Protected Health Information

• Emergency Medical Form• Ohio Department of Health Concussion Information Sheet• ImPACT permission form

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Emergency Medical Release Form

• Every athlete must fill one out.

• Anyone that will be on the sideline during activity should have one on file (ball boys, managers, water boys, yearbook staff, etc).

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Concussions• Ohio Department of Health Concussion Information Sheet• Review concussion basics

• State law• No return that day

• Doctor visits-Emergency room, Urgent Care, Primary Care Physician

• 6 Step progress for return to full activity•Must have a doctor’s release http://ohsaa.org/medicine/AuthorizationToReenter.pdf

•24 hours between each step

Education

• It is highly recommended that parents and student-athletes take one or both of the following courses– National Federation of State High School Associations

http://www.nfhslearn.com/electiveDetail.aspx?courseID=38000

– Centers for Disease Control and Prevention http://www.cdc.gov/concussion/HeadsUp/online_training.html

ImPACT

• A computerized test to help better manage concussions

• Help determine the severity of the concussion and when it is fully healed

• Given at the beginning of the season in a video game format

• Tracks memory, concentration, reaction time, and speed. It is NOT an IQ test.

• Given every other year to athletes in contact sports an any athlete diagnosed with a concussion

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Doctor’s notes

• If your son or daughter sees a doctor (ER, office visit, etc) he/she must have a note for medical release.

• Will NOT be permitted to return to activity without Healthcare Provider’s permission

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How To Prevent Communicable Disease and

Skin Infections1. Proper Hand Hygiene with soap and water or an alcohol hand rub.

2. Encourage immediate showering following activity. No bar soap.

3. Avoid whirlpools or common tubs.

4. Avoid sharing towels, razors, and daily athletic gear.

5. Avoid contact with other people’s wounds, or material contaminated from wounds.

6. Properly wash athletic gear and towels after each use.

7. Maintain clean facilities and equipment.

8. Refer people with skin lesions to see medical provider.

9. Cover lesions/wounds before participation.

Heat Management Guidelines

• Heat Rash (Prickly Heat)• Heat Cramps (Usually in the legs)• Heat Exhaustion (Dizzy, light headed)• Heatstroke (Stop sweating)

Monitor the heat index

PREVENTABLE!!!

Heat management Guidelines

Heat Rash• Keep area dry• Powder

Heat Cramps• Ingesting fluids• Stretching• Ice

Heat Exhaustion• Cool environment• Replenish fluids• Cold towel• Sponge with cool water• Bed rest in a cool room• Dry clothing

Heat Stroke• 911• Immersion in ice water or sponge with cool water in front of a fan

Lightning and Inclement Weather

OHSAA regulations…

1. First sight of lightning or hearing thunder…off the field

2. Wait 30 minutes from the last lightning strike seen or thunder heard

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Wound Care

• All wounds should be thoroughly cleansed and covered.

• All wounds need to be covered prior to participation in athletics.

• If you have concerns about a particular wound, please seek medical attention.

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Strength and Conditioning• Not only a pre-season activity.• Too much, too soon can lead to injury.• Stretching should be performed before

and after activity.• Always warm up properly and use a

partner when weight training.• All performance enhancing supplements

should be avoided.

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Acute Injury Management

RICE• Rest: Crutches for lower extremity or sling

for upper extremity.

• Ice: 15-20 minutes every hour

• Compression: Use an ace wrap, but make sure it is not too tight.

• Elevation: Above the heart

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Hydration

• Water: Minimal 2 liters per day, with additional during activity

• Sports drinks: Good for pre and post activity, but not recommended during activity

• Soda, tea, coffee, energy drinks with caffeine should be avoided

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Nutrition• Balanced diet-”MY PLATE”

• 5-6 small meals a day

• Snack after school

• Pre-game meal: Low in fat, low in protein (meat), high in carbohydrates (pasta); Should be eaten 2-4 hours prior to activity.

• High protein meal of the week should be 48 hours prior to activity.

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Highland District Hospital’sOccupational Health

Department•Offers sports physicals on Mondays and Wednesdays

•$22/physical

•Do not accept insurance for physicals

•Call 937-393-6398 to schedule an appointment

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Kari Terrell, MSEd, AT937-763-0703

Nick Fite, AT937-763-1063

Ellen Marrinan, AT937-403-4135