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