1. TJ’s Athletic Trainers
Heather Murphy, MS, ATC, VATL
Head Athletic Trainer
Full Time Athletic Trainer
Tim Cocrane, ATC, VATL
Associate Athletic Trainer
TJ Lab Instructional Assistant

2. Sports Medicine Staff Team Physician Dr. Bruce Zimmer
-Orthopedic Surgeon
-Offices with Commonwealth Orthopaedics and Rehabilitation in Burke and Alexandria
-Athletes should see ATC prior to seeing the team physician
George Mason Athletic Training Students

3. Certified Athletic Trainer (ATC)
What is an Athletic Trainer?
Minimal 4 year degree and successful completion of National Accreditation Exam
Not the “trainer” at the local gym. Please don’t use tem “trainer”. Use athletic trainer or ATC.
Licensed by Virginia’s Board of Medicine to practice athletic training
Discuss Athletic trainer vs Trainer. Different education, credentialing, and role in the athletic setting.

4. Responsibilities Responsibilities Prevention of injuries/ re-injury
Recognition, evaluation, and assessment of injuries and conditions resulting
Immediate care of injuries
Rehabilitation and reconditioning of injuries
Organization and administration
Professional development and responsibility

5. Assumption Of Risk Risk of Injury Not all injuries can be prevented
Catastrophic injuries can occur in any sport
The FCPS comprehensive Athletic Training health care has proven to influence a reduction in the severity of injury and prevalence of reinjury.
Injuries are inherent in sports, some may be catastrophic. The FCPS Athletic Training Program is dedicated to providing the safest environment possible. Athletic Trainers minimize the significance of injuries by providing immediate evaluation and treatment, and minimizing the potential for catastrophic injuries to occur, but cannot eliminate the possibility entirely

6. Coverage Athletic Training Room Coverage
The Athletic Trainer will be available for evaluations, treatments, rehabilitation, and questions from student athletes, parents, and physicians each school day afternoon.
Athletic Contest Coverage
All contests indicated below are covered by the home ATC.
WINTER
Wrestling (Varsity, JV)
Boys and Girls Basketball (Varsity, JV, Freshmen)
Girls Gymnastics
Indoor Track (Boys and Girls)*
Coverage rotates between FCPS ATP

7. Injuries
All injuries & illnesses must be reported to your school’s Athletic Trainers
All injuries must be reported prior to return to activity regardless of severity or physician consultation
Our philosophy is to return injured athletes to participation in the quickest and SAFEST manner possible.

8. Injuries Rest Ice – Freezer vs Ice Machine Compression
Elevation – Above the Heart
Support – Crutches, Cane, Brace, Sling
Physician – Please bring in a note that informs us of diagnosis, what rehab or treatment the physician would like, and the playing status.
When an athlete is hurting…
For a problem, athlete will receive treatment in the ATR
For a minor injury, a written note may be sent home or a phone call will be made
If a serious injury has occurred, the ATC will call home. If no parent answers, we will call the emergency contacts.
If an injury happens at a contest, the ATC will speak to the parent regarding return to play
Should the athlete have an injury and the athletic trainer is not available, or the injury does not seem so bad, but when the athlete gets home it becomes problematic, this is what you should do.

9. Return To Play
A Parent, Coach, Family Physician, Athlete, Administrator, ATC, or Team Physician can exclude an athlete from participation.
All of these individuals must agree that the athlete can and should play
The role of the Athletic Trainer is to make sure your athlete is safe to return to play.
Add information regarding limited participation and progression of return to full participation

10. Rehabilitation
Rehabilitation and reconditioning is a primary role of the Certified Athletic Trainers
We have the tools and time to work with your athlete
Every injury will benefit from some form of rehabilitation

11. MRSA: What Is It? MRSA is a “Staph” infection
It does not respond to some antibiotics
It is treatable
Like other infections, this can become serious if left untreated
Severe infections can be prevented by practicing proper hygiene and early detection
Staphylococcus Aureus ("staph") infections have been around for many years, causing mild to severe illness. CA-MRSA stands for Community Acquired Methicillin-Resistant Staphylococcus Aureus, a form of staph infection that does not respond to routine treatment with some commonly-used antibiotics, although other antibiotics are effective.
Approximately 25-30% of healthy people may carry staph and only 1% carry CA-MRSA. Staph bacteria are often carried on the skin or in the nose of healthy people, most of the time these bacteria do not cause a problem. Staph is passed from person to person through direct contact with skin or through contact with contaminated items. Staph can enter the body through breaks in the skin and can sometimes cause infection. The most effective way to prevent staph infection is to practice proper hygiene, such as washing hands and caring for wounds properly.

12. MRSA: What Does It Look Like?
Mild infections may look like a pimple or boil and can be red, swollen, painful, or have pus or other drainage and are usually mildly infectious and easily treated. More serious infections may cause pneumonia, bloodstream infections, or surgical wound infections.

13. MRSA: What Are We Doing?
FCPS Certified Athletic Trainers provide information to all athletes specific to MRSA during the athlete meetings at the beginning of each season. Included in this session:
View a DVD specific to MRSA
Prevention strategies for staph and other communicable diseases.
Importance of proper personal hygiene and clothes washing.
Importance of bringing all questionable lesions to the attention of the certified athletic trainer immediately.

14. MRSA: What Are We Doing?
The FCPS Athletic Training Program includes the use of a cleansing product for wound care that contains 4% w/v chlorhexidine gluconate (CHG) which specifically targets MRSA and provides a continuous action to kill MRSA on contact for 6 hours.
Suspicious lesions will be treated, covered and referred to parents with information to take to family physician.
Contact History Inventory and implementation of disinfecting of specific facilities/equipment.

15. MRSA: What can you do?
Help encourage your athlete to shower after each practice
Encourage your athlete washes practice uniform after each practice
Incorporate the use of anti-microbial treatments for clothes, equipment and skin (Fabricaide, Sportsaide, and Hibiclens for your family to use at home)

16. Universal Hygiene Clean clothes and equipment daily
Showering after all practices/competitions
Proper use of water bottles and cleaning them daily
Encouraging these practices are essential to minimizing the risk of infectious disease including MRSA and H1N1

17. Nutrition Proper Hydration is essential
There is no quick fix… real food is far better than any pill or supplement
Supplements are not regulated are often not recommended for children
FCPS procedure dictate that no employee shall supply, endorse or encourage the use of nutritional supplements.
A very common supplement is Creatine. Creatine use does appear to have some detrimental side effects such as dehydration, susceptibility to heat illness, severe muscle cramping and muscle tendon strains.
Ephedra and products containing Ephedra are listed on the FCPS banned list an shall be avoided. See attached memo.
Proper diet contains 60-70% CHO, 15% PRO, 15% Fat
Replace 22 – 24 oz of H2O for every pound loss.
NO FCPS employee can supply, endorse or encourage the use of nutritional supplements.
One of the best recovery foods following intense exercise is chocolate milk.

18. Steroids
Signs and Symptoms: Severe Acne, mood swings, aggression, depression, very fast strength gains, change in physical characteristics , and others.
Certified athletic trainers are a resource regarding effects of Steroids
The consequences for being caught using steroids is 2 years disqualification from sports. (Virginia state law)
Show VHSL Video

19. Concussions A concussions is an injury to the brain
Concussions can alter a student’s ability to learn
Concussions can be life threatening
Signs & Symptoms include: Headache, confusion, dizziness, change in personality, difficulty sleeping, difficulty concentrating, loss of appetite, loss of memory, and others.
Treatment is rest and hydration
Return to play is through progression

20. What Is ImPACT? Why Are We Using It?
Web Based Concussion Management Tool
Why Are We Using It?
It is a tool that can help us identify if the brain has recovered to a point that the athlete is safe to begin a progressive return to sport.
It also helps us with the progression for safe return to sport.
Obtain Baseline Results
Retest if Injury Occurs
Compare Results From Baseline Test to Post Injury Test

21. Devices
Students who require a special device like an inhaler, epi-pen, glucagon kit or any other health related device, should have it with them at EVERY team activity.
The required paperwork should be on file with the school.
Please make sure ECC are as accurate as possible.

22. Off Season Conditioning
February 28th conditioning and lifting
After June 30th- all off season activity will require a NEW physical.
Get your physical at TJ on June 6th or at another FCPS high school.
Please don’t wait until July to get physical done for 2013 if you plan on doing summer conditioning.
Conditioning has been restructured and is very important for injury prevention and skill education.
Please don’t wait for the season to start to get in shape! Attend the off season conditioning!

23. Conclusion
Contact info
(O) , (C)
Special Requests
Attachments
What is Athletic Training, FCPS ATP Injury/Illness reporting policy, Athletic Trainers Not Trainers, Facts about athletic trainers, Acute Injury Treatment, Steroids-Make the Right Choice, Energy Products, MRSA handout, Heads-Up Concussion Fact Sheet
Thank you and Good Luck