1. Nottingham Athletic Training Center
Room 535
Nottingham Athletic Training Center
Jeff Perry, MS, LAT, ATC Deborah Cassidy, LAT, ATC Office: Cell:
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2. Sports Medicine Support Staff
Team Physician:
Dr. Marc Childress, MD
Family/Sports Medicine,
Fairfax Family Practice, Fair Oaks
3650 Joseph Siewick Dr. Ste. 400
Fairfax, VA
Team Orthopaedic:
Dr. Daniel Thompson, MD
Orthopedic Surgeon
OrthoVA,
6355 Walker Lane Suite 202 Alexandria, Virginia 22310
Please contact athletic trainer first for expedited appointments

3. Sports Medicine Support Staff
George Mason Univ. ATS: Rachel Mac (Spring 2018)
The ATS is a University athletic training student studying in the professional educational program at GMU. They spend from 150 to 300 hours outside of their academic classes observing, assisting, and receiving instruction in each semester long clinical rotation.
RHS ATSAs: Katia, Ronald
The ATSA or high school athletic training student aide interested in going to college to study athletic training, physical therapy, medicine, or other allied health care field. Valuable experience observing and assisting can be obtained in the Athletic Training Center.

4. Certified Athletic Trainer (ATC)
What is an Athletic Trainer?
At least 4 to 5 year degree and successful completion of National Accreditation Exam
Licensed by Virginia’s Board of Medicine to practice athletic training
Use the term “Athletic Trainer” or “AT” to avoid confusion with a “personal trainer” or “sports trainer” at a gym or fitness club
Visit for more
information on Athletic Trainers or
sports medicine.
Athletic trainer vs Trainer. Different education, credentialing, and role in the athletic setting.
Visit web site for more information on careers or medical resource

5. AT Responsibilities Prevention of injury
Recognition, evaluation, and assessment of injuries and conditions resulting
Immediate care of injuries
Rehabilitation and reconditioning of injuries
Organization and administration of Athletic Training/Sports Medicine Program
Professional development and education (for athletes, coaches, community)

6. Athletic Trainer Coverage
Athletic Training Center Room 535
Located upstairs locker room hallway on south side of field house.
The Athletic Trainer is available for
evaluations, treatments, rehabilitation, and
questions from student athletes, parents and
physicians each school day afternoon.
Office Hours:
generally MTHF 12:30 to 5:30 PM, then practice or event coverage to 8, 9 or 10 PM.

7. Athletic Trainer Event Coverage
FALL
Football (all games and equipment/contact practices)
Field Hockey
Volleyball*
Cheer Competition
Cross Country Meets*
WINTER
Wrestling
Basketball
Gymnastics
Indoor Track
Swim/Dive playoffs*
SPRING
Lacrosse Track and Field
Soccer Tennis*
Softball* Crew*
Baseball * *ATC on site
*ATC pool provides coverage.

8. VHSL Sports Physicals (PPE) Tips
Before participation, Athletes must have a sports physical completed after May 1st and before sport season. It is valid until June 30th following year.
It Must be completed on a current VHSL Pre-Participation Exam form (Revised FEB 2017). Older forms are not acceptable.
A Commonwealth School Entrance Exam or BSA forms e.g. are NOT valid for high school sports physical.
Find the current form on the athletic training website. Don’t save a copy to your computer as forms are occasionally updated and the VHSL does not accept older versions of their own form.
A PPE is needed to join in team related conditioning (“yellow”) and “green day” activity as well.

9. VHSL Sports Physicals directions
Complete page 1 of VHSL form and student signs it.
Complete page 2 health questions and use box to explain “Yes” answers. Student and Parent sign p.2
The doctor (MD, DO, LNP, or PA) completes page 3, Make sure they have signed, stamped, and dated it
Page 4 should be completed by parent including medical insurance company name and requires a parent signature in 2 places at bottom of page
SAVE time--Do not turn in incomplete forms!
Sports Physicals are offered at school each June as a convenience for parents and fundraiser for athletics. Contact the athletic trainer or web site for more information.
You may turn it in as soon as you get it. Don’t wait for tryout day.
Save time and hassle by getting it done at school in June.

10. Concussion Education Requirement
Student-athletes and a parent must complete State mandated concussion education on an annual basis before sport tryouts.
This component of compliance can be completed by going to and following path for Concussion Education. Please read directions carefully.
There is a link for parents and a separate link for students.
Enter Student ID number for each High School student in your family that may tryout for a sport.
Include correct date of birth.
Be sure to choose the correct school---Robinson Secondary!
It is best to complete Concussion Education early to avoid a
last minute rush that may cause web or system problems.
Results are recorded automatically and reported to coaches.
Address any problems or questions to the athletic trainer.

11. Assumption Of Risk There is inherent risk of injury in all sports
Not all injuries can be prevented
Even catastrophic injuries can occur in any sport
A comprehensive Athletic Training health care program has proven to influence a reduction in the severity of injury and prevalence of re-injury.
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

12. When Injury Occurs:
Any injury, illness, or medical condition must be reported to Athletic Trainer (AT) regardless of severity, or prior consultations with another Health Care Professional
Minor injuries are evaluated and treatment instructions given to the athlete, with daily follow up to full resolution
For injuries that MAY be more serious (where a physician evaluation recommended), parents will be contacted and receive a written report as well.

13. When Injury Occurs:
If present at game, please check on your child’s injury status on bench, sideline, or in AT clinic after their initial evaluation.
Referral decisions are based on injury type and severity, potential complication, lack of progress with rest and treatment, etc.
AT philosophy is to keep injured athletes involved with their team while protecting injured area to allow sufficient healing
It is valuable for athlete to do rehabilitation with AT supervision until released.
Grade based on pain, swelling, loss of function, etc.

14. Immediate Treatment = RICES
Rest it!!
Ice – 20 minutes max each hour (if freezer ice-- use wet cloth barrier)
Compression – wrap with even pressure
towards heart
Elevation – Raise Above the Heart
Support – Crutches, Cane, Brace, Sling
all help to protect injury
Physician Visits – Please bring in a note* that informs us of diagnosis, what rehab or treatment the physician recommends, and participation status.
Physical Therapist of Chiropractor
PT or DC Intervention should be in conjunction with school based (ATC) treatment and rehab.
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.

15. The “Physician Response Form”
can be found on the Athletic Training web page.
Bring it to your MD appointment or Urgent Care visit so we have clear feedback from the treating physician
This form can be found on athletic training site under team files to bring to physician appointment

16. Treatments
conducted by AT may include the use of modalities in the form of cold, heat, manual therapy, electrical stimulation, or ultrasound.
Communication between AT, PT, MD, or other health care professional will enhance the overall treatment and recovery of the athlete.
The Physical Therapist Response Form found on web page is filled out by PT to help coordinate care or transfer of care

17. Rehabilitation
Rehabilitation and reconditioning is another primary role of Certified Athletic Trainers
We have the tools and time to work with your student-athlete on a daily basis to restore, motion, strength, and function
Every injured athlete will benefit from some form of rehabilitation
Even if going to PT—usually only 2-3 days a week for limited weeks

18. R E H A B
Athletes who are compliant with a proper rehabilitation program are less likely to become re-injured or have detrimental long-term consequences to health or athletic performance
They must also be evaluated by an AT to determine a schedule for safe return to full participation
See PT response form as well

19. Return To Play
A Parent, Coach, Treating Physician, Athlete, Administrator, ATC, or Team Physician may exclude an athlete from participation.
The Athletic Trainer is to ensure athlete is returned to play in the quickest and SAFEST manner possible to avoid re-injury.
The Athletic Trainer gives final medical clearance.
Remember concept of limited participation and progression of return to full participation. Contact AT if do not want your child to return to play

20. Injury and Tx Summary Fall/Winter 2016
Total Unique Athletes Seen: 464
Injury Treatment Encounters: 3799
Injuries & “Problems”: 1114
Abdomen 3 Hand/Wrist 94
Ankle Head 64
Arm Hip 47
Back Knee 196
Chest 7 Lower Leg 123
Ear 9 Neck 34
Elbow Respiratory 3
Eye/Face /Nose 33
Fingers/Thumb 82
Foot/Toes 62

21. More Intervention Statistics Fall/Winter 2016
Evaluations and Tests: ,632
Modalities (ice, heat, ES, US, etc): ,099
Manual Therapy:
Rehab Rx: ,674
Protection (tape, wrap, pad, brace): ,502
Wound Care:

22. Some Common Concerns MRSA Personal Hygiene Nutritional Concerns
Supplements & “Energy” Drinks
Steroids
Medications
Concussions (Education & Management Issues)

23. MRSA: What Is It?
MRSA is a “Staph” infection. “Methicillin Resistant Staphylococcus Aureus”
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.

24. MRSA: What Does It Look Like?
Mild infections may look like a pimple or boil. Can be red, swollen, painful, have pus or other drainage and are usually easily treated.
More serious infections may cause pneumonia or bloodstream infections.
If gets worse rather rapidly call your doctor to get it checked and treated.

25. MRSA: What Are We Doing?
FCPS Certified Athletic Trainers provide information to 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 and parent immediately.
A reminder to not let our guard down

26. MRSA: What Are We Doing?
The FCPS Athletic Training Program includes the use of a cleansing product for wound care that contains 4% CHG (chlorhexidine gluconate) 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 as needed.
Fabricaid, Surface aide products, used in athletic department

27. What Can Parents Do?
Encouraging good hygiene (i.e. hand washing) and following these tips can minimize the risk of infectious diseases including MRSA:
Clean clothes and equipment daily
Wash in warm water and dry completely in hot dryer
Spray equipment with diluted 1-5% bleach solution or commercial product (Lysol, i.e.)
Shower right after all practices/competitions
Proper use and daily cleaning of water bottles
Check with your family physician if suspicious skin lesion is present
Read communicable disease info on ATP web site at
Return bottom portion of signed form to ATC

28. Nutrition Nutrition is often not a priority for teens
Encourage sufficient water intake, proper eating habits—and…
…adequate sleep!
Proper Hydration is essential
Top choices:
WATER! (At least 64 oz./day)
Sports Rehydration Drinks
Chocolate Milk (after exercise)
There is no quick fix…real food is far better than any pill or supplement
Avoid junk food. Provide a good balanced diet 65-70% carbs, 15-20% pro, 10-15% fats
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.

29. Nutrition
For serious athletes, and those with specific nutritional concerns, consultation with an registered dietician or sports nutritionist at least once in their athletic career is a great idea.
Discourage the use of supplements; they are not regulated--may not state all ingredients, and usually are not appropriate for adolescents without consulting a physician or dietician.
No FCPS employee may supply, endorse, or encourage the use of supplements.
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.

30. BANNED
This is not an all inclusive list. Anything marketed as a “energy” or performance enhancer are not allowed
Using products like these may disqualify a student from participating in contest

31. Anabolic Steroids
Signs and Symptoms: Severe Acne, mood swings, aggression, depression, unusually fast strength/wt. gains, change in physical characteristics, among others.
The consequences for being caught using steroids is 2 years disqualification from sports. (Virginia state law)
Certified athletic trainers are a resource on negative health effects of Anabolic Steroids
For more info visit
Show VHSL Video

32. Medications
Inhalers, Epi Pens & any other Emergency Meds must be with athlete at all times. If they don’t have it, they should not play or practice until they get it
The same authorization form you turn in to Health Room is used for us to hold medicines after school.
Avoid giving your child prescribed or OTC pain medication before OR during a game. Masking pain may make existing or potential injury worse. NSAIDs may increase bleeding.Talk with your family doctor.
Your Name

33. Concussions
In 2004 and beyond, getting “bell rung” or “just dinged” = Concussion
It is an injury to the brain
Metabolic, physiological, or microscopic as opposed to visible physical damage.
Therefore…A CT Scan cannot diagnose or rule out a concussion
Can be life threatening if ignored
Signs & Symptoms include: Headache, confusion, dizziness, change in personality, difficulty sleeping, difficulty concentrating, loss of appetite, loss of memory, “feeling foggy,” among others.
Concussions can alter a student’s ability to learn
Most are resolved in two weeks although some can take much longer, especially if not getting proper rest.

34. Concussion Management
Concussions are managed on Individual Basis
Standardized sideline tests at time of injury
ACE Care Plan,
Recommendation for rest, no school or partial days for initial period
Clinical Evaluation Follow-ups
Symptoms scores
Vestibular/Balance and Vision Testing
Computerized Neuro-cognitive Test
is a web based concussion management tool used to help us identify if the brain has recovered to a point the athlete is safe to begin or continue a progressive return to sport.
(Baseline tests are completed on Freshmen and Juniors.

35. Concussion Management
Academic Instructional Strategies
Are given to teachers through Counselor to assist teachers and students with return to
full academic workload
Step-wise return to play protocol, usually *5 days to full return to play after all symptoms are resolved. *May be much longer if student had a lengthy inactive period.
MD referral may be warranted for a prolonged recovery (3 plus weeks w/o expected progress).
Proper physical and mental rest, & minimizing academic and social anxiety that athletes often experience during recovery is very important.
Obtain Baseline Results
Retest if Injury Occurs
Compare Results From Baseline Test to Post Injury Test

36. What to Expect Following Concussion
When a concussion is suspected acutely during an AT covered event, the athlete will be evaluated for a head injury. If signs and symptoms of concussion are present, athlete is removed from play and monitored. If stable with follow-up tests and observation they are released to parent with the ACE Care Plan & recommendations for appropriate rest.
Appropriate staff is alerted through counselor.
A Symptom checklist may be provided to help monitor progress at home and help determine readiness to return to school.

37. What to Expect Following Concussion
Student must then follow up with AT until injury is completely resolved. Physical and cognitive activity is modified and recommendations for participation level and supports in the classroom are given to teachers throughout the recovery process.
Daily monitoring as student heals ensures that sufficient progress is being made.
As the student progresses back to full return to academics and increasing physical activity, neurocognitive testing is administered, monitored cardio and agility workout conducted, and vestibular therapy is provided as needed.
What to Expect Following Concussion

38. What to Expect Following Concussion
Many concussions are self-reported by the student-athlete that has had a recent head trauma and suspect something is not right.
They seek care themselves or are referred to us by a parent, teacher or coach.
It is wise to assume a concussion regardless of how seemingly minor the trauma to the head has been. If any symptoms linger more than 24 hours it is generally diagnosed as a concussion.
While some initial symptoms may be predictors of a longer recovery period, it can be very difficult to determine the severity of injury.
What to Expect Following Concussion

39. Concussion Management Resources
Resources for Parents if AT not available or student having a prolonged recovery:
SCORE Fairfax Office, Maegan Sady, PhD
Dr. Scott Ross, MD, Manassas/S. Riding
Fairfax Family Medicine Concussion Center,
Pediatric Neuropsychology.
(Jillian Schneider, PhD)
Obtain Baseline Results
Retest if Injury Occurs
Compare Results From Baseline Test to Post Injury Test

40. VHSL Sports Physicals at Robinson Tuesday, JUNE 5, 2018 (tentative).
Announcements
VHSL Sports Physicals at Robinson Tuesday, JUNE 5, 2018 (tentative).
5:30 to 8 PM
Although a convenience for parents, this is a also Fundraiser, in which proceeds cover about 90% of AT budget for supplies and equipment used for and by all activities, sports, and student-athletes.
$50 donation Robinson Secondary Athletics
Look for KIT message after spring break for on-line registration details.
Medical Professionals interested in volunteering to help, Please contact Mr. Perry or Dr. Childress for more information or to register.

41. On-Line Resources http://www.robinsonrams.com/
Click on “Athletic Training” under “Year-Round Activities”
You are here!
Check other tabs: News, health information, Photos, Web Links, Files, click on <Parents> for more Sports Medicine information, forms, etc.
Share this info with friends, neighbors who could not be here tonight

42. Look for more information, forms, on Web site