1. OAKTON HIGH SCHOOL Athletic Training Program Paul G. RUPP, MS, ATC

2. Oakton H.S. Athletic Training Program Staff ATC 1 Paul Rupp, MS ATC ATC 2 Andy Cowdery, MS, ATC

3. OAKTON H.S. Athletic Training Staff Support Staff Physicians: Dr. Ray Thal, Orthopedics Dr. Susan Burroughs, Family Practice Dr. Courtney Dawley, Family Practice Dr. Emilio Canal, Dentist AT Student: Meg Tyner GWU

4. Certified Athletic Trainer (ATC) What is an Athletic Trainer?What is an Athletic Trainer? Minimal 4 year degree and successful completion of National Accreditation ExamMinimal 4 year degree and successful completion of National Accreditation Exam Not the “trainer” at the local gymNot the “trainer” at the local gym Licensed by the Board of Medicine to practice athletic training in VirginiaLicensed by the Board of Medicine to practice athletic training in Virginia

5. Oakton H.S. Athletic Training Program Responsibilities Responsibilities Prevention of injuries/ re- injuryPrevention of injuries/ re- injury Recognition, evaluation, and assessment of injuries and conditions resultingRecognition, evaluation, and assessment of injuries and conditions resulting Immediate care of injuriesImmediate care of injuries Rehabilitation and reconditioning of injuriesRehabilitation and reconditioning of injuries Organization and administrationOrganization and administration Professional development and responsibilityProfessional development and responsibility

6. Oakton H.S. Athletic Training Program Assumption Of Risk Risk of Injury Not all injuries can be preventedNot all injuries can be prevented Catastrophic injuries can occur in any sportCatastrophic injuries can occur in any sport In FCPS, Comprehensive Athletic Training care has proven to influence a reduction in the severity of injury.In FCPS, Comprehensive Athletic Training care has proven to influence a reduction in the severity of injury.

7. Oakton H.S. Athletic Training Program 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.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. Swim and Dive is covered by the onsite lifeguards.All contests indicated below are covered by the home ATC. Swim and Dive is covered by the onsite lifeguards.WINTER Wrestling (Varsity, JV)Wrestling (Varsity, JV) Boys and Girls Basketball (Varsity, JV, Freshmen)Boys and Girls Basketball (Varsity, JV, Freshmen) Girls GymnasticsGirls Gymnastics Indoor Track (Boys and Girls)*Indoor Track (Boys and Girls)* Cheer & Dance at games Cheer & Dance at games

8. Oakton H.S. Athletic Training Program Injuries All injuries & illnesses must be reported to your school’s Athletic TrainersAll 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 consultationAll 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 using a progressive return to activityOur philosophy is to return injured athletes to participation in the quickest and SAFEST manner possible using a progressive return to activity

9. Oakton H.S. Athletic Training Program Injuries Injuries RestRest Ice – Freezer vs Ice MachineIce – Freezer vs Ice Machine CompressionCompression Elevation – Above the HeartElevation – Above the Heart Support – Crutches, Cane, Brace, SlingSupport – Crutches, Cane, Brace, Sling Physician – If you see an MD, Please return the FCPS ATP Physician Response Form (details of diagnosis, rehab or treatment guidelines, and their recommendations of playing status.Physician – If you see an MD, Please return the FCPS ATP Physician Response Form (details of diagnosis, rehab or treatment guidelines, and their recommendations of playing status.

10. Oakton H.S. Athletic Training Program Rehabilitation Rehabilitation and reconditioning is a primary role of the Certified Athletic TrainersRehabilitation and reconditioning is a primary role of the Certified Athletic Trainers We have the tools and time to work with your athleteWe have the tools and time to work with your athlete Every injury requires some form of rehabilitationEvery injury requires some form of rehabilitation

11. Oakton H.S. Athletic Training Program Return To Play A Parent, Coach, Family Physician, Athlete, Administrator, ATC, or Team Physician can exclude an athlete from participation.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 playAll 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.The role of the Athletic Trainer is to make sure your athlete is safe to return to play.

12. Oakton H.S. Athletic Training Program MRSA: What Is It? MRSA is a “Staph” infection MRSA is a “Staph” infection It does not respond to some antibioticsIt does not respond to some antibiotics It is TreatableIt is Treatable Like other infections, this can become serious if left untreatedLike other infections, this can become serious if left untreated Severe infections can be prevented by following proper hygiene and early detectionSevere infections can be prevented by following proper hygiene and early detection

13. Oakton H.S. Athletic Training Program 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.

14. Oakton H.S. Athletic Training Program 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: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 MRSAView a DVD specific to MRSA Prevention strategies for staph and other communicable diseases.Prevention strategies for staph and other communicable diseases. Importance of proper personal hygiene and clothes washing.Importance of proper personal hygiene and clothes washing. Importance of bringing all questionable lesions to the attention of the certified athletic trainer immediately.Importance of bringing all questionable lesions to the attention of the certified athletic trainer immediately.

15. Oakton H.S. Athletic Training Program MRSA: What Are We Doing? All athletes will view a video that specifically outlines concerns about MRSA.All athletes will view a video that specifically outlines concerns about MRSA. 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.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.

16. Prevention is Key Athletes should: Athletes should: Shower immediately after practice Shower immediately after practice Wash Hands often Wash Hands often Not share water bottles or clothing Not share water bottles or clothing Hydrate and get plenty of rest Hydrate and get plenty of rest If your athlete has a rapid onset of: fever, sore throat, chest congestion, and or body aches; they should inform the athletic trainer by phone, stay home and see their family physician. Oakton H.S. Athletic Training Program H1N1 Virus

17. Oakton H.S. Athletic Training Program Universal Hygiene Clean clothes and equipment dailyClean clothes and equipment daily Showering after all practices/competitionsShowering after all practices/competitions Proper use of water bottles and cleaning them dailyProper use of water bottles and cleaning them daily Encouraging these practices are essential to minimizing the risk of infectious disease including MRSAEncouraging these practices are essential to minimizing the risk of infectious disease including MRSA

18. Help encourage your athlete to shower after each practice Help encourage your athlete to shower after each practice Encourage your athlete washes practice uniform 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) Incorporate the use of anti-microbial treatments for clothes, equipment and skin (Fabricaide, Sportsaide, and Hibiclens for your family to use at home) Go to the following link: www.keygreenworld.com/FCPS Go to the following link: www.keygreenworld.com/FCPS www.keygreenworld.com/FCPS Oakton H.S. Athletic Training Program What Can You Do

19. Oakton H.S. Athletic Training Program Concussions A concussions is an injury to the brainA concussions is an injury to the brain Concussions can alter a student’s ability to learnConcussions can alter a student’s ability to learn Concussions can be life threateningConcussions 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.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 hydrationTreatment is REST and hydration

20. What Is ImPACT?What Is ImPACT? Web Based Concussion Management ToolWeb Based Concussion Management Tool www.impacttest.comwww.impacttest.com Why Are We Using It?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 to return to sport.It is a tool that can help us identify if the brain has recovered to a point that the athlete is safe to begin to return to sport. It also helps us with the progression for full safe return to sport.It also helps us with the progression for full safe return to sport.

21. Oakton H.S. Athletic Training Program Nutrition Nutrition is often not a priorityNutrition is often not a priority Disordered eating vs. eating disorderDisordered eating vs. eating disorder Proper Hydration is essentialProper Hydration is essential There is no quick fix… real food is far better than any pill or supplementThere is no quick fix… real food is far better than any pill or supplement Supplements are not regulatedSupplements are not regulated Supplements are often not recommended for childrenSupplements are often not recommended for children

22. Oakton H.S. Athletic Training Program Steroids Signs and Symptoms: Severe Acne, mood swings, aggression, depression, very fast strength gains, change in physical characteristics, and others.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 SteroidsCertified 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)The consequences for being caught using steroids is 2 years disqualification from sports. (Virginia state law)

23. Oakton H.S. Athletic Training Program Conclusion Paul RuppPaul Rupp prupp@fcps.edu 703/319-2833 Special RequestsSpecial Requests Thank you.Thank you.