Culpeper County Public Schools

Eastern View Athletic TrainingJordan Nougaret, MS, ATC, VATL

www.easternviewathletics.org“Athletic Training” Link

Certified Athletic Trainer (ATC)

Health care providers who specialize in the prevention, assessment, treatment and rehabilitation of emergency, acute and chronic injuries and illnesses

Licensed by the Board of Medicine to practice Athletic Training

Athletic Injuries

All injuries & illnesses must be reported to the Athletic Trainer

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 using a progressive return to activity

Return To Play

If you take your child to a physician, it is REQUIRED that a note is provided to the Athletic Trainer for any sport stating the INJURY DIAGNOSIS, TREATMENT, SPORT RESTRICTIONS, and RETURN TO PLAY STATUS. If your child has been to a doctor and does not produce a physician note, he or she will not participate until one is provided

Sport Coverage

ATC can only be in one place at a time!

Sport Coverage

“Assumption of Risk” Not all injuries can be prevented Catastrophic injuries can occur in any

sport Based on the number and severity of

catastrophic injuries, the following collision sports require ATC supervision at all times: Football, Boys Lacrosse and Wrestling

Sport Coverage

The Athletic Trainer will be available for evaluations, treatments, rehabilitation, and questions from student athletes, parents, and physicians each school day afternoon from 3:20-4:00 or by appointment

Topic of Interest Concussions

The Virginia Board of Education, National Federation of State High School Associations (NFHS), Virginia High School League (VHSL)

and National Athletic Trainers Association (NATA) have put out the following guidelines

that will be discussed

Face of Concussions

Face of Concussions…

Concussions

Brain is violently rocked back and forth or twisted inside the skull from a direct blow to the head, face, neck or elsewhere on the body

“Egg Yolk in Egg Shell Analogy”

Baseline Testing

http://www.cces.ca/files/pdfs/SCAT2%5B1%5D.pdf

Recommendations for Coaches

“Recognize, Remove, Refer”

1. Recognize the Signs and Symptoms of a Concussion

2. Remove individual from practice or game

2. Refer the individual for medical evaluation and attention right away

“Recognize”You might be a Concussion if…

Dazed Look Vacant Stare Amnesia Blurred vision Dizziness Drowsiness Excess sleep Easily distracted Feeling in “a fog” or slowed

down Headache Inappropriate emotions (sad,

angry, aggressive, restless) Irritability Loss of consciousness Loss of orientation Just “don’t feel right”

Slowed/Incoherent Body Movements or Reaction Time

Memory problems Nausea Nervousness Personality changes Poor balance/coordination Poor concentration Ringing in ears Seeing stars Fatigue/Low Energy/Lethargic Sensitivity to light/noise Sleep disturbance Vacant stare/glossy eyes Vomiting Confusion Pressure in Head

“Recognize”

The signs and symptoms of a concussion can show up immediately after the injury or may not appear for hours or days after the injury

“Remove”

Any athlete with a suspected Concussion should be removed from the practice or game immediately and NOT allowed to Return to Play the Same Day

“Refer”

Refer the individual to the appropriate healthcare professional (Physician, Athletic Trainer, etc.) who is experienced in evaluating and managing a Concussion

Concussion Advice

Avoid giving concussed individuals Ibuprofen, Tylenol, Aspirin, etc. for the first 24-48 hours

These medications can “mask” the real signs and symptoms the athlete is experiencing and we need to know what’s going on!

Things that should not be allowed after sustaining a Concussion

Driving (especially if individual experiences dizziness) Watching TV Listening to ipod or talking on the phone Reading Texting Using a computer Playing Video Games Exposure to bright lights or loud noises Any Strenuous Activity (Physical Education, yardwork,

household chores, etc.) School/Homework

Things there is no need to do:

Check eyes with a flashlight

Wake them up every hour

*It is OK to check on child’s breathing and pulse but not necessary to constantly wake them up

Set alarm clock (“Kill the Clock” to allow them to sleep and awake naturally)

Return to Play

PHYSICAL and COGNITIVE Rest are key after a Concussion

The Brain needs time to Heal

Continuing to play with the signs and symptoms of a Concussion leaves the young athlete especially vulnerable to greater injury

Second Impact Syndrome Blow to the head of an

individual still symptomatic from previous mild brain injury

Rapid, swelling of the brain, increase in intracranial pressure, often resulting in death

If athlete sustained one concussion, they become 3x more likely to sustain another

Usually occurs in younger athletes (under the age of 20)

Return to Play

Once cleared by a healthcare professional to begin activity AND once the athlete is symptom free, he or she will start a progressive, graded, step-by-step procedure outlined in the following chart:

*The progressions will advance at the rate of one step per day*Athlete’s progression continues as long as he or she is asymptomatic at current activity level*If the athlete experiences ANY post concussion symptoms, he/she will wait 24 hours and start the progressions again at the previous step

Concussions

This First Week is Critical

Most kids average 7 days for full recovery

75% of Repeat Concussions occur within these first 7 days when a child returns to play too early

92% of Repeat Concussions occur within the first 10 days

Cognitive Rest

No Activity, Full Rest Decrease Energy Demands on the brain to

allow it to fully recover Limit classwork, homework, reading, math,

writing, etc. that require attention, concentration and memory skills

Things that are OK to do:1. Sleep/Rest2. Ice Pack on Head or Neck as needed for

comfort3. Light Diet

Return to Play Protocol

Cognitive Return to School Protocol after an Athlete sustains a Concussion:

Day 1: No School (until Symptom Free) Day 2: Half Day, no homework Day 3: Full Day, no homework Day 4: Full Day, homework for 30 minutes Day 5: Full Day, homework for 60 minutes Day 6: Full Day, homework for more than

90 minutes

Videos

ESPN “Outside the Lines” and “E60” have a number of short, but informative videos on Concussions including:

1. “OTL High School Concussions” 2. “OTL Future of Football” 3. “OTL Second Impact Syndrome” 4. “E60 Unprotected” http://espn.go.com/video/clip?id=5163

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Recommendations Over 50% of Concussions go

unreported (possibly up to 75-80%)

Educate Parents and Kids it’s not smart to play with a Concussion

Do Not let your kids convince you they are “fine”

Teach proper tackling techniques:

1. Head Up…See what you Hit2. No Spear Tackling with the

Crown of the Helmet3. Make sure equipment is

properly fitted (Helmet, mouthpiece, shoulder pads, etc.)

“When in Doubt, Sit them Out”

Questions?

Links

http://www.sportconcussions.com/html/Zurich%20Statement.pdf

http://www.vahealth.org/injury/TBI/documents/2011/pdf/Outlines%20of%20current%20state%20of%20knowledge.pdf

https://www.castilleja.org/uploaded/Athletics/Documents/Sports_Med/ACE_Care_Plan_School_Version.pdf