Transcript 284 Background and Intro Mat.

BACKGROUND
INFORMATION
Over the years, athletic training has
evolved into a specialization within
sports medicine. Its major concern
is the health and safety of athletes.
In order to learn about the
prevention and care of injuries, we
first must learn the role of everyone
on the sports medicine team.
FIRST AID AND ATHLETIC
TRAINING
(PETH 326)
Chapter 1
The Athletic Trainer and The Sports
Medicine Team
FIRST AID: Is the immediate care or
treatment that is given to an injured or ill
person before professional medical aid can
be obtained.
 ATHELETIC TRAINING: An allied health
profession that is concerned with the health
and safety for athletes and the physically
active.
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Who is Physically Active?
Athletes?
Blue Collar Workers?
Recreational Participants?
Mom’s?
Gas Station Attendants?
Insurance Sales Person?
ETC.
ATHLETIC TRAINING
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Athletic Trainer: a
specialist in athletic
training concerned
with the complete
health care of the
athlete.
ATHLETIC TRAINING
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The athletic trainer
provides a major link
between athletics and
the medical
community.
ATHLETIC TRAINING
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The athletic trainer is
responsible for injury
prevention, emergency
care, and rehabilitation
of sports related
injuries.
History and Background of
Athletic Training
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Prior to NATA in 1950
 Greek
and Roman Period
 Intercollegiate Sports
 First NATA in 1938-44
 WWII
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NATA formed in Kansas City in
1950
Growth and Development Since
1950
SPORTS MEDICINE
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Definition: A generic term used to
describe a group of professions that
assist in the health and performance
of the athlete
Areas of Specialization in Sports
Medicine
Medical disciplines
 Athletic training
 Physical therapy
 Exercise physiology
 Biomechanics
 etc.
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Sports Medicine Organizations
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American College of Sports Medicine
International Federation of Sports Med
American Orthopedic Society for S. M.
National Strength & Conditioning Assoc.
Sports Physical Therapy Section of APTA
NCAA Comm. On Competitive Safeguards and
Medical Aspects of Sports
NATA
THE SPORTS MEDICINE TEAM
Athletic Trainer: most directly responsible
for all phases of health care in an athletic
environment.
 Team Physician: directs the medical care of
the athlete and the care given by the athletic
trainer.
 Orthopedic Physician: directs care of the
musculoskeletal injuries.
 Other Physicians
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THE SPORTS MEDICINE TEAM
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Coaches
Biomechanists
Exercise Physiologists
Administrators
(Athletic Director)
EMT’s & Paramedics
School Nurse
Physical Therapist
THE SPORTS MEDICINE TEAM
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Nutritionist
Psychologist
Chiropractor
Others ……
All are responsible to work
together to provide proper
health care and a safe
environment for the athlete.
Responsibilities of the Team
Physician
First, to serve as an advisor and director to
the athletic trainer or coach.
 Physical exams and medical histories
 Diagnosing injuries and determining the
health status of the athlete
 Deciding on return to play
 Attend practices and games
 Committed to sports and the athlete
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Responsibilities of the Coach
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In the absence of an athletic trainer and team
physician, the coach must assume the direct
responsibility for the health of the athlete.
Responsibilities of the Coach
“Coaches must demonstrate a high profile
for safety, and show that they really care”.
 Respect the skills and insight of the athletic
trainer and physician, who must have the
last word concerning injuries.
 Know legal responsibilities for injuries
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Roles and Responsibilities of the
Athletic Trainer
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Performance Domains
 Prevention
of athletic injuries
 Evaluation and assessment of injuries
 Immediate care of injuries
 Treatment, rehabilitation and reconditioning of
injuries
 Health care administration
 Professional Development
Roles and Responsibilities of the
Athletic Trainer
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Education Council Competency Domains
 Acute
care
 Assessment and evaluation
 General medical conditions & disabilities
 Health care administration
 Nutritional aspects of injury/illness
 Pathology of injury/illness
Roles and Responsibilities of the
Athletic Trainer
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Education Council Competency Domains
 Pharmacological
aspects of injury/illness
 Professional development
 Psychological intervention and referral
 Risk management and injury prevention
 Therapeutic exercise
 Therapeutic modalities
Athletic Trainer Roles and
Responsibilities of the
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Injury Prevention and Risk
Management
 Ensuring
appropriate training &
conditioning
 Monitoring environmental
conditions
 Managing protective equipment
 Counseling about proper nutrition
 Appropriate medication education
& use
Athletic Trainer Roles and
Responsibilities of the
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Recognition, Evaluation, and Assessment of
Athletic Injuries
 Conducting
Physical Examinations
 Understanding the pathology of injury/illness
 Utilizing Evaluation Procedures
 Referring to medical specialists
Athletic Trainer Roles and
Responsibilities of the
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Immediate Care of Injury and
Illness
 Initial
assessment
 Administering appropriate first
aid
 Providing emergency care
Athletic Trainer Roles and
Responsibilities of the
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Treatment, Rehabilitation &
Reconditioning
 Designing
rehabilitation
programs
Therapeutic exercise
 Rehabilitative equipment
 Manual therapy
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 Supervising
rehabilitation
programs
 Incorporating therapeutic
modalities
 Education and counseling of
injuries
Athletic Trainer Roles and
Responsibilities of the
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Organization and Administration
 Record
keeping
 Ordering equipment and supplies
 Supervising personnel
 Establishing policies of operation
 Maintaining athlete data
 Organizing insurance issues
Athletic Trainer Roles and
Responsibilities of the
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Professional Development and
Responsibilities
 Being
a lifelong learner of the
field
 Maintaining CEU’s for
certification
 Educate the public
 Involvement in professional
organizations
Employment Settings for the
Athletic Trainer
 Public
and Private High
Schools
 Colleges and Universities
 Professional Teams
 Sports Medicine Clinics
 Industrial Settings
 Hospitals
 Health and Fitness Centers
 Other Future Directions???
Chapter 2
Health Care Administration
Establishing a System For Athletic
Training Health Care
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Develop a plan
 A planning
process with those involved
 A mission statement must be decided
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Develop a policies and procedures manual
Design an athletic training facility
 Size
 Location
 Storage
 offices
facilities
Establishing a System For Athletic
Training Health Care
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Design an athletic training room
 Special
services section
 Treatment
area
 Electrotherapy area
 Hydrotherapy area
 Rehabilitation area
 Taping area
 Examination area
 Records area
Establishing a System For Athletic
Training Health Care
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Other concerns (PP Manual)
 Who
do you serve?
 Facility and personnel coverage?
 Insurance?
 Emergency telephone?
 Budgetary concerns?
 Security and safety issues?
 Emergency management?
 Access to other health care providers?
Establishing a System For Athletic
Training Health Care
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Other Concerns (PP Manual)
 Record
keeping
 Medical
records
 Injury reports
 Treatment logs
 Personal information
 Injury evaluation
 Etc.
Establishing a System For Athletic
Training Health Care
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Other Concerns (PP Manual)
 Preparticipation
 Physician
exams
exam
 Station exam
 Medical history
 Maturity assessment
 Orthopedic screening
 Medical
records
Pre-season Physical Exams
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History
Orthopedics
Vital signs
Vision
ENT
Skin
Cardiovascular
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Urinalysis
 Drug
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Testing?
Blood tests
Cardio-Respiratory
Neurological
Lymphatic / Abdomen
and Reproductive
Sport Disqualification
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Certain injuries or conditions may warrant
concerns relative to continued participation.
However, the athletic trainer, coach, or even
the physician can only recommend. The
ADA of 1990 clearly states that the
individual athlete and/or parents is the only
person who can make the final decision.
Collecting Injury Data
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The Incidence of Injuries
 Accident:
an unplanned event resulting in loss
of time, property damage, injury, disablement,
or even death.
 Injury: damage to the body that restricts activity
or causes disability.
Risk of injury is determined by the type of sport and
the amount and level of participation.
 The type of injury can also be expected by the sport
and level of participation
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Collecting Injury Data
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Incidence of Injuries
 Sports
Classifications
Collision
 Contact
 Non-contact
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 Injury
classifications
Fatalities
 Catastrophic injuries
 Musculoskeletal injuries (contusions, strains, etc.)
 Acute vs Chronic
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 Incidence:
knee  ankle  upper extremity
Collecting Injury Data
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National Injury Data Collecting
Systems
National Safety Council
 American Football Coaches Association
 NCAA Nat. Survey of Catastrophic Injury
 NATA
 Others
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Using Injury Data
Modify rules
 Education of risks
 Evaluate protective equipment
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Professional Preparation of the
Athletic Trainer
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Professional Educational Programs
 Approved
Curriculums: NATA/CAAHEP
 Internship programs (not after 2004)
Certification Req. NATABOC Exam
 Continuing Education Requirements (CEU)
 State Regulations (Licensure)
 Future Directions for Athletic Training
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Legal Concerns and Insurance
Issues
Chapter 3
Legal Concerns
Liability: being legally responsible for the
harm one causes another person.
 Negligence: the failure to use ordinary and
reasonable care.
 Torts: are legal wrongs committed against
the person or property of another
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 Omission
 Commission
Legal Concerns
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Statutes of Limitation: sets a specific length of
time that individuals may sue for damages from
negligence (1-3 years).
Assumption of Risk: assuming the risk of
participating in an activity while knowing the
dangers of the activity.
Reducing the Risk of Litigation
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Warn athletes of the potential dangers of the sport
Supervise regularly
Properly prepare and condition athletes
Properly instruct athletes in the skills of the sport
Use proper and safe equipment and facilities
Establish good personal relationships with the
athletes
Develop and follow an emergency plan
Be aware of the athletes health status and medical
history
Reducing the Risk of Litigation
Keep good records of injuries and
rehabilitation
 Document efforts to create a safe playing
environment
 Obtain written consent to provide health
care
 Maintain confidentiality of medical records
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Reducing the Risk of Litigation
Use only the therapeutic methods and
medicine that you are qualified to give.
 Work cooperatively with the coach and team
physician when selecting equipment.
 Do not permit injured players to participate
 Purchase professional liability insurance
 Use common sense when making decisions
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Insurance
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Managed care
 Primary
health insurance
 Standard
policy
 PPO
 HMO
 Secondary
health insurance
Accident insurance
 Professional liability insurance
 Catastrophic insurance
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Third-Party Reimbursement for
Athletic Trainers
This is a new development
 It is very time consuming
 The A.T.C. must file insurance claims
immediately and correctly
 The A.T.C. must use Current Procedural
Terminology (CPT) codes published by the
AMA
 Third-Party Reimbursement Research at
IWU
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