284 Background and Intro Mat.
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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.
Who is Physically Active?
Athletes?
Blue Collar Workers?
Recreational Participants?
Mom’s?
Gas Station Attendants?
Insurance Sales Person?
ETC.
ATHLETIC TRAINING
Athletic Trainer: a
specialist in athletic
training concerned
with the complete
health care of the
athlete.
ATHLETIC TRAINING
The athletic trainer
provides a major link
between athletics and
the medical
community.
ATHLETIC TRAINING
The athletic trainer is
responsible for injury
prevention, emergency
care, and rehabilitation
of sports related
injuries.
History and Background of
Athletic Training
Prior to NATA in 1950
Greek
and Roman Period
Intercollegiate Sports
First NATA in 1938-44
WWII
NATA formed in Kansas City in
1950
Growth and Development Since
1950
SPORTS MEDICINE
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.
Sports Medicine Organizations
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
THE SPORTS MEDICINE TEAM
Coaches
Biomechanists
Exercise Physiologists
Administrators
(Athletic Director)
EMT’s & Paramedics
School Nurse
Physical Therapist
THE SPORTS MEDICINE TEAM
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
Responsibilities of the Coach
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
Roles and Responsibilities of the
Athletic Trainer
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
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
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
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
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
Immediate Care of Injury and
Illness
Initial
assessment
Administering appropriate first
aid
Providing emergency care
Athletic Trainer Roles and
Responsibilities of the
Treatment, Rehabilitation &
Reconditioning
Designing
rehabilitation
programs
Therapeutic exercise
Rehabilitative equipment
Manual therapy
Supervising
rehabilitation
programs
Incorporating therapeutic
modalities
Education and counseling of
injuries
Athletic Trainer Roles and
Responsibilities of the
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
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
Develop a plan
A planning
process with those involved
A mission statement must be decided
Develop a policies and procedures manual
Design an athletic training facility
Size
Location
Storage
offices
facilities
Establishing a System For Athletic
Training Health Care
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
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
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
Other Concerns (PP Manual)
Preparticipation
Physician
exams
exam
Station exam
Medical history
Maturity assessment
Orthopedic screening
Medical
records
Pre-season Physical Exams
History
Orthopedics
Vital signs
Vision
ENT
Skin
Cardiovascular
Urinalysis
Drug
Testing?
Blood tests
Cardio-Respiratory
Neurological
Lymphatic / Abdomen
and Reproductive
Sport Disqualification
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
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
Collecting Injury Data
Incidence of Injuries
Sports
Classifications
Collision
Contact
Non-contact
Injury
classifications
Fatalities
Catastrophic injuries
Musculoskeletal injuries (contusions, strains, etc.)
Acute vs Chronic
Incidence:
knee ankle upper extremity
Collecting Injury Data
National Injury Data Collecting
Systems
National Safety Council
American Football Coaches Association
NCAA Nat. Survey of Catastrophic Injury
NATA
Others
Using Injury Data
Modify rules
Education of risks
Evaluate protective equipment
Professional Preparation of the
Athletic Trainer
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
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
Omission
Commission
Legal Concerns
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
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
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
Insurance
Managed care
Primary
health insurance
Standard
policy
PPO
HMO
Secondary
health insurance
Accident insurance
Professional liability insurance
Catastrophic insurance
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