Sports Medicine
Department
2015-2016
Overview
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Staff members
Concussion education
Management of a concussion
Drug testing policy and procedure
Sickle Cell Trait education
Sports Medicine Staff
• Director of Sports Medicine/Head Athletic Trainer
– Michael Sirois, MS, ATC, PES
• Office: 603-641-7807
• Fax: 603-222-4091
• [email protected]
• Sports: Head Football, Golf, Men’s Basketball, Softball
• Team Physician – Orthopedic Surgeon
– James Vailas, MD – New Hampshire Orthopedic Center
• Team Physician’s Assistant – Orthopedics
– Scott Evans, PA-C – New Hampshire Orthopedic Center
Sports Medicine Staff
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Assistant Athletic Trainers
– Danny Gay, ATC
• Office: 603-222-4089
• [email protected]
• Sports: Assistant Football, Volleyball, Men’s Ice Hockey, Baseball
– Alyssa Van Patten, MS, ATC
• Office: 603-222-4081
• [email protected]
• Sports: Field Hockey, Men’s and Women’s Cross Country, Women’s Ice
Hockey, Women’s Lacrosse
– Heather Koster, MS, ATC
• Office: 603-222-4090
• [email protected]
• Sports: Men’s & Women’s Soccer, Men’s and Women’s Tennis, Women’s
Basketball, Men’s Lacrosse
Concussion Education
What is a Concussion?
• It is a Mild Traumatic Brain Injury (MTBI)
• Can be caused by:
– Direct blow to the head
– A hit to another part of the body with a force
transmitted to the head
Common Signs and Symptoms
Signs (observed by others):
Symptoms (reported by athlete):
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Athlete appears dazed or stunned
Confusion (about assignment, plays,
etc.)
Forgets plays
Unsure about game, score, opponent
Moves clumsily (altered coordination)
Balance problems
Personality change
Responds slowly to questions
Forgets events prior to trauma
Forgets events after the trauma
Loss of consciousness (any duration)
Headache
Fatigue
Dizziness, lightheadedness
Feeling unsteady on feet
Nausea or vomiting
Double vision, blurry vision
Sensitive to light or noise
Feels sluggish
Feels “foggy”
Problems concentrating
Problems remembering
Not Just Football!
Before your season begins…
• You will take a baseline
ImPACT test
• Freshman year only
• Your athletic trainer may
conduct BESS Testing
• Baseline balance test
ImPACT Testing
• A computerized neurocognitive test required for ALL
sports
• If a concussion happens during the season, this test will
be repeated
How Can I Prevent a Concussion?
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Do not initiate contact with your head or helmet.
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Avoid striking an opponent in the head.
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Practice and perfect the skills of the sport.
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Practice good sportsmanship at all times.
What should I do if I think I have
a concussion?
• Don’t Hide It.
• Report Symptoms.
• Get checked out.
• Take time to recover.
• These concussions can lead to permanent
brain damage or death.
• SECOND IMPACT SYNDROME
What to expect if you have a
concussion during the season
• You will not be allowed to return to play or drive
home the day of your injury.
• Your athletic trainer or coach will decide the
safest way for you to get back to campus.
• Your AT will closely monitor your symptoms.
– You must follow up every day.
What to expect if you have a
concussion
• Physical rest
– refrain from any physical activities
• Cognitive rest
– If needed, accommodations with classes will be
made.
– Director of Health Services, Academic Dean and the
Academic Resource Center
Once all signs/symptoms have resolved, you will take a
follow up ImPACT test and progress back to play
Progression
1. Light (tolerated) activities of daily living including physical and
mental activity only
2. Light aerobic exercise – walking, stationary bike
3. Sport-specific training (e.g., skating in hockey, running in soccer)
4. Non-contact training drills
5. Full-contact training after medical clearance
6. Game play
Note: If you experience symptoms during any phase, you will go back
to the previous asymptomatic level and resume the progression
after 24 hours.
Clearance
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Written medical clearance from our team
Orthopedic
Asymptomatic both at rest and during activity
Returned to full school activities
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If your AT has treated you s/he will be responsible for
clearing you.
If you saw a primary care physician or specialist, you
must provide written clearance for progression to
activity.
Final Points
• Concussions are:
– Serious medical injury
– Different for each athlete
Questions?
Drug Testing
NCAA Drug Testing
• NCAA banned performance enhancement
drugs and street drugs to protect the
health of Student Athletes and to insure
fair play.
– You are eligible for random year round testing and at
post season events
Banned Substances
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Stimulants
Anabolic Agents
Peptide Hormones
Diuretics/Masking Agents
Anti-Estrogens
Beta-2 Agonists
Street Drugs
• There is no complete list of banned substance
Medical Exceptions
• The NCAA recognizes that some banned
substances are used for legitimate medical
purposes.
• They allow exceptions to be made for those
student-athletes with a documented medical
history demonstrating the needs for treatment
with the banned medication
• All medications should be on record with
Sports Medicine staff so if you’re selected
you can ask for an exception.
Supplements
• Dietary supplements that are sold over the
counter and through the internet are
under-regulated by the U.S. FDA.
– There is no guarantee of the product’s purity
or safety. Impure supplements can cause a
positive result.
NCAA Drug Testing
• Acceptable Banned substances:
Asthma medications
ADD/ADHD medications
Only when prescribed by your physician
• Anything else can be searched on:
– REC website
– http://www.drugfreesport.com/rec/
» Password ncaa2
» Ask about dietary supplements
Vitaminwater
• Some products contain impermissible
or banned substances
NCAA Drug Testing
• Supplement Advisory:
– Weight loss products or products sold to reduce water
retention, or any masking agents may contain
stimulants and diuretics banned by the NCAA.
– Student-athletes have tested positive for using these
products and lost their eligibility.
NCAA Drug Testing
Tobacco use is banned
during practice and
competition for coaches,
athletics personnel, and
game officials.
NCAA Drug Testing
• Midol Information:
– Midol Cramps
– Midol Extended Relief
– Midol Menstrual Complete
– Midol Teen Formula
Not Banned
Not Banned
Banned
Banned
Drug Testing process
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If selected you must report at designated time.
Your test will be considered positive if you do not show up.
You must stay until you are able to provide a proper sample.
You will be under constant observation to prevent tampering.
Specimen is mailed out to testing site.
Results are given directly to AD.
A positive test :
– will affect your eligibility, you will not be able to participate effective
immediately.
– in the post season can affect your teams place of finish.
Final Points
• The goals of NCAA Drug Testing are to
protect the health of Student Athletes and
to provide clean and equitable
competition.
• All Student Athletes sign a consent form
that you understand the drug testing
process.
• You must sign this form in order to
participate.
Sickle Cell Trait Education
Sickle Cell Trait Education
• What it is:
– The inheritance of one gene for sickle hemoglobin
and one for normal hemoglobin.
– Sickle cell trait will not turn into the disease.
– Is a life-long condition that will not change over time.
– Usually found in people with ancestors from:
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Africa
South or Central America
India
Saudi Arabia
Caribbean and Mediterranean countries.
Sickle Cell Trait Education
During intense exercise
• Red blood cells
containing the sickle
hemoglobin change
shape from round to
quarter-moon, or “sickle.”
• Sickled cells accumulate
in the bloodstream,
blocking normal blood
flow to the tissues and
muscles.
Risk Factors
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Heat
Dehydration
Altitude
Asthma
Exhaustion
Fighting off illness/infection
These can all worsen complications, even when exercise is
not intense!
Sickle Cell Trait Education
Athletes with sickle cell trait should not be excluded from
participation as precautions can be put into place.
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Slow and gradual progressions
Lighter workouts in times of higher risk
More rest between sessions
Extra hydration and oxygen can be provided
Signs and Symptoms
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Muscle pain and cramping
Abnormal weakness
Undue fatigue or breathlessness
Blood in urine
Stop the activity immediately and notify your athletic trainer and/or
coach!
• If pushed past this point can cause muscle breakdown,
kidney damage, and even death
How to Prevent a Collapse
• Know your sickle cell trait status.
• Engage in a slow and gradual preseason conditioning
regimen.
• Build up your intensity slowly while training.
• Beware when adjusting to a change in altitude
• Use adequate rest and recovery between repetitions and
intense drills.
• Avoid pushing with all-out exertion longer than 2-3minutes
without a rest interval or a breather.
How to Prevent a Collapse
• Stay well hydrated at all times, especially in hot and
humid conditions.
• Avoid high-caffeine energy drinks or supplements, or
other stimulants, as they contribute to dehydration.
• Refrain from extreme exercise during acute illness, if
feeling ill, or while experiencing a fever.
If you experience any symptoms, stop activity immediately
and notify your athletic trainer and/or coach.
Saint Anselm College Sports
Medicine Requirements
• Deadline for paperwork – Returners Only – July 24, 2016
– Medical Questionnaire
– Sports Physical – Dated within 6 months of the season start date
– Acknowledgement of Insurance
– Copy of Front & Back of Ins card
– Summer Drug Testing Form
• All forms can be found on the athletic website, inside-athletics,
student-athlete forms.
• Paperwork is all done online now!
– All forms submitted online via athleteconnection.net
Athletic Training Room
NEW: Every time you
come to the ATR you
must sign in!
(this includes our
frequent flyers who
come in multiple
times a day)
QUESTIONS??