Athletic Medicine

Head Athletic Trainer: Ryan A. Boyer, ATC, LAT
Contact: Office: 904-547-7300 ext. 32136 Cell: 321-544-7113
Email: [email protected]
Hours of Operation: Mon – Fri: 1:00 PM – Until Athletic Events End
Saturday: On Call

 

 

In Case of Injury: Use the PRICE Principle:
P – Protect – splint, brace, crutches, etc
R – Rest – Limit Activities especially that produce pain
I – Ice – 20 minutes every hour
C – Compression – Elastic bandage over injury
E – Elevation – Limb above heart as much as possible

***Notify Athletic Trainer within 24 hours***
***Student-Athlete should follow-up with Athletic Trainer 24-48 hours***

In Case of Head Injury: Common Signs and Symptoms:

Increased Blood Pressure
Nausea
Vomiting
Memory Deficits
Motor Deficits
Sensory Deficits Balance Deficits

***Activate EMS (Call 911) for ANY of the following***

Decreasing level of consciousness
Decreasing or irregular respirations
Decreasing or irregular pulse
Unequal, dilated, or un-reactive pupils
Signs or symptoms of associated injuries, spine or skull fracture or bleeding
Mental status changes: extreme lethargy, confusion, or agitation Seizure activity

***Notify Athletic Trainer of ALL Head Injuries As Soon As Possible***
***Student-Athlete must follow-up with Athletic Trainer 1st day back to school***

Hydration Strategy for Sports

Pre-Activity
• 2-3 hours prior to activity athletes should consume at least 17 – 20 fl. oz. (Approx. 3 standard glasses) of water or sports drink.
• 10 – 20 minutes prior to activity athletes should consume 7 – 10 fl. oz. (Approx. 1 ½ standard glasses) of water or sports drink.

During Activity
• Every 10 – 20 minutes during activity athletes should consume 7 – 10 fl. oz. (Approx. 1 ½ standard glasses) of water or sports drink.

After Activity
• The most effective way for every athlete to measure their fluid loss due to exercise is by tracking their weight before and after activity. This can be easily done by recording the athlete’s weight before exercise and after exercise. Then, subtract the post-activity weight from the pre-activity weight to find weight lost.

• After activity, athletes should consume 16 fl. oz. of water or sports drink per pound of weight loss to replace body fluids lost during exercise. If sports drink is not available, water should be consumed along with carbohydrates and electrolytes. Water alone is not enough.

Additional Hot Weather Hydration Tips
• Avoid all diuretic drinks containing caffeine, carbonation and alcohol
 Coffee, Tea (YES Sweet Tea is bad), and Sodas
• Educate student-athletes not to rely on thirst as an indicator of when to drink
• Begin all exercise sessions well hydrated
• Monitor pre and post-exercise body weight and urine color and volume
• Exact hydration amounts should be based on individual needs
• If possible, exercise in the shade and avoid the hottest times of the day
• Make sure you put fluids “into” instead of “onto” your body for rehydration
• Be aware of the signs and symptoms of dehydration
HYDRATION STARTS A WEEK BEFORE ACTIVITIES AND NEVER STOPS

Nutrition Strategy for Sports

Pre-Activity Meals
• Never skip a meal prior to athletic activities.
• All pre-activity meals should be consumed 2-3 hours prior to activities to ensure proper absorption.
• Athletes should not be on a low sodium diet, even if parents are. Extra salt on meals is beneficial in retaining body water and helps fight dehydration.
• Pre-activity meals should consist of:
• 60% whole grain or whole food carbohydrates
• 25% low-fat protein • 15% dietary fats.

Pre-Activity Snack (Optional)
• Snacks should be consumed 30 – 60 minutes prior to activity.
• All pre-activity snacks should be:
• Salty, low-fat carbohydrates, such as pretzels, granola or protein bars
• Dried fruits; such as raisins
• Fruits and nuts high in potassium; such as bananas and sunflower kernels

• These foods are high in electrolyte nutrients that the body needs during athletic activity.

***Special Considerations***
• If an athlete is unable to eat a meal prior to activity, they should consult the Athletic Trainer or Coach prior to participating.
• If an athlete is diabetic, they should closely monitor their insulin levels before, during, and after exercise and adjust diet and insulin intake as necessary. They should consult the Athletic Trainer on these levels.

After Activity
• The best time for nutrient absorption is 30 minutes after a bout of exercise.
• All post-activity meals should be planned within 30 – 60 minutes after activities.
• Post-activity meals should consist of:
• 60% whole grain or whole food carbohydrates
• 25% low-fat protein
• 15% dietary fats

WHOLE GRAINS & LOW FAT PROTEIN ARE HIGH OCTANE FUEL FOR SPORT Injury Prevention & Treatment
• Sprains & Strains– Injuries to Ligaments, Tendons, and Muscles o Adherence to strength and conditioning regimen
o Taping and Bracing
 Knees
• Braces are very beneficial for Offensive & Defensive Linemen
• Also student-athletes with past injuries/surgeries
• Players with injuries must complete rehab protocol  Ankles
• All players can benefit from ankle braces
• Players with injuries must complete rehab protocol & be taped  Wrists
• Blocking position players can benefit
• Players with injuries must complete rehab protocol & be taped  All Taping Requires Daily Rehab
• “NO REHAB = NO TAPE”
• We must be getting better not just getting taped
o Treatment
 Protection
• Please ensure they use whatever devices the Athletic Trainer or Physician give them (i.e. crutches, splints, braces)
 Rest
• They should not be using an injured body part, except as recommended by the Athletic Trainer or Physician  Ice
• 20 minutes per hour for the first 24 hours
• 20 minutes 3-4 times per day thereafter
• 20 minutes after exercise while painful  Compression
• Elastic bandage over injured body part while not icing • Not tight  Elevation
• Injured body part resting above level of their heart as much as possible

Injury Prevention & Treatment
o Communication
 Ensure that your child has informed the Athletic Trainer and Coach of the injury within 24-48 hours
 The Athletic Trainer has athletics friendly physician contacts that will speed medical care and return to safe participation
 You must get a note for every physician visit & directions for the Athletic Trainer
 Feel free to call or email the Athletic Trainer with any concerns
• Skin borne Infections o Regular hand washing up to the elbow with an antimicrobial soap
 20 sec in length (2 x Happy Birthday song) is recommended o Regular washing of uniforms
 Practice uniforms should be washed twice a week (Tues & Thurs)
 Game uniforms should be washed weekly (Fri/Sat)  No luck will be washed out!
o Report any suspicious skin lesions to the Athletic Trainer
 These infections can be limb and life threatening
 Referral to a athletics friendly physician is recommended
• Physicians o You are not required to use the Creekside Team Physicians
 Your insurance may dictate where you go & when you can get seen
 You must get a note for every physician visit & directions for the Athletic Trainer o Dr. Ross Osborn –

Team Physician
 Coordinates Physician coverage at football games
 Athletic Training Room visits on Monday evenings during the football season
 Usually about 5:30 PM o Dr. Tod Northrup – Team Orthopedic Surgeon
 Open clinic Saturday mornings during football season
 8:00 AM o Dr. Howard Weiss – Associate Team Physician
 Assists with Physician coverage at football games