Student First Responder SFR

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• 2009
• Student First Responder (SFR)
• Orientation

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Introduction to Athletic Training

• MIAA Athletic Health Service (AHS)

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Sports Medicine what is it?

• Sports medicine is a catch all term for any
  medically related field that deals with athletes
  and athletic related injuries. The primary
  members of a sports medicine team are medical
  doctors and certified athletic trainers.
  Physicians of many different specialties can be
  part of a sports medicine team. For example,
  orthopedic surgeons, general practitioners,
  family nurse practitioners, dentist,
  neurosurgeons, and ophthalmologists.

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Sports Medicine what is it?

• Other fields represented within a sports medicine
  team may include chiropractors, nurses,
  dieticians, orthotists, psychologist, strength
  coaches, and pharmacists.

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Why become a SFR?

• If you are interested in any of the previously
  mentioned fields, then you may want to become a
  SFR. As a SFR, you may be exposed to many of
  these professions. Experience as a SFR may
  assist with your decision of what to study in
  college. Also, these experience may set you
  apart from your peers when competing for
  enrollment slots in college.

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MIAA AHS Staff

• India Weaver, ATC Director
• Location MIAA Office NW Prep
• Shawn Matasunga, ATC North Area
• Location Raleigh Egypt HS
• Jay Phillips, ATC South Area
• Location Sheffield HS
• Mike Rodrigues, ATC East Area
• Location White Station HS

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MIAA AHS Staff

• Contact Information
• India Weaver, ATC Director
• 416-9942 office
• Shawn Matasunga, ATC North Area
• 828-3078 - cell
• Jay Phillips, ATC South Area
• 828-3080 - cell
• Mike Rodrigues, ATC East Area
• 734-9198 - cell

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What is an Athletic Trainer? 

• Certified athletic trainers are health care
  professionals who specialize in preventing,
  recognizing, managing and rehabilitating injuries
  that result from physical activity.  As part of a
  complete health care team, the certified athletic
  trainer works under the direction of a licensed
  physician and in cooperation with other health
  care professionals, athletics administrators,
  coaches and parents.

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MIAA Athletic Health Service (AHS)

• The MIAA employees a staff of 4 certified
  athletic trainers. All four are full-time
  employees of the Memphis City School.
• The AHS certified athletic trainers provided
  medical care to all athletic programs at the
  middle and high school levels.

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Knowledge base of an Athletic Trainer

• First aid/emergency care
• Anatomy and physiology
• Nutrition
• Psychology
• Injury prevention techniques
• Clinical evaluation skills
• Therapeutic modalities
• Therapeutic exercise

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Typical duties of an Athletic Trainer

• Prevention and care of athletic injuries
• Monitors hydration and nutrition
• Rehabilitation of athletic injuries
• Preventative taping and bracing
• Referral of injuries to the appropriate medical
  provider for further evaluation

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Employment settings for Athletic Trainers

• Teachers/Professors
• Collegiate Athletics
• High School Athletics
• Physical Therapy/Rehabilitation Clinics
• Professional Athletics
• Industrial Medicine/Workers Compensation
• Physician Extender

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Who are Athletic Trainers?

• Some former athletes
• All educational backgrounds arts, sciences,
  history, psychology
• Used to be mostly men, but has changed over to at
  least 50/50
• All races and nationalities
• Very equal opportunity

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How to become aCertified Athletic Trainer

• Students who want to become certified athletic
  trainers must earn a degree from an accredited
  athletic training curriculum.  Accredited
  programs include formal instruction in areas such
  as injury/illness prevention, first aid and
  emergency care, assessment of injury/illness,
  human anatomy and physiology, therapeutic
  modalities, and nutrition.  Classroom learning is
  enhanced through clinical education experiences. 
  More than 70 percent of certified athletic
  trainers hold at least a masters degree.
• Athletic training is not the same profession as
  personal training.  And certified athletic
  trainers work with more than just athletes they
  can be found just about anywhere that people are
  physically active. 
• To become certified athletic trainers, students
  must pass a comprehensive test administered by
  the Board of Certification.  Once certified, they
  must meet ongoing continuing education
  requirements.

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Duties as a student first responder

• Game setup - water, ice, emergency records
• Assist with taping as skills develop
• Assist with minor first aid wound care, ice
  application
• Assist with hydration - timeouts, sidelines, etc.
• Observe certified athletic trainer if present
• YOU DO NOT TAKE THE PLACE OF A COACH OR ATHLETIC
  TRAINER (no pressure)

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Game/practice sideline setup

• Make sure water coolers, ice chest, first aid
  kit, and emergency contact information are on the
  field/court
• Make sure that there are cups or bottles so that
  players can get water
• Check the first aid kit to see if you need any
  more supplies
• Make sure your coach has their emergency contact
  records
• Check in with your athletic trainer if they are
  there and see if they need any help with anything
• Go through your checklist and see if there is
  anything that you missed

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Duties during the event

• Monitor water coolers refill if needed
• Maintain first aid supplies
• Assist the primary medical provider as needed
• Watch the action in the game-if your athletic
  trainer is there stay close to them, if an injury
  happens follow what they tell you to do and watch
  how they treat the injury
• Feel free to ask questions! It is the best way to
  learn.

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Proper Hydration

• Keep water bottles or cups filled with water
  during the game so that players can have it ready
  for them
• During timeouts or halftime you need to bring the
  bottles/cups out to the players on the field
• VERY important-especially during football season,
  track, and baseball, but needed for ALL sports

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Where do you go from here?

• Complete the SFR CPR/First Aid training class
• Pick one sport per season to try to be at most if
  not all of their home games (for example football
  in the fall, wrestling in the winter, and track
  in the spring)
• Participate in MIAA sponsored events jamborees,
  city championships, clinics, 5K run
• If you already know a coach ask to help with
  their sport
• We give you this information to help you give
  back to your school

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Standard Precautions

• Standard precautions are the basic level of
  infection control that should be used in the care
  of all patients all of the time.
• Use standard precautions in the care of all
  patients to reduce the risk of transmission of
  microorganisms from both recognized and
  non-recognized sources of infection.
• Applies to blood, all body fluids, secretions and
  excretions (except sweat) whether or not they
  contain visible blood non-intact skin and
  mucous membranes.
• Personal protective equipment (PPE) to carry out
  standard precautions includes
• gowns
• masks
• eye protection and face shield (if splashes or
  sprays of blood or body fluids is likely).

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Standard Precautions

• Hand hygiene - always - following any patient
  contact
• Wash hands for 20 seconds with soap and warm
  water especially if visibly soiled. Clean hands
  with alcohol-based hand rub if not visibly soiled
  
• Gloves
• Clean, non-sterile gloves when touching or coming
  into contact with blood, body fluids, secretions
  or excretions
• Apply gloves just before touching mucous
  membranes or contacting blood, body fluids,
  secretions, or excretions
• Remove gloves promptly after use and discard
  before touching non-contaminated items or
  environmental surfaces, and before providing care
  to another patient
• Wash hands immediately after removing gloves
• Gowns
• Fluid resistant, non-sterile
• Protect soiling of clothing during activities
  that may generate splashes or sprays of blood,
  body fluids, secretions and excretions
• Apply gown prior to performing such activities
• Mask, face shield, eye protection
• Protect eyes, nose, mouth and mucous membranes
  from exposure to sprays or splashes of blood,
  body fluids, secretions and excretions
• Apply appropriate protection prior to performing
  such activities
• Patient Care Equipment
• Avoid contamination of clothing and the transfer
  of microorganisms to other patients, surfaces and
  environments
• Clean, disinfect or reprocess non-disposable
  equipment before reuse with another patient
• Discard single-use items properly

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CPR/First Aid Training

• More details will follow during your CPR/First
  Aid training class. To become a SFR, you must
  become CPR/First Aid certified. Topics covered
  during this training include first aid, wound
  care, environmental injuries, sprains, strains,
  thermal injuries, and CPR training with AED usage.

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General Taping Skills

• Taping is an important skill that all certified
  athletic trainers possess. These skills are
  developed over time. With proper knowledge of
  the anatomy and function of the joint, anyone can
  be proficient in preventative taping. Just like
  any skill, practice and repetition can help
  improve the final outcome.

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Ankle Taping 101
Step 1Place two anchor strips on the calf and
one around the foot near the arch.
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• Step 2 Apply one stirrup, pulling from the leg's
  medial (inside) aspect, under the heel to the
  leg's lateral (outside) aspect.
• Step 3 A horizontal 'horseshoe' strip from the
  foot's medial (inside) to lateral (outside)
  aspect is then applied.

STEP 2
Step 3
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The process is then repeated until there are
three stirrups and three horseshoes.
Close in ankle with horizontal closure strips
(just like horseshoes).
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Two heel locks are then applied to the ankle's
medial (inside) and lateral (outside) aspects
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Completed Closed Basket Weave Ankle Wrap