Sports Med #1

sports medicine

A medical specialty focused on the

prevention, diagnosis, treatment, and

rehabilitation of injuries and medical

conditions related to physical activity and

sports participation

Sports Medicine Team - Sports Med

Athletic Trainer

Team Doctor

Orthopedic Doctor

• Sports Med Doctor

Physical Therapist

Sports Medicine Team - Sports

Coach

Personal Trainers

Teammates

Athletic Director

Parents*

Sports Medicine Team - General Medicine

School Nurse

Urgent Care

EMS

Family Doctor

Occupation Therapist

Other Specialists

Athletic Trainer (ATC)

- An Allied Health professional trained in the prevention, examination, diagnosis, treatment, and rehabilitation of emergent, acute, or chronic injuries and medical conditions

- Work under the direction of a doctor

Why Have an ATC

- Tip of Spear

• Direct Contact with Sports Teams

- Beginning to end treatment

- Does not bill insurance

- Referral as Needed

ATC Skills - Main

- Evaluations - Field Side with limited equipment

- Diagnose - determine the cause of medical condition

- Treatment and Rehabilitation

• Taping, stretching, exercises

- Concussion Eval and Return to Play

Other Jobs of an ATC

Nutrition

Hydration

Hygiene/Sanitation

Equipment Management

Heat Management - make sure heat rules are followed

Just Being Prepared

ATC - Heat Management

Monitor heat to ensure patient safety

WBGT - Wet Bulb Globe Temperature

• Primary tool to measure heat

• Measures, temperature, sunlight, humidity, airflow

• Provides a more accurate reading

ATC Education and Standards

Requires a Master’s Degree

• 4 Year undergrad plus 2 years Grad school

• 5 Year accelerated program

Licensed and Certified

Board of Certification (BOC)

BOC Exam

NATA - National Athletic Training Association

Team Physician

Sets standards for ATC

Oversees the Athletic Trainers

Close Communication With ATC

Normally an Orthopedic or Sports Med Physician

Some are Surgeons as well

ATC Job Settings

Middle School and High School

College (D3,D2, and D1*)

Professional and Semi Professional (and D1*)

Miscellaneous Athletic Events

Physical Labor Aid

• Warehouses and Mail Carriers

Cardinal O’Hara’s Team Physician

Dr. McGlynn

Orthopedic and Sports Medicine Physician

-Higher Education and Training

-Advanced Eval and Diagnosis

-Diagnostic Tools

• X-Ray, MRI, Ultrasound, EKG etc

- Surgery - May have to refer

-Can Write Scripts (Rx) - PT, Meds, Brace

etc

Physician Education

13 to 15 Years of Education

-Undergrad

-Med School

-Residency

-Fellowship

May require more for Surgeon

Doctor of Physical Therapist (DPT)

Licensed healthcare professional who helps patients improve their movement, function, and quality of life

Physical Therapy Assistant (PTA)

- Performs PT under guidance of DPT

Other Specialists - Doctorites

Family Doctor*

Psychologist*

Specialists

• Neurologist - nerves + brain

• Dermatologist - skin

• Dentist - teeth

• Gastrologist - stomach + throat

• Cardiologist - heart

Other Specialists - Non - Doctorites

Nutritionists

School Counselor

EMTs

School Nurse

Strengthening Coaches

Family Doctor

Aka Primary Care Physician (PCP)

• Can be Pediatricians for kids

Have patient’s complete history and will work with patient long term

Have a wide knowledge base

• PCP will refer to a specialist as need arises

Psychologist

Cares for the mental and emotional health of the patient

Sports Psychologist: specific trained in the care for athletes

• Return from injury

• Burn out

• Pressures of sports

Urgent Care

Immediate treatment for conditions that are NOT life threatening

• Needs to be seen soon

• Could go to Primary Care Physician (PCP)

• Not great at the “Sports” part of Sports Medicine

Emergency Room

Immediate treatment for conditions that ARE life threatening

• Need to be seen NOW

• Overcrowding leads to worse treatment for all

HIPAA

Doctor/patient confidentiality

• applies to all medical adjacent personnel

• Keep all patient information private

OSHA

Occupational Safety and Health Administration

• Sets all safety rules and guidelines

• Example: Personal Protective Equipment (PPE)

Hippocratic Oath

Do No Harm

Patient Notes

Make a record of patient’s seen and care provided

Used to defend provide in there is a problem

Good Samaritan Law

Protect individuals who voluntarily help

someone in need during an emergency

from potential legal liability for

unintentional harm caused while providing

assistance

Evidence Based Medicine (EBM)

Medicine Based on the Evidence

Medical practice or care that emphasizes the practical application of the

findings of the best available current research

• This is the foundation of sports medicine

Three Pillars******

Best Available Scientific Evidence

Patient Preference

Clinical Expertise

Clinical Expertise

-Training and Knowledge

-Available materials

-Available Time

-past experiences

Patient Preference

- Goals

- Results of Treatment

- Pain Tolerance

- Money, Insurance, Time

- Health History and Conditions

- Values