2. Education Code 33.207(b), 33.208 The District shall provide training to students participating in athletic extracurricular activities related to:

3. 1. Recognizing the symptoms of potentially catastrophic injuries, including head and neck injuries, concussions, injuries related to second impact syndrome, asthma attacks, heatstroke, cardiac arrest, and injuries requiring use of a defibrillator; and

4. 2. The risks of using dietary supplements designed to enhance or marketed as enhancing athletic performance

5. Signs and symptoms of a mild brain injury: Brief period of unconsciousness Brief period of unconsciousness Headache Headache Confusion Confusion Dizziness Dizziness Sensory problems, such as blurred vision, ringing in the ears or a bad taste in the mouth Sensory problems, such as blurred vision, ringing in the ears or a bad taste in the mouth Mood changes Mood changes Memory or concentration problems Memory or concentration problems

6. If the injury is moderate to severe, the list of signs and symptoms grows to include: Persistent headache Persistent headache Repeated vomiting or nausea Repeated vomiting or nausea Convulsions or seizures Convulsions or seizures Inability to awaken from sleep Inability to awaken from sleep Dilation of one or both pupils of the eyes Dilation of one or both pupils of the eyes Slurred speech Slurred speech Weakness or numbness in the extremities Weakness or numbness in the extremities Loss of coordination Loss of coordination Increased confusion or agitation Increased confusion or agitation

7. Spinal cord injuries of any kind may result in one or more of the following signs and symptoms: Pain or an intense stinging sensation Pain or an intense stinging sensation Loss of movement Loss of movement Loss of sensation, including the ability to feel heat, cold and touch Loss of sensation, including the ability to feel heat, cold and touch Loss of bowel or bladder control Loss of bowel or bladder control Exaggerated reflex activities or spasms Exaggerated reflex activities or spasms Changes in sexual function, sensitivity and fertility Changes in sexual function, sensitivity and fertility Difficulty breathing, coughing or clearing secretions from your lungs Difficulty breathing, coughing or clearing secretions from your lungs

8. Emergency signs and symptoms of spinal cord injury Fading in and out of consciousness Fading in and out of consciousness Extreme back pain or pressure in your neck, head or back Extreme back pain or pressure in your neck, head or back Weakness or paralysis in any part of your body Weakness or paralysis in any part of your body Numbness, tingling or loss of sensation in your hands, fingers, feet or toes Numbness, tingling or loss of sensation in your hands, fingers, feet or toes Loss of bladder or bowel control Loss of bladder or bowel control Difficulty with balance and walking Difficulty with balance and walking Impaired breathing after injury Impaired breathing after injury An oddly positioned or twisted neck or back An oddly positioned or twisted neck or back

9. The two most common concussion symptoms are confusion and amnesia. Immediate signs and symptoms: Immediate signs and symptoms: – Headache – Dizziness – Ringing in the ears – Nausea or vomiting – Slurred speech Symptoms of concussion that don't appear until later. Symptoms of concussion that don't appear until later. – Mood and cognitive disturbances – Sensitivity to light and noise – Sleep disturbances

10. Immediate signs and symptoms of concussion: Headache Headache Dizziness Dizziness Ringing in the ears Ringing in the ears Nausea or vomiting Nausea or vomiting Slurred speech Slurred speech

11. Symptoms of concussion that don't appear until later. Mood and cognitive disturbances Mood and cognitive disturbances Sensitivity to light and noise Sensitivity to light and noise Sleep disturbances Sleep disturbances

12. Post-concussion symptoms include: Headaches Headaches Dizziness Dizziness Fatigue Fatigue Irritability Irritability Anxiety Anxiety Insomnia Insomnia Loss of concentration and memory Loss of concentration and memory Noise and light sensitivity Noise and light sensitivity

13. Asthma signs and symptoms include: Shortness of breath Shortness of breath Chest tightness or pain Chest tightness or pain Trouble sleeping caused by shortness of breath, coughing or wheezing Trouble sleeping caused by shortness of breath, coughing or wheezing An audible whistling or wheezing sound when exhaling An audible whistling or wheezing sound when exhaling Bouts of coughing or wheezing that are worsened by a respiratory virus such as a cold or the flu Bouts of coughing or wheezing that are worsened by a respiratory virus such as a cold or the flu

14. Signs that your asthma is probably getting worse include: An increase in the severity and frequency of asthma signs and symptoms An increase in the severity and frequency of asthma signs and symptoms A fall in peak flow rates as measured by a peak flow meter A fall in peak flow rates as measured by a peak flow meter An increased need to use bronchodilators — medications that open up airways by relaxing the surrounding muscles An increased need to use bronchodilators — medications that open up airways by relaxing the surrounding muscles

15. Heatstroke symptoms include: High body temperature: A body temperature of 104 F (40 C) or higher is the main sign of heatstroke. High body temperature: A body temperature of 104 F (40 C) or higher is the main sign of heatstroke. Cessation of sweating: This is often one of the first signs that your body temperature is too high. In heatstroke brought on by hot weather, your skin is hot and dry to the touch. However, in heatstroke brought on by strenuous exercise, your skin usually feels moist. Cessation of sweating: This is often one of the first signs that your body temperature is too high. In heatstroke brought on by hot weather, your skin is hot and dry to the touch. However, in heatstroke brought on by strenuous exercise, your skin usually feels moist. Hyperventilation: Your breathing may become rapid and shallow. Hyperventilation: Your breathing may become rapid and shallow.

16. Heatstroke continued: Rapid heart rate (tachycardia): blood pressure usually remains normal, your pulse may increase to around 130 beats a minute. Rapid heart rate (tachycardia): blood pressure usually remains normal, your pulse may increase to around 130 beats a minute. Neurological symptoms: You may have seizures, lose consciousness, slip into a coma, hallucinate, or have difficulty speaking or understanding what others are saying. Neurological symptoms: You may have seizures, lose consciousness, slip into a coma, hallucinate, or have difficulty speaking or understanding what others are saying. Muscle cramps or weakness. Your muscles may feel tender or cramped in the early stages of heatstroke, but may later go rigid or limp. Muscle cramps or weakness. Your muscles may feel tender or cramped in the early stages of heatstroke, but may later go rigid or limp.

17. Sudden cardiac arrest symptoms are sudden and drastic: Sudden collapse Sudden collapse No pulse No pulse No breathing No breathing Loss of consciousness Loss of consciousness Sometimes, other signs and symptoms precede sudden cardiac arrest, including: Sometimes, other signs and symptoms precede sudden cardiac arrest, including: – fatigue, fainting, blackouts, dizziness, chest pain, shortness of breath, palpitations or vomiting. But sudden cardiac arrest often occurs with no warning.

18. Use for Automated External Defibrillators (AED) Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmias, ventricular fibrillation, ventricular tachycardia, and sudden cardiac arrest Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmias, ventricular fibrillation, ventricular tachycardia, and sudden cardiac arrest – The athletic trainers have access to an AED on campus as well at all home venues off campus.

19. Risks of Dietary Supplements For the most part, performance enhancing supplements should not be used in association with athletic competitions. For the most part, performance enhancing supplements should not be used in association with athletic competitions. Many times these substances contain high levels of sugar and caffeine, thus giving you a boost of energy, then rapidly leaving you with a “drained” feeling. Also caffeine is a diuretic that increases urinary output increasing your risk of dehydration. Also caffeine is a diuretic that increases urinary output increasing your risk of dehydration.

20. Hard work can not be substituted by the consumption of substances and medications. Hard work can not be substituted by the consumption of substances and medications. Your body is meant to withstand the daily stresses of athletic activity, enhancement supplements place a larger physiological burden on your body. Your body is meant to withstand the daily stresses of athletic activity, enhancement supplements place a larger physiological burden on your body. – These products are marketed toward the older population and have no place in high school athletics.

21. Questions?