1. Falls Church High School Athletic Training Program

2. Staff * Stacey Hitzelberg, MHRD, ATC, VATL Full Time Athletic Trainer * Carlo Arrascue, ATC, VATL Associate ATC

3. Sports Medicine Staff Support Staff Team Physician: Dr. Thomas Martinelli  Commonwealth Orthopedics  Offices in Alexandria and Springfield

4. Certified Athletic Trainer (ATC)  What is an Athletic Trainer?  Minimal 4 year degree and successful completion of National Accreditation Exam  Not the “trainer” at the local gym  Licensed by Virginia’s Board of Medicine to practice athletic training

5. Responsibilities Responsibilities  Prevention of injuries/ re-injury  Recognition, evaluation, and assessment of injuries and conditions resulting  Immediate care of injuries  Rehabilitation and reconditioning of injuries  Organization and administration  Professional development and responsibility

6. Assumption Of Risk Risk of Injury  Not all injuries can be prevented  Catastrophic injuries can occur in any sport  The FCPS comprehensive Athletic Training health care has proven to influence a reduction in the severity of injury and prevalence of reinjury.

7. Coverage Athletic Training Room Coverage  The Athletic Trainer will be available for evaluations, treatments, rehabilitation, and questions from student athletes, parents, and physicians each school day afternoon. Athletic Contest Coverage  All contests indicated below are covered by the ATC. Spring  Home Soccer Games (boys and girls)  Home Lacrosse Games (boys and girls)  Home Outdoor Track Meets  Home Softball Games  Home Baseball Games  Home Tennis Matches (boys and girls)

8. Injuries  All injuries & illnesses must be reported to your school’s Athletic Trainers  All injuries must be reported prior to return to activity regardless of severity or physician consultation  Our philosophy is to return injured athletes to participation in the quickest and SAFEST manner possible.

9. Injuries  Rest  Ice – 20 mins. on, 2 hours off  Compression  Elevation – Above the Heart  Support – Crutches, Cane, Brace, Sling  Physician – Please bring in a note that informs us of diagnosis, what rehab or treatment the physician would like, and the playing status.

10. MRSA: What Is It?  MRSA is a “Staph” infection  It does not respond to some antibiotics  It is treatable  Like other infections, this can become serious if left untreated  Severe infections can be prevented by practicing proper hygiene and early detection

11. MRSA: What Does It Look Like? Mild infections may look like a pimple or boil and can be red, swollen, painful, or have pus or other drainage and are usually mildly infectious and easily treated. More serious infections may cause pneumonia, bloodstream infections, or surgical wound infections.

12. MRSA: What Are We Doing?  FCPS Certified Athletic Trainers provide information to all athletes specific to MRSA during the athlete meetings at the beginning of each season. Included in this session:  View a DVD specific to MRSA  Prevention strategies for staph and other communicable diseases.  Importance of proper personal hygiene and clothes washing.  Importance of bringing all questionable lesions to the attention of the certified athletic trainer immediately.

13. MRSA: What Are We Doing?  The FCPS Athletic Training Program includes the use of a cleansing product for wound care that contains 4% w/v chlorhexidine gluconate (CHG) which specifically targets MRSA and provides a continuous action to kill MRSA on contact for 6 hours.  Suspicious lesions will be treated, covered and referred to parents with information to take to family physician.  Contact History Inventory and implementation of disinfecting of specific facilities/equipment.

14. What Can Parents Do?  Clean clothes and equipment daily  Wash in warm water and dried in hot dryer  Spray equipment with diluted bleach soln or commercial product  Showering after all practices/competitions  Proper use of water bottles and cleaning them daily  Encouraging these practices are essential to minimizing the risk of infectious disease including MRSA

15. H1N1 Virus  Prevention is key  Athletes should: Shower immediately after practice/games Wash hands often Not share water bottles or clothing Hydrate and get plenty of rest If your athlete has a rapid onset of: fever, sore throat, chest congestion, and/or body aches; they should inform the athletic trainer by phone or email, stay home and see their family physician.

16. Universal Hygiene  Clean clothes and equipment daily  Showering after all practices/competitions  Proper use of water bottles and cleaning them daily  Encouraging these practices are essential to minimizing the risk of infections disease including MRSA and H1N1

17. Return To Play  A Parent, Coach, Family Physician, Athlete, Administrator, ATC, or Team Physician can exclude an athlete from participation.  All of these individuals must agree that the athlete can and should play  The role of the Athletic Trainer is to make sure your athlete is safe to return to play.

18. Rehabilitation  Rehabilitation and reconditioning is a primary role of the Certified Athletic Trainers  We have the tools and time to work with your athlete  Every injury will benefit from some form of rehabilitation

19. Nutrition  Nutrition is often not a priority  Proper Hydration is essential  There is no quick fix… real food is far better than any pill or supplement  Supplements are not regulated  Supplements are often not recommended for children  Energy drinks are prohibited and not recommended  Proper diet contains 60-70% CHO, 15% PRO, 15% Fat  Replace 22 – 24 oz of H2O for every pound loss (weigh before and after practice)  One of the best recovery foods following intense exercise is chocolate milk

20. Concussions  A concussions is an injury to the brain  Concussions can alter a student’s ability to learn  Concussions can be life threatening  Signs & Symptoms include : Headache, confusion, dizziness, change in personality, difficulty sleeping, difficulty concentrating, loss of appetite, loss of memory, and others.  Treatment is rest and hydration

21.  What Is ImPACT?  Web Based Concussion Management Tool  www.impacttest.com  Why Are We Using It?  It is a tool that can help us identify if the brain has recovered to a point that the athlete is safe to begin a progressive return to sport.  It also helps us with the progression for safe return to sport.

22. Steroids  Signs and Symptoms: Severe Acne, mood swings, aggression, depression, very fast strength gains, change in physical characteristics, and others.  Certified athletic trainers are a resource regarding effects of Steroids.  The consequences for being caught using steroids is 2 years disqualification from sports. (Virginia state law)

23. Conclusion  Contact Info: stacey.hitzelberg@fcps.edu, carlomario.arrascuepachamoro@fcps.edustacey.hitzelberg@fcps.edu carlomario.arrascuepachamoro@fcps.edu 703-207-4041 (office)  Please make sure athletes who have a prescription for an inhaler, epi-pen, glucagon, etc. have them on them at all times!  Please feel free to contact us. Thank you!