ATHT 8360 Course Intro Presentation PDF

ATHT 8360 Course Introduction Advanced Orthopedic and Medical Aspects of Athletic Training Welcome Back! Review Syllabus Exams, Assignments, Physician Observation Hours Review Course Schedule Canvas intro Basic Skills Review General Medical Conditions Maybe rela...

ATHT 8360 Course Introduction Advanced Orthopedic and Medical Aspects of Athletic Training Welcome Back! Review Syllabus Exams, Assignments, Physician Observation Hours Review Course Schedule Canvas intro Basic Skills Review General Medical Conditions Maybe related, or unrelated, to injuries suffered by athletes Can have serious consequences if not properly diagnosed, treated, and considered during athletic participation Course designed to introduce students to common medical conditions in athletes and other physically active populations Know enough to refer, communicate with MD’s and other health care providers Medical Providers  MD*  RD  DO*  PA*  DC  NP*  ATC  LPN  DPM*  PhD  PT  EMT  PTA  EMT-P  OT Legal Responsibility State Practice Acts NE: cannot infringe upon another practice Administering vs. dispensing vs. prescribing meds Certain modalities Always acting under a MD/DO HIPAA FERPA REFER! Medical Classification/Coding ICD codes (ICD-10) International Classification of diseases A numeric code is given to all diseases and conditions i.e. Asthma is ICD-10 # 493 (exercise-induced is 493.81) CPT codes Current Procedural Terminology Every service and provider is given a code Athletic training evaluation is CPT # 97005 Determining Sport Participation NCAA handbook Provides very BASIC guidelines to follow for medical providers Each decision is based on the following: Physician’s willingness to clear/disqualify an athlete Athlete’s (and parent/guardian’s) preference Current research and standard of care for the condition and patient Examples Absence of a paired organ Testicle/ovary: few restrictions, based on patient’s preference Kidney: more restrictions, may disqualify from collision sports, monitoring of hydration/kidney function Lung: Probably not competing at any level Examples Sickle-cell trait Mandatory testing for all NCAA athletes Current controversy with Hematological society Decision to disqualify? NCAA does not advocate disqualification for those with sickle-cell trait Decision is made by physician and patient Prior events may determine status Precautions Hydration, acclimatization, altitude, restrictions on practicing in heat/early season/strenuous activity Examples Cardiac conditions One of the most controversial areas currently Probable medical disqualification Hypertrophic cardiomyopathy Cardiac artery abnormality (congenital or acquired, not corrected) Marfan’s syndrome (no contact sports, low-intensity only if no family Hx of sudden death) Acute myocarditis Valve conditions with associated arrhythmias or red-flag S/S Symptomatic long-QT syndrome, Wolff-Parkinson-White with significant fibrillation or adolescents PPE Who must perform the PPE for athletes? Critical information to gather during PPE… History Personal and family Observation General examination CV Neuro Musculoskeletal PPE Other important information to gather: Medications Allergies Family history Personal history Any current S/S Health behaviors Mental health Basic Vital Signs  Height/weight  Body Mass Index (BMI = mass (kg)/height (m)2  Blood Pressure  Pulse rate and rhythm  Respiratory rate and rhythm  Body temperature  O2 Saturation (“6th vital”) Blood Pressure These are outdated numbers but will be the ones referenced on the BOC because they are in your textbooks. Systolic vs. diastolic It is important to stay up to date on medical Normal: 120/80 information like this: here are the up to date numbers Prehypertension: 120-139/80-89 Stage 1 hypertension: 140-189/90-99 Stage 2 hypertension: >160/>100 Hypertensive crisis: >180/>110 Hypotension: