Download University of Wisconsin – Madison Division of Intercollegiate

University of Wisconsin – Madison
Division of Intercollegiate Athletics
Concussion Management Plan
University of Wisconsin – Madison
Division of Intercollegiate Athletics
Concussion Management Plan
Education
1. The sports medicine staff (licensed athletic trainers and team physicians) will review the
NCAA regulations and recommendations on concussions.
2. Coaches, Team Physicians, Athletic Trainers, and Directors of Athletics will receive
concussion education materials provided by the NCAA.
3. Coaches, Team Physicians, Athletic Trainers, and Directors of Athletics will be required to
sign an acknowledgement of having read and understood the NCAA concussion education
materials that they have been provided, and accept responsibility for reporting symptoms of
a concussion experienced by a student-athlete that they may witness.
4. All student-athletes will receive educational materials provided by the NCAA and a
presentation on concussion by a member of the athletic training staff. All student-athletes
will sign an acknowledgement form that states they have received concussion education
and understand the importance of immediately reporting symptoms of head
injury/concussion to the sports medicine staff.
Baseline Assessment
1. All student-athletes will complete baseline concussion assessment based on NCAA
guidelines including: brain injury and concussion history, symptoms evaluation with the
SCAT3 symptoms checklist, cognitive assessment utilizing Standardized Assessment of
Concussion (SAC) and ImPACT, and balance evaluation utilizing the Balance Error Scoring
System (BESS).
2. Team physicians will determine pre-participation clearance and/or the need for additional
consultation or testing for each student-athlete. Student-athletes involved in the following
higher risk contact/limited contact sports will undergo baseline testing prior to any
organized practice and at a minimum of every two years during their athletic career.
Contact/limited contact sports include: football, men’s and women’s soccer, men’s and
women’s basketball, men’s and women’s ice hockey, softball, wrestling, volleyball, diving
and pole vault student-athletes. .
Management of Concussion Injury
1. Any student-athletes suspected of having a concussion or reporting concussion like
symptoms, will be removed from activity and evaluated by a licensed athletic trainer or
physician member of the sports medicine staff utilizing symptoms assessment (SCAT3
symptoms checklist), physical and neurological exam, cognitive assessment (SAC), and
balance exam (BESS). The evaluation will also include clinical assessment for cervical spine
trauma, skull fracture, and intracranial bleed when indicated. If the evaluation results in
concern for a concussion, the student-athlete will be removed from athletic and classroom
activity for the remainder of that day.
2. The department Emergency Procedure Plan will be utilized for any student athlete that has:
a Glasgow Coma Scale of <13, prolonged loss of consciousness, focal neurological deficit,
repetitive emesis, persistently diminished or worsening mental status, or possible spine
injury (Appendix 1).
3. Student-athletes suspected of having a concussion and another responsible adult, will be
provided and review the handout “Concussion Information for Student-Athletes and
Family/Friends” following their evaluation. Student-athletes will be advised of the
importance of being supervised by a responsible adult for the remainder of the day.
Arrangements will be made for follow-up of the student-athlete the next day (Appendix 2).
4. Student-athletes suspected of having a concussion, will be referred to a physician for
consultation and further evaluation. Student-athletes may be provided the “Documentation
of Concussion” letter to outline any suggested temporary academic accommodations that
may be necessary as a result of their concussion. Student-athletes will be expected to return
to academics prior to returning to athletic participation (Appendix 3).
5. Student-athletes with a concussion, will undergo serial monitoring utilizing a graded
symptom checklist.
6. Student-athletes with symptoms lasting longer than 72 hours will be followed by a physician
weekly or as determined by the physician.
7. When a student-athlete’s concussion-related symptoms have improved, the student athlete
will undergo concussion testing for comparison to their baseline concussion assessment.
Student-athletes may begin the sport specific portion of the return-to-play progression after
resolution of concussion related symptoms, a normal physical exam, when performing at or
above pre-injury levels on all objective concussion assessments, and consultation with a
physician.
8. Return-to-play progression from concussion injury will include the following six stages. The
typical time frame consists of 24 hours between stages. Student-athletes must complete
each stage without return of symptoms to progress to the next stage. If activity at any stage
results in a return of symptoms or decline in test performance then the activity should be
halted immediately and restarted 24 hours later if symptoms are resolved. Return-to-play is
case dependent and the directing physician can shorten or lengthen the time frame when
appropriate based on the individual student-athlete. Review by a physician will occur prior
to participation in unrestricted activity.
Stage 1 – No activity
State 2 – Light exercise: <70% of age-predicted maximal heart rate
Stage 3 – Sports–specific activities without the risk of contact from others
Stage 4 – Noncontact training or practice involving others and resistance training
Stage 5 – Unrestricted/Contact training or practice
Stage 6 – Return to play
Management of Individuals with Prolonged Concussion Symptoms
The majority of student-athletes with concussion have symptoms improve at a steady rate, in cases
when symptoms persist:
1. Student-athletes should be considered for referral to multi-disciplinary practitioners for specific
evaluation of their symptoms.
2. Results of the student-athletes evaluation can be utilized in seeking academic accommodations
due to their injury if the need exists.
Return to Learn Management Plan
The Assistant AD for Academic Services is designated as the point person within athletics who will
navigate, along with others listed below, the return-to-learn plan with the student-athlete.
The Multi-Disciplinary Team that is charged with additional help to navigate the more complex cases of
prolonged return-to-learn include (as each case dictates):

Team Physician

Athletic Trainer (ATC)

Psychologist/Counselor

Neuropsychologist consultant

Faculty Athletic Representative(s)

Sport Academic Advisor

Course Instructor(s)

School/College Administrators

Disability Resource Center (McBurney)

Coach(es)
Return to learn progression from concussion injury will be in compliance with ADAAA.
It will include the following stages:
Stage 1: Onset of concussion injury

No classroom activity on same day as concussion

Academic point person (or sport academic advisor) receives notification from sports
medicine/medical staff of injury and prescribed cognitive rest/Individualized Initial Plan
(IIP) (i.e. no reading, television, computers, cell phone, etc.)

Faculty are notified (as timely as possible) of injury to student-athlete and of the
prescribed cognitive rest/IIP and approximate time frame of recovery/absence period
o
IIP to include the following: 1) Remaining at home/dorm if SA cannot tolerate
light cognitive activity. 2) Gradual return to classroom/studying as tolerated
o
Stage 2: Continuation of concussion injury

Academic advisor and faculty member have communicated and established basic plan for
return to learn. Student-athlete recovery proceeds per established protocol.

Academic point person (or sport academic advisor) receives updated notification from
sports medicine/medical staff of return to learn progress and additional/continued
prescribed cognitive rest/Individualized Initial Plan (IIP)

Faculty notified of additional updates
Gradual return planned
Extended absence from learning (>1 week)

Faculty notified of planned return to
learn date/time details

Modification of schedule/academic
accommodations for up to 2 weeks

Regular check-in meetings from advisor
with SA and faculty member of
assignments and progress for each class

Re-evaluation by team physician and
members of multi-disciplinary team

Engage campus resources for cases not
managed through schedule modification/
academic accommodations (consistent
with ADAAA and to include both Learning
Specialists and McBurney Center staff)

Re-evaluation by team physician if
concussion symptoms worsen with
academic challenges
Reducing Exposure to Head Trauma
The following steps will be taken to emphasize ways to minimize head trauma exposure:
1. Concussion education presentations to student athletes will emphasize and encourage the
utilization of proper technique of the individual sport and the importance of taking the head out
of contact in collision sports.
2. Coaches adhere to relevant live contact practice NCAA legislation for preseason, in-season,
postseason, bowl and spring practice.
3. Coaches will be provided Inter-Association Consensus statements that exist pertaining to their
sport that attempt to identify ways to reduce head trauma exposure (Appendix 4).
4. Coaches will be provided the Independent Medical Care Guidelines (Appendix 5).
Revised: 4-24-2015
Appendices Index
Appendix 1……………………………………………………………………………………………………. Emergency Procedure Plan
Appendix 2………………………………………… Concussion Information for Student-Athletes and Family/Friends
Appendix 3…………………………………………………………………………………..…………… Documentation of Concussion
Appendix 4………………………………………………………………………………………………..…. Football Practice Guidelines
Appendix 5…………………………………………………………………..……………….. Independent Medical Care Guidelines
Appendix 1
Emergency Procedures
2014-2015
Emergency
1
Table of Contents
Introduction ..................................................................................................................... 4
Emergency Planning ...................................................................................................... 5
Know Your Location ...................................................................................................... 8
Non-SOC Events ........................................................................................................... 10
Camp Randall Stadium-Main Turf ......................................................................... 10
Camp Randall Stadium- Weight Room ................................................................. 10
Camp Randall Stadium-Wrestling Room .............................................................. 12
Camp Randall Memorial Shell ................................................................................ 12
Camp Randall-North Practice Field ....................................................................... 13
Field House ................................................................................................................ 13
Goodman Softball Diamond and Goodman Softball Training Complex ......... 14
Kellner Hall ............................................................................................................... 14
Kohl Center Arena .................................................................................................... 15
Kohl Center-Main Floor/Athletic Training Room/Weight Room/Locker Rooms
..................................................................................................................................... 15
Kohl Center-Nicholas Johnson Pavilion Gym....................................................... 16
LaBahn Arena Complex ........................................................................................... 16
McClain Facility ........................................................................................................ 17
McClimon Outdoor Track &Field/Soccer Complex ............................................. 17
Natatorium ................................................................................................................ 18
Nielsen Tennis Facility ............................................................................................. 18
Porter Boat House ..................................................................................................... 19
SERF – Pool ................................................................................................................ 19
Thomas Zimmer Championship Cross Country Course ..................................... 20
2
University Bay Fields ............................................................................................... 20
University Ridge Golf Course/Indoor Training Center ....................................... 21
Eagle’s Nest Ice Arena.............................................................................................. 21
SOC-covered events (as designated by athletic administration policies) .............. 22
Emergency Care and First Aid .................................................................................... 24
Know Who to Call ........................................................................................................ 31
Licensed Staff Athletic Trainers .................................................................................. 32
Sport Coverage.............................................................................................................. 33
Acknowledgements ...................................................................................................... 34
3
Introduction
What is the purpose of this emergency guide?
The purpose of this guide is to provide a reference and guide for University of
Wisconsin staff to facilitate appropriate emergency situation management.
Who is this emergency guide created for?
This manual is most beneficial to those that are certified in First Aid and CPR;
however, if one is not certified, there are contact phone numbers to aid in
appropriately managing an emergency. Athletic training students, licensed staff
athletic trainers, strength coaches, sport coaches, and many others interacting
with the athletic environment will be using this guide.
How should one use this guide?
 For every practice and competition, an emergency plan should be in place
– Use the checklists in the first section to help
 Review the information so it is familiar to help in an emergency situation
 Keep it available as a resource checklist and phone reference when an
emergency occurs
 Post it by a phone for emergency use
What is included in this guide?
 A section to help establish an emergency plan
 A section that includes addresses and closest phone contacts in case of an
emergency for all the various team practice and competition locations
 A section with reference lists for
o Potential emergencies
o Signs and symptoms
o Emergency action plans
 Most treatment plans are reference lists for those certified in First Aid or
CPR.
**If you are not certified, know how to get in contact with a certified
medical staff so they can establish a treatment plan for the emergency.
(Either 911 or a licensed staff athletic trainer)
 Phone Directory on the back pages
4
Emergency Planning
5
Identifying a Life Threatening Emergency
What is an emergency…
 Any life-threatening situation
 No breathing
 No pulse
 Unconscious
 Uncontrolled bleeding – heavy, steady, or spurting
 Loss of feeling (numbness) or ability to move
What to do…
 CALL 911
 If certified in First Aid or CPR, give appropriate care
 Call a licensed staff athletic trainer as soon as possible
 Maintain body position of athlete
Identifying a Non-Life
Threatening Situation Requiring Urgent Care
What is a non-life threatening situation…
 Inability to walk or bear weight – especially if associated with immediate
swelling and bruising
 Severe and prolonged abdominal pain (over 1 hour)
 Uncontrolled bleeding – moderate blood loss
 Severe headache not alleviated by medication
 Prolonged/frequent vomiting and diarrhea together
 Unexplained and significant numbness, weakness, or sensation difficulties
in arms or legs
 Fever over 101°F - combined with abdominal pain
 Fever over 101°F - combined with inability to touch chin to chest due to
neck pain
 Blow to head/shoulders combined with headache
What to do…
 Contact a licensed staff athletic trainer as soon as possible
 If certified in First Aid or CPR, give appropriate care
 Refer to UWHC Emergency Department
600 Highland Avenue
Madison, WI 53792
(608) 262-2398 (Emergency Room)
6
Establishing an Emergency Plan Home and Away Events
Prior to activity, determine the following:
1. Closest phone and phone number at the event
2. Locate availability of responsible medical personnel
3. Address and specific ambulance entrance to facility or field
4. Determine number to emergency services (i.e. 911)
5. Who will call emergency number
6. Who will meet the ambulance
7. Where will the injured athlete be taken
(Home events direct to UW Hospital)
8. Who will accompany the injured athlete
Calling 911
Provide dispatcher with the following information:
1. Your name and position with the University
2. The name and location of emergency
3. Brief description of the emergency
4. Current care being rendered and by whom
5. Location of the injured person
6. Directions for easy medical personnel access
7. Telephone number from which you are calling
8. Request: “A PARAMEDIC SQUAD” be sent.
(otherwise only campus police squad car is sent)
9. Be ready to review all information provided
10. Hang up when dispatcher indicates you should.
7
Know Your Location
8
Camp Randall Stadium & Stadium Complex
Camp Randall Stadium and the Stadium Complex include the following
facilities:
 Kellner Hall
 Field House
 McClain Center
 Camp Randall Memorial Shell
 North Practice Field
Camp Randall Stadium and the Stadium Complex are controlled under two
centers based on the events/activities that are taking place at that time. These are
the Stadium Command Center (SCC) and the Stadium Operations Center (SOC).
Stadium Command Center
SCC is the central communications center for Camp Randall Stadium for normal
stadium activities and events that do not require SOC.
 SCC is located in the Athletic Operations Building (AO Building) at 25 N.
Breese Terrace.
 SCC is open from 6 am – 2 am Monday through Friday and 6 am – 10 pm
Saturday and Sunday.
 Telephone number: 262-8065
 SCC is SOC when SOC is not operational.
 There is an AED located inside on the wall next to the office door.
Stadium Operations Control
SOC is the central communications center for the Stadium Complex for football
game day and other designated stadium events. These areas include the facilities
listed above. Any communication with emergency personnel will be routed
through SOC to determine the quickest response to the victim(s).
 SOC is located on the north end of the fourth level of the Press Box.
 Telephone number: 262-9130
Command Center Designation
 Football game day and other designated stadium events covered by
Stadium Operations Center (SOC)
 Other events not covered by Stadium Operations Center (SOC)
9
Non-SOC Events
Camp Randall Stadium-Main Turf




Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Stadium Command
Direct someone to meet EMS
Address:
25 North Breese Terrace; 53711
Entrance:
AO Building parking lot
AED is available:

Stadium Command Center – wall next to lobby

Gate 1 Welcome Center – inside glass vestibule

Hall of Champions Welcome Center – wall to the
right of front desk
Camp Randall Stadium- Weight Room




Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Stadium Weight Room Offices
Direct someone to meet EMS & use call box at gate to call Stadium
Command to open gate
Address:
1475 Engineering Drive; 53711
Entrance:
Through Gate 3 to glass entry doors
AED is available:

Hall of Champions Welcome Center – wall to the
right of front desk

Mueller Sports Medicine Center, cubbies next to front
entrance

Sport Performance Lab inside Mueller Sports
Medicine Center
10
Camp Randall Stadium- Fetzer Center & Football Offices




Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Academic Offices
Direct someone to meet EMS & use call box at gate to call Stadium
Command to open gate
Address:
1475 Engineering Drive; 53711
Entrance:
Through Bennett Student-Athlete Performance
Center Main Doors, elevator to floor needed
AED is available:

3rd floor of Fetzer Center at bottom of stairwell

8th Floor in kitchen area of football offices

Hall of Champions Welcome Center – wall to the
right of front desk

Sport Performance Lab inside Mueller Sports
Medicine Center
11
Camp Randall Stadium-Wrestling Room



Assess situation and provide necessary emergency care
Call 911
Phone: Cell Phone
Wrestling Offices
262-3586
Stadium Command
262-8065
Direct someone to meet EMS
Address:
1440 Monroe St; 53711
Entrance:
Have someone meet EMS at Gate 1 (Lot 18). Bring
them in through Badger Alley using the Heritage
Hall elevator located at Section V.
AED is available:

Wrestling Athletic Training Room

Stadium Command Center – wall next to lobby

Gate 1 Welcome Center – inside glass vestibule

Hall of Champions Welcome Center – wall to the
right of front desk
Camp Randall Memorial Shell



Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Main Entrance Front desk
Direct someone to meet EMS
Address:
1430 Monroe St; 53711
Entrance:
Main entrance through Lot 18
AED is available:

Main entrance lobby

Running Track
12
Camp Randall-North Practice Field



Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Hall of Champions Welcome Desk
Direct someone to meet EMS at Lot 17 service road gate (Call button
opens / Knox Box)
Address:
1475 Engineering Drive, 53711,
Entrance:
South Gate to North Practice Field
AED is available:

North Concourse, middle of north wall between the
West and East Gate

Hall of Champions Welcome Desk
Field House



Assess situation and provide necessary emergency care
Call 911
Phone: Cell Phone
Training Room Office
263-6748
Volleyball Team Locker Room
263-6944
Direct someone to meet EMS
Address:
25 North Breese Terrace; 53711
Entrance:
Gate D (Parking Lot #19/AO Building parking lot)
AED is available:

Volleyball Athletic Training Room

Stadium Command Center – wall next to lobby

Gate 1 Welcome Center – inside glass vestibule
13
Goodman Softball Diamond and
Goodman Softball Training Complex



Assess situation and provide necessary emergency care
Call 911
Phone: Cell Phone
Indoor Training Center East Wall
262-4222
Goodman Training Room
265-0699
Maintenance Office
Press Box
Direct someone to meet EMS
Address:
1010 Highland Ave; 53705
Entrance:
Direct someone to meet EMS at gated entrance in
Lot 82 off of Highland Ave, west side of Nielsen
Tennis Center
AED is available:

Softball Indoor Training Center East Wall

Press box

Athletic Training Room
Kellner Hall



Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Welcome Center Lobby
Direct someone to meet EMS
Address:
1440 Monroe St; 53711
Entrance:
Main entrance through Lot 18
AED is available:

Gate 1 Welcome Center Lobby

Level 3 Hallway

Level 5 Lobby
14
Kohl Center Arena
 The Kohl Center Arena events are controlled under the Arena Control
Center.
 The Arena Control Center is located in The Kohl Center, 601 West Dayton
St., 53715; Utilize East Campus Mall Drive to enter Loading Dock/Arena
Control Center area.
 Arena Control Center is open from 5:30am to 2:00am on weekdays and
7am to midnight on weekends. This is subject to change with the Kohl
Center event schedule.
 Telephone number: 608-265-4704.
 All emergency situations involving participants will be handled and
directed by Athletic Training Staff and/or Physician Staff on the courts
or ice rink
 All athletic related extraction will take place as stated in the Emergency
Plan
 All other Kohl Center emergencies will be handled through Event
Management and the Arena Control Center.
Kohl Center-Main Floor/Athletic Training Room/Weight
Room/Locker Rooms



Assess situation and provide necessary emergency care
Call 911
Radio Arena Control – Arena Control will call 911
Phone:
Arena Control
265-4704
Athletic Training Room
265-5698
Cell phone
Direct someone to meet EMS at Arena Control
Address:
105 East Campus Mall; 53715
Entrance:
Arena Control
AED is available:

Outside Arena Control office

Gates A, B, and C

Mezzanine Elevator Lobby

Coaches Offices Lobby
15
Kohl Center-Nicholas Johnson Pavilion Gym



Assess situation and provide necessary emergency care
Call 911
Radio Arena Control – Arena Control will call 911
Cell phone to call 911 – then notify Arena Control that EMS was called
Phone
Arena Control
265-4704
South Wall in Gym
265-3566
Cell Phone
Direct someone to meet EMS at Arena Control
Address:
105 East Campus Mall; 53715
Entrance:
Arena Control
AED is available:

Pavilion gym wall near main entrance from Gate B
ticket lobby

Outside Arena Control office

Gate B

Mezzanine Elevator Lobby

Coaches Offices Lobby
LaBahn Arena Complex



Assess situation and provide necessary emergency care
Call 911
Radio Arena Control – Arena Control will call 911
Cell phone to call 911 – then notify Arena Control that EMS was called
Phone:
Arena Control
265-4704
Athletic training room
265-6667
Direct someone to meet EMS at East Campus Mall, West Gate of
LaBahn
Address:
105 East Campus Mall; 53715
Entrance:
Ice surface: West Gate of LaBahn or Zamboni/
Service Garage, - located off the south side of the
facility off loading dock
2nd floor: Direct through concourse to elevator to 2 nd
floor
AED is available:

North Concourse, middle of north wall between the
West and East Gate

Hockey Athletic Training Room
16
McClain Facility-Athletic Training Room/Locker Rooms/Weight
Room/Indoor Turf



Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
McClain Training Room
262-3630
McClain Weight Room
262-9535
Direct someone to meet EMS at Gate 3 Camp Randall Entrance. Use
Knox box to direct Stadium Command to keep gates open for EMS.
Address:
1475 Engineering Drive; 53711
Entrance:
Double Doors leading to ramp entrance in McClain
Center
AED is available:

South wall near the ramp entrance to the Shell

Performance Lab in Mueller Sports Medicine Center

Hall of Champions Welcome Desk
McClimon Outdoor
Track &Field/Soccer Complex



Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Track Shed
262-3256
Direct someone to meet EMS
Address:
700 Walnut St; 53706
Entrance:
Main entrance off Walnut St.
AED is available:

Pressbox
17
Natatorium
Athletic Training Room/Pool/Diving Well/Upstairs Gyms




Assess situation and provide necessary emergency care
Call 911
Contact front desk to notify of situation/call EMS
262-3742
Phone:
Cell Phone
Aquatics Director’s Office
263-6421
Direct someone to meet EMS at main entry door
Address:
2000 Observatory Dr; 53706
Entrance:
Main Entrance off Observatory Dr.
AED is available:

Pool deck

Main Office

Gym 1-4 Hallway

Gym 5 Hallway
Nielsen Tennis Facility



Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Front Desk
262-0410
Direct someone to meet EMS
Address:
1000 Highland Dr; 53705
Entrance:
Front Entrance of Nielsen (if athlete is indoors)
Rear Entrance of Nielsen (if athlete is outdoors)
accessed from the maintenance road through Lot 82
off of Highland Ave. Gate is on the west side of the
courts
AED is available:

Nielsen Reservation Desk

Nielsen Indoor Courts

Goodman Softball Training Center

Goodman Athletic Training Room

Goodman Press Box
18
Porter Boat House



Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Boathouse Phone
890-0359
Direct someone to meet EMS
Address:
680 Babcock Dr; 53706
Entrance:
Main entrance on Babcock Dr.
AED is available:

Main (2nd) floor – inside wave tank entrance doors

3rd floor lobby – outside erg room
SERF – Pool



Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Swim storage room (between locker room and pool)
262-8245
Main Office Area
Direct someone to meet EMS
Address:
715 W. Dayton St; 53703
Entrance:
Front Entrance off Dayton St.
AED is available:

Cashier’s Office

Pool deck

Cardio Room

Weight Room

Gyms 1 & 2
19
Thomas Zimmer Championship Cross Country Course
(University Ridge Cross Country Course)



Assess situation and provide necessary emergency care
Call 911
Contact Club House
845-7700
Phone:

Cell Phone
Club House
Maintenance Shop
Direct someone to meet EMS in lower parking lot (across the main
drive)
Address:
9002 Country Trunk PD, Verona, WI
Entrance:
University Ridge main entrance off PD
AED is available:

Golf Training Center lobby entrance

Maintenance Shed

Clubhouse Pro Shop
University Bay Fields



Assess situation and provide necessary emergency care
Call 911
Phone: Cell Phone
Waisman Center front desk (north side of building)
Nielsen Tennis Facility front desk
Direct someone to meet EMS
Address:
University Bay Fields on Highland Dr
Entrance:
Off Highland Dr. (Lot #82)
AED is available:

Nielsen Tennis Center Reservation Desk

Goodman Indoor Training Center

Goodman Athletic Training Room

Goodman Press box
20
263-1656
262-0410
University Ridge Golf Course/Indoor Training Center



Assess situation and provide necessary emergency care
Call 911
Phone:
Cell Phone
Main Office
845-7700
Direct someone to meet EMS in a golf cart at URidge entrance at
Highway PD or at entrance to O.J. Noer Turfgrass Research facility
entrance (Holes 4,5,6,7 only) to guide to injured individual
Address:

University Ridge: 9002 Country Trunk PD, Verona
University O.J. Noer Turfgrass Research Facility:
2502 County Hwy M, Verona
Entrance:
Off PD of M, depending on location of emergency
Contact Club House to provide specific location including hole
number, tee, fairway, or green and meet EMS on golf cart at entry
AED is available:

Training Center lobby entrance

Maintenance Shed

Clubhouse Pro Shop
Eagle’s Nest Ice Arena
 Assess situation and provide necessary emergency care
 Call 911
 Telephone:
- Cell phone
- Main office:
845-7465
 Direct someone to meet EMS
 Address:
- 103 Lincoln, Verona
 Entrance:
- Main entrance facing east towards parking lots
21
SOC-covered events
(as designated by athletic administration policies)
Camp Randall Stadium
 All emergencies should be directed immediately to 911 and all extrication
strategies will be handled by SOC.
 If possible, contact security personnel, per mar, or other nearby official to
help control the scene and help with meeting EMS.
 AEDs are located in the following areas:
 East 6th , 7th , and 8th Levels in Staircase 3
 Football Office
 West 7th, 8th, and 9th levels in the elevator lobby
 Gate 1 Welcome Center Lobby (upon opening Jan 2014)
 Fetzer Center (upon opening Jan 2014)
Main Turf
Football Games
 All emergency situations involving participants will be handled and
directed by the Athletic Training Staff and Physician Staff on field.
Communication with SOC will be handled by a physician on the field.
 All extrication will be through the southwest corner of the stadium and
through the AO Building lot.
 All other stadium emergencies will be handled through SOC.
Other events
 All events that involve athlete participation will be handled by the Athletic
Training Staff and Physician Staff on field.
 All other events will be controlled by SOC and designated personnel.
Kellner Hall
 All emergencies should be directed immediately to 911 and all extrication
strategies will be handled by SOC.
 If possible, contact security personnel, per mar, or other nearby official to
help control the scene and help with meeting EMS.
 AED is available:

Gate 1 Welcome Center Lobby

Level 3 Hallway

Level 5 Lobby
22
Field House




Assess situation and provide necessary emergency care
Call 911
Phone: Cell Phone
Training Room Office
263-6748
Volleyball Team Locker Room
263-6944
Coordinate with SOC
Direct someone to meet EMS
Address:
25 North Breese Terrace; 53711
Entrance:
Gate D (Parking Lot #19/AO Building parking lot)
AED is available:

Volleyball Athletic Training Room

Stadium Command Center – wall next to lobby

Gate 1 Welcome Center – inside glass vestibule
McClain Center
 Assess situation and provide necessary emergency care
 Call 911
 Coordinate with SOC
Camp Randall Memorial Shell
 Assess situation and provide necessary emergency care
 Call 911
 Coordinate with SOC
North Practice Field
 Assess situation and provide necessary emergency care
 Call 911
 Coordinate with SOC
23
Emergency Care and First Aid
Approaching an Unconscious Person
To find out if a victim is unconscious, ask the
victim if he or she is OK. If you know the person, use his or
her name. Speak loudly. If the victim does not respond to
you, assume he or she is unconscious.
Emergency Action
 Call 911 immediately
 If certified in CPR, give appropriate care
Airway Difficulties
The following are two of many airway difficulties one might
encounter.
Asthma: A condition that narrows the air passages and
makes breathing difficult. It may be triggered by an allergic
reaction to pollen, food, medications, bites or stings, or by
physical or emotional stress. A typical signal of asthma is
wheezing when the person breathes out. A person’s chest
may look larger than normal because air becomes trapped in
the lungs. Normally, asthma is controlled with medication.
Medications open the airway and make breathing easier.
Choking: A conscious person who is choking has the airway
blocked by food or an object. The airway may be partially or
completely blocked. If the choking person is coughing
forcefully, let them try to cough up the object.
24
Signs and Symptoms
 Coughing
 Wheezing or high pitched sound with breathing
 Unable to get a breath in
 Bluish skin/lips
 Hands at throat to signify choking
 Chest pain, hands and feet tingling
Emergency Action
 Call 911
 If certified in CPR, give appropriate care
 If victim is a know asthmatic, use asthma medications
prescribed to the athlete
Cardiac (Heart) Difficulties
The major sign of a cardiac emergency is pain in the chest
that does not go away. The pain can be anything from
discomfort to an unbearable crushing sensation in the chest.
Pain may spread from the chest to the left shoulder, jaw, or
back. It is usually not relieved by changing position, or
taking medication. Any chest pain that is severe, lasts longer
than 10 minutes, or persists even during rest requires medical care
at once.
Signs and Symptoms
 Pressure, squeezing, tightness, aching, or heaviness in the chest
 Difficulty breathing
 Pale or bluish skin color
 Becoming confused, faint, drowsy, or unconscious
Emergency Action
 Call 911
 If you are certified in CPR, give appropriate care until EMS arrives
25
Circulatory/Bleeding Difficulties
External Bleeding
Signs and Symptoms
 Heavy, steady, or spurting blood
Emergency Action
 Call 911
 If you are certified in first aid, give appropriate care until EMS arrives
 Light bleeding
 If you are certified in first aid, give appropriate care
 Please refer athlete to staff athletic trainer and/or physician
Internal Bleeding
Signs and Symptoms
 Tender, swollen, bruised, or hard areas of the body such as the stomach
 Rapid, weak pulse
 Cool or moist skin
 Pale or bluish skin
 Vomiting or coughing up blood
 Excessive thirst
 Becoming confused, faint, drowsy, or unconscious
Emergency Action
 Call 911
 Position the athlete comfortably
 If you are trained in CPR and first aid, give appropriate care
26
Shock
Shock occurs when there is a diminished amount of blood
available to the circulatory system due to dilated blood
vessels and disruption of osmotic fluid balance. Shock is a
possibility in any injury, but specifically with severe
bleeding, fractures, and internal injuries and allergic
reactions.
Signs and Symptoms
 Symptoms may come rapidly or have delayed onset
 Pale, cool, moist skin
 Eyes – staring, not engaging, dilated
 Rapid breathing rate – shallow breaths
 Rapid pulse – decreased blood pressure
 Progressive restlessness or irritability – altered
consciousness
 Difficulty breathing due to swollen airway
Emergency Action
 Call 911
 If you are certified in First Aid, give appropriate care
 If shock is the result of a known allergic reaction, assist in administering
the appropriate prescription medication
Traumatic Neurological Problems
Possible Signs and Symptoms
 Dizziness
 Numbness
 Absence of sensation and movement in the extremities
 Altered level of consciousness
 Localized neck pain
 Unwilling to move because of neck pain
 Altered vital signs
 Extreme headache
27
Emergency Action
 Call 911
 If certified in First Aid or CPR, give appropriate care
Heat Illness
Heat Cramps
Signs and Symptoms
 Muscle spasm – usually in legs or abdomen
Emergency Action
 Move athlete to a cool place to rest
 Give cool water to drink
 Lightly stretch the muscle – gentle massage is OK
 NO salt tablets or salt water
Heat Exhaustion
Signs and Symptoms
 Skin – cool, moist, pale, or flushed
 Headache
 Nausea
 Dizziness
 Weakness
 Exhaustion
Emergency Action
 Get the athlete out of the heat
 Loosen tight clothing
 Remove perspiration soaked clothing
 Apply cool, wet cloths to the skin
 Fan the athlete
 If conscious, give cool water to drink (4 oz/15 min)
 Ice packs on wrists, ankles, groins, and armpits
 Call 911 if athlete refuses water, vomits, or starts to lose consciousness
 If certified in CPR, give appropriate care
28
Heat Stroke
Signs and Symptoms
 Skin – red, hot, dry
 Changes in consciousness
 Rapid, weak pulse
 Rapid, shallow breathing
Emergency Action
 Call 911
 Treat according to principles above for heat exhaustion
 If certified in CPR, give appropriate care
Cold Illness
Frostbite
Signs and Symptoms
 Lack of feeling in affected area
 Skin appears waxy
 Area cold to the touch
 Area may be discolored (flushed, white, yellow, or blue)
Emergency Action
 Handle the affected area gently
 Never rub the affected area
 Warm area gently by soaking in water less than 105°F
 Keep the frostbitten area in water until skin becomes red and feels warm
 Loosely bandage the area with a dry, sterile dressing
 Seek medical attention by a physician as soon as possible
Hypothermia
Signs and Symptoms
 Shivering
 Numbness
 Glassy stare
 Change in personality
 Slow, irregular pulse
 Loss of consciousness
29
Emergency Action
 Call 911
 If certified in CPR, give appropriate care
 If able, take patient to a warm place
 Remove wet clothes
 Warm with blankets and dry clothes
 Warm liquid to drink
 Do not warm body/area too quickly
 Hot water bottles/zip lock bags (wrapped in towels) in armpits and neck
Sudden Injury or Illness
If you are certified in First Aid/CPR, give
appropriate care then notify staff athletic trainer for all situations. If the patient:
 Has an obvious visible deformity, encourage them to stay calm. Call 911.
If certified in First Aid, give appropriate care
 Vomiting – Place them on their side
 Fainting – Position him or her on their back and elevate the legs 8-10
inches, if you do not suspect a head or back injury
 Has a seizure – Do not hold or restrain the person or place anything
between the patient’s teeth. Remove any nearby objects that might
cause injury. Cushion the patient’s head using folded clothing or a
small pillow
 Known diabetic in a diabetic emergency – give the patient some form of
sugar. If patient is unconscious, call 911. If certified in CPR, give
appropriate care.
30
Know Who to Call
Athletic Training Facilities
McClain
262-3630
Field House
263-6748
Goodman Diamond
265-0698
Kohl Center
265-4285
Nicholas Pavilion
257-5916
Natatorium Pool
263-2461
SERF
262-8245
Coliseum
263-4350
LaBahn
265-6772
Other Facilities
Nielsen Tennis Center
262-0410
Porter Boathouse
890-0359
Natatorium
262-3742
SERF
262-4757
Shell
263-6566
McClimon Track
262-3256
31
Licensed Staff Athletic Trainers
Name
Cell Phone
Stefanie Arndt
608-443-8989
Tricia DeSouza
608-219-8134
Kyle Gibson
608-301-7672
Chuck Hart
608-225-6829
Dennis Helwig
608-576-9550
Andy Hrodey
608-225-6824
Gary Johnson
608-225-0302
Michael Moll
608-225-6825
Brian Lund
608-345-3272
Ashley Parr
608-225-1653
Michita (Mich) Toda
608-225-6826
Enrique (Henry) Perez-Guerra
608-225-6823
Ashley Pyne
608-514-5222
Jen Sanfilippo
608-219-2550
Kristy Walker
608-225-6820
Graduate Assistant/Intern Athletic Trainers
Nora Gilman
608-224-9007
Abby Johnson
608-224-9949
Alyson Kelsey
608-260-5536
Tony Pennuto
608-224-9620
32
Sport Coverage
Sport
Athletic
Trainer(s)
Physician(PCP/
Ortho)
Event Manager
Basketball (M)
Perez-Guerra
Bernhardt/Dunn
Jones
Basketball (W)
Arndt
Carr/Scerpella
Pietrowiak
Crew (M)
DeSouza/A.
Johnson
Carr/Orwin/
M. Wilson
Burgess
Crew (W)
DeSouza/A.
Johnson
Bernhardt/Orwin/
M. Wilson
Burgess
Cross Country
(M&W)
Hart/Kelsey
Bernhardt/Orwin
Pietrowiak
Football
Moll/Lund/
Gibson
J. Wilson/Baer/M.
Wilson/J. Johnson
Nelson/Burgess/
Jones
Golf (M & W)
Sanfilippo
Landry/Orwin/
M. Wilson
Nelson/Pietrowiak
Ice Hockey (M)
Hrodey
Landry/Orwin
Bee
Ice Hockey (W)
Helwig
Brooks/Orwin
Burgess
Soccer (M)
Toda/Pennuto
Brooks/Dunn
Burgess
Soccer (W)
Toda
Carr/Dunn
Pietrowiak
Softball
Parr
Landry/Scerpella
Bee
Spirit Squads
Arndt/Hrodey
Landry/Baer/M.
Wilson
Swim/Dive
(M&W)
PerezGuerra/Gilman
Landry/Orwin
Burgess/Pietrowiak
Tennis (M&W)
Parr/Post
Carr/Orwin/
Spellman
Bee
Track (M & W)
Hart/Kelsey/Wa
lker
Bernhardt/Orwin
Pietrowiak
Volleyball
Walker
Bernhardt/Orwin
Bee
Wrestling
G. Johnson
J. Wilson/M.
Wilson/Baer
Burgess
33
Acknowledgements
The following text books and administrative plan have
played a very important role in developing this manual:
1. Community First Aid and Safety; American Red Cross
2. Modern Principles of Athletic Training; Daniel D. Arnheim
3. Sports Medicine Quick Reference Manual for Athletic Trainers; David J.
Burnett
4. Camp Randall Emergency Plan
34
Appendix 2
Appendix 3
Appendix 4
Football practice guidelines
Year-Round Football Practice Contact Guidelines
Purpose:
The Safety in College Football Summit (see appendix) resulted in inter-association consensus
guidelines for three paramount safety issues in collegiate athletics:
1. Independent medical care in the collegiate setting;
2. Concussion diagnosis and management; and
3. Football practice contact.
This document addresses year-round football practice contact.
Background:
Enhancing a culture of safety in collegiate sport is foundational. Football is an aggressive,
rugged, contact sport,1 yet the rules clearly state that there is no place for maneuvers deliberately
designed to inflict injury on another player.1 Historically, rules changes and behavior
modification have reduced catastrophic injury and death. Enforcement of these rules is critical
for improving player safety.2 Despite sound data on reducing catastrophic football injuries, there
are limited data that provide a strong foothold for decreasing injury risk by reducing contact in
football practice.3-8 Regardless of such scientific shortcomings, there is a growing consensus
that we must analyze existing data in a consensus-based manner to develop guidelines that
promote safety. “Safe” football means “good” football.
NCAA regulations currently do not address inseason, full-contact practices. The Ivy League and
Pac-12 Conference have limited inseason, full-contact practices to two per week and have
established policies for full-contact practices in spring and preseason practices through their
Football Practice Standards and Football Practice Policy, respectively. Neither address full-pad
practice that does not involve live contact practice, as defined below. Both conferences cite
safety concerns as the primary rationale for reducing full-contact practices; neither conference
has published or announced data analysis based on their new policies. In keeping with the intent
of both conferences and other football organizations, the rationale for defining and reducing live
contact practice is to improve safety, including possibly decreasing student-athlete exposure for
concussion and sub-concussive impacts. Reduced frequency of live contact practice may also
allow even more time for teaching of proper tackling technique.
The biomechanical threshold (acceleration/deceleration/rotation) at which sport-related
concussion occurs is unknown. Likewise, there are no conclusive data for understanding the
short- or long-term clinical impact of sub-concussive impacts. However, there are emerging data
that football players are more frequently diagnosed with sport-related concussion on days with
increased frequency and higher magnitude of head impact (greater than 100g linear
acceleration).9-11
Traditionally, the literature addressing differing levels of contact in football practice correlated
with the protective equipment (uniform) worn. This means that full-pad practice correlated with
full-contact and both half-pad (shell) and helmet-only practice correlated with less contact.
However, coaches, administrators and athletics health care providers who helped to shape these
guidelines have noted that contact during football practice is not determined primarily by the
uniform, but rather by whether the intent of practice is centered on live contact versus teaching
and conditioning. There are limited data that address this issue, and such data do not
differentiate whether the intent of the practice is live tackling or teaching/conditioning. Within
these limitations, non-published data from a single institution reveal the following:10





The total number of non-concussive head impacts sustained in helmets-only and full-pad
practices is higher than those sustained in games/scrimmages.
Mild- and moderate-intensity head impacts occur at an essentially equal rate during fullpad and half-pad practices when the intent of practice is not noted.
Severe-intensity head impacts are much more likely to occur during a game, followed by
full-pad practices and half-pad practices.
There is a 14-fold increase in concussive impacts in full-pad practices when compared to
half-pad or helmets-only practices.
Offensive linemen and defensive linemen experience more head impacts during both fullpad and half-pad practices relative to all other positions.
The guidelines below are based on: expert consensus from the two day summit referenced above;
comments and recommendations from a broad constituency of the organizations listed; and
internal NCAA staff members. Importantly, the emphasis is on limiting contact, regardless of
whether the student-athlete is in full-pad, half-pad, or is participating in a helmet-only practice.
Equally importantly, the principles of sound and safe conditioning are an essential aspect of all
practice and competition exposures.
These guidelines must be differentiated from legislation. For each section below that addresses a
particular part of the football calendar, any legislation for that calendar period is referenced. As
these guidelines are based on consensus and limited science, they are best viewed as a “living,
breathing” document that will be updated, as we have with other health and safety guidelines,
based on emerging science or sound observations that result from application of these
guidelines. The intent is to reduce injury risk, but we must also be attentive to unintended
consequences of shifting a practice paradigm based on consensus. For example, football
preseason must prepare the student-athlete for the rigors of an aggressive, contact, rugged sport.
Without adequate preparation, which includes live tackling, the student-athlete could be at risk of
unforeseen injury during the inseason because of inadequate preparation. We plan to reanalyze
these football practice contact guidelines at least annually. Additionally, we recognize that
NCAA input for these guidelines came primarily from Division I Football Bowl Subdivision
schools. Although we believe the guidelines can also be utilized for football programs in all
NCAA divisions, we will be more inclusive in the development of future football contact
practice guidelines.
Definitions:
Live contact practice: Any practice that involves live tackling to the ground and/or full-speed
blocking. Live contact practice may occur in full-pad or half-pad (also known as “shell,” in
which the player wears shoulder pads and shorts, with or without thigh pads). Live contact does
not include: (1) “thud” sessions, or (2) drills that involve “wrapping up;” in these scenarios
players are not taken to the ground and contact is not aggressive in nature. Live contact practices
are to be conducted in a manner consistent with existing rules that prohibit targeting to the head
or neck area with the helmet, forearm, elbow, or shoulder, or the initiation of contact with the
helmet.
Full-pad practice: Full-pad practice may or may not involve live contact. Full-pad practices
that do not involve live contact are intended to provide preparation for a game that is played in a
full uniform, with an emphasis on technique and conditioning versus impact.
Legislation versus guidelines:
There exists relevant NCAA legislation for the following:
1. Preseason practice
a. DI FBS/FCS – NCAA Bylaws 17.9.2.3 and 17.9.2.4
b. DII – NCAA Bylaws 17.9.2.2 and 17.9.2.3
c. DIII – NCAA Bylaws 17.9.2.2 and 17.9.2.3
2. In-season practice: No current NCAA legislation addresses contact during inseason
practices.
3. Postseason practice: No current NCAA legislation addresses contact during postseason
practices.
4. Bowl practice: No current NCAA legislation addresses contact during bowl practice.
5. Spring practice:
a.
DI FBS/FCS – NCAA Bylaw 17.9.6.4
b.
DII – NCAA Bylaw 17.9.8
c.
DIII – NCAA Bylaw 17.9.6 – not referenced to as spring practice, but allows five
(5)
week period outside playing season.
The guidelines that follow do not represent legislation or rules. As noted in the appendix, the
intent of providing consensus guidelines in year one of the inaugural Safety in College Football
Summit is to provide consensus-based guidance that will be evaluated “real-time” as a “living
and breathing” document that will become solidified over time through evidence-based
observations and experience.
Preseason practice guidelines:
For days in which institutions schedule a two-a-day practice, live contact practices are only
allowed in one practice. A maximum four (4) live contact practices may occur in a given week,
and a maximum of 12 total may occur in preseason. Only three practices (scrimmages) would
allow for live contact in greater than 50 percent of the practice schedule.
Inseason practice guidelines:
Inseason is defined as the period between six (6) days prior to the first regular-season game and
the final regular-season game or conference championship game (for participating institutions).
There may be no more than two (2) live contact practices per week.
Postseason guidelines: (FCS/DII/DIII)
There may be no more than two (2) live contact practices per week.
Bowl practice guidelines: (FBS)
There may be no more than two (2) live contact practices per week.
Spring practice guidelines:
Of the 15 allowable sessions that may occur during the spring practice season, eight (8) practices
may involve live contact; three (3) of these live contact practices may include greater than 50
percent live contact (scrimmages). Live contact practices are limited to two (2) in a given week
and may not occur on consecutive days.
References:
1. NCAA Football: 2013 and 2014 Rules and Interpretations.
2. Cantu RC, Mueller FO. Brain injury-related fatalities in American football, 19451999. Neurosurgery 2003; 52:846-852.
3. McAllister TW et al. Effect of head impacts on diffusivity measures in a cohort of
collegiate contact sport athletes. Neurology 2014; 82:1-7.
4. Bailes JE et al. Role of subconcussion in repetitive mild traumatic brain injury. J
Neurosurg 2013: 1-11.
5. McAllister TW et al. Cognitive effects of one season of head impacts in a cohort of
collegiate contact sport athletes. Neurology 2012; 78:1777-1784.
6. Beckwith JG et al. Head impact exposure sustained by football players on days of
diagnosed concussion. Med Sci Sports Exerc 2013; 45:737-746.
7. Talavage TM et al. Functionally-detected cognitive impairment in high school
football players without clinically-diagnosed concussion. J Neurotrauma 2014;
31:327-338
8. Miller JR et al. Comparison of preseason, midseason, and postseason
neurocognitive scores in uninjured collegiate football players. Am J Sports Med
2007; 35:1284-1288.
9. Mihalik JP, Bell DR, Marshall SW, Guskiewicz KM. Measurement of head impacts
in collegiate football players: an investigation of positional and event-type
differences. Neurosurgery 2007; 61:1229-1235.
10. Trulock S, Oliaro S. Practice contact. Safety in College Football Summit. Presented
January 22, 2014, Atlanta, GA.
11. Crison JJ et al. Frequency and location of head impact exposures in individual
collegiate football players. J Athl Train 2010; 45:549-559.
*This Inter-Association Consensus: Year-Round Football Practice Contact Guidelines, has
been endorsed by:















American Academy of Neurology
American College of Sports Medicine
American Association of Neurological Surgeons
American Football Coaches Association
American Medical Society for Sports Medicine
American Orthopaedic Society for Sports Medicine
American Osteopathic Academy for Sports Medicine
College Athletic Trainers’ Society
Congress of Neurological Surgeons
Football Championship Subdivision Executive Committee
National Association of Collegiate Directors of Athletics
National Athletic Trainers’ Association
National Football Foundation
NCAA Concussion Task Force
Sports Neuropsychological Society
Appendix 5
Independent medical care guidelines
Independent Medical Care for College Student-Athletes Guidelines
Purpose:
The Safety in College Football Summit (see appendix) resulted in inter-association consensus
guidelines for three paramount safety issues in collegiate athletics:
1. Independent medical care in the collegiate setting;
2. Concussion diagnosis and management; and
3. Football practice contact.
This document addresses independent medical care for college student-athletes in all sports.
Background:
Diagnosis, management, and return to play determinations for the college student-athlete are the
responsibility of the institution’s athletic trainer (working under the supervision of a physician)
and the team physician. Even though some have cited a potential tension between health and
safety in athletics,1,2 collegiate athletics endeavor to conduct programs in a manner designed to
address the physical well-being of college student-athletes (i.e., to balance health and
performance).3,4 In the interest of the health and welfare of collegiate student-athletes, a studentathlete’s health care providers must have clear authority for student-athlete care. The
foundational approach for independent medical care is to assume an “athlete-centered care”
approach, which is similar to the more general “patient-centered care,” which refers to the
delivery of health care services that are focused only on the individual patient’s needs and
concerns.5 The following 10 guiding principles, listed in the Inter-Association Consensus
Statement on Best Practices for Sports Medicine Management for Secondary Schools and
Colleges,5 are paraphrased below to provide an example of policies that can be adopted that help
to assure independent, objective medical care for college student-athletes:
1. The physical and psychosocial welfare of the individual student-athlete should always be
the highest priority of the athletic trainer and the team physician.
2. Any program that delivers athletic training services to student-athletes should always
have a designated medical director.
3. Sports medicine physicians and athletic trainers should always practice in a manner that
integrates the best current research evidence within the preferences and values of each
student-athlete.
4. The clinical responsibilities of an athletic trainer should always be performed in a manner
that is consistent with the written or verbal instructions of a physician or standing orders
and clinical management protocols that have been approved by a program’s designated
medical director.
5. Decisions that affect the current or future health status of a student-athlete who has an
injury or illness should only be made by a properly credentialed health professional (e.g.,
a physician or an athletic trainer who has a physician’s authorization to make the
decision).
6. In every case that a physician has granted an athletic trainer the discretion to make
decisions relating to an individual student-athlete’s injury management or sports
participation status, all aspects of the care process and changes in the student-athlete’s
disposition should be thoroughly documented.
7. Coaches must not be allowed to impose demands that are inconsistent with guidelines
and recommendations established by sports medicine and athletic training professional
organizations.
8. An athletic trainer’s role delineation and employment status should be determined
through a formal administrative role for a physician who provides medical direction.
9. An athletic trainer’s professional qualifications and performance evaluations must not be
primarily judged by administrative personnel who lack health care expertise, particularly
in the context of hiring, promotion, and termination decisions.
10. Member institutions should adopt an administrative structure for delivery of integrated
sports medicine and athletic training services to minimize the potential for any conflicts
of interest that could adversely affect the health and well-being of student-athletes.
Team physician authority becomes the linchpin for independent medical care of student-athletes.
Six preeminent sports physicians associations agree with respect to “… athletic trainers and other
members of the athletic care network report to the team physician on medical issues.”6
Consensus aside, a medical-legal authority is a matter of law in 48 states that require athletic
trainers to report to a physician in their medical practice. The NCAA Sports Medicine
Handbook’s Guideline 1B opens with a charge to athletics and institutional leadership to “create
an administrative system where athletics health care professionals – team physicians and athletic
trainers – are able to make medical decisions with only the best interests of student-athletes at the
forefront.”7 Multiple models exist for collegiate sports medicine. Athletic health care
professionals commonly work for the athletics department, student health services, private
medical practice, or a combination thereof. Irrespective of model, the answer for the college
student-athlete is established independence for appointed athletics health care providers.8
Guidelines:
Institutional medical line of authority should be established independently of a coach, and in the
sole interest of student-athlete health and welfare. Medical line of authority should be transparent
and evident in athletics departments, and organizational structure should establish collaborative
interactions with the medical director and primary athletics health care providers (defined as all
institutional team physicians and athletic trainers) so that the safety, excellence and wellness of
student-athletes are evident in all aspects of athletics and are student-athlete centered.
Institutions should, at a minimum, designate a licensed physician (M.D. or D.O.) to serve as
medical director, and that medical director should oversee the medical tasks of all primary
athletics health care providers. Institutions should consider a board certified physician, if
available. The medical director may also serve as team physician. All athletic trainers should be
directed and supervised for medical tasks by a team physician and/or the medical director. The
medical director and primary athletics health care providers should be empowered with
unchallengeable autonomous authority to determine medical management and return-to-play
decisions of student-athletes.
References:
1. Matheson GO. Maintaining professionalism in the athletic environment. Phys
Sportsmed. 2001 Feb;29(2)
2. Wolverton B. (2013, September 2) Coach makes the call. The Chronicle of Higher
Education. [Available online] http://chronicle.com/article/Trainers-Butt-HeadsWith/141333/
3. NCAA Bylaw 3.2.4.17 (Div. I and Div. II; 3.2.4.16 (Div. III).
4. National Collegiate Athletic Association. (2013). 2013-14 NCAA Division I Manual.
Indianapolis, IN: NCAA.
5. Courson R et al. Inter-association consensus statement on best practices for sports
medicine management for secondary schools and colleges. J Athletic Training 2014;
49:128-137.
6. Herring SA, Kibler WB, Putukian M. Team Physician Consensus Statement: 2013
update. Med Sci Sports Exerc. 2013 Aug;45(8):1618-22.
7. National Collegiate Athletic Association. (2013). 2013-14 NCAA Sports Medicine
Handbook. Indianapolis, IN: NCAA.
8. Delany J, Goodson P, Makeoff R, Perko A, Rawlings H [Chair]. Rawlings panel on
intercollegiate athletics at the University of North Carolina at Chapel Hill. Aug 29 ‘13.
[Available online] http://rawlingspanel.web.unc.edu/files/2013/09/RawlingsPanel_Intercollegiate-Athletics-at-UNC-Chapel-Hill.pdf
*This Consensus Best Practice, Independent Medical Care for College Student-Athletes,
has been endorsed by:
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American Academy of Neurology
American College of Sports Medicine
American Association of Neurological Surgeons
American Medical Society for Sports Medicine
American Orthopaedic Society for Sports Medicine
American Osteopathic Academy for Sports Medicine
College Athletic Trainers’ Society
Congress of Neurological Surgeons
National Athletic Trainers’ Association
NCAA Concussion Task Force
Sports Neuropsychological Society