Sports Medicine Handbook - NCAA

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References 1. AIDS education on the college campus: A theme issue. Journal of American College Health 40(2):51-100, 1991. 2. American Academy of Pediatrics: Human immunodeficiency virus (AIDS virus) in the athletic setting. Pediatrics 88(3):640-641, 1991. 3. Calabrese L, et al.: HIV infections: exer cise and athletes. Sports Medicine 15(1):1-7, 1993. 4. Canadian Academy of Sports Medicine position statement: HIV as it re lates to sport. Clinical Journal of Sports Medicine 3:63-68, 1993. 5. Fitzgibbon J, et al.: Transmissions from one child to another of human immunodeficiency virus type I with azidovudine-resistance mutation. New England Journal of Medicine 329 (25):1835-1841, 1993. 6. HIV transmission between two adolescent brothers with hemophilia. Morbidity and Mortality Weekly Re port 42(49):948-951, 1993. 7. Kashiwagi S, et al.: Outbreak of hepa titis B in members of a high-school sumo wrestling club. Journal of American Medical Association 248 (2):213-214, 1982. 8. Klein RS, Freidland GH: Trans mission of human immunodeficiency virus type 1 (HIV-1) by exposure to blood: defining the risk. Annals of Internal Medicine 113(10):729-730, 1990. 9. Public health services guidelines for counseling and antibody testing to prevent HIV infection and AIDS. Morbidity and Mortality Weekly Re port 36(31):509-515, 1987. 10. Recommendations for prevention of HIV transmission in health care settings. Morbidity and Mortality Weekly Report 36(25):3S-18S, 1987. Blood-Borne Pathogens and Intercollegiate Athletics 11. United States Olympic Committee Sports Medicine and Science Com mittee: Transmission of infectious agents during athletic competition, 1991. (1750 East Boulder Street, Colorado Springs, CO 80909) 12. Update: Universal precautions for prevention of transmission by human immunodeficiency virus, hepatitis B virus, and other blood borne patho gens in health care settings. Morbidity and Mortality Weekly Report 37:377-388, 1988. 13. When sports and HIV share the bill, smart money goes on common sense. Journal of American Medical Association 267(10):1311-1314, 1992. 14. World Health Organization consensus statement: Consultation on AIDS and sports. Journal of American Medical Association 267(10):1312, 1992. 15. Human immunodeficiency virus (HIV) and other blood-borne patho gens in sports. Joint position statement by the American Medical Society for Sports Medicine (AMSSM) and the American Academy of Sports Medicine (AASM). The American Journal of Sports Medicine 23(4):510-514, 1995. 16. Most E, et al.: Transmissions of blood-borne pathogens during sport: risk and prevention. Annals of Internal Medicine 122(4):283-285, 1995. 17. Brown LS, et al.: Bleeding injuries in professional football: estimating the risk for HIV transmission. Annals of Internal Medicine 122(4):271-274, 1995. 18. Arnold BL: A review of selected blood-borne pathogen statements and federal regulations. Journal of Athletic Training 30(2):171-176, 1995. 19. Montalov v. Radcliffe, 167 F. 3d 873 (4th Cir. 1999), cert. denied, 120 S Ct. 48 1999. 73
74 The use of local injectable anesthetics to treat sports-related in juries in college athletics is primarily left to the discretion of the physician treating the individual, since there is little scientific research on the subject. This guideline provides basic recommendations for the use of these substances, which commonly include lidocaine (Xylocaine), one or two percent; bupivacaine (Marcaine), 0.25 to 0.50 percent; and mepivacaine (Carbocaine), three percent. The following recommendations do not include the use of corticosteroids. It is recommended that: 1. These agents should be administered only by a qualified clinician who is licensed to perform this procedure and who is familiar with these agents’ actions, reactions, interactions and complications. The treating clinician should be well aware of the quantity of these agents that can be safely injected. 2. These agents should only be administered in facilities equipped to handle any allergic reaction, including a cardiopulmonary emergency, which may follow their use. GUIDELINE 2m The Use of Local Anesthetics in College Athletics June 1992 • Revised June 2004 3. These agents should only be administered when medically justified, when the risk of administration is fully explained to the patient, when the use is not harmful to continued athletics activity and when there is no enhancement of a risk of injury. The following procedures are not recommended: 1. The use of local anesthetic injections if they jeopardize the ability of the student-athlete to protect himself or herself from injury. 2. The administration of these drugs by anyone other than a qualified clinician licensed to perform this procedure. 3. The use of these drugs in combination with epinephrine or other vasoconstrictor agents in fingers, toes, earlobes and other areas where a decrease in circulation, even if only temporary, could result in significant harm.
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2011-12 NCAA® Sports Medicine Hand
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2 PREFACE The health and safety pri
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4 FOREWORD Shared Responsibility fo
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6 Sports Medicine Administration Oc
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8 Medical Evaluations, Immunization
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10 Medical Evaluations, Immunizatio
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12 Emergency Care and Coverage Guid
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14 Lightning Safety Dangerous Locat
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16 Catastrophic Incident in Athleti
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18 Dispensing Prescription Medicati
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20 Nontherapeutic Drugs July 1981
Page 23 and 24: 22 NCAA Alcohol, Tobacco and Other
Page 25 and 26: 24 Preseason Preparation directly d
Page 27 and 28: 26 Preseason Preparation NCAA Footb
Page 29 and 30: 28 Medical Disqualification of the
Page 31 and 32: 30 Cold Stress and Cold Exposure to
Page 33 and 34: 32 Cold Stress and Cold Exposure Re
Page 35 and 36: 34 Prevention of Heat Illness The A
Page 37 and 38: 36 Prevention of Heat Illness Refer
Page 39 and 40: 38 Assessment of Body Composition J
Page 41 and 42: 40 Assessment of Body Composition i
Page 43 and 44: 42 Assessment of Body Composition p
Page 45 and 46: 44 Nutrition and Athletic Performan
Page 47 and 48: 46 Nutrition and Athletic Performan
Page 49 and 50: 48 Dietary Supplements or muscle ma
Page 51 and 52: 50 “Burners” (Brachial Plexus I
Page 53 and 54: 52 “Burners” (Brachial Plexus I
Page 55 and 56: 54 Concussion or Mild Traumatic Bra
Page 61 and 62: 60 Skin Infections in Athletics In
Page 63 and 64: 62 Skin Infections in Athletics Ski
Page 65 and 66: 64 Skin Infections in Athletics Ref
Page 67 and 68: 66 Menstrual-Cycle Dysfunction Janu
Page 69 and 70: 68 Blood-Borne Pathogens and Interc
Page 71 and 72: 70 Blood-Borne Pathogens and Interc
Page 73: 72 Blood-Borne Pathogens and Interc
Page 77 and 78: 76 The Use of Injectable Corticoste
Page 79 and 80: 78 Depression: Intervention for Int
Page 81 and 82: 80 Depression: Intervention for Int
Page 83 and 84: 82 Participation by the Student-Ath
Page 85 and 86: 84 Pregnancy in the Student-Athlete
Page 87 and 88: 86 The Student-Athlete with Sickle
Page 89 and 90: 88 should provide an environment in
Page 91 and 92: 90 Protective Equipment June 1983
Page 93 and 94: 92 Protective Equipment Sport 5. Fo
Page 95 and 96: 94 Protective Equipment Mandatory P
Page 97 and 98: 96 Eye Safety in Sports January 197
Page 99 and 100: 98 Mouthguards January 1986 • Rev
Page 101 and 102: 100 Head and neck injuries causing
Page 103 and 104: 102 Guidelines for Helmet Fitting a
Page 105 and 106: 104 Use of Trampoline and Minitramp
Page 108 and 109: Appendixes Also found on the NCAA w
Page 110 and 111: NCAA Legislation Involving Health a
Page 112 and 113: Tobacco Use Medical Expenses Medica
Page 114 and 115: Student-Athlete Welfare and Safety
Page 116 and 117: NCAA Injury Surveillance Program Su
Page 118 and 119: Figure 1 Competition and Practice I
Page 120 and 121: Acknowledgements John R. Adams West
Page 122: The NCAA salutes the more than 400,
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Sports Medicine Handbook - NCAA

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