Sports Medicine Handbook - NCAA

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Availability and accessibility to medical resources should be based on established medical criteria (e.g., injury rates, rehabilitation) rather than the sport itself. Member institutions should not place their sports medicine staffs in compromising situations by having them provide inequitable treatment in violation of their medical codes of ethics. Institutions should be encouraged to incorporate questions regarding adequacy of medical care, with special emphasis on equitable treatment, in exit interviews with student-athletes. 8. Equipment. Purchasers of equipment should be aware of and use safety standards. In addition, attention should be directed to maintaining proper repair and fitting of equipment at all times in all sports. Student-athletes should: a. Be informed what equipment is mandatory and what constitutes illegal equipment; b. Be provided the mandated equipment; c. Be instructed to wear and how to wear mandatory equipment during participation; and d. Be instructed to notify the coaching staff when equipment becomes unsafe or illegal. 9. Facilities. The adequacy and conditions of the facilities used for particular intercollegiate athletics events should not be overlooked, and periodic examination of the facilities should be conducted. Inspection of the facilities should include not only the competitive area, but also warm-up and adjacent areas. 10. Blood-Borne Pathogens. In 1992, the Occupational Safety and Health Administration (OSHA) developed a standard directed to minimizing or eliminating occupational exposure to bloodborne pathogens. Each member institution should determine the applicability of the OSHA standard to its personnel and facilities. 11. Emergency Care. See Guideline 1c. 12. Concussion Management Plan. NCAA member institutions must have a concussion management plan for their studentathletes on file with specific components as described in Bylaw 3.2.4.16 (see Guideline 2i). 13. Drug Testing. NCAA member institutions are responsible for ensuring compliance with NCAA drug testing program requirements (see NCAA Drug Testing Program book and Appendix A). 14. Legislation. NCAA member institutions are responsible for ensuring compliance with the NCAA bylaws relevant to health and safety as outlined in the division manuals (see Appendix B for a quick reference guide). Sports Medicine Administration 7
8 Medical Evaluations, Immunizations and Records July 1977 • Revised June 2011 Preparticipation medical evaluation. A preparticipation medical evaluation should be required upon a student-athlete’s entrance into the institution’s intercollegiate athletics program (see NCAA Bylaw 17.1.5). Division I requires student-athletes new to their campus to complete a sickle cell solubility test, show results of a prior test, or sign a written release declining the test. This initial evaluation should in clude a comprehensive health his tory, immunization history as de fined by current Centers for Di sease Control and Prevention (CDC) guidelines and a relevant physical exam, with strong emphasis on the cardiovascular, neurologic and musculoskeletal evaluation. After the initial medical evaluation, an updated his tory should be performed an nually. Further prepar ticipation physical examinations are not believed to be necessary unless warranted by the updated history or the student-athlete’s medical condition. Cardiac. Sudden cardiac death (SCD) is the leading medical cause of death in NCAA athletes and represents 75 percent of all sudden death cases that occur during training, exercise or competition. GUIDELINE 1b In a five-year review of sudden deaths involving NCAA studentathletes, the incidence of SCD was approximately one in every 40,000 student-athletes per year. The American Heart Association has modified its 1996 recommendation for a cardiovascular screening every two years for collegiate athletes. 2 The revision 3 recommends cardiovascular screening as a part of the physical exam required upon a student-athlete’s entrance into the intercollegiate athletics program. In subsequent years, an interim history and blood pressure measurement should be made. Important changes in medical status or abnormalities may require more formal cardiovascular evaluation. Medical records. Student-athletes have a responsibility to truthfully and fully disclose their medical history and to report any changes in their health to the team’s healthcare provider. Medi cal records should be maintained during the student-athlete’s collegiate career and should include: 1. A record of injuries, illnesses, new medications or allergies, pregnancies and operations, wheth er sustained during the com petitive season or the off-season; 2. Referrals for and feedback from consultation, treatment or rehabilitation; 3. Subsequent care and clearances; 4. A comprehensive entry-year health-status questionnaire and an updated health-status questionnaire each year thereafter. Components of the questionnaire should consider recommendations from the American Heart Association (see reference Nos. 2 and 3) and the 4th Edition Preparticipation Physical Evaluation (see reference No. 5). 5. Immunizations. It is recommended that student-athletes be immunized for the following: a. Measles, mumps, rubella (MMR); b. Hepatitis B; c. Diptheria, tetanus (and boosters when appropriate); and d. Meningitis. 6. Written permission, signed annually by the student-athlete, which authorizes the release of medical information to others. Such permission should specify all
Page 1 and 2: 2011-12 NCAA® Sports Medicine Hand
Page 3 and 4: 2 PREFACE The health and safety pri
Page 5 and 6: 4 FOREWORD Shared Responsibility fo
Page 7: 6 Sports Medicine Administration Oc
Page 11 and 12: 10 Medical Evaluations, Immunizatio
Page 13 and 14: 12 Emergency Care and Coverage Guid
Page 15 and 16: 14 Lightning Safety Dangerous Locat
Page 17 and 18: 16 Catastrophic Incident in Athleti
Page 19 and 20: 18 Dispensing Prescription Medicati
Page 21 and 22: 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 57 and 58: 56 Concussion or Mild Traumatic Bra
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58 Concussion or Mild Traumatic Bra
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60 Skin Infections in Athletics In
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62 Skin Infections in Athletics Ski
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64 Skin Infections in Athletics Ref
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66 Menstrual-Cycle Dysfunction Janu
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68 Blood-Borne Pathogens and Interc
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74 The use of local injectable anes
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76 The Use of Injectable Corticoste
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78 Depression: Intervention for Int
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80 Depression: Intervention for Int
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82 Participation by the Student-Ath
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84 Pregnancy in the Student-Athlete
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86 The Student-Athlete with Sickle
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88 should provide an environment in
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90 Protective Equipment June 1983
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92 Protective Equipment Sport 5. Fo
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94 Protective Equipment Mandatory P
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96 Eye Safety in Sports January 197
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98 Mouthguards January 1986 • Rev
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100 Head and neck injuries causing
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102 Guidelines for Helmet Fitting a
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104 Use of Trampoline and Minitramp
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Appendixes Also found on the NCAA w
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NCAA Legislation Involving Health a
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Tobacco Use Medical Expenses Medica
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Student-Athlete Welfare and Safety
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NCAA Injury Surveillance Program Su
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Figure 1 Competition and Practice I
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Acknowledgements John R. Adams West
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The NCAA salutes the more than 400,
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Sports Medicine Handbook - NCAA

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