Athletic Training Room 286-8616 Public Safety x8111 or 716-286-8111 Health Services 286-8390 St. Mary’s Hospital 297-4800 Upper Mt. Ambulance 297-0330 or 911
John Munro (O) x8615
(C) 628-9404 Scott Mastrobattista (O) x8642
(C) 997-6355 Carol Becker (O) x8612
(C) 815-761-0914 Dave Vasquez (O) x8744
(C) 479-8633 Pete McCabe (O) x8616
Ed McLaughlin (O) x8601
(C) 504-7729 Bill Morris (O) x8602
(C) 228-9524 CONCLUSION:
It is extremely important that all athletic staff be properly prepared when athletic emergencies arise. A student-athlete’s survival may hinge on how well trained and prepared athletic personnel are. It is prudent that the entire athletic department (athletic administrators, coaches and sports medicine staff) review the emergency plan once a year and participate in CPR and first aid refresher training. Through development and implementation of the emergency plan, the athletic department helps to ensure that the student-athlete will have the best care provided when an emergency situation does arise.
Exertional Heat Illnesses (EHI’s) are a classification of illnesses resulting from the body’s inability to tolerate activity in warm weather conditions. EHI’s have the potential to be life- threatening and should be treated as a medical emergency. EHI’s are caused by several factors:
Inadequate heat acclimatization
Lower levels of fitness (poor conditioning; increased percentage of body fat)
Underlying medical conditions
Certain medications or supplements
Previous history of an EHI
Prolonged activity during high temperature and high humidity conditions
Limited access to fluids
Sports equipment and clothing
EHI Management Plan
The key to the management of all EHI’s is prevention:
Proper Hydration. Student-athletes should be given unlimited access to fluids. Water breaks should be scheduled into practices at regular intervals. Student-athletes should be encouraged to continuously consume fluids before, in between, and after all practice sessions and games.
Adequate Rest. Rest breaks should be scheduled into practice at regular intervals. A minimum of 2 hours should be scheduled in between practice sessions. Student-athletes should be encouraged to get 6-8 hours of sleep per night.
Proper Nutrition. Student-athletes should be encouraged to eat well balanced meals throughout the day. At no time should student-athletes skip meals. Student-athletes should also be encouraged to increase sodium intake (via sports drinks or foods) during warm weather conditions to help prevent dehydration.
Activity Level. Activity levels should be minimized during hot, humid weather conditions, especially during midday hours. Optimal times for outdoor practices are morning and evening.
Equipment. Use of heavy sporting equipment or clothing should be minimized during hot, humid conditions.
Early Warning Signs of Exertional Heat Illnesses:
Thirst Loss of Performance
Irritability Muscle Cramps
The student-athlete should be removed to cooler environment and
re-hydrate with a sports drink, if possible. The carbohydrates and sodium in sports drinks can help to prevent fatigue and muscle cramping.
Continued participation is acceptable if dehydration is minimal, the student-athlete is re-hydrated and the student-athlete is symptom-free. Periodic checks from on-site medical personnel are recommended.
Heat Exhaustion: Symptoms
Dizziness Cold clammy skin
Rapid pulse Nausea
The student-athlete must replace the lost fluids; re-hydration is critical! Have the student-athlete rest in a cool, shaded or air-conditioned area until symptoms have passed. If student-athlete cannot tolerate oral fluids or rapid improvement is not noted transportation to an emergency facility is needed.
Student-athletes should be symptom-free, fully hydrated and cleared by an athletic trainer/ team physician before returning to play. Gradual return to full-intensity training and competition is recommended.
Heat Stroke: Symptoms
Dangerously high temperature
Confused or disoriented
Hot and dry skin
This is a MEDICAL EMERGENCY. The student-athlete has to be removed from the heat and EMS has to be activated immediately. The student-athlete should be cooled as quickly as possible in a cold water (35-58 *F) immersion. If this is not available ice bags should be used on the neck and groin area. The student-athlete’s ABC’s , core temperature and CNS status must be monitored until the ambulance has arrived.
The severity of the student-athlete’s condition will dictate the amount of time off the student-athlete must take before returning to activity. Return to competition is only when the student-athlete is completely asymptomatic and cleared by a team physician. Gradually return to full practice is monitored.
EHI Emergency Management Plan
A student-athlete experiencing ANY signs or symptoms of EHI should be removed from activity immediately and be seen by the athletic trainer IMMEDIATELY.
The athletic trainer and/or team physician will be the only individuals to evaluate the condition of the student-athlete and determine the appropriate steps of medical care.
The athletic trainer and/or team physician will have the final say in determining the status of a student-athlete exhibiting EHI symptoms.
A student-athlete experiencing ANY symptom of an EHI must receive clearance from the athletic trainer and/or team physician prior to returning to ANY activity.
The Sports Medicine Staff reserves the right to postpone and/or cancel any athletic event due to high heat and humidity, or any weather condition that may jeopardize the welfare of the participants.
**Should any EHI signs or symptoms occur when an athletic trainer is not on campus the coach should refer to the above symptoms and treatments:
Follow the Emergency Plan
Student-athlete should immediately be removed from activity, be cooled via being placed out of direct sunlight (indoors if possible), drinking fluids if possible, and cold compresses/ice application.
Coach calls 911 (9-911 from a campus phone)
Coach designates someone to call Campus Safety to inform an ambulance has been called
Cold Exposure Due to the fact cold exposure can impair performance and even become life-threatening, the Niagara University Athletic Department/Sports Medicine Staff have made it a policy to NOT conduct outdoor practices when the temperature is <25 degrees F standing temperature or <15 degrees wind chill temperature.
Niagara University Sports Medicine
Eating Disorder Policy
Eating disorders are real psychiatric conditions that affect a person’s emotional and physical health. Eating disorders do NOT discriminate on the basis of gender. The National Eating Disorders Association documented that about 10% of cases are male. In the athletic community, student-athletes are given greater opportunities to justify, legitimize, and disguise an eating disorder. Therefore, identification, intervention and treatment become much more difficult. Eating disorders are serious and can potentially be life threatening conditions however, there is help available and recovery is possible!
Definitions of Eating Disorders: I. Anorexia Nervosa (taken from Diagnostic and Statistical Manual of Mental
1. A significant loss of body weight or the maintenance of an extremely low
body weight (85% of normal weight for height), or both
2. An intense fear of gaining weight or becoming fat, even though underweight
3. Amenorrhea (absence of three or more consecutive menstrual periods)
II. Bulimia Nervosa(taken from DSM-IV)
Episodes of binge eating (i.e., consuming a “large amount” of food - large amount being larger then most individuals would eat under similar circumstances - in a short period of time) followed by purging (via laxatives, diuretics, enemas, or self-induced vomiting) that have occurred at least twice a week for three months
A sense of lack of control during the bingeing or purging episodes,
Severe body image dissatisfaction and undue influence of body image on self-evaluation
III. Eating Disorder Not Otherwise Specified (EDNOS) (taken from DSM-IV)
This category is used to describe conditions that meet some but not all of the criteria for anorexia nervosa and bulimia nervosa.
All the criteria for anorexia nervosa are met except amenorrhea.
All the criteria for anorexia nervosa are met except that, despite significant weight loss, the individual’s current weight is within the normal range.
All the criteria for bulimia nervosa are met except that the binge and purge cycles occur at a frequency of less then twice a week for a duration of less then three months.
An individual of normal body weight regularly uses purging behavior after eating small amounts of food (e.g., self-induced vomiting after consuming two cookies)
Lightning Safety Policy Lightning is an extremely dangerous phenomenon. Any athletic team which participates outdoors is at risk to being struck by lightning. Lightning is the most consistent and significant weather condition that may affect intercollegiate athletics. The Niagara University Sports Medicine Staff has implemented a lightning safety policy which will help minimize the risk of a lightning injury to student-athletes, coaches, administrators and fans.
Athletic Trainers (ATC) will monitor the weather and make a decision to notify the head coach and/or official of inclement weather. If no ATC is in attendance the decision is made by the head coach, officials, or athletic administrator. The decision of whether to suspend activity or not is based on the following:
FLASH TO BANG METHOD
Count the number of seconds from the time the lightning is sighted to the time the clap of thunder is heard. Divide this number by five and you get how far away the lightning is away in miles. The NCAA and the National Severe Storms Laboratory (NSSL) guidelines for lightning safety recommends that once a flash-to-bang count of a minimum of 30 seconds (six miles) is reached all persons should seek shelter immediately.
Whenever possible the Niagara University Sports Medicine Staff will have the “Strike Alert” lightning detector on hand for games and or practices. This device will detect lightning from as far away as 40 miles. When lightning is detected, an alarm will sound and a corresponding LED light will illuminate indicating the distance away the lightning is. Once again, the NCAA and the NSSL recommend that when lightning is detected to be at a minimum of six miles all persons should seek shelter immediately.
Announcement of Suspension of Play:
ATC Present ATC makes decision to discontinue practice and informs head coach of inclement weather. Head coach informs student-athletes and all persons to seek nearest shelter.
ATC Not Present Head coach makes a decision to discontinue practice
and informs student-athletes to seek nearest shelter.
ATC Present ATC informs the head coach and/or officials of lightning. Head coach, officials and Director of Athletics make the decision to discontinue play and alert all persons on field to seek nearest shelter.
ATC Not Present Head coach informs the officials of lightning. Head coach, officials and Director of Athletics make the decision to discontinue play and alert all persons on field to seek nearest shelter.
Evacuation of Playing Fields:
All sports playing on Niagara University’s athletic fields (soccer, women’s lacrosse, softball and baseball) will evacuate fields to the Kiernan Center.
The men’s and women’s tennis team will evacuate to their clubhouse directly next to their courts.
Any teams not on campus that are caught in a lightning storm will seek the closest shelter in their vicinity.
If no shelter is available find a thick grove of small trees surrounded by taller trees or a dry ditch. Assume a crouched position on the ground with only the balls of the feet touching the ground, wrap your arms around your knees and lower your head.
Do NOT lay flat on the ground! Stay away from metal objects, tall trees, standing pools of water, open fields and individual trees.
Resumption of Activity:
Activity may resume 30 minutes after the last sound of thunder or 30 minutes after the last flash of lightning is sighted.
A Person who has been Struck by Lightning:
People who are struck by lightning do NOT carry an electrical charge!
If it is possible to move the person without further harm to them, try to move them to a safer area.
Follow the Niagara University Emergency Plan.
Niagara University Sports Medicine
Automated External Defibrillator Policies and Procedures