Urbaniak Sports Sciences Institute Team

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2 Urbaniak Sports Sciences Institute Team

3 Disclosures Fellowship Support Breg DJO Arthrex Mitek Smith Nephew Consultant Smith Nephew Enlyten PriVit Headtrainer

4 Getting Ready for the Season and Game Day! Claude T. Moorman, III, M.D. Head Team Physician Duke University Durham, NC

5 The Medical Team Policies and Procedures Medical Observer Practice Makes Perfect Outline

6 Football is NOT a Contact Sport Dancing is a Contact Sport Football is a COLLISION Sport!! -Vince Lombardi-

7 Collision Athletes Football Lacrosse Hockey X-Sports

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9 Duke Football Gameday Timeline For Home Games Kick-Off vs. NC Central 6:04 pm Before Kick-Off Time: Event: 5 Hours Kevin and Kyle Arrive in Yoh Athletic Training Room (ATR) 4:30 Hours Athletic Medicine Student Workers Arrive in ATR 4:00 Hours Injured Players Report to ATR for Treatment/Rehab 2:15 Hours Duke Football Team Devil Walk to Yoh Building 90:00 Physicians Arrive in Yoh ATR 75:00 Field Level EMS Reports to ATR to Meet with Physicians & Give Radio 60:00 Kevin to Field for Warm-Up 45:00 Physicians and Remaining ATCs/PTs to Field for Warm-Up Meeting with Medical Observer on Field 40:00 Physicians and ATCs/PTs Meet with Visiting Team Medical Staff on Field 25:00 Duke Football Team Returns to Lockerroom 12:00 Duke Medical Time-Out and Emergency Procedures Review in Yoh ATR 5:00 Duke Captains Report to Field 4:00 Duke Football Team Takes Field

10 Football Gameday Guidelines & Reminders Fall 2016 Athletic Training Room Procedures Gameday attire is the Athletic Medicine polo shirt specified and khaki pants. Please do not wear any visible brands/logos other than Nike (no UnderArmour, adidas, etc.) Please be in the athletic training room 90 minutes prior to kick-off for home games. Your name will be on the entrance list at each door. Please remember to allot time for increased traffic and parking. You will need to bring your football gameday credential and have it visible at all times. This credential is needed to accompany an athlete to x-ray in Pascal Fieldhouse and go back and forth to the athletic training room. A box lunch will be available when you arrive to the athletic training room for home games. Please do not eat in the main athletic training room area; clean up after yourself when finished. All phones and pagers should be set to vibrate/silent at all times while in the athletic training room or on the field. Please do not talk on your phone unless it is absolutely necessary. You do not need to wear your ID badge, but please make sure you have it on you at all times for building access. Please make sure you have your keys to the DSSI also. When in the athletic training room please keep all conversations to a low volume and keep joking/laughing to a minimum. o When at road games the athletic training room is often small and in very close proximity to the lockerroom; keeping conversations quiet is even more important in these circumstances.

11 At approximately 40 minutes prior to kick-off, our athletic trainers and physicians will greet the visiting team medical staff on the field (for home games). At this meeting we will review EAPs, x-ray procedures, location of emergency equipment, and ask about any needs they have. We will come back to the athletic training room when the team goes back to the lockerroom (approx. 25 minutes on clock). We will return to the field with approximately 4 minutes to kick-off. It may be necessary for you to perform or assist with the administration of IV fluids. Please be prepared to help when needed. Occasionally it may be necessary for you to go with an athlete, during or after a game, to the hospital for imaging or other testing. The residents and fellows have been a valuable asset to us by using their contacts in other departments (radiology, ED, etc). Please be ready to help if such a situation arises. At home games, please document any athlete encounters on Maestro. If an athlete will need x-rays or other imaging on Monday, please put these orders into Maestro as well. o This includes any medication/injections that were prescribed/administered, for home or road games. We are often asked to evaluate coaches/staff families, recruits, athletic department staff, and others on game days. Please be ready to assist when needed. For each home game we will have 1 Ortho Fellow, 1 Primary Care Fellow, and 1 Ortho Resident working and on the sidelines. Please come only if you are assigned to that game.

12 We do not want to crowd the athletic training room and sideline. Having too many people also takes away from the experience of those who are assigned to work that particular game. Please do not bring guests, friends, coworkers, or others to games. Sideline Procedures All physicians and athletic trainers should wear a radio with earpiece during the game. These radios help with communication about injured players on the field and sidelines. Please keep conversations to a minimum and only about relevant information. o Our dedicated medical channel is 9. Please do not talk on other channels. o If you experience a problem with your radio or ear piece, please contact Kevin or Kyle. Athletic trainers and/or Dr. Bytomski, Dr. Moorman & Dr. Amendola are the only medical personnel who should talk to the coaches during the game. Do not go onto the field to evaluate a player unless specifically asked by Dr. Moorman, Dr. Amendola, or Dr. Bytomski, or an athletic trainer. We do not want to cause concern by having excess medical personnel on the field for possibly minor injuries. If needed, we will summon you to the field. Please stay out of the coaches and players areas on the sidelines. Please stand on the side or back of the team area. o Do not go into the white area on the sidelines at any time. Entering the white area may result in a penalty against our team. This is a point of emphasis with the NCAA this season. Stay out of the way of coaches and players during the game.

13 Do not talk to anyone from the media about injuries or the status of any player. If approached by a member of the media, please inform Hap immediately. The Duke Sports Information Department will have the only contact with the media during football games. Please remember that we are medical personnel, not fans. Do not get caught up in cheering or criticizing players or coaches. Do not yell at or talk to game officials at any time. This is also a point of emphasis with the NCAA. o At home games, the officials health is our responsibility, so we may need to evaluate and/or treat them should a situation arise. You may be needed to accompany an injured player back to the lockerroom or athletic training room during the game. Please help whenever possible. X-Ray For this season we will utilize a mobile x-ray unit stationed in the Pascal Fieldhouse for home and visiting team x-rays during the game. We will transport the athlete, radiology tech, one of our physicians, and athletic trainer to the Fieldhouse via Gator or cart. For x-rays needed after the game we will utilize a separate mobile unit stationed in the Yoh Athletic Training Room. Both of these machines will be operated by the radiology tech from DSSI who is assigned to that game.

14 EMS Field level EMS is located in the Southwest corner (home sideline, open end) of Wallace Wade Stadium. This ambulance is dedicated to field level emergencies. If it needs to transport an athlete, a unit from the concourse will quickly replace it. The EMT/Paramedic are required to come to the athletic training room at least an hour before kick-off to meet our physicians and athletic trainers. We will do our best to introduce them to the physicians, but if you see them, please introduce yourself and let them know your title/roll. This will be valuable in the event of an on-field emergency. If EMS is needed during the game, we will request them via radio from a member of our athletic training staff. EMS will be told that in the event of an emergency, Dr. Moorman, Dr. Amendola, and/or Dr. Bytomski are in charge. This needs to be discussed during your pregame meeting with EMS as well. EMS will follow our lead on determining whether shoulder pads and helmet should be removed for an athlete with a suspected head or neck injury.

15 Tickets For home games, fellows and residents will receive two tickets to distribute to family or friends. If you would like tickets to road games you are working, please let us know as early as you can and we will do our best to accommodate the request. Please know that not all requests will be fulfilled, but we will do the best we can. These tickets can NOT be sold to anyone! Please ensure that anyone using these tickets is not wearing clothes of the visiting team or other schools. o Make sure you know and trust the people using these tickets. Travel A travel guidelines document will be sent out to those traveling several days in advance of each trip. This document will go over what to bring, how to pack it, a timeline, plane and bus guidelines, etc. Each trip is different and will have its own guidelines and requirements. We really appreciate your help with our football program, and couldn t provide the care we do without the entire sports medicine team. We look forward to another great season.

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21 DUKE UNIVERSITY EMT HANDBOOK

22 Emergency Plan for IM Facility: Indoor practices Emergency Personnel: Non-Duke athletics should call 911 in case of emergency. Certified athletic trainer available in the Murray Athletic Training Room during Training Room hours. Emergency Communication: Cell phone Yellow emergency phone on wall in hallway Emergency Equipment: AED, splint kit, crutches, spine board in Murray Athletic Training Room. Roles of First Responders: Immediate care of the injured or ill student-athlete Emergency equipment retrieval Activation of emergency medical system (EMS) Dial 911 Direct EMS to scene 1.Provide information about injured athlete s status & current location (address & directions below) 2.Send an individual to meet the ambulance on Towerview Drive Scene control: limit scene to first aid providers; move bystanders away from area Notify sports medicine staff (sport Athletic Trainer, Head Athletic Trainer, Team Physician) Venue Directions: 208 Wannamaker Dr. Durham, NC The IM Facility is located on Towerview Drive. From 751 South, take a left onto Science Drive. At the first traffic light, turn right onto Towerview Drive. The IM Facility is located beside the Indoor Tennis Facility which is on the right hand side just past the Wilson Center parking lot.

23 Emergency Plan for Krzyzewski Center for Academic and Athletic Excellence: All Basketball practices and workouts Emergency Personnel: Certified athletic trainer on site Emergency Communication: Cell phone The access road on the left immediately before the traffic circle in front of Cameron Indoor Stadium at the end of Whitford Drive Basketball practices fixed phone lines in the Gunnar Peterson Weight Room ( ) and Schwartz-Butters Athletic Training Room ( , , and ) Emergency Equipment: AED on wall next to weight room in-between practice courts, splint kit and crutches in Schwartz-Butters Athletic Training Room; spine board in Murray Athletic Training Room

24 Roles of First Responders: 1. Immediate care of the injured or ill student-athlete 2. Emergency equipment retrieval 3. Activation of emergency medical system (EMS) Dial Direct EMS to scene a) Provide information about injured athlete s status & current location (address & directions below) b) Send an individual to meet the ambulance at the corner of Whitford Drive and Science Drive 5. Scene control: limit scene to first aid providers; move bystanders away from area 6. Notify sports medicine staff (sport Athletic Trainer, Head Athletic Trainer, Team Physician) Venue Directions: 107 Whitford Drive Durham, NC The Krzyzewski Center for Academic and Athletic Excellence is located on Whitford Drive. From 751 South, turn left onto Science Drive. Take the 4 th right onto Whitford Drive. The K Center is located off the access road on the left, immediately before the traffic circle in front of Cameron Indoor Stadium at the end of Whitford Drive

25 Emergency Plan for Fields 3 and 4, West Campus: Soccer and Lacrosse practice Emergency Personnel: Certified athletic trainer at all practices Emergency Communication: Cell phone Emergency phone call box located between fields 3 and 4 Emergency Equipment: AED, splint kit, athletic training kit on site Spine board, and crutches located in the Murray Building Athletic Training Room Roles of First Responders: 1. Immediate care of the injured or ill student-athlete 2. Emergency equipment retrieval 3. Activation of emergency medical system (EMS) Dial 911 a) Provide information about injured athlete s status & current location (address & directions below) 4. Direct EMS to scene a) Provide address & directions as needed (below); send individuals to meet EMS at Science Dr. & Frank Bassett Dr. 5. Scene control: limit scene to first aid provider; move bystanders away from area 6. Notify sports medicine staff (sports Athletic Trainer, Head Athletic Trainer, and Team Physician) Venue Directions: From 751 South, turn left onto Science Drive and take an immediate right onto Frank Bassett Drive. The fields are located at the end of Frank Bassett Drive on the right hand side.

26 Emergency Plan for Koskinen Stadium: Lacrosse & Soccer competition Emergency Personnel: Certified Athletic Trainer present for team practices & competition Additional Athletic Trainers available in Murray Athletic Training Room Team Physician present for competition Emergency Communication: Cell Phone Emergency Phone located at Koskinen bathrooms & on turf fields near Whitford parking lot Emergency Equipment: AED, split bags, crutches behind home bench for competition Athletic Training kit on field for practices & competitions Roles of First Responders: 1.Immediate care of the injured or ill student-athlete 2.Emergency equipment retrieval 3.Activation of emergency medical system (EMS) Dial Direct EMS to scene a) Provide information about injured athlete s status & current location (address & directions below) b) Unlock gate to Koskinen near field house c) Send individual to meet EMS at Frank Bassett Access Road 5.Scene control: limit scene to first aid providers; move bystanders away from area 6.Notify sports medicine staff (sport Athletic Trainer, Head Athletic Trainer, Team Physician) Venue Directions: 106 Whitford Drive Durham, NC Koskinen Stadium is located at the end of Whitford Drive. Easiest access is via Frank Bassett Access Road. From 751 South, turn left onto Science Drive and take the 1 st right onto Bassett Drive. Take an IMMEDIATE left onto the gravel road (Frank Bassett Access Rd.); this will lead EMS to Koskinen near the field house, just past the turf fields.

27 Emergency Plan for Lake Michie, Bahama, NC: Rowing practice Emergency Personnel: All coaches are Red Cross CPR/FA/AED certified; Certified athletic trainer attend most practices and are available in the Murray Athletic Training Room ( ) during regular athletic training room hours 9am-7pm Mon-Fri Emergency Communication: no fixed telephone line in the boathouse; all coaches and athletic trainer carry cell phones; fixed phone line in the city boathouse, property of Durham Parks & Recreation on-water emergency, once reaching land it would take about 5 minutes to reach the nearest land line phone at the Bahama Fire Department Emergency Equipment: life jackets, basic first aid kits and emergency air horn in each launch, AED and First aid/med kit in boathouse

28 Roles of First Responders: 1. Immediate care of the injured or ill student-athlete 2. Emergency equipment retrieval 3. Activation of emergency medical system (EMS) DIAL Have an individual meet EMS at the gate to unlock it and direct to scene a) Provide information about injured athlete s status & current location, all rowing coaches and athletic trainer have a key to the gate 5. Scene control: limit scene to first aid providers and move bystanders away from the area 6. Notify sports medicine staff (sport Athletic Trainer, Head Athletic Trainer, and Team Physician) Venue Directions: 2802 Bahama Rd Bahama, NC From west campus: Turn R onto 751/Cameron blvd Turn R onto 15/501 N towards I-85 Follow the signs to Roxboro Rd/US 501 exit Turn L onto Roxboro Rd/US 501 N Turn R onto Bahama Rd- There will be a brown Durham Parks & Recreation Lake Michie sign at the light intersection Follow Bahama Rd for 2.5 miles After you drive over a bridge for Lake Michie you will see the gate entrance on the right. Trip distance from west campus is 20 miles

29 Emergency Plan for Sheffield Indoor Tennis Facility: Tennis practice & competition Emergency Personnel: Certified athletic trainer available in the Murray Athletic Training Room during practices Certified athletic trainer on site for all home contests Emergency Communication: Cell phone Yellow emergency phone on wall in hallway by courts 1 and 3 Emergency Equipment: AED & athletic training kit present for competitions Splint kit, crutches, spine board in Murray Athletic Training Room. Roles of First Responders: 1. Immediate care of the injured or ill student-athlete 2. Emergency equipment retrieval 3. Activation of emergency medical system (EMS) Dial 911 a) Provide information about injured athlete s status & current location (address & directions below) 4. Direct EMS to scene a) Provide address & directions as needed (below); send individual to meet EMS at Card Gym Parking lot on Towerview Dr. 5. Scene control: limit scene to first aid provider; move bystanders away from area 6. Notify sports medicine staff (sport Athletic Trainer, Head Athletic Trainer, and Team Physician) Venue Directions: 204 Wannamaker Drive Durham, NC The Sheffield Indoor Tennis Facility is located on Towerview Drive. From 751 South, take a left onto Science Drive. At the first traffic light, turn right onto Towerview Drive. The Sheffield Indoor Tennis Facility is located beside the Ambler Outdoor Tennis Facility which is on the right hand side just past the Card Gym parking lot.

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33 Emergency Plan for Taishoff Aquatic Pavilion: Swimming & Diving practice and competition Emergency Personnel: Certified athletic trainer available in the (Murray/Yoh) Athletic Training Room for all practices; CPR/life guard certified coach on site Team physician on site or on call for all competitions Emergency Communication: Cell phone Emergency call button located in the Wilson Center immediately outside the pool doors; fixed telephone line on pool deck ( ); emergency phone in women s locker room. Emergency Equipment: Spine board on pool deck; AED at the front desk of the Wilson Center; AED, splint kit, crutches in Yoh & Murray Athletic Training Rooms.

34 Roles of First Responders: 1. Immediate care of the injured or ill student-athlete 2. Emergency equipment retrieval 3. Activation of emergency medical system (EMS) Dial Direct EMS to scene a) Provide information about injured athlete s status & current location (address & directions below) b) Send an individual to meet the ambulance on Towerview Drive c) Send an individual to notify the person on duty at the front desk of the Wilson Center 5. Scene control: limit scene to first aid providers; move bystanders away from area 6. Notify sports medicine staff (sport Athletic Trainer, Head Athletic Trainer, Team Physician) Venue Directions: 326 Towerview Dr. Durham, NC The Taishoff Aquatic Pavilion is located on Towerview Drive. From 751 South, take a left onto Science Drive. At the first traffic light, turn right onto Towerview Drive. Park in the first parking lot on the right and go in the front doors of the Wilson Center. The pool is located on the bottom floor of the Wilson Center.

35 Thank You

36 THE DUKE SPORTS MED FAMILY