Sports Medicine Handbook For Parents and Students







Sports Medicine Handbook for

Parents and Students




Bothwell Regional Health Center Sports Medicine Handbook For Parents & Student Athletes

                Bryan Smith, ATC, LAT                            Lisha D. King, M.S., ATC, LAT                     DeLee Leach, ATC, LAT, PTA

Head Athletic Trainer Smith Cotton High         Head Athletic Trainer Warsaw High              Head Athletic Trainer Cole Camp High

A Note from the Sports Medicine Staff "On Athletic Training"

Each year millions of students across the US participate in interscholastic athletic competitions and each year tens of thousands of them suffer and injury that prevents them from participation in practices and/or athletic contests for their schools.  While athletic health care is common place in professional and collegiate athletics, most high school student-athletes across the nation are still not afforded even the most rudimentary of athletic health care services.

What exactly is Athletic Training?

Athletic trainers are highly educated and skilled allied health care professionals specializing in athletic health care.  In cooperation with physicians and other allied health care providers, athletic trainers function as integral members of the athletic health care team within the school setting.  Athletic trainers are required by their national certifying body (NATA Board of Certification and the State of Missouri) to maintain their skills through Continuing Education Requirements or they lose their authority to practice.  Athletic Trainers in Missouri are certified by the NATA BOC and licensed by the Missouri Board of Healing Arts.  These bodies require that individuals take an extensive computer based examination testing their skills in the five domains, or practice areas of athletic training after they have completed university courses leading to a Bachelors or Masters Degree.

The Domains of Athletic Training are:

  • Prevention
  • Recognition, Evaluation, and Assessment
  • Immediate Care
  • Treatment, Rehabilitation & Reconditioning
  • Organizations & Administration
  • Professional Development & Responsibility

The entire Bothwell Sports Medicine Staff is committed to providing the best possible athletic health care to students participating in athletics at either Smith Cotton, Warsaw or Cole Camp.  We are only able to do our job successfully when we have the full cooperation and support of the parents of our student-athletes.  It is our hope that this handbook will help us to enhance that level of cooperation and support in the future.

The Bothwell Sports Medicine Athletic Program

Each year more and more students in high school and middle schools across the nation are becoming involved in interscholastic athletics.  Sedalia, Warsaw and Cole Camp are no different.  Almost 6 million student-athletes participate in high school sports programs nationwide.  Each year an average of 600 students from S-C , Warsaw and Cole Camp participate in athletic programs.  The large number of students participating, plus the rapid developmental changes in the bodies of young athletes is the reason that we take steps to ensure the health, safety, and enjoyment while an athlete is representing their school.  According to the NATA over 1.3 million student-athletes (about 1 out of 7) are injured each year.  Fortunately, the vast majority of these injuries are minor.  With proper training, conditioning, instruction, diet, and rest habits many of these potential injuries can be eliminated or significantly reduced.

Pre-Participation Physicals

All students who participate in athletics must have a current physical on file in the administrations office.  The physical must be obtained prior to participation in any practices, scrimmages, or games.  Each year S-C, Warsaw, and Cole Camp separately offer Free Physical Night in May for students.  We strongly encourage parents and students to take advantage of this opportunity, but they are always welcome to obtain a physical from their own physician.

Team Medical Release Information

Prior to participating in athletics at either school, your child must complete several forms.  These forms include the aforementioned pre-participation physical examination, a parental consent form, a participation waiver form (both of which accompany the physical form), and an Emergency information card.  Two of these forms the parental consent form and the emergency information card are especially vital to the Bothwell Sports Medicine Department for they provide valuable information that would be needed in case of an emergency.  It is extremely important that you fill these forms out properly and that your child returns them to the Athletic Trainer at their school before participation.  These forms provide us with the names and phone numbers of who to contact in an emergency, any special medical information on your child, and a statement authorizing medical care in the event that you can not be reached to authorize such care.

Pre-Season Conditioning

It is important that students who plan to go out for a sport are physically prepared to the challenges of that sport.  A pre-season conditioning program is important to that and should include strength, flexibility, and cardiovascular training.  By doing a pre-season conditioning program it will decrease chances of injury.

Tips for the Beginning of the Season!

During the first two weeks of any sports season, an athlete can alleviate the discomfort of the increased physical exertion of the sport by doing the following:

Stretch Often

We recommend taking a few moments in the morning, before practice, after practice and before bed.  DO NOT BOUNCE WHEN STRETCHING, you should be stable when stretching.

Eat Well

An increase in activity causes an increase in energy needs of the body, so plan accordingly.  Consume complex carbohydrates such as whole grain breads, cereals, pastas and plenty of fruits and vegetables.  Stay away from high fat, high sodium foods.

Drink Plenty of Fluids

Adequate fluid replacement is important in preventing fatigue, excessive weight loss, and heat related illnesses.  The recommended is 8-10 glasses of water a day.  Sports drinks (Gatorade, PowerAde) are necessary to replenish electrolytes lost in sweat during sports activity.   A combination of both water and sports drinks is a good idea.  Stay away from caffeinated or carbonated drinks they are not good for your system.


Rest is extremely important in the first few weeks of the season so the body can adjust to all the increase in activity.  The recommendation is at least 8 hours.

During the Season

Dietary Guidelines and Fluid Replacement

Athletic participation places physical and mental stressors on an athlete.  It is important that young athletes eat properly in order to provide quality fuel for activity.  The following guidelines are general considerations which may assist the athlete in his/her efforts to succeed.

  1. Eat a varied diet
  2. Eat breakfast.
  3. Avoid excessive amounts of fast food.
  4. Drink plenty of fluids.
  5. Avoid large amounts of red meat
  6. Consume complex carbohydrates.

Flexibility Guidelines
We cannot feel ourselves getting tighter, but this does happen each day we don not stretch our muscles.  Adequate flexibility helps muscles perform to their fullest capacity, allowing athletes to achieve speed, range of motion, reduce soreness and achieve their greatest level of athletic success.

The following guidelines will allow your child to achieve the type of flexibility needed for athletics:

  1. Flexibility is lost quickly and gained slowly.
  2. Begin stretching 2-3 weeks prior to season.
  3. Stretching should not hurt.  You might feel tightness, but should  not feel pain.
  4. Stretch to a point of tightness and hold for 60 seconds, relax, and repeat 2-3 more times.
  6. Warm muscles stretch more easily than cold muscles do.  So a brisk walk, jog, or bike for a few minutes prior to stretching is necessary.  We were always told that stretching a cold muscle is like stretching a cold piece of bubble gum, it tears when you stretch it.
  7. Relax when stretching, it makes it easier.

A Note on Dietary and Performance Supplements

Our staff does not promote, support, or encourage the use of dietary or performance supplements by student-athletes.  Parents and student-athletes should be extremely cautious about using these substances and consult their personal physician or other qualified expert before using these products.  The FDA DOES NOT regulate these substances so there is no control over the dosage or actual ability to do what they claim.

In the Event of An Injury

If an athlete gets hurt at practice/game and does not inform the Athletic Trainer at the practice/game or the ATC is not there follow this procedure:

  1. Contact the Coach in charge of your sport.
  2. Coach contacts me.
  3. I contact YOU!
  4. We make a decision on what to do.

If an athlete gets hurt at practice/game and does inform the ATC at the practice/game follow this procedure:

  1. I contact YOU!
  2. We make a decision on what to do.

Questions From Home.....


It is strongly recommended that you contact the coach so they can contact the ATC in charge before taking your son/daughter to the physician.  The reason for this is, is that often student-athletes can be seen more quickly by physicians the ATC's are affiliated with.  If you do choose to use another physician (which is your choice) we ask you pick up a referral form from us so that we can appropriately work in conjunction with this physician to treat your child the best we all can. 

PLEASE NOTE.....Athletes seen by any physician will be required to submit written treatment plans and a written release from their physician in order to return to participation on their team.  Without written instructions, we have no way of confirming whether or not the athlete is actually cleared to participate until such documentation is provided.

General and Follow-Up Care

In order to ensure that athletes recover from their athletic injuries, it is extremely important that they make every effort to come to the Athletic Training Office for care and follow-up until the athletic training staff has determined that they have recovered sufficiently and do not require further medical care.

Due to the expansive nature of our athletic programs the ATC's may not always have an opportunity to track your son/daughter down if they fail to report to the athletic training room for initial or follow-up care of an injury.  So we recommend that parents continually check with their child to make sure they are doing what they are supposed to.

Some Tips For Injury Care

The RICE Principle

Please follow the basic first aid treatments if an injury occurs:

R = REST the injured are.  Do not move it needlessly, walking on it to test the area, or continue to exercise if it hurts.  We will   

               assign you crutches, a sling, or a splint if necessary.

I =  ICE the injured area to reduce swelling within the first 72 hrs after injury.  Do not apply heat. Ice should be applied 15-

               20 minutes on the 60 minutes off.

C = COMPRESSION should be applied to the injured area to reduce swelling.  Use an elastic wrap to control the swelling. 

       The wrap should not be applied so tightly that it causes numbness, tingling, or loss of circulation to occur in the injured

       area or areas below it.  The wrap may also be removed at night while you are sleeping.

E = ELEVATE the limb above the heart to reduce swelling.

If there is any doubt as to the severity of the injury, seek appropriate medical evaluation.  If you seek treatment from a physician or a hospital please be sure to obtain written instructions  and medical findings to give to the ATC so the best possible treatment is given to your son/daughter.

Ice or Heat - Which should I use?

  1. Pain which is intense, throbbing, stabbing, or sharp is usually the result of nerve irritation or tissue inflammation.  In these cases, ICE is the appropriate treatment.
  2. Ice should be applied to these injuries for at least 72 hours after initial injury.   Treatment time should be 15-20 minutes on 60 minutes off.  DO NOT FALL ASLEEP WITH ICE ON it could cause frostbite or skin irritation.
  3. Dull, achy pain over large muscle areas or joints, where there is no swelling moist heat is the best.  This is usually muscle soreness due to tight muscles or joint stiffness.
  4. Heat should be applied only after swelling and inflammation has subsided in the area. 
  5. Heat should be applied no more than 20 minutes and removed for at least 2 hours.

PLEASE DO NOT USE CHEMICAL ICE PACKS!  Chemical ice packs are colder than 32 degrees and can cause FROSTBITE!

Ice can be applied in the form of a bag of ice, ice cup rubbed over injured area for 5-10 min., or ice immersion no less than 55 degrees for 15 minutes.


Methods of heat application should all be moist in order to insure penetration to deeper tissues.  These include:

                MOIST HEAT PACK - Towel soaked in hot water, wrapped in a towel.  Applied for 20 minutes to the affected area.

                HOT SOAK - Soaking the area in water heated to 96-98 degrees for no more than 20 minutes.  If full body soak, time should

                                       be less and temperature should be less.

                MOIST HEATING PAD - May be purchased commercially.  Follow manufacture's instructions.

Skin Wounds and Abrasions:

The leading cause of indirect deaths in athletics is INFECTION.  Skin wounds and skin abrasions are very common in athletics, especially in collision and contact sports like football, soccer, wrestling, baseball, and softball.

These wounds and abrasions should be kept covered, with antibiotic cream applied to them until the wound has healed and new skin has replaced the damaged tissue.  By not keeping them covered the risk of infection increases greatly.  If you have any of the following signs you may have an infection:

  • - Bright red color surrounding the wound
  • - Bright red streaking leading away from the wound
  • - Puss oozing from the wound
  • - Inflammation and/or extreme pain around the wound
  • - Fever around the wound or whole body

If you experience any of these symptoms, report them to the Coach or ATC as soon as possible or seek medical attention.

Head Injury Guidelines

Any head, face, neck, or jaw injury has the potential to be significant.  The danger from a blow to the head area or through significant contact may not appear until later I the day or even the following day after an activity.  The following signs, symptoms and suggestions are offered to parents as a reference by which to judge your child's appearance and behavior following an episode of head injury or significant body contact.

  • - DO NOT give pain medications (aspirin, Tylenol, ibuprofen, Advil, Aleve, etc.) unless recommended by your physician or team physicians.
  • - During the first 24 hours after the injury the athlete should be awakened every 2-3 hours to make sure he/she is not unconscious
  • - You should notify your physician or seek medical assistance if the following occur:

* your child is unusually sleepy

* your child is nauseated and/or vomiting

* your child cannot see clearly from both eyes, complains, of blurred vision, dizziness, or loss of balance

* headache gets worse or lasts more than 24 hours

* the child seems to be confused, irritable, has loss of memory, or their personality changes noticeably

* the pupil (black sport in the center of the eye) of one eye becomes different size than the other.


The guidelines outlined above and on the previous pages are not meant as, and should not be used as a substitute for competent medical care.  If you have questions or concerns about the health and well being of your child you should seek medical advice from the sports medicine staff or medical doctor.

Important Phone Numbers

Bothwell Therapy Center (Warsaw) 660-287-3450

Warsaw High School 660-438-7351

Head Athletic Trainer

Lisha D. King, M.S., ATC, LAT


Bothwell Regional Health Center (Sedalia) 660-827-9576

Smith Cotton High School 660-829-6300

Head Athletic Trainer

Bryan Smith, ATC, LAT


Bothwell Therapy Center (Cole Camp) 660-281-3493

Cole Camp High School 660-668-4427 x330

Head Athletic Trainer

DeLee Leach, ATC, LAT, PTA



Please return this form to the Certified Athletic Trainer


The following is a list of OTC (*over the counter) medications carried in the Certified Athletic Trainers medical kit that are available to administer for appropriate ailments:

Please initial those OTC drugs you agree are appropriate to administer to your child and draw a line through those you do not wish administered to your child!

____Ibuprofen                                                     ____Acetaminophen (Tylenol)                         ____Benadryl                                      

____Imodium                                                       ____Tums/Pepto-Bismol                                    ____Cough Drops                              

____No Medications                                          ____Please contact me before administering meds      

Known Drug Allergies:___________________________________________________________________

I, _________________________ parent/guardian of _______________________ release

Lisha King, M.S., ATC, LAT to administer the indicated medications to my child named above, if she deems it medically appropriate.

PRINTED NAME of Parent/Guardian          DATE                  SIGNATURE of Parent/Guardian

________________________________                _________          ____________________________________





            Relationship to athlete__________________________________________________________________

            Home phone:________________(M)Cell Phone: ____________________Work Phone:_____________

                                                                  (F)Cell Phone:  ____________________Work Phone:_____________



Additional Contact:__________________________________________________________________________

            Relationship to athlete__________________________________________________________________

            Home phone:___________________Cell Phone:_____________________Work Phone:_____________


Additional Contact:__________________________________________________________________________

            Relationship to athlete__________________________________________________________________

            Home phone:___________________Cell Phone:_____________________Work Phone:_____________