INTRODUCTION Policies and Procedures The first section of this booklet contains WIAA approved administrative policies and/or procedures for member schools’ athletic events. These policies and procedures have been reviewed by the WIAA Medical Advisory Com- mittee, which is comprised of physicians, an athletic trainer and dietician. You will note that some of the items are identified as “policy” while other items are recommendations. All items included have been developed with the best interest of athletes in mind. Member school administrators are urged to know, understand and use all of the outlined policies and procedures. Keep in mind there are WIAA regulations that have medical implications that do not appear in this booklet, e.g., baseball pitching regulations. Such regulations can be found in the various sections of the WIAA HANDBOOK. Athletic directors and coaches should be thoroughly familiar with all such regulations. There are National rules in several sports which deal with health and safety. Examples are the football player that must leave the game for at least one play following injury and that any athlete is prohibited from continuing without a physician’s written approval if they have been rendered unconscious. Each coach and game official should be thoroughly familiar with all such rules for their sport. Medical Information The second section of this booklet contains information the Medical Advisory Committee feels should be made available to member schools. We would appreciate it if athletic directors would share this information with their coaches. Some of it is information they should be aware of themselves, while other items would be appropriate for distribution to athletes. School personnel may photocopy pages as needed for distribution to coaches or ath- letes. The information in this manual is written as guidelines except where noted and identified as a pre-requisite and/or requirement for participation. They are intended for educational purposes for coaches, athletic directors and school medical personnel. It is a consensus of the WIAA Medical Advisory Committee and should not be con- strued as a standard of care. Dr. Conrad Andringa, Madison Dr. Claudia Reardon, Madison Jason Abels, Mukwonago Dr. Amy Ford, Summit Dr. Brian Reeder, Madison (WATA Representative) Dr. Tim McGuine, Madison Dr. Laurel Rudolph, Marshfield Abbey Bubolz, Manitowoc Dr. Patrick McKenzie, Green Bay Dr. Kevin Walter, Milwaukee (ADA Liaison) Medical Advisory Committee The WIAA Board of Control has identified the individuals listed above as WIAA Approved speakers in the area of Performance Enhancing Substance education. Visit WIAA website for additional information and links or to download additional copies of this manual. website www.wiaawi.org email [email protected] Revised 7/2021 TABLE OF CONTENTS Policies and Procedures I. MEDICAL EXAMINATION PROCEDURES A. General Requirement . 1 B. Guide For Athletic Disqualification . 1-3 C. Physical Exam Cards 1. Card for Year of Full Medical Exam (Physical Examination Card) - Link . 3 2. Card for Alternate Years (Alternate Year Athletic Permit Card) . 3 II. RECOMMENDATION FOR SECURING MEDICAL OPINIONS . 3 III. REGULATIONS REGARDING MEDICAL COVERAGE AT ATHLETIC CONTESTS . 4 IV. QUALIFICATIONS OF PHYSICIANS COVERING ATHLETIC EVENTS. 4 V. MEDICAL AUTHORITY AT WIAA TOURNAMENTS A. When No Physician and/or LAT is Present . 4-5 B. When Licensed Physician (M.D. or D.O.) is Present . 5-7 VI. MEDICAL ATTENTION IN ABSENCE OF PARENTS . 7 VII. RETURN TO COMPETITION FOLLOWING INJURY OR ILLNESS A. Regular Season Same Contest and/or Day 1. Licensed Athletic Trainer and/or Physician Present . 7-8 2. No Licensed Athletic Trainer and/or Physician Present. 8 B. Following One Or More Days Absence . 8 VIII. MINIMUM DAYS OF PRACTICE BEFORE COMPETITION . 8 IX. UNCONSCIOUS PARTICIPANT . 9 X. OXYGEN/IV FLUIDS . 9 XI. COACHES DISPENSING SUBSTANCES . 9 XII. EMERGENCY FIRST-AID CHECK LIST. 10-11 XIII. POSITION ON CONTAGIOUS DISEASES . 12 XIV. BLOOD-BORNE PATHOGENS . 12 XV. WRESTLING 7% RULE . 12-13 XVI. WRESTLING MINIMUM WEIGHT PROGRAM TEST FOR HYDRATION . 13-15 XVII. WEIGHT LOSS BY WRESTLERS . 15 XVIII. WRESTLING SKIN CONDITION REPORT - LINK . 16 XIX. WRESTLING INJURY TIME OUT MODIFICATION . 16 XX. NFHS STATEMENT ON MEDICAL APPLIANCES AND/OR MEDICAL DEVICES . 16 XXI. NON-REQUIRED EQUIPMENT . 17 Medical Information I. NFHS POSITION STATEMENT – DRUGS, MEDICINE AND FOOD SUPPLEMENTS . 18 II. WIAA POSITION STATEMENT – PERFORMANCING ENHANCING SUPPLEMENTS . 18-19 III. NFHS POSITION STATEMENT ON APPEARANCE AND PERFORMANCE ENHANCING DRUGS AND SUBSTANCES. 19-21 IV. DRUGS IN SPORTS. 22-24 V. WIAA POSITION STATEMENT – CBD (CANNABIDIOL). 24 VI. MENTAL HEALTH/MENTAL WELLNESS . 24-26 VII. RECOGNIZING SEXUAL ABUSE. 26-27 VIII. MEDICATION USED IN THE TREATMENT OF ASTHMA . 27 IX. STATEMENT ON PHYSICAL CONDITIONING . 27-28 X. UNPAIRED ORGANS . 28 XI. ARTIFICIAL LIMBS/PROSTHETIC DEVICES . 28 XII. STAYING HYDRATED FOR TOP PERFORMANCE. 28-29 XIII. SUN EXPOSURE . ..