Health & Safety CEU Study Materials:
The health and safety of the athlete continues to be the top priority for strength and conditioning coaches. Over the past two decades there have been a number of deaths and injuries that have occurred during strength and conditioning training sessions. The CSCCa is working to educate its member coaches regarding important health concerns that are related to exertion. While many of the areas covered are primarily handled by the sports medicine staff, it is extremely important that strength and conditioning coaches have a basic, working knowledge of these conditions.
Consequently, the CSCCa has implemented a new health and safety CEU requirement, which is now in effect, to ensure that strength and conditioning coaches are educated regarding important health and safety issues related to strength and conditioning programming and implementation. Every SCCC certificant will be required to pass a 35-question multiple choice quiz with a minimum score of 80% (28 out of 35) once each 3-year CEU cycle.
Upon obtaining a passing score on the quiz, 3 CEUs will automatically be applied to the individual’s account, and the health and safety requirement will be marked as fulfilled for the current CEU cycle for all SCCC certificants. All CSCCa member coaches — whether or not they are SCCC certified, are encouraged to complete the quiz and to review all study materials as explained below.
In order to prepare for the quiz, links to a variety of health and safety-related articles are provided on the CSCCa website in addition to a summation article which highlights the key points of the articles. The summation article covers the following areas:
- Concussion
- Exertional Rhabdomyolysis
- Exertional Heat Illness
- Respiratory Illness
- Cardiovascular Illness
- Sickle Cell Trait
- Emergency Action Plans (EAP)
- The CSCCa/NSCA Joint Consensus
Health and Safety Summation Article PDF Download
All strength and conditioning staffs are encouraged to study these health and safety resources and to use them as part of their staff’s professional development, but enough information is provided in the summation article to pass the quiz.
Additional Study Resources:
Free or Clickable Links/PDFs
- Anderson, S. NCAA football off-Season training: Unanswered prayers. . . A prayer answered. J Athletic Training. 52(2): 145-148, 2017.
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Armstrong, LE, Casa, DJ, Millard-Stafford, M, Moran, DS, Pyne, SW, and Roberts, WO. ACSM Position Stand: Exertional heat illness during training and competition. Med Sci Sports Exercise. Pp. 556-572. DOI: 10.1249/MSS.0b013e31802fa199, 2007.
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Braverman, AC, Harris, KM, Kovacs, RJ, and Maron, BJ. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: Task Force 7: Aortic diseases, including Marfan Syndrome. J Am Coll Cardiol. 66(21): 2398-2405, 2015.
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Burnett, DM, Vardiman, JP, Deckert, JA, Ward, JL, and Sharpe, MR. Perception of exercise-induced bronchoconstriction in college athletes. Respiratory Care. 61(7): 897-902, 2016.
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Bussotti, M, DiMarco, S, and Marchese, G. Respiratory disorders in endurance athletes — How much do they really have to endure? Open Access J Sports Med. 5: 47-63, 2014.
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Casa, DJ, Anderson, SA, Baker, L, Bennett, S, Bergeron, MF, Connolly, D, Courson, R, Drezner, JA, Eichner, ER, Epley, B, Fleck, S, Franks, R, Guskiewicz, KM, Harmon, KG, Hoffman, J, Holschen, JC, Jost, J, Kinniburgh, A, Klossner, D, Lopez, RM, Martin, G, McDermott, BP, Mihalik, JP, Myslinski, T, Pagnotta, K, Poddar, S, Rodgers, G, Russell, A, Sales, L, Sandler, D, Stearns, RL, Stiggins, C, and Thompson, C. The Inter-Association task force for preventing sudden death in collegiate conditioning sessions: Best practices recommendations. J Athletic Training. 47(4): 477—480, 2012.
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Caterisano, A, Decker, D, Snyder, B, Feigenbaum, M, Glass, R, House, P, Sharp, C, Waller, M, and Witherspoon, Z. CSCCa and NSCA Joint Consensus Guidelines for Transition Periods: Safe Return to Training Following Inactivity. Strength Cond J. 41(3): 1-23, 2019.
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Ferster, K, and Eichner, ER. Exertional sickling deaths in Army recruits with sickle cell trait. Military Med. 177(1):56-60, 2012.
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Hainline, B, Drezner, JA, Baggish, A, Harmon, KG, Emery, MS, Myerburg, RJ, Sanchez, E, Molossi, S, Parsons, JT, and Thompson, PD. Interassociation consensus statement on cardiovascular care of college student-athletes. J Am Coll Cardiol. 67(25): 2981-2995, 2016.
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National Athletic Trainers Association. NATA Consensus Statement: Sickle Cell Trait and the Athlete.
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National Athletic Trainers Association. NATA White-paper Exertional Heat Illness.
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National Collegiate Athletic Association. NCAA Interassociation Consensus: Diagnosis and management of sport-related concussion best practices. Indianapolis, IN. 2016.
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O’Connor, FG, Bergeron, MF, Cantrell, J, Connes, P, Harmon, KG, Ivy, E, Kark, J, Klossner, D, Lisman, P, Meyers, BK, O’Brien, K, Ohene-Frempong, K, Thompson, AA, Whitehead, J, and Deuster, PA. ACSM and CHAMP Summit on sickle cell trait: Mitigating risks for warfighters and athletes. Med Sc. Sports Exerc. 44(11): 2045—2056, 2012.
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Spence, L, Brown, WJ, Pyne, DB, Nissen, MD, Sloots, TP, McCormack, JG, Locke, AS, and Fricker, PA. Incidence, etiology, and symptomatology of upper respiratory illness in elite athletes. Med Sci Sports Exerc. 39(4): 577—586, 2007.
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Stang, J, Sikkeland, LIB, Tufvesson, E, Holm, AM, Stensrud, T, and Carlsen, K-H. The role of airway inflammation and bronchial hyperresponsiveness in athlete’s asthma. Med Sci Sports Exerc. 50(4): 659—666, 2018.
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National Collegiate Athletic Association. NCAA 2014-15 Sports Medicine Handbook. Indianapolis, IN. 2014.
Restricted Access - Purchase or Permission Required
If you are interested in obtaining the PDF (e-file) of any of the articles below, your university may be able to provide free access. The specific search engine SPORTdiscus, through the library’s EBSCOHost database, provides full-text access that can be downloaded to students and staff of your university. If your university has a subscription to the journal or site the article is posted on, you will be able to download immediately. However, there may be a need to request the article through your university’s library. The article is typically emailed to you or provided through a university employee account. Additionally, interlibrary loans for articles, books, or journals are also available upon request. Each university may have different processes. Contact your library for assistance.
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Eberman, L, Kahnov, L, Alvey, TV, and Wasik, M. Exertional rhabdomyolysis: Determining readiness to return to play. Inter J Athletic Therapy Training 16(4):7—10, 2011.
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Hutchison MG, Comper P, Meeuwisse WH, and Echemendia, RJ. A systematic video analysis of National Hockey League (NHL) concussions, part I: who, when, where and what? Br J Sports Med 00:1—5. doi:10.1136/bjsports-2013-092234,
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McClelland, JM, Godek, SF, Chlad, PS, Feairheller, DL, and Morrison, KE. Effects of cardiovascular fitness and body composition on maximal core temperature in collegiate football players during preseason. J Strength Cond Res 32(6): 1662—1670, 2018.
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Alosco, ML, Knecht, K, Glickman, E, Gunstad, J, and Bergeron, M. History of Concussion and exertional heat illness symptoms among college athletes. Inter J Athletic Therapy Training 17(5): 22-27, 2012.
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Asplund, CA, and O’Connor, FG. Challenging return to play decisions: Heat stroke, exertional rhabdomyolysis, and exertional collapse associated with sickle cell trait. Sports Health 8(2): 117-125, 2015.
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Costello DM, Kaye AH, O’Brien TJ, Shultz SR. Sport related concussion: potential for biomarkers to improve acute management. Journal of Clinical Neuroscience, July 2018 , article in press.
- Casa, DJ and Armstrong, LE. Exertional heatstroke: A medical emergency. In: Exertional Heat Illnesses. Armstrong, LE, ed. Human Kinetics, Champaign, IL. Pp. 32, 2003. 10.Castellani, JW.
- Physiology of heat stress. In: Exertional Heat Illnesses. Armstrong, LE, ed. Human Kinetics, Champaign, IL. Pp. 32, 2003.
- Casa, DJ and Roberts, WO. Considerations for the Medical Staff: Preventing, Identifying, and Treating Exertional Heat Illness. In: Exertional Heat Illnesses. Armstrong, LE, ed. Human Kinetics, Champaign, IL. Pp. 32, 2003.