The post Preparing the Athlete for Surgery appeared first on The Sports Medicine Broadcast.

The post Are We Worrying Too Much About Electrolytes During Exercise – Brett Singer appeared first on The Sports Medicine Broadcast.

The post Words Matter with Bubba Wilson appeared first on The Sports Medicine Broadcast.

Q: What makes you an exceptional preceptor, and why do students consistently choose to learn from you?

A: I’ve been practicing since 2009, having graduated from TXST and then joining MHH. I became a preceptor in 2016 when I joined UST, where I now serve as the Director of Sports Medicine and Senior Woman Administrator. This allows students to experience both the hospital and university aspects of my work. I aim to teach them how to advocate for the athletic training profession.

Q: What is your favorite aspect of being a preceptor?

A: My favorite part is the daily interaction with students. I enjoy watching them grow throughout their athletic training careers, from start to finish. It keeps me active and engaged, always moving and lifting equipment alongside them.

Q: What inspired you to become an athletic trainer (AT)?

A: My journey began in high school; I was a student seeking an activity before basketball season. I've always wanted to work in healthcare as a “giver at heart,” specifically with an active and motivated population. What truly drives me is the opportunity to inspire athletes to become their best selves. I also focus on imparting life lessons and common sense, helping them mature into adults.

Q: Amanii, what made Leslie a good preceptor for you?

A: Amanii stated that my personality made me a good preceptor. I am very welcoming and provide a safe space for students to be hands-on and make mistakes. I added that I aim to give students ample opportunities to practice and learn before they are on their own, without overwhelming them.

Q: Amanii, is there anything Leslie could have done better to help you?

A: Amanii reflected that she is quiet and reserved and needs more one-on-one discussions to talk through things. She also acknowledged that she needs to be more verbal and proactive in asking for help when she needs it.

Q: What is the most valuable lesson you've learned as a preceptor from students?

A: Teaching and conducting skills checks with students is the best thing I've learned as a preceptor. This process keeps me fresh, on my toes, and ensures I stay current with the latest practices and information in the field.

Q: Jackson, what are the differences in expectations between your first and second-year students?

A: As Jackson, I believes in a hands-on approach from the start, as students might not get such opportunities at other sites. First-year students receive more guided practice; for example, I'd bring them along for a concussion evaluation to observe and ask questions. By their second year, I expect them to lead first-year students and attempt any evaluation, acting as mentors.

Q: What are your general expectations for first-year and second-year students?

A: For first-year students, my main expectation is willingness to work. If you're comfortable with ankle evaluations, I'll provide those opportunities, and we'll build from there. For second-year students, I expect them to mentor first-years and be ready to attempt any evaluation. I added three expectations: be ready for anything, be a sponge, and be flexible. I also stressed not to complain about menial tasks, as students are paying to be prepared.

Q: How do you balance your professional and personal life as an athletic trainer?

A: As a single AT, my life is simpler, though my lifestyle might be a reason I'm single. Initially, it was challenging to advocate for myself, but now I set strict boundaries with athletes and coaches. My Athletic Director is supportive and helps enforce these boundaries. Jackson emphasizes communication with all parties, especially his wife, using a shared calendar to manage busier seasons and ensure understanding.

Q: What are the unique aspects of navigating the athletic training profession as a Black woman?

A: As a female AT, I must be prepared to stand my ground against those who doubt my capabilities. It's important to demonstrate competence in all aspects of the job. Being a Black female AT also means representing diversity and understanding the unique challenges some athletes face, allowing me to advocate for those who cannot. A downside is that my directness can sometimes be perceived as abrasive. It was tougher initially, and challenging moments still occur, but it's crucial to document incidents as perception is key.

Q: What advice would you give to aspiring athletic trainers starting their first year as ATCs?

A: I advise networking extensively, as your current professional pool is small. Seek out mentors and build relationships with people at different levels and settings. Attend medical timeouts and district meetings to connect with others. Never assume you know everything; it's okay to say, “I don't know, but I will find out.”

The post Preceptor Reflections with Leslie Bennett appeared first on The Sports Medicine Broadcast.

This episode of the Sports Medicine Broadcast, hosted by Jeremy Jackson and joined by student medics Ben Stephenson, Caroline Hayes, and Katie Gibson, features NATA President AJ Duffy discussing the future of the Athletic Trainer profession and leadership.

AJ Duffy‘s treasured memories from his Athletic Trainer career are not specific injury recoveries, but rather the lasting relationships built over 42 years with student-athletes, coaches, and colleagues. He stresses that these connections enhance the medical care provided, especially in embedded settings like military, performing arts, and athletic environments, where professionals may work with individuals for long periods.

The Path to Leadership and NATA Membership

Career Start: AJ Duffy‘s interest in becoming an Athletic Trainer began in high school and was cemented on a recruiting trip to the University of Michigan, where he was mentored by figures like Lindsey McLean, the “father of the certification exam”.

First Leadership Role: His leadership journey started as a state liaison officer, where he initiated the creation of the first national directory of leaders in the profession due to the lack of an easy way to connect before the internet. He describes volunteerism and leadership in the NATA as a “vortex” that moves the profession forward.

Value of NATA: Duffy explains that NATA membership is crucial for continuing education and, more importantly, professional advocacy. As an example of advocacy, he cited the NATA's successful federal effort to prevent the suspension and eventually expand the Army's holistic health program, which utilizes embedded Athletic Trainers. Additionally, the NATA establishes guidelines to enhance compensation and positions across all career sectors.

Advice for Future Athletic Trainers

International Career Pathways: For those seeking international opportunities, AJ Duffy noted that international athletic therapy is a growing field. Opportunities exist in places like Britain, Ireland, and Spain (which has two CAATE-approved programs). He advises new professionals to put in the “legwork” to find openings in various international sports and secondary schools.

Focus and Communication: Duffy's primary advice for young Athletic Trainers is to be a sponge, be unafraid, and put the phone down to stay focused on the conversation or the injured individual. He emphasized the critical nature of communication and having “conversations that matter,” noting two quotes: “Are you prepared to have a conversation that matters?” and “Buried feelings Never Die”. He encourages students to ask questions, but only at appropriate times, not during a critical moment like an injury evaluation.

Contact Us

AJ Duffy – President@NATA.org

Jeremy Jackson – SportsMedicineBroadcast.com

Benjamin Stephenson

Carolin Hayes

Katie Gibson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AJ Duffy – The Future of Athletic Training appeared first on The Sports Medicine Broadcast.

Stephanie, where did the Safer Sidelines journey start?

I was a high school tennis player and visited the AT often.

My mom spotted the signs of overheating.

I started to train for marathons and learned more about heat illness.

I took a storytelling class in college and heard the story about a Louisville kid who died from heat exhaustion.

It was always a topic at the back of my mind.

When I moved to Houston and learned about the heat and humidity.

A baseball player with commotio cordis really was the tipping point.

Damar Hamlin was a huge catalyst for the improvement of the database.

We were working on SaferSidelines before he collapsed.

Scott Anderson and Dr. Steve Horwitz had their own databases, and together we created the Deadly Games Database.

What is one of the most eye-opening things regarding athletics?

Why is nobody seeing this thing???

Why are we so bad at reporting this?

Is anyone asking for the details?

Was there an AT, an AED?

Matthew Mangine collapses June 16.

Mike Quinn tells his daughters' girls' soccer league that they need to learn CPR.

A short time later he was running during their practice and collapsed.

Had Damar Hamlin not collapsed, they would not have been trained in CPR.

The Damar Hamlin incident activated a major push for CPR/AED training

Contact:

Stephanie Kuzydym

Bubba Wilson

Benjamin Stephenson

Jeremy

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Safer Sidelines – Stephanie Kuzydym appeared first on The Sports Medicine Broadcast.

Brent, recall your earliest interaction with Athletic Trainers.

My kids played sports in high school and had injuries that the AT Staff took care of.

Give us the highlights of NOCIScan

Taking info from an MRI, measures the quantity of different biomarkers within the spine and disc. 

• Compares the biomarkers to other discs within the patient's spine. Structural integrity and acid levels

• Disc material can be filled with acids, which can cause pain 
• MRI can look normal if these acids are present.
• Nerves can grow into the disc with a herniated disc or degeneration. 
• Disc degeneration is not just in “old” people, but also in people in their 20s, 30s, early 40s, and volleyball players
• Gives the treating physician more information
• Spectroscopy: same machine as MRI, different sequence that the tech would use. 1.5 or 3 T works
• Proteoglycans  levels
• Result reports usually take just a few minutes
• Currently in 23 markets in the US, still a cash pay service at the moment or done through clinical trials. Working on coming to Houston 

How does this apply to the currently active athletic population?

Football, hockey, pole vault, volleyball

Ben likes to look at all of the options for Athletic Trainers.  Are there any Athletic Trainers currently employed by Aclarion?

• Always looking for motivated people. Yes 

Lower-income high school Athletic Trainer – How do you feel I can best help my patients with back pain? 

• Start with the traditional treatments, rest, ice, NSAIDs. If very painful for a long period of time, if they move on to get an MRI, ask for MRSpectroscopy or NOCIScan to see more. They get with the imaging center to ensure the tech can get a single voxel spectroscopy setup on the machine.

What is keeping more surgeons from adopting this type of MRI?

• Still new, working on moving into more hospitals. Cash pay vs. insurance is a big roadblock that many surgeons face. 
• Hopefully, one day we can work toward also being used on the knee

$1450 list price (usually discounted as well) – patient pay model on the website, acquire through info@aclarion.com first

Contact Us:

Aclarion – aclarion.com

Brent: info@aclarion.com

Ben – 

Shelby – Shelbyngaytan@gmail.com

Jeremy – info@sportsmedicinebroadcast.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Chronic Back Pain with Aclarion appeared first on The Sports Medicine Broadcast.

Q: What are the most important home exercises for scoliosis?

A: Key home exercises focus on spinal mobility, especially for those who sit frequently. Cat-cows and thoracic rotation are crucial. Depending on comfort level, core activation exercises like supine marches or dead-bug isometrics are beneficial. When supine, tactile cues help maintain spinal symmetry. Bridges or modified side planks are good starting points, with progression as needed.

Q: Which scoliosis treatment method is best for high school age, considering the Schroth Method helps the 10-15 age group?

A: The Schroth Method can be used for older populations, but it is generally less effective for high school age individuals compared to younger ones. For this age group, focusing on functional core strengthening can also be beneficial.

Q: Are Pilates or yoga safe and recommended for young athletes with scoliosis?

A: Yes, Pilates and yoga are highly recommended for individuals with scoliosis, including young athletes. These activities promote continued mobility and strength, which are vital for managing scoliosis. The most important aspect is to find an activity they enjoy and consistently engage in it.

Q: What manual therapies are effective for scoliosis, and is dry needling helpful?

A: Effective manual therapies include thoracic gapping and rib mobilizations, particularly in a side-lying position to encourage rib expansion. The specific therapy depends on the patient's individual needs and curve patterns. Dry needling is not frequently utilized for scoliosis treatment according to the provided information.

Q: How often are lordotic curves seen in individuals with thoracic scoliosis?

A: Lordotic curves are quite common in individuals with thoracic scoliosis. If a person has a mid-thoracic curve, their body often adjusts by developing a compensatory lordotic curve. Therefore, this presentation is observed frequently.

Q: How do current trends, such as phone and gaming use, contribute to setbacks or overcorrection in scoliosis?

A: The impact of phone and gaming trends on scoliosis setbacks depends on individual patient motivation and activity levels. For athletes, it's often less of an issue, as it's unrealistic to maintain one position for extended periods. For minimally active individuals, parental encouragement to move around every hour, regardless of the activity, is important.

Q: How often are active populations braced for scoliosis?

A: Braces for scoliosis are typically prescribed by pediatric orthopedic specialists. For junior high and high school-aged children, as they mature, the need for braces often decreases, and they may not be in them very much.

Q: What are the three most important practical tools for Athletic Trainers (ATs) regarding scoliosis?

A: The three most important practical tools for Athletic Trainers when addressing scoliosis are observation for signs of scoliosis, implementing exercises on a mat or table, and utilizing a wall for exercises with minimal equipment.

The post Scoliosis-Specific Rehabilitation appeared first on The Sports Medicine Broadcast.

Chris Share your AT Story?  

Purdue for undergrad

Baseball injuries led me to discover sports medicine

Worked with a bunch of sports in college 

During undergrad  

Offer outreach AT services

Bare bones:

What is BEAR, and why should an athlete choose it?

It is not a reconstruction; it is a repair technique.

Decreased pain

Less swelling

Earlier function

Feel better earlier

The Ben version:

Is skeletal maturity a strict requirement? How does it look in adolescents?

It is now approved for skeletally immature

Exercises? Any differences in 0-6weeks?

First 4 weeks, they are partially weight-bearing instead of full weight-bearing

The ligament is weaker at first

Limit the flexion range of motion

They will be braced for 6 weeks, and then a functional brace

Does it affect quad inhibition?

They feel really good, really early.

Quads are fantastic, really on.

What does the evidence say about timelines and re-tear compared to autografts?

After the first 12 weeks, it is pretty much the same as others, with a 9-12 month full return to participation.

Slower, more conservative.

BFR and NMES for the first 8 weeks

Once they have a good ROM, load them with an open kinetic chain.

LAQ with BFR.

12 weeks, I do some isometric testing

Patient education – 

Educate and measure swelling

Unable to get to full TKE

It looks like meet boiled spaghetti, but we want it to become unboiled

What about 5-10 years out?

We still need more cases and research,h but it looks good with what we have

What research is lacking that we should keep an eye on?

Specific ACL autograft techniques vs BEAR

Is BEAR becoming more accessible? Does insurance affect who can get it?

No insurance issues with BEAR implants

It is being sought out by a lot of people, and until recently, it was not available for high school students.

More surgeons are learning the technique and process.

Contact:

Chris Antonelli cantonelli42@gmail.com

Miach Ortho – 

Ben Stephenson

Jeremy

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post BEAR Implant with Chris Antonelli appeared first on The Sports Medicine Broadcast.

The post Nutrition Support for Concussion Management appeared first on The Sports Medicine Broadcast.

Help support the future of Athletic Training.

Contact Amari – Ammercad@cougarnet.uh.edu

The post Josh Yellen Memorial Golf Tournament appeared first on The Sports Medicine Broadcast.

Robert, what is one of your favorite stories to share from your AT career?

When I was a student, the sidelines were muddy, and it was pouring rain.  SE Missouri University

Assisting a softball player after recovering from a stroke at the age of 19.  She was able return to play eventually.

Take us back to the very beginning. What is your first memory of an Athletic Trainer?

I was cut from the basketball team as a junior in high school.  I went to a cramer first aider camp and the rest is history.

What made you become an Athletic Trainer?

My father was a coach, and I understood that side of the game.

I did not enjoy the competition part.

This was the best of both worlds for me.

How long until the “honeymoon” period was over for you?

Worked at a high school in Saint Louis

Then went to college athletics

When I stepped into the administrative role, things changed for me.

How do we stay in the “honeymoon phase”?

Depends on your desires

If you just want to be in the traditional role and avoid the admin work, then you may stay in that phase forever.

Why did you switch? 

I had a talent for organization and administration.

I still cover sporting events at the local college.

What do you wish you knew going into AT?

The chapters that were most fun to write

Coaches – I want ATs to understand the coach's perspective

Contact:

Robert Bradley – rlbatc@gmail.com

Benjamin Stephenson – @_benstephenson on IG

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AT the End of the Bench appeared first on The Sports Medicine Broadcast.

Q: What is one key takeaway for athletic trainers regarding sudden cardiac death?

A: It is crucial for athletic trainers to utilize available screening tools. When an athlete provides positive answers during screening, it's essential to follow up thoroughly to ensure appropriate medical evaluation occurs. This approach helps identify potential cardiac issues early.

Q: What are the clearance and return-to-play criteria for athletes diagnosed with or being treated for a heart condition?

A: Clearance and return-to-play criteria vary based on the individual patient and the specific cardiomyopathy and its severity. While many athletes may face sport restrictions, some cases allow for participation if evaluations are thorough. Each situation requires careful consideration, as there is no universal “cookbook” approach.

Q: What are the most common misconceptions about sudden cardiac death in athletes?

A: A common misconception stems from fear regarding athletes collapsing on the court. It's important to understand that it's impossible to guarantee 100% prevention. Comprehensive workups are necessary to identify rare factors contributing to sudden cardiac death, as some issues might not always be immediately apparent.

Q: What are the updated incidence values and trends in male and Black athletes regarding sudden cardiac death, and what explains these patterns?

A: Multiple factors contribute to these patterns, including genetics and predisposing health conditions. Socioeconomic status, affecting access to healthcare providers and cardiologists, also plays a significant role. Often, primary care physicians manage a large population due to limited access to specialists, and missed family screenings for cardiomyopathy can impact these variables.

Q: What are the barriers when younger athletes are unable to explain what is happening to them?

A: Effective communication with younger athletes is key. Teenagers, for instance, may be reluctant to express their symptoms clearly in a clinic setting, especially if they fear being told they cannot play. Instead of general questions like “Have you experienced chest pain?”, ask specific questions about the type of pain (e.g., sharp, moving). It is also the healthcare provider's responsibility to perform thorough exams and order proper tests, such as EKGs or ultrasounds, to avoid missing critical information.

Q: Is there a commonly overlooked response when screening athletes?

A: A significant red flag is when athletes, for various reasons, fill out screening forms themselves and then change their answers, or when forms are left blank or show erasures. Following up with specific questions about why they changed or erased an answer, and providing education, is crucial.

Q: What inspired you to focus on sudden cardiac death in athletes?

A: My personal experience as an athlete growing up in a small Texas town, where sports were integral, profoundly shaped my life, teaching me multitasking, leadership, and competitiveness. As a mother with multiple children involved in competitive sports, I understand the physical and mental benefits. My inspiration stems from wanting to ensure their safe participation.

Q: What ethical dilemmas arise when individuals refuse genetic testing?

A: When requesting genetic testing, it's vital to explain to families why the test is necessary and how it can help. Many are more receptive when they understand it's a narrow test, not a full genetic profile, and how it can benefit their children. Ultimately, respect their decision and use available information to provide the best care without undue pressure.

Q: Is there anything else athletic trainers should know about sudden cardiac death?

A: I am highly impressed by the athletic training field, particularly athletic trainers' knowledge, dedication to children, and proficiency in CPR and AED use. While physicians have the support of nurses and other healthcare professionals, athletic trainers often perform life-saving interventions on the field independently, which is truly commendable.

Q: What management or monitoring strategies are suggested for children removed from sports due to cardiac conditions?

A: Be mindful of athletes who are removed from sports, as they may feel a sense of loss after being part of a team. If time permits, maintain contact and explore new ways to keep them involved, possibly in a different role within the team or organization. Collaborate with other team members to help the athlete transition and remain connected.

The post Sudden Cardiac Death in Athletes appeared first on The Sports Medicine Broadcast.

Q: Overview of Neck, Nerve, or Both?

A: My wife experienced numbness in her upper extremities. As an athletic trainer (AT), I initially suspected Thoracic Outlet Syndrome (TOS). She eventually sought medical attention and was diagnosed with TOS. Conservative treatment, including medication and a home exercise program, was recommended. However, therapy seemed to worsen her symptoms. An MRI of the vascular system came back normal, except for a benign thyroid mass. A cervical MRI revealed stenosis in C5, C6, and C7, which, when combined with her other symptoms, provided clarity.

I consulted a spine surgeon, who advised exhausting conservative options before considering surgery for insurance coverage. My wife, who has a fear of anesthesia, opted for pain management and received injections. An EMG to rule out carpal tunnel syndrome indicated 70% carpal tunnel involvement. An upper extremity specialist diagnosed a double crush injury, meaning nerve compression at two sites. She underwent left-side carpal and cubital tunnel release, followed by a two-level cervical fusion. Post-surgery, she regained sensation in her pinkies. The right side was subsequently treated.

She experienced relief for about a year before numbness recurred. Another round of CT, MRI, and EMG scans returned normal. Pain management suggested a shoulder issue, leading to an MRI of the shoulder. While the report mentioned a slight rotator cuff tear, a physician who reviewed the scans deemed her shoulder pristine. This doctor's examination of her neck, however, exacerbated her symptoms, leading to a diagnosis of lower brachial plexus TOS.

Despite my initial concern about the previous treatments, the doctor affirmed that the cervical fusion was necessary. A C8 nerve block did not provide relief but offered further diagnostic information. We were then referred to a specialist in Dallas, where a diagnostic nerve block in the scalenes provided immediate relief. Months later, Botox injections were administered for extended relief. The doctor's words, “How does it feel to not be crazy?” significantly validated her experience.

She then underwent a first rib removal on the left side, which resulted in an 11-day hospital stay with complications including two chest tubes, a needle aspiration, and 100cc of fluid in the pleural cavity. Upon returning home, she began physical therapy but developed shortness of breath with deep breaths due to a costochondral fracture, likely from the chest tube or aspiration. She is currently awaiting a consultation for ultrasound injections to address this. The journey continues.

Q: What inspired you to share this story?

A: The primary motivation was to share the complex journey and its takeaways. This case involved a “triple crush” — compression at the first rib, cubital tunnel, and carpal tunnel. A key takeaway is the importance of acknowledging when you “don't know, but know the next step.” In healthcare, we often focus on obvious issues, but a broader perspective is often needed before returning to specific concerns. It's also crucial to acknowledge the psychological toll on patients without answers, highlighting the profound impact of chronic pain.

Q: You mentioned how emotionally draining the journey was. What advice do you have for clinicians to support patients?

A: Remind patients that recovery is an “ultramarathon, not a sprint.” Reinforce this message, as other healthcare professionals will likely echo it. Sometimes, when my wife is in pain, she doesn't want to discuss it, and that's acceptable as long as I am there to support her. The doctor's validation, “How's it feel to not be crazy?” significantly improved her emotional well-being. Supporting patients in seeking further opinions is also vital.

Q: Overlapping issue on a personal level, how did you navigate the multiple diagnoses?

A: My ability to navigate this well stems from my access to top medical professionals through my profession. My connections as an athletic trainer allowed me to consult doctors and seek referrals. While they may not know specific TOS treatments, they can guide us to the appropriate specialists.

Q: Any difficulties separating the Athletic Trainer (AT) role from the husband role?

A: There were no difficulties in separating the AT from the husband role. My wife knew me as both from the beginning of our relationship, so there was no separation or conflict.

The post Neck, Nerve, Both or More? A Case Report appeared first on The Sports Medicine Broadcast.

Q: What recommendations do you have for athletes experiencing amenorrhea or relative energy deficiency in sport (RED-S)?

A (Dr. Curtis): While not a typical GI condition, amenorrhea and RED-S require a multidisciplinary approach. Often, medication is prescribed to induce a period, but this does not resolve underlying hormone imbalances or decreased bone density. These conditions frequently arise from an athlete's energy deficiency, such as a marathon runner not increasing fuel intake to match activity, leading the body to prioritize survival over non-essential functions like menstruation.

Q: How can athletes add more fuel to help resolve amenorrhea?

A (Poole): It's a myth that athletes should not get their period; it is not normal. Addressing overall energy intake is crucial. In severe cases, decreasing activity while increasing fuel might be necessary. We often work with athletes who are injured or returning to sport, which provides an opportune time to address their fueling needs.

Q: How do you address athletes dealing with PCOS and stress fractures?

A (Dr. Curtis): The culture of sports often pressures athletes toward specific body images or weight classes, which is unhealthy. We must educate athletes that a balanced diet is acceptable and that restrictive diets are not always necessary. Coaches also play a role in fostering a healthier environment.

Q: How do you approach discussing sensitive topics like nutrition and body image with athletes?

A (Dr. Curtis): As a former pediatric sports medicine doctor, I learned the importance of creating a trusting and safe environment. While it's harder to have parents leave the room now in full sports medicine, fostering trust is key.

A (Poole): We focus on the athlete's performance goals, as health often isn't the primary motivator for adolescents. We seek out what truly motivates them to achieve their best performance through proper nutrition.

Q: What are the best snack recommendations for athletes?

A (Bri Poole): Snack recommendations are highly individualized based on what works and what an athlete enjoys. Simple, easily digestible options like GoGo Squeez are generally safe choices.

Q: Are there specific snacks you recommend for gastrointestinal (GI) comfort during exercise?

A (Dr. Curtis): I don't have specific go-to snacks; the focus is on what an individual athlete likes and what doesn't cause GI distress. Suggesting foods they are unwilling to eat can lead to non-compliance.

A (Poole): Simple carbohydrates are typically easy on the GI system around exercise. It's best to stick with foods the athlete has consumed before. Liquid carbohydrates can be a good option as they may sit better for some. While many believe “sugar is bad,” simple sugars are the body's preferred fuel source during exercise.

Q: Should athletes track their food intake?

A (Poole): Some athletes have higher or different energy needs, even if they aren't playing intensely. Athletes generally have elevated caloric demands. It's perfectly fine for them to eat snacks, especially when readily available, such as on the sidelines.

Q: How do you approach nutrition planning for athletes from diverse cultural backgrounds or those who observe religious practices like Ramadan?

A (Poole): Always approach with an open and curious mindset. Ask questions to understand cultural practices better, especially regarding fuel timing within non-fasting windows. Work closely with the athlete to create a tailored plan.

A (Dr. Curtis): Meet athletes where they are; you cannot simply forbid them from fasting. I am willing to write letters to coaches if training times need to be adjusted to accommodate an athlete's practices, ensuring they can continue to play safely.

Q: How does pre-exercise nutrition differ for a morning lift versus a morning run?

A (Poole): Many runners prefer not to eat before a run. For shorter runs (e.g., 5 miles or 3k), it can be acceptable if the athlete had sufficient fuel the day prior and will refuel adequately post-run. However, for exercise lasting 50-90 minutes or longer, pre-exercise fuel is essential, particularly for running due to its impact on bone resorption. The specific goals of the runner (e.g., marathon training) also influence recommendations.

The post Nutrition Timing Planning and Gastrointestinal Maladies appeared first on The Sports Medicine Broadcast.

Q: What is the 10-second version of focusing on cardiac emergency preparedness?

A: Review statistics on sudden death in young athletes. Sudden cardiac arrest is the leading cause of death. Target the most likely areas where incidents occur and prioritize time and equipment-sensitive responses.

Q: How did the Damar Hamlin incident negatively impact perceptions of youth sports safety?

A: Some may falsely believe youth athletes are inherently safe because a highly prepared incident was effectively managed in the NFL. However, youth settings lack the extensive resources and numerous providers available in professional sports. This incident highlights the need to increase effective response capabilities and empower more individuals to provide care.

Q: Is youth sports a bigger industry or does it bring in more money?

A: When including grassroots sports, the financial investment in youth sports is substantial. It is crucial to make reasonable investments in equipment, procedures, and policies that maximize safety and efficient use of time to ensure overall safety.

Q: Do club sports typically have athletic trainers (ATs) or automated external defibrillators (AEDs)?

A: This is a critical point; clubs should invest more in youth safety. Efforts like Bob Marley's network aim to bring ATs to these settings. More needs to be done beyond large tournaments, extending to daily operations, especially given that larger clubs may have many teams practicing simultaneously.

Q: What steps are needed for club sports to align on safety protocols?

A: Project Adam and recent legislation offer programs specifically designed to make youth sports cardiac safe. These initiatives provide a framework for clubs to enhance their emergency preparedness.

Q: What are the specifics of Project Adam?

A: Our school became involved with Project Adam after recognizing areas needing attention in our setting. It offers a systematic approach to achieving cardiac safety. Texas Children's Hospital (TCH) is an affiliate site for Project Adam, providing numerous resources.

Q: Why might Project Adam not be widely known?

A: The exact reason is unclear. However, presentations like this provide an opportunity to spread the message. Discussions with directors at TCH and Cook Children's indicate that some areas, like Dallas-Fort Worth (DFW), are more involved. We need to disseminate this information, especially with increased requirements for cardiac responsiveness.

Q: How do schools or districts achieve “Heartsafe” program status?

A: Achieving “Heartsafe” status involves a step-by-step process through Project Adam. Organizations register, complete a checklist, and consult with directors and affiliate contacts for questions. Upon completion, they receive “Heartsafe school/program/district” designation.

Q: Is the “Heartsafe” program similar to SafeSport and currently in process?

A: Yes, it is similar to SafeSport and is an ongoing process.

Q: What legislative action is impacting emergency preparedness?

A: House bills have been passed and are expected to take effect on September 1st, following the governor's signature. This legislation aims to enhance cardiac responsiveness.

The post Emergency Preparedness appeared first on The Sports Medicine Broadcast.

Q: What is your favorite phase of post-operative care for ACL repair?

A: Phase 2 is a favorite because the athlete is getting off the table, which is exciting both mentally and physically. During this phase, significant gains are made, and progress continues toward returning to running.

Q: What is your biggest tip to avoid pitfalls, such as lacking extension, in post-operative care?

A: Consistently checking and actively feeling for extension daily is crucial. Make it a habit and an integrated part of the treatment flow to catch any issues early. Even a little bit of load when athletes start doing more of their daily activities can affect extension, so early detection is key.

Q: Is lacking extension from one treatment to the next a red flag?

A: It is not necessarily a red flag, but it should definitely be noted. This observation prompts consideration of what might have changed between sessions that could have caused the lack of extension. For example, it might indicate that too much activity was introduced.

Q: Should fibular head mobilizations be immediately used for lacking extension?

A: No, one should not immediately jump to using fibular head mobilizations. However, they can be a successful intervention in certain cases.

Q: Can this ACL rehabilitation program be used for other surgeries?

A: The framework of this ACL rehabilitation program can definitely serve as a guide for other knee surgeries. However, modifications are necessary based on the specific structures that have been surgically altered. For example, a meniscus repair would require avoiding weight-bearing, unlike an isolated ACL reconstruction.

Q: What biofeedback units do you recommend?

A: I recommend Mtrigger. It's an app-based unit with an easy setup, and it can be used more functionally beyond just table exercises. Additionally, it is versatile and can be applied in various other post-operative cases.

The post Post-Operative Considerations in the Athletic Training Room appeared first on The Sports Medicine Broadcast.

Q: What drew you to emergency medicine, particularly regarding chest injuries and emergencies?

A: I liked everything and wasn't sure what to commit to. Emergency medicine allowed me to experience a bit of everything, including a wide range of chest injuries.

Q: As an ER physician, what makes you nervous, especially concerning severe chest injuries in children?

A: Pulseless children are concerning. Severe cases with children, such as swelling or edema of the airway where a cricothyrotomy might be necessary, are also very serious.

Q: For athletic training, what are red flags indicating something is truly wrong with an athlete, beyond just being out of shape, regarding potential chest injuries?

A: Being out of shape typically presents as shortness of breath without actual struggle or severe chest pain. Red flags for chest injuries include pale or cyanotic appearance, complaints of severe chest pain, and a visible struggle to breathe.

Q: Is an on-field ultrasound something athletic trainers can perform, or is a physician required for assessing chest injuries?

A: A physician would be required. While we wish it were seen more often, on-field ultrasound has tremendous value in clarifying life-threatening chest injuries.

Q: As athletic trainers are the initial contact for chest injuries, what essential information do you need from us?

A: We will conduct our routine workup regardless. Key information includes what actually happened—e.g., getting hit in the throat versus the chest—whether they collapsed or lost consciousness, and how the patient initially presented and communicated their complaints.

Q: What kind of chest injuries might take a day or two to fully manifest or be definitively diagnosed?

A: Cardiac and pulmonary contusions can take time to develop. Life-threatening issues are typically identified through labs on the day of the incident.

Q: Can you explain Commotio cordis in the context of chest injuries?

A: Commotio cordis involves the ventricles going out of whack due to a flux of ions being disrupted, which is a chemical issue. This happens in a fraction of a second, as highlighted by the Damar Hamlin incident, which brought athletic training to the forefront for chest injuries.

Q: When an athlete experiences chest pain after a hard tackle, when is immediate removal necessary, and when can we “wait and see” for bigger issues related to chest injuries?

A: Often, if you ask an athlete if they can return to play a few plays later, they might indicate they cannot or develop a specific spot of noticeable pain. Lingering pain for a few plays, rather than generalized pain, may be a sign for removal due to a bigger issue, particularly with chest injuries.

Q: Could you share a surprising ER story related to chest injuries?

A: There are many stories. Early in my career, seeing a 4×4 through a chest wall, yet the internal organs were intact, was shocking. As I progressed, medical mysteries became more enticing. DJ Harden's aortic injury after a chest hit, and assessing patient consciousness and bilateral pulse equality, are all crucial in emergency medicine for chest injuries.

The post Chest Injuries and Emergencies appeared first on The Sports Medicine Broadcast.

The post Guided Practice appeared first on The Sports Medicine Broadcast.

Q: What are the red flags for hematomas?

A: Protocols from SCAT6 and other guidelines for hematomas or hemorrhages emphasize watching for loss of consciousness (LOC), altered mental status, and vomiting. Quickly identify these signs to avoid missing late concussions or other critical issues. Ensure the mechanism of injury (MOI) aligns with the trauma; diagnosis is challenging if it doesn't.

Q: How can CSF be identified, and what is the “halo sign” red flag?

A: The halo sign, also known as the ring sign, remains the best indicator for identifying cerebrospinal fluid (CSF). CSF is distinct: it has a clear-to-mucous color, is super thin, lighter than water, and does not mix with other fluids. For instance, a soccer player initially diagnosed with a concussion showed a bloody nose and consistent halo sign post-game, necessitating immediate emergency room referral.

Q: What essential elements should be added to an Emergency Action Plan (EAP)?

A: EAPs are becoming more comprehensive, focusing on three key areas. First, ensure resource accessibility by including contacts for ENTs, dentists, and eye doctors. Second, review the EAP regularly, two to three times a year, rather than just annually, using past injury knowledge to proactively improve it. Third, if using AI to draft EAPs, meticulously verify all listed resources.

Q: What items should be included in kits for eye and tooth injuries?

A: For eye and tooth injuries, kits should include 4×4 gauzes, an otoscope, a “Save a Tooth” system, eyedrops, nasal tampons, and Afrin. Physician-approved medications should also be added, along with an ENT kit, which is available online.

Q: What are the risks and benefits of athletic trainers performing sutures on the field?

A: On-field suturing depends on the location and type of laceration, with the cause (e.g., metal object) being crucial due to potential tetanus considerations. Athletes often return to play the same day with sutures. For facial lacerations, specific types and sizes of sutures are used, but caution is advised near the eye. Eyebrows and the skull are generally suitable for suturing if no underlying fracture exists. Control bleeding and inform athletes of the risks associated with playing with sutures; safety is paramount.

Q: When can athletes return to play after tooth injuries?

A: For primary (baby) teeth, if no secondary tooth injury is suspected, return to play (RTP) is generally straightforward. However, secondary tooth injuries involving complex factors can lead to lasting effects. It is important to document whether the injury involves primary versus permanent teeth. For younger children, involve parents to understand the mechanism of injury and the potential for future crown and root fractures.

Q: What current sports medicine trends should recent graduates be aware of or learn in the classroom?

A: Sports medicine is constantly evolving, with increased pressure for accurate decision-making. Recent graduates need to be proficient in current literature and comfortable with shared decision-making and escalating care. As athletic trainers often serve as primary sports medicine providers, they require broad skills across various domains.

Q: How can these emerging sports medicine competencies be effectively taught?

A: Teaching these competencies is challenging due to the need for comprehensive exposure. Educational methods vary by setting, and the field has expanded significantly. Training provides a broad scope, so it's important not to be narrow-minded. Past experiences remain relevant, and post-training, continuous reading and skill refinement are crucial. In a controlled educational environment, students should learn as much as possible, as quickly as possible, to prepare for real-world practice.

Q: What topics are covered in today's breakout session?

A: Today's breakout session focuses on facial injuries, incorporating practical eye, ear, and nasal examinations. The session emphasizes that history-taking accounts for 80% of a diagnosis, with the physical examination comprising the remaining 20%.

The post ENT with Dr. Rehal Bhojani appeared first on The Sports Medicine Broadcast.

Q: How did you transition from an Athletic Trainer (ATC) to a Doctor of Osteopathic Medicine (DO)?

A: I transitioned to practicing sports medicine without surgery, as that field didn't align with my interests. I explored osteopathic medicine, identifying the core difference between DOs and MDs as a dedicated course in osteopathic principles. I maintained my athletic training certification to foster understanding and collaboration with ATCs, and a second course focusing on the musculoskeletal system further ignited my passion. During medical school, I also pursued an MBA, gaining insights into medical billing.

Q: Can you describe your athletic training (AT) experience at HBU?

A: I completed my undergraduate studies at UT, then worked as an ATC for baseball and softball at HBU. I entered the profession serendipitously, drawn by the phrase “sports medicine.” It required rapid maturation, as I assumed an adult role despite being only slightly older than the athletes. I collaborated with Richy Valdez and several GAs, and student athletic trainers were indispensable since it was impossible to simultaneously oversee both baseball and softball. I recall an incident involving twin softball players: one sister not playing, the other on deck, with an accidental practice swing hitting the sister, necessitating a golf cart ride to the adjacent facility.

Q: Why is low back pain a significant health concern, and how is it related to depression and lifestyle?

A: Low back pain is the second most common reason people visit the doctor, with depression being the first. Patients typically present with symptoms that indirectly lead to a depression diagnosis, rather than overtly stating “depression.” A sedentary lifestyle is often termed “the new smoking” in medicine, leading to tight, unused muscles. Hands-on manipulation therapy can be beneficial, and simple exercises like push-ups can improve posture by strengthening the neck muscles that support the head. Many individuals struggle with core muscle activation; focusing on proper technique and guiding them to engage their core will lead to increased strength over time.

Q: How do you address flat feet in patients?

A: Patients often present with concurrent back and knee pain. Structural analysis can reveal the cause, leading to recommendations for inserts or corrective devices for arch support, rather than immediate surgical intervention. Subsequent efforts focus on improving knee mechanics to alleviate symptoms.

Q: What is your approach to concussion management?

A: Myofascial release may sometimes require trigger point injections. However, most concussion cases can be effectively managed with muscle energy techniques. In older patients, some form of osteopathic manipulation may be necessary.

Q: What are the key anatomy considerations for the neck?

A: It is crucial to understand that the neck's complexity extends beyond superficial muscles like the scalenes and deltoids; smaller, deeper muscles also play a significant role in neck function.

Q: What are your tips for the Athletic Training Room?

A: Prioritize hands-on manipulation therapy and muscle energy techniques with athletes, rather than solely relying on stationary bikes or treadmills for warm-up.

The post Osteopathic Manipulation Therapy In Sports Medicine appeared first on The Sports Medicine Broadcast.

Q: Is fascial length more critical than strength for hamstring recovery?

A: Fascial length is not necessarily more important than strength, but the body adapts from training, loading, and sprinting. However, sprinting alone is insufficient for optimal hamstring recovery.

Q: How can fascial length be tested in athletic training (ATR)?

A: Currently, there is no way to palpate fascial length. It can only be observed on MRI or ultrasound as imaging techniques improve. An NFL-funded trial is ongoing, examining hamstring injuries and investigating various factors with imaging across several colleges.

Q: How does adjusting knee positioning impact hamstring rehabilitation?

A: Varying the amount of knee flexion or extension can increase hamstring length and load depending on the specific area of the hamstring. Training hip extension can place more load on the proximal hamstring tendon. Most hamstring injuries occur at the myotendinous junction (proximal), while injuries within the muscle belly tend to heal better.

Q: What are the challenges in hamstring rehabilitation for high-level athletes?

A: The higher the level of competition, the more complex the situation becomes, often involving “more cooks in the kitchen.” This raises questions about collaboration between different coaches and the athletic trainer. Communication and planning can be challenging in these scenarios, impacting hamstring recovery.

Q: Is high-intensity sprinting the most important aspect of hamstring recovery, and what are the considerations for progression?

A: High-intensity sprinting is considered most important, but a lack of planning may be an issue. There is a significant load difference between an 80% sprint and a 100% sprint, with a substantial increase in eccentric load at maximum effort. The length the hamstring travels between 80% and 100% sprint is no different. A gradual progression back into previous activities is often necessary for effective hamstring recovery. Running more than nine sprints in a session can lead to further hamstring injury.

Q: Can AI, such as ChatGPT, replace athletic trainers?

A: AI is only as effective as the user and the questions asked. For example, it can build a maintenance program. When asked to include high-speed running and eccentric loading, it then asked if a weekly microcycle was needed. Hopefully, it will not replace athletic trainers' jobs but instead help them to excel at them, especially in optimizing hamstring recovery.

Q: What are the key takeaways for athletic trainers from this presentation on hamstring recovery?

A: Athletic trainers should start eccentric training early (at a pain level less than 4/10) and incorporate sprinting (running) as soon as possible. It is also crucial to communicate with coaches to target at-risk position groups with maintenance plans throughout the season and to incorporate banded Nordic hamstring curls to maximize range of motion.

Q: What is the role of maintenance programs in athletic training, especially concerning hamstring injuries throughout a season?

A: Maintenance programs are vital throughout the season to prevent recurrences and soft tissue injuries. During SAC camps, the key is to prevent overtraining and identify athletes who don't self-regulate. Sprint training should occur early in SAC camp or during the day's workout before lifting. For in-season maintenance, hamstring work should be incorporated on match day and two days after, ideally 3-4 days before the next match day.

The post From Strain to Strength: Optimizing Hamstring Recovery For Peak Performance appeared first on The Sports Medicine Broadcast.

Guest: Brennan Roper, MD

Discussion Points:

• Magnet-Based Leg Lengthening: Explore cutting-edge technology utilizing rods implanted in bone and an at-home magnet for non-invasive leg lengthening. This innovative approach allows for daily progress monitoring by providers, offering a minimally invasive alternative to traditional manual methods.
• Precision in Magnet Use: Understand the critical importance of using the correct magnet, placement, and parameters for effective leg lengthening outcomes.
• Understanding Leg Asymmetry: Learn that some degree of leg length asymmetry is normal. However, significant discrepancies warrant prompt medical attention, as early intervention can lead to less invasive treatment options.
• When to Seek Medical Advice: Recognize the importance of consulting a physician for any concerns regarding limb alignment, especially if a discrepancy exceeds 5mm or 1 cm.
• Specialized Care for Discrepancies: Discover why seeking a specialist for limb length discrepancies is crucial, rather than relying on general clinics or ready clinics.
• Supplementation for Teens: Discuss the role of Vitamin D supplementation, particularly for teenagers, due to potential dietary deficiencies. Calcium supplementation may also be considered based on laboratory findings.
• Long-Term Prognosis: Examine how the long-term impact of limb length discrepancies is influenced by the degree of the discrepancy and treatment goals. Even small differences, like 2mm, can allow for a quick return to sports after incision healing, with “guided growth” being a viable option for minor discrepancies.
• Miserable Malalignment Syndrome: Gain insight into this condition, characterized by knee or hip pain and a feeling of being “off,” despite a seemingly neutral external appearance. This syndrome often involves internal rotation of the femur, knee valgus (knock-knee), and external rotation of the tibia.
• Tolerance for Differences: Understand that small leg length differences (2, 3, or 4mm) are generally well-tolerated, while angular discrepancies tend to be less so.

Shortlink:SportsMedicineBroadcast.com/LimbAlignment
Website: http://utphysicians.com/provider/brennan-roper/

The post Limb Alignment and Leg Length Discrepancies appeared first on The Sports Medicine Broadcast.

Cartilage damage is a common issue, particularly among athletes. Understanding the latest repair and preservation techniques is crucial for both medical professionals and those in sports medicine. We recently had the opportunity to discuss these topics with Dr. Raj Shani, a leading expert in the field.Favorite Technique: ACI (MACI)

Dr. Shani highlighted Autologous Chondrocyte Implantation (ACI), specifically MACI, as his preferred technique due to its immediate positive impact on patients. This procedure offers a faster, easier, and less burdensome recovery for the patient. Looking ahead, advancements may allow for cartilage harvesting and growth to occur in a single setting, eliminating the current two-stage procedure.Why Athletic Trainers (ATs) Need to Know

For athletic trainers, a general understanding of these techniques is invaluable. ATs are often the first point of contact for athletes and see them daily. Their knowledge fosters comfort and trust, allowing for more effective discussions about injuries and treatment options with athletes.Exosomes vs. Gene Therapy: The Future of Growth

When considering future growth, Dr. Shani believes exosomes hold more immediate promise. The ability to directly introduce exosomes into the knee makes them a more practical option than gene therapy, which presents significant challenges in modulation.Cartiheal: A Natural Solution

Cartiheal, derived from coral, is a fascinating naturally occurring and biologically inductive material. Bone can grow into it, making it a valuable substitute for allografts, which can be expensive or unavailable.The Meniscus: Protecting Cartilage

It's important to differentiate the meniscus from the articular cartilage that deteriorates with arthritis. The meniscus plays a vital role in protecting the articular cartilage by increasing the surface area for weight-bearing. Without a healthy meniscus, the cartilage on the bone experiences less surface area for load distribution, making it more susceptible to damage and issues.

Cartilage Lesions in Athletes: Sports at Risk

Approximately 30% of athletes experience cartilage lesions. Sports involving cutting and contact, such as basketball, are particularly prone to these injuries. While data may be biased due to a higher male participation rate in sports, male athletes generally show a higher incidence of these lesions.

Contact Us

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Current Cartilage Repair and Preservation Techniques appeared first on The Sports Medicine Broadcast.

What is your Athletic Trainer story?

As an avid NBA follower, I saw the Athletic Trainers and wanted to be those guys.

Full-time job working with club sports…please explain.

I like wearing many hats

My office is inside of the club volleyball facility.

I have a mobile recovery unit

I see athletes one on one for a care plan

Appointment based during the week

Event coverage during the weekends.

I do a lot of education so the athletes know what they are doing.

Parents and players spend so much time on performance but neglect recovery

What drew you to club sports?

Much of my AT experience was in the industrial setting

Disney

Beer

Coca-Cola

This helped me grow into an autonomous AT

I started as VSix industrial AT but that changed.  I found a niche in hotels.

I was the MIPP program for the hotels in California.

We had bi-weekly appointments set up.

Being a business owner, what should ATs know?

Social Media is great for an AT to break off and do your own thing.

Creating your own brand is simple but not easy.

Get to know sales: yourself, your brand, your product.

I do a complimentary resume/ interview session during NATM each year.

People will pay for good care

Best growth tool? Who do you follow?

Mike Stella

ProMotion

Krystal Tyree

PTBiz

ATVantage

KCAT – Jessica 

Compex vs Marc Pro vs Twitch? Which do you prefer?

MarcPro is my favorite 

Twitch is second and more affordable. 

What makes up the majority of your business? Event coverage, practice, recovery, private evals?

About equal thirds

Tournaments

Recovery

AT services

Most underrated recovery tool?

Sleep

Contact Us

Vander Castillo – VSixAT

The post VSix Athletic Training – Vander Castillo appeared first on The Sports Medicine Broadcast.

For those of us who may not know what is GHATS? And what is it all about?

Chris Shaddock brought me into Sports Medicine as an eighth grader

GHATS hosts a workshop for student Athletic Trainer Aides.

The workshop is to educate and expose students to the profession.

Numerous courses and rotations provide students with opportunities to learn and explore their interests.

I was uncoordinated and unathletic, and I needed people who understood me.

My sophomore year was the first year of the QuizBowl in GHATS.

Chris told them: Do not embarrass me, watch the quiz bowl, and learn.

Learn it, love it, win it.

My senior year, I wanted to keep competing and so we were doing speed drills, we acquired a quiz bowl buzzer, we did scrimmages…And we finally won.

I went on to college and came back to GHATS to recruit the student AT aides from Houston.

We won 5 championships and have been in the finals 7 times.

I began developing the program so that we as a staff, are involved.

We start studying for them in August.

As part of our student AT workshop, before school starts.

If we win this year, we will be the leading state title holders in our entire district.

We study one 30-minute session each week starting from week one.

13 students were at each of these sessions

I write 200 new questions each year so the students can not just memorize them.  I introduce them only at the scrimmage.

Region 6 has created a clause that requires the question to be fully read before the students can buzz in.

The quality of competition has increased 

What did that look like through college?

1 year at Texas A&M Corpus Christi we competed.

It was a different style quiz bowl that was more like Kahoot.

What does the state quiz bowl competition look like?

The last two years was at Tarelton State.  We came in early Sunday to settle in

Then they host the AT Olympics.

Monday morning they start the state competition like a track meet.  Multiple events and your points total place you.

This year there is a rubric that enables the student to learn exactly what is being required.

After lunch was the quiz bowl just like GHATS.

Tournament style with buzzers, head to head.

They have a skills requirement list that they must learn and have signed off on by the professionals.

How do you keep kids motivated and engaged? Are they intrinsically motivated?

Both

I push hard but it’s because they show up and want to be there.

Give us your tips for success.

ENJOY IT – the whole process

Ernest Shackleton – Difficulties are obstacles to be overcome

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Quiz Bowl Success appeared first on The Sports Medicine Broadcast.

What is your AT Story?

When did you get introduced to Athletic Training?

Where did you go to college?

Where was your first job?

How long have you been practicing?

Grew up as an injured athlete in high school

Erik Lanaes at Sacred Heart

Attended Sacred Heart Univ

Played soccer there with 2 significant injuries that left me without soccer

I took an Intro to AT course 

My mentor, Tim Spiker, told me I was an Athletic Trainer and not a PT

The ability to multitask and think outside the box.

Shenandoah University for the ELM

They were big on the challenge and immersion of the AT Program

Spent a season with Rutgers football

Then went to DC United and realized the schedule didn't fit my desired life

I found the secondary setting was my real calling

Got into the Physician practice so I could spend time with family, but still felt lacking in the depth and connection with the athletes.

You were named the CATA AT of the Year in 2019.  Tell me about that.

Have as many conversations with ATs as you can.

The then Vice president started asking me how we could change and push the profession.

From there I came to the board meeting and met the members, and the rest became history.

I became the secondary schools committee chair and worked to improve communication and connection.

What is a unique aspect of Athletic Training in your state?

I feel like our scope of practice is the best for ATs

What is a big challenge for Athletic Trainers in your state?

Similar to every other state – perceived value

Work life balance

We are a small state with smalled programs.  So there are not a lot of ATs trying to take our place.

Functional shortage = shortage of numbers available for that setting

Contact:

Jess – presidentCATA@gmail.com

Jeremy – @SportsMedicineBroadcast

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

New Code: SMB

The post AT in Connecticut appeared first on The Sports Medicine Broadcast.

What is your AT Story?

When did you get introduced to Athletic Training? During my high school sports career, I was often injured, and the AT became a mentor to me.

A surgery in my junior year led to my not playing basketball as a senior.

Did an internship as a senior

Where did you go to college? UD & Cal U of PA

Where was your first job? Tidewater Physical Therapy in Milton, DE

How long have you been practicing? 16 yrs

When did you get involved with the Delaware Athletic Trainers Association?

In my 7th year as a secretary for 4 years

The past two years, the president-elect

What is a unique aspect of Athletic Training in your state?

I know almost all of the ATs in our state

We are 1.5 hours from top to bottom

What is a big challenge for Athletic Trainers in Delaware? Turnover rate

Turnover rate

Funding for positions

The long-term hires are through the district rather than a clinical outreach.

In 2024, you had the Block grant to fund ATs in every school.  Can you talk about that?

2 million dollars annually 

It is divided among the public schools based on enrollment and is only allowed to be used for hiring an athletic trainer.

We have used a lot of the AT Your Own Risk data to educate lawmakers.

If you had to pick another state to live and work in which one would it be and why? Hawaii

They mandate ATs, and I love the beach.

You're recruiting ATs to work in Delaware…what is your sales pitch?

We have a lot of young ATs and a lot of mentors.  We are small and tight-knit

Contact Us:

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AT in Delaware appeared first on The Sports Medicine Broadcast.

Quick overview of Mind Mirror for those who missed the first podcast.

Artificial intelligence is used to give a risk assessment of someone who potentially has a concussion.

Correlation is one element used to determine if the patient has a concussion

Coming straight in from bright light, which could restrict the pupils, but the correlation should be the same.

Light intensity, fatigue, and cold can affect pupils.

Taking Nyquil or something that makes you groggy or sluggish will negatively impact the test results.

Hit the maximum restriction in one second or less; it should not be three or more seconds.

The Athletic Trainer needs to know what is currently going on with the athlete. 

Age can also have a very slow response, which is why the app looks at other factors.

PLR – healthy score indicates a high probability that the athlete does not have a concussion.

A score lower than .8 indicates a high probability that the athlete does have a concussion.

Caffeine’s effect?

Caffeine can constrict the pupils; in Emma's case, her pupils were very constricted due to a possible combination of the caffeine and light restriction. 

You can use a light meter to help tell if the pupils are restricted.

Mind Mirror's Indoor versus Outdoor differential?

Try to do it in a shaded area or inside, and try to do it in an area that does not affect pupils

Does it matter if you do the baseline test or the after-incident test?

Exact same test, just allows them to segment the data. 

Will the administrator be able to see the results in the app?

Yes

When using the Mind Mirror app it asks test result is normal or not normal before we see the results. Should we be able to see that before?

SOAP, what did you observe? Did you observe things in a normal or abnormal state? Are things normal? They will be removed in the next version.

Clarify the colors a little more.  One of our results showed .09 and was orange.

Color scheme: green, light orange, to red

An extremely low score should have shown up in red

Will look into why it did not come up as red, yellow ,or orange is trending toward higher risk

How is the new prototype with more biomarkers coming along? 

Starting development, exposing to customers, they do their observation and send notes back, send observations ,the advance score of the risk probability, the advanced model is now currently being combined into the app

Does the environment of the test matter? 

It seemed we got different results from indoors vs. outdoors in the shade. 

Lighting does matter

Is there any more research you would like to do in the future? What do you want to prove? 

There are very few studies on female athletes and brain studies, not a lot of info, looking into studies on female rugby, looking at a lot of studies of different ages, not a lot of info on studies 

How do you intend to begin selling the product when it is ready? Will it be a monthly service? A one-time fee? Discounts for bulk pricing(multiple accounts)? 

A variety of pricing models, the goal is to get it into the hands of as many people as possible

Youth leagues and high schools are a bulk price, $5.00 for 1 year or $2.50 for 3 years

Could you ever see Mind Mirror being bought out and implemented in one of the other concussion testing systems?

Have had conversations with Sway to provide them with an objective measurement. 

Healthy Roster, incorporating MindMirror results into the system.

The goal is to add sensors to help tell if protective gear should be added, and telehealth 

The next model will have biomarkers for risk, age, and other health issues

Contact:

Mind Mirror – info@mindmirror.health

Glenn Bowers – glennb@mindmirror.health

Ben Stephenson – https://www.instagram.com/_benstephenson/

Emma Gunnin – 

Jeremy – @SportsMedicineBroadcast on IG

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Mind Mirror Round 2 appeared first on The Sports Medicine Broadcast.

Explain what Cognitive FX is.

Functional MRI FMRI – use the same scanner, the process is different, and the information is different

Located in Utah

Athletic trainers are integral and 1/15 of the treatment team, a large, multidisciplinary, interconnected team

Intense approach to therapy, rather than 1 or 2 appointments, it is an 8-hour appointment for 2 weeks, patients come from all over the world 

What role does the Athletic Trainer play in CognitiveFX?  

At least 3 ATs on staff.

Athletic Trainers have not been easy to find.

We have gone to the NATA and other conferences.

We need them.

CognitiveFX will train the ATs to understand functional MRI and how the brain is connected to the body.

Cranial nerves and integration.

Use a lot of AT tools with the body mechanism 

See patients between 18-40 and they do lots of sports, ex. Skiing, sports, slipping, and falling on ice.

They do a lot of specialized training, which is connecting the brain to the body

What are you looking for in an Athletic Trainer?

Looking for someone that is willing to learn, some right out of school and some 20+ years, someone that is always curious and eager to learn, don’t know everything about the brain, cognitive fx is an exciting science, booking for curious and trainable, not focused on experience.

Every concussion is not the same

What are the statute of limitations…can we “fix” a 4-year-old cognitive deficit from a sports concussion?

every one knows 5 people that have had concussions and have lingering symptoms, they are not the same but they look normal so they get ignored, no statute of limitations, have pts from 3 months to 3 decades after injury and still see improvement, younger and closer the better, still have seen huge improvements even decades later

I appreciate that the pricing is listed on the website. How often do insurances cover some of the treatments afterwards?

Insurance reimbursement is different based on insurance companies, on average, 60-80% coverage depending on your insurance plan. The therphies are ones that people can get everywhere, so no problem with insurance.

The scans are when insurance gets iffy, the companies don't understand why we need 4 scans: 

2 Brain FMRI and 2 Neck FMRI 

Typically, insurance companies don't cover all of the MRI exams, the therapies do get covered

The costs are because so much attention is given to the patient for 8 hours a day.

24,700 price for two weeks

13,000 for one week

Athletic Trainers stay a long time

Insurance isn't timing the therapists, so they can do what they want at the clinic.

They can alter plans without having to do insurance approval. 

The first clinic was in paternship with Tom Brady and his best friend who is a Trainer, opened TB12 in Foxburrough., treat a lot of professional athletes, everyone gets concussions and they worked with the best of the best athletes, some people seem superhuman because they heal so differently, wants everyone to feel that their brain can change if given the special attention

EPIC treatment: is it like a camp where patients stay overnight?

Clinic is in utah, people from all over the world, 3 pts from netherlands, 2 from canada, rest from US all over, 2 from utah, 15 pts this week, they are there for 2 solid weeks back to back, this scan is different, using a regular MRI but lying down and doing neuro psy tasks, not looking at structures instead having them do tasks, FMRI picks up changing happening in the brain, that is when they see some parts of the brain are not working well and some are componstating for other parts

Each scan looks different, looking at how the brain metabolizes oxygen, intense program built around the patient

MD neuro neuro radiologist phd neuro scientist, neuromuscular therapist, pts, ats, neuorintergation therphist, ots, vision, cognitive, etc.

Each patient for 8 hours a day gets one on one session with each speciality, it is crazy to do all this but they support the energy levels and give them the resources to help them

Partnership with Marriott hotel that is close to clinic, even during COVID patients are still coming, nice Marriott that shuttles to clinic, and some people find their own housing, try to make it easy for the patients

2.3. EPIC Treatment

In addition to standardized test administration, normative-based assessment, and individual, image-guided measurements, our EPIC treatment exploits the latest knowledge of NVC and its role in PCS by integrating three fundamental rehabilitation facets for each patient: Prepare, Activate, Rest. Specific therapeutic activities included in each of these three phases of EPIC treatment are the product of research, clinical experience, screening, and empirical testing [29 – 34]. EPIC therapy implements a cyclical pattern of treatment where patients are rotated through therapies and activities that promote cognitive and physical rehabilitation from concussions. The preparatory stage of therapy includes varying degrees of aerobic exercise and neuromuscular therapy, based on patient capacity, to enhance cerebral blood flow in anticipation of cognitive therapy while also encouraging neurosensory rehabilitation [32, 33]. This phase of therapy lasts 50 minutes in duration and is followed by the activation portion of EPIC. We implement traditional cognitive and occupational therapy techniques for a subsequent 50 minutes of tailored treatment to target specific deficits for each patient. Complex, multistep problem solving, logic puzzles, functional and short-term memory challenges, digital therapeutic games, visual exercises, motor skill retraining, and psychosocial therapy are all implemented in this stage of treatment [30]. Additionally, DynavisionTM is incorporated into therapy as a means of Developing the Standard of Care for Post-Concussion The Open Neuroimaging Journal, 2017, Volume 11 63 treating visuospatial deficits and to enhance multitasking and cognitive processing. A destimulation period of varying duration follows to allow for recovery before another round of therapy will begin [34]. Brainwave entrainment destimulation is used promote neural wave harmonization and reduce cognitive activity [29]. This cycle is repeated for 6-8 hours a day over a typical 4-day treatment period that can be adjusted based upon symptom severity and resolution.  These therapeutic approaches address a wide range of cognitive, sensory and physical functions. The key to success, however, is not necessarily the therapies themselves, but the manner in which the therapies are applied (i.e., timing and order). For example, a carefully guided rotation between physical/cardio challenge and cognitive or sensory processing challenge is a central feature in restoring the timed pairing between rCBF and regional neural firing. Our multidisciplinary team was successful in restoring pre-traumatic NVC through the cyclical application of these rehabilitative principles supplied in tandem with the benefit of appropriately timed neurocognitive exercise [35, 36]. A multi-method approach was also employed to avoid overexertion of brain regions with severe NVU. Accordingly, cyclical brain training aimed to strengthen surrounding neural correlate systems, which, in turn, support the more severely uncoupled regions. Sustained therapy over a multi-day period was shown to promote accelerated and longitudinal restoration of pre-traumatic NVC.

Interesting story most recent, 70% are concussions, about 20% are covid long haulers, ptst hat have had a viral infection, 5% are stroke or seziure disorder, quite broad in diagnostic catergories, 

Riley Horner: big article on the news that was young with a TBI and 51st dates, kept forgetting, brought her into the clinic for 2 solid weeks, not 100% fixed, but significant improvements, came back again a few years later from teenager to older, saw huge improvements, reached out just in last month now in early 20s, she just graduated from nursing school, moms thanks for getting daughter back, now a nurse and wants to help others improve, watch inside edition improve, this is why she does what she does

Complementary consultations for anyone

Contact Us

Dr. Alina Fong – alina@cognitvefx@usa.com

Jeremy Jackson – @MrJeremyJackson

Ben Stephenson –

The post Cognitive FX – Dr. Alina Fong appeared first on The Sports Medicine Broadcast.

Megan, thanks for showing my family around the facilities of the University of Delaware.  

It was an absolute pleasure getting to meet virtual friends in real life.

What is new with Women in AT?

Recent addition of new board members to create new opportunities for work and growing the board. 

Rolling out mentorship for members.

Wanting engagement and also to answer questions, looking for more opportunities.

Possible meet up at NATA and a book club, 

Created a book club during COVID to help engage, What Made Maddie Run was recommended to read.

We are going to try to find something light for the close of the spring season.

Emma is about to graduate and enter the workforce.  What do you wish you knew?

Have conversations early about improvement.

Ask them to regularly meet with you about how you can improve.

Have a growth mindset.

I wish I had someone who came to me offering to help and mentor me. 

Don’t be afraid to ask for help or admit you do not have the answer.

Schedule regular meetings with your supervisor.

Kayla is in her first year as an MAT student wanting to work in college athletics.  What should she know?

Work with smaller groups

Develop strong relationships

Proactively communicate

Take note of the communication style of your coaches to improve the process.

How do I deal with an “old school” coach who does not trust a female?

Try to have all of the answers ready.  

Be open with communication.

Make sure you document any sort of misunderstanding. 

Think about the long-term goal.

Communicate with your supervisor often so you are on the same team and they can help you work through the struggles.

How do I transition into being a professional?

That grind mentality doesn’t go away…unless you are burnt out and looking to leave.

Take care of yourself, fill your cup.

I enjoy working out through CrossFit Monday-Friday

I do a 5-minute journal daily.

There is nothing wrong with the grind if it brings you joy and passion.

One thing we do at the University of Delaware is a cross-coverage calendar so we can plan around life events. 

Do you know what you, as your best self looks like? 

Write it down so you know what “center” is for you.

Contact:

Megan – @MeganSmithATC

Emma – @emma_addisong

Kayla – @kayla.jean5

Jeremy – @SportsMedicineBroadcast

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Women In AT Advice appeared first on The Sports Medicine Broadcast.

What is your AT Story?

Often-injured high school athlete and went to the physician’s office for back pain where I worked one-on-one with an AT in a rehab setting

Nancy Condit in Missoula, Montana.

• We had a GA show up to help with high school basketball, and I learned more about the traditional role of the AT.

• Went to New Mexico State University  

• Worked in outpatient clinics in the southwest

• Went to grad school at the University of Pennsylvania

Worked with women’s and men’s basketball at the University of New Mexico

I then became the clinical coordinator at Fort Lewis College, where I worked as the clinical coordinator and program director, as well as outreach for the secondary school.

Durango is the best of both worlds: mountains and the desert

Outdoor paradise.

Jeb also worked as the Athletic Trainer for the Women’s Roller Derby team.

What is a unique aspect of Athletic Training in your state?

Orthopedic Outreach and Residencies are shaping employment for Athletic Trainers in Colorado.

What is a big challenge for Athletic Trainers in Colorado?

CO is a great AT state

A long history of AT and a little bit of everything

Secondary

University

Professional sports

Olympic Center

We have a strong residency program

I feel like our ratio of ATs in ortho clinics is greater than most states

Colorado was only recently granted licensure for ATs

Maintaining and protecting the licensure is a big part of how we spend our resources.

If you had to pick another state to live and work in which one would it be and why?

Go back to Big Sky country, where I am from.

You're recruiting ATs to work in Colorado…what is your sales pitch?

Colorado is a destination state.  Great for the AT that loves the outdoors. 

We have a lot of opportunities to grow.

Contact Us:

Jeremy – SportsMedicineBroadcast.com

Jeb Davis- coatapresident@gmail.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AT in Colorado appeared first on The Sports Medicine Broadcast.

What is your AT Story?

Lived in Las Cruces, New Mexico and was a high school student and was seen by the head AT throughout high school

George Westbrook became a mentor to me

I became a biology premed student and then hit a dead end.

Certified in 1980

Have had a great 45-year career

Worked at D1, D2 and D3 levels

Worked in high school and with the Dallas Cowboys

One of the unique things about California is the diversity. So many different settings

Started working in a faculty clinic at New Mexico State and finished at Cal State Fullerton

4500 AT in CA

I only represent 3000 of those because they are the certified ones

What is a unique aspect of Athletic Training in your state?

We initiated our first licensure in 1986, but it got vetoed by the governor's office

That has happened about 5 times since then.

We have our first title protection regulation on the books right now.

“You can not say you are an ATC without actually being one.”

Our next step is to have all ATs registered and have licensure.  

We currently have almost no enforcement other than working with the leadership and showing them the law. 

But there is no penalty at this point.

We field 4-5 “poser” emails per month to weed out the uncertified ATs in the secondary setting.

At about 55% of ATs in secondary school.

Diversity – 

The state is huge

Ureka at the tip of Cali vs the AT in LA are very different.

We are committed to DEI efforts

Public school and private school

Some schools have 3-5 ATs on staff, but down the road the public school has 1 per campus.

Many of our ATs work in industrial (Amazon…) and outreach to the high school.

You're recruiting ATs to work in California…what is your sales pitch?

There are a lot of opportunities.  The jobs being created are properly vetted and often include overtime.  The community of ATs here is amazing.

The weather is second to none.

Contact Us

Jeremy Jackson

Ky Kugler –

California ATA – ca-at.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AT in California – Ky Kugler appeared first on The Sports Medicine Broadcast.

What is your AT Story?

I learned about AT from a colleague and started noticing motocross needed help.

Graduated in 1995 through the internship route

I became friends with Lorner Strong and she mentored me through the process

My work has all been in the secondary school setting except for the side hustle working with motocross

3rd year at Cabot

I was at Bentonville High School for 15 years

In Arkansas, your certification qualifies you for licensure.  There is a very small licensing fee.

You need a physician statement signing off that you have a license.

The AR practice act has not changed since its inception in 1995.  We have met resistance to change from other organizations on changing it.

The PT board helped and mentored until ATs got their board established.

This created a difficult situation with somewhat a conflict of interest where the PT board was preventing the AT board from advancing the practice of ATs.

We had an officer pass away from heat exhaustion at the fire academy and they did not have anyone helping regulate their heat illness  

Border states can be a bargaining chip for getting legislature passed.

Last year we had 14 MAT students graduate and leave AR and one stay.

The population of ATs – 300+

Lots of places to go hiking, mountains, trails outdoors, beautiful seasons, mountain bike trails.

What is a big challenge for Athletic Trainers in Arkansas?

Practice act is one.

Teacher pay was changed to the learns act

So everyone was put on the same pay scale.

We are meeting with the AT students to encourage them to stay in Arkansas and what are their sticking points.

You're recruiting ATs to work in your state…what is your sales pitch?

Lots of places to go hiking, mountains, trails outdoors, beautiful seasons, and mountain bike trails.

Contact Us:

Keith Shireman

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AT in Arkansas – Keith Shireman appeared first on The Sports Medicine Broadcast.

Artificial intelligence, mobile computing & pupillary light reflex (PLR)

In 2022 Mind Mirror started because I was coaching my kids and missed a concussion with my own son.

We saw an opportunity to take AI tech and pupillary light reflex to assess concussion risk within 30 seconds.

Is Mindmirror used as an on-field assessment tool or a return-to-play tracking/monitoring system?

Both, with the speed of the test and subjectivity taken out of the assessment, it can be a great tool for on-field assessments. It also provides an objective return-to-play measure providing clinicians with the ability to determine safe RTP without bias, subjectivity or dishonesty from patients.

One study found that the PLR test isn’t affected by exertion or emotions which can't be said about all of subjective tests commonly used for concussion testing. 

Mind Mirror doesn’t use baseline tests, so how are normative values collected?

While baseline testing isn’t required it is highly recommended. 

Baseline testing for this model is extremely efficient, it only takes 7 seconds for each athlete to be tested and automatically stored in the system.

Will be adding a roster system that can link the rosters with Healthy Roster, Rankone and other EMR software. 

Could this help prevent lawsuits and protect athletic trainers when returning players with a possible brain injury? Is it lawfully sound?

There is no single test to definitively determine if a brain injury has occured, we are more practically used as an objective test to determine if symptoms associated with a brain injury are present. 

While most concussion testing is subjective we provide an objective measure. 

What biomarkers are we testing? (like Sway tests balance, memory, and movement coordination) what makes the PLR test superior to these existing solutions?  

Velocity of constriction

Velocity of dilation

The system calculates all 14 biomarkers and provides a probability score ranking them into 3 categories green, yellow, and red. 

Green is less than 0.3 probability indicating the brain is likely healthy.

Yellow is between 0.3 – 0.6 probability which is in the middle and requires further testing.  

Red is above 0.6 and indicates there is a high chance that the patient has a concussion. 

How was the AI software created?

Iris, an old colleague from Italy had a cool idea and I knew that if we could figure out the technology this could be big. 

We are already working with the U.S. military, collegiate, and high school settings.

Contact Us:

Mind Mirror – info@mindmirror.health

Glenn Bowers – glennb@mindmirror.health

Ben Stephenson – _benstephenson

Jeremy – @SportsMedicineBroadcast on IG

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Mind Mirror AI Concussion Screening appeared first on The Sports Medicine Broadcast.

What is your AT Story?

When did you get introduced to Athletic Training?

Where did you go to college?

Where was your first job?

How long have you been practicing?

Typical high school athlete story”

Kyle had an ankle injury that was pretty significant, but ended up just walking it off.

He later sustained a concussion but kept playing because we didn't have the tools to identify a concussion back then.

Kyle talked with a friend who was a football player and one of his friends was an AT student.  That sparked an interest and he began working with Chad Starkey in Ohio

He went to WVU for a master's degree.  Part-time he worked with a D3 school and loved getting to work all of the sports.

Kyle finally decided he needed to get out of the 3-hour radius he had always lived in.

Alabama was the furthest job offer he received from home, so he took that one.

What is a unique aspect of Athletic Training in your state?

Everything is 3-5 hours away, mountains, beaches, big cities…

Spiritually I am free to love others.

The people are great.

Nobody has a personal agenda, just people looking to do the work.

I live by work-life integration so that everything benefits.

What is a big challenge for Athletic Trainers in Alabama?

Involvement.  They need people to get involved.

Alabama had a council of 7 members when Kyle started and now has 17 and most of the positions are full.

In 2020 we updated our state practice act and had to redo it in 2021 after COVID

We created the advisory council which allows us to have 3 doctors and 3 ATs as the decision-makers.

Retention is a big challenge.

We have focused our effort on the rural incentive grant to help the 1-3A schools' Athletic Trainers to get up to $7500 working at those smaller schools

Alabama is starting a loan reimbursement program for people graduating with an MAT degree who can get $7500 for 5 years.

Contact Us

Jeremy Jackson

Dr. Kyle Southall

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AT in Alabama – Kyle Southall appeared first on The Sports Medicine Broadcast.

What is your AT Story?

Lindsey Loughrin got injured in high school and had ACL surgery.  She got to meet the Physical Therapist and Athletic Trainer through the injury.

Lindsey created a job shadowing program that became the current student athletic training aide program.

She attended a small college in Missouri to double major in theater and AT.

Lindsey Moved back to Chicago to study for the BOC.  then she got a lot of experience at Northwestern University in Chicago

Blessed to receive a GA position at Northern Arizona University she moved down to Arizona

She worked with a high school for 7-8 years in Illinois, but when job changes were occurring she looked to get back to Arizona.

The incoming Arizona AT Association president was mentored by a NATA HOF member who told me to get involved.

Linsey started with the Governmental Affairs Committee, then secretary and VP.  Now she is the incoming President

What is a unique aspect of Athletic Training in your state?

Working with native American or tribal populations.

What is a big challenge for Athletic Trainers in Arizona?

2 years ago we opened our license and have included dry needling for certified people.

The next challenge is preparing for new licensure  

You're recruiting ATs to work in Arizona…what is your sales pitch?

We have a lot of diversity and some great masters programs: secondary school clinical outreaches, university, industrial professional sports

We are in a stage of growth

Landscape

Lots of diversity in environments

We are a good bunch of ATs, we help each other grow and stay connected.

Contact Us:

Lindsey

Jeremy

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AT in Arizona with Lindsey appeared first on The Sports Medicine Broadcast.

What is your AT Story?

Carolyn grew up north of Anchorage and wanted to be an industrial arts teacher.

While at the University of Idaho, she took a Care and Prevention of Injuries course.

Barrie Steele

Graduated through the internship route

Carolyn came back for a year in Alaska since my mom was retiring and to figure out my next move.

What is a unique aspect of Athletic Training in your state?

I love the people, they are generous and super welcoming.

Living in Sitka I feel like I live in an amazing bubble.

What is a big challenge for Athletic Trainers in Alaska?

Being involved is difficult

Legislation is always a challenge

If you had to pick another state to live and work in which one would it be and why?

Probably somewhere like Arizona.

You're recruiting ATs to work in Alaska…what is your sales pitch?

Pay is competitive

Anchorage is like most big cities

You get to cover all sports

It is a close-knit group of ATs

Scenery is unmatched

Contact us:

Carolyn Black – alaskaata@gmail.comAlaska AT FB – https://www.facebook.com/AlaskaATAssociation

Jeremy – @SportsMedicineBroadcast on IG

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AT in Alaska appeared first on The Sports Medicine Broadcast.

How did you get started with student travel?

I went on a few trips with my wife as a chaperone since she is a teacher.

My role with EF Tours is to recruit kids and build excitement around the trip.

We offer it to our students AT Aides, Health Science students IB program.

The trips are educational but are mostly about opening people up to travel, culture, and people.

Where were you this summer?

Summer 24 – Ireland, England, and Paris

Where else have you been?

January 23 – Training Trip to Belize

Summer 23 – Costa Rica

Training trips allow you to learn how the trips work.

They are fast-paced and go, go, go

The tour directors pretty much run everything once it starts.

Plane – England – bus – castle – hotel

Wake up early and hit another landmark, a sheepdog demonstration, a bog farm…

Typically from breakfast at 8 am to dinner you are up and going.

Usually a different hotel each night.

On our last day in Paris, I walked 12 miles.

My training trip was in Belize for 5 days

We went to Costa Rica with 25 students

January 2023 – Belize (training trip)

2023 – Costa Rica

2024 – Ireland England

2025 – Italy Greece

2026 – Thailand Cambodia

What company do you use?

EF Tours

1 chaperone travels for free for every 6 kids that pay.

With 30 people you get a private tour.

Why do you spend your summers with students?

These are typically students we would be around all year.  Our trips are not open campus-wide.  Students have become accustomed to the trips.  The kids come into the year looking forward to the opportunity.

Pros and cons of student travel?

We took phones away at dinner and then the kids opened up.  They got noisy at dinner because they were talking to each other, bonding, and creating memories.

As an Athletic Trainer you might have summer duties, so traveling with students could eat into the few weeks you have at home.

My wife was gone for 10 days and she got back at the same time I was leaving for my trip.  We missed half of the summer together.

Get started on your student travels:

https://forms.gle/TjWqkh923cumhYVL8

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Student Travel with Jeff Hopp appeared first on The Sports Medicine Broadcast.

Everything has AI now, what does motion capture with AI mean?

AI has been around since the internet started.

As hardware improves so can the calculations the computers can do.

Self-driving cars example – cows falling from abridge…what would you do vs what would a computer do?

AI does really well in processing huge amounts of data rapidly and consistently.

The physics problems in movement patterns allow for AI to be used for growth and improvement.

The machine has to be fed.

ROM is easy to capture and accurately measure.

The computer is limited in cases like spinal movement.

Theoretical AI Motion Capture concepts

Look at the FMS – they are built to be read against functional norms.  It has been confirmed against many hundreds of thousands of instances.

We are looking for the potential for injury.

Think about scapular winging…it is like building a house on a concrete foundation vs building on a swamp…which one is built to last.

Some algorithms are being fed based on info so they begin looking for biased outcomes.

One AI model determining which patients should be prioritized from an insurance standpoint became racist because it was being fed biased information.

The algorithmic process can remove the bias when it is fed comprehensive data.

ChatGPT is now its own prompt engineer that allows you to ask average questions and get really good answers.

I look forward to when we can feed the movement into the machine and let it run its analysis without our input.

Think about re-captcha…computers are still bad at identifying objects in pictures.  Humans are still needed.

Your movement analysis is your movement fingerprint. That can become a movement profile with each new recording.

What does that look like for the Athletic Trainer?

Emphasis on prevention of injury to the athlete as opposed to reaction-based interventions – reduce the likelihood of an ankle sprain or ACL tear by catching fault movement patterns before the injury occurs

Contact Us:

Dr. Adam Whitman – adam.whitman@medbridge.com

Jeremy Jackson – @SportsMedicineBroadcast on IG

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post AI Motion Capture appeared first on The Sports Medicine Broadcast.

Adapting to Emerging Tech

(listen to my recent recording with Casey and Kim)

I have my hands in most aspects of the company

More recently I have been focused on improvement in remote care possibilities.

Demand for healthcare is growing

More and more providers are getting burned out and leaving the profession

Are you trying to take my job?

All of our movement assessment uses AI

AI has greatly improved since the beginning of the internet…but it's still a tool for you to do your job.

With billable hours telehealth was a real problem.

What led to the burnout?

Documentation

Lack of income

But it was honestly the patients

People want the provider to fix them without their participation

High school application of Digital Health Skills

HEPs are the simplest way to meet them where they are…on their phones

Digital video to demo the exercises.

Coming soon is a digital self-motion analysis that helps you know when to correct the exercise

The AI helps us understand the acceptable level of adaptation

The digital tool also gives us the opportunity for outcome measure data collection 

With some AI models, the exercises can automatically adjust to tailor to the needs of the patient based on the motion capture

The Non-Clinical PT

What do you bring to the table?

Do you understand what it takes to build? Can you make an app invisible?

You have to address the fundamental problem the person presented you with.

1. It is a tool
2. Break your habits
3. Stop printing papers
   1. Digital prescriptions meet them where they are.
4. Data is far greater than an individual can

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Digital Health Skills for Rehab Professionals appeared first on The Sports Medicine Broadcast.

What has gone away?

Clear edge test

New Concussion Tech:

What is new?

EyeBox – you put your chin on a chin rest and then track the marker in the EyeBox

Wavi – EEG

Mind Mirror – uses a front-facing camera and focuses on pupilometry 

Mouthguards – 

What is new with SWAY?

We stay up to date with the consensus statements.  We updated our documents from SCAT 5 to SCAT 6

Our tests mirror what is going on with the common research

We listen to our customers and now have it in English, Spanish and French.

We added the sleep survey

PHQ9

EMR integrations are a big thing for us.

Shortened the test if results were consistent

Helmets detect concussions real-time: 

What is your time-to-treatment?

How long does it take from injury to the time the injury is being treated by a specialized professional?

Contact Us:

Kim Wyand – kim.wyand@Swaymedical.com

Casey Paulk – casey.paulk@swaymedical.com

Jeremy Jackson – Sports Medicine Broadcast on IG

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Emerging Concussion Tech appeared first on The Sports Medicine Broadcast.

Emerging Tech in Sports Medicine

Rehab

Xothrm smart pad

Blazepods 

Firefly recovery

Healthy roster, RankOne and EMRs

GameReady

BFR Owens/Delfi, SujiBFR

Virtual Reality

Sidelines

Sway Medical App 

Avive

Perry weather

Emerging tech for At Home

Medbrige

Evaluation

InFlow Hydration monitor

Spark Motion

Dartfish

Sway Medical App

Force plates

Mind Mirror

Contact Us:

Casey Paulk

Kim Wyand

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Emerging Tech in Sports Medicine appeared first on The Sports Medicine Broadcast.

JoHan what is your AT story

Practicing AT for 20+ years

Assistant AT at Boise State

Golden state warriors

Stanford University

Director of Sports Medicine

9 years for the LA Clippers

Director of performance at Golden state warriors

1 year at TCU

I needed a better work-life balance

I had reached the top, there was nothing else for me to move up to.

The college environment changed from my previous experience  

What was your “aha moment”

(TCU girl needing skin grafts)

My infatuation with heat started a long time ago but it is the most common modality in the world.

He had a student-athlete use moist heat packs and ended up needing skin grafts

Ultrasound, Exercise, and Radio waves all produce heat

Ice slows down the inflammatory process which is the opposite of what we need

The effects of heat are well-documented 

I partnered with Sean Whalen Founder of AlterG

One of the things that resonated with me was that they ineffective and only heated the skin.

3 Ds

Dated

Dumb

Dirty

Dangerous

Depthless

We created a product that eliminated all of those problems

We wanted something that felt hot and satisfied the psychosomatic need

The Xothrm is a closed loop system so it micro adjusts to be accurate and adjust

We are the pellet grill of the heating industry

We use a carbon-infused piece of rubber

3 Ps

A safe cleaner and more effective heat therapy

Precise 

Powerful – on-demand heat

Penetrating

Internationally Ice is still used a lot

Benefits of heat

30-day happiness guarantee

Contact:

JoHan – 

https://www.linkedin.com/in/johan-wang-9a809a9

Xothrm – 

https://www.instagram.com/xothrmhq

https://www.facebook.com/XOTHRM

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Xothrm Smart Pad – Heat Therapy appeared first on The Sports Medicine Broadcast.

Working definition: Athletic dry needling vs non-athletic dry needling.

There is not a difference between the wording.  We aim to take and make dry needling practical and easy to use.

We filmed professional-quality videos that are included in the course.

What got you started in Dry Needling?

I took 12 CEUs per year for 10 years

What is your favorite application?

The cervical seems to give the biggest outcomes

I love when people are stumped or out of options and willing to try anything

Weirdest needle

Needling has a systemic effect

Pelvic floor dry needling

There are a lot of barriers to entry for the secondary school AT.  

How do you walk through those?

Get the waiver specific to dry needling.

Use a lot less needles

Include stim and needles to reduce the number of needles needed.

Typically I use 16 -20 needles

Young kids, I use less than 10.

If someone is scared of needles, can they do this course?

We get this often.

I try to get them to try a few and see

We have only had one person no-show on the next day due to the fear of needles

When would you apply E-stim to needling?

Allows you to dose needling – essentially make it more or less intense.

Best used for pain mitigation

If they are hesitant

Find out their objections

You can have anything in the world you want if you help enough people get what they want. – Zig Zigler

Call to action:

use SportsMedicineBroadcast.com/DryNeedling for your exclusive discount

Contact Us

Scott Dixon – AthleticDryNeedling@gmail.com

Scott – 904-853-1921

Jeremy Jackson –

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Athletic Dry Needling – Scott Dixon appeared first on The Sports Medicine Broadcast.

Contact Us

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Gretchen Goodman LEADS appeared first on The Sports Medicine Broadcast.

Mark, where are you from and how did you get into Athletic Training?

A family friend owned the Milwaukee Bucks

We used to landscape his yard.

I was a sophomore or junior in high school and got connected with the Bucks AT.

Went through the Internship route

Worked Minor league baseball with the Brewers

Started working with Bellin Health after my internship

Passed on a low A ball job and stayed with Bellin

Tell some of your family origin story…did you have kids, tried but couldn’t, chose to not do natural childbirth…

Been married since 2010

One month before our wedding my wife-to-be ran a marathon and collapsed most of the way through.

2 months into our marriage she did a tilt table test and learned she had low blood pressure.

2011 convention in New Orleans and she was still running

She had a cardiac incident while in the pool…as in she actually died.

She ended up needing an internal defibrillator.

Talk about your adoption journey.

We were trying to have kids, but the heart meds were possibly affecting her.

We started using IVF and failed once, tried again and then my dad fell and broke his femur.  Then we learned that it failed again.

It was heart breaking.

Then my dad passed away the next week.

Most of the football season was a blur due to all of the family trauma.

My wife took the lead in looking into adoption.

We did not know if we wanted local, foreign, foster care, straight adopt.

We connected with adopt help out of California and a social work back here.

Once people know, the stories started coming out of the woodworks.  Lots of people I knew were affected by adoption in one way or another.

April 1st, 2014 we went live with our adoption.  Which was coincidentally our birth mom’s birthday.

What conversations have you had with other ATs about the choice to adopt?

Our adoption is open.

We get lots of friends asking us to speak to friends in family in similar situations.

Our son knows he has a birth mother and a mom and dad here.

Contact

Mark: IG, Twitter

Jeremy – SportsMedicineBroadcast on IG

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Adoptive Dad Mark Husen appeared first on The Sports Medicine Broadcast.

Where has AT taken you?

JJ: 

Thibodeaux, LA

Dallas, Texas

Arlington

Fort Davis

South Padre

Lansing Michigan

Hot Springs

Las Vegas

New Orleans

San Antonio

JJ Road trip

5 weeks

One van

7 people

Chad from Candid AT

Michigan AT Society Meeting

Meeting Cookie Tuesday in Detroit

Megan Smith at the University of Delaware.

Favorite tourist thing: 

Niagara Falls

Least favorite tourist thing

Statue of Liberty

Bubba

All this travel means you need to have your stuff in order…

I teach and followed the DaveRamsey plan to get out of debt, budget, and have my financial house in order

Talk about secondary loss

Nok box

I Am Dead, Now What

Bubba’s Quick Start Guide

Video from Trinity Sports Medicine Update

Call to action:

Contact:

Bubba Wilson –@ATCLATBubba – on X

Jeremy – @MrJeremyJackson on socials

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Travel and Secondary Loss with Bubba appeared first on The Sports Medicine Broadcast.

LEADS

Leadership Excellence and Development Series

Contact Us

Jeremy Jackson

MATS Leadership

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post LEADS Academy appeared first on The Sports Medicine Broadcast.

Taylor took anabolic steroids to get bigger faster stronger. 

He quit cold turkey and that lead him to depression and he chose to take his life.

Brian speaks at a lot of regional meetings and would love to come share Taylor story with your group.

3 questions to ask:

1. Contains banned substances?

2. Am I using it properly? 

3. Is it necessary? 

Just one energy drink can hurt your blood vessel function. 

ALL ME podcast

Contact Us

Jeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB

ATCorner Podcast

Ryan Collins

Joseph Eberhardt

Christina Fry

Bob Marley

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Taylor Hooton Foundation – Brian Parker appeared first on The Sports Medicine Broadcast.

Dr. Adado, what are some professional boundaries you have put in place?

Scheduling (personal and professional time blocks for zone of Genius)

“Self-care” (exercise, meals, meditation, yoga, reading, walking, family/friends)

Quality improvement project on how I spent my time.

Why did these need to be established?

As a young professional, I hadn’t yet learned what I needed. It took a lot of self-awareness and reflection to understand my own needs so that I could practice putting boundaries in place. 

Walk us through some of these Professional Boundaries conversations.

Self-awareness is a journey. It doesn’t end, it’s continual and ever-changing. 

Tuning into self in each moment will help to outline needs that can be met. 

It is your ownership of that, responsibility that matters. Take action for yourself, no one else will. 

What are some of the boundaries you see other Athletic Trainers needing help with?

I hear ATs talk about being taken advantage of, lowest paid, constantly overworked, etc. The story feels redundant at this point. I wish more ATs felt empowered to change their own script. If you’re burnt out, who has the power to change that? Stop pointing fingers at the system and start being an agent of change. 

Establishing boundaries helps create life balance.  What does life balance look like for you currently?

For me right now, I love my work but it’s definitely not what I spend most of my time or energy on. Some might scoff at that, but truly it’s been a process of shifting the scales so that I came first. My body, my mental health, my spirit, and then my family friends pets.. it took a lot of practice and still does (every day) of ensuring that my cup is full so I can give. 

I love Financial Peace University and we are debt-free including the house.  How do you think finances play into life balance?

I also love the messages about financial peace. Finances play a big role in this balance. 

It can be tough… I was an AT with a Masters salaried working 60+ hrs a week and paid under $40k. I had 3 job offers in the same week and that was the highest… needless to say I lived paycheck to paycheck for a long time, feeling totally stuck. Eventually, I moved to working 5-6 jobs at any time to get “unstuck” but then found myself burnt out. I’m sure this story is familiar.

I decided to put energy into one place. For me, that was starting my small business. This created freedom of my time which is actually the most valuable. Long story short, this journey brought me to where I am now. And I still have multiple sources of income but it’s much more harmonious. 

I think for ATs the balance of life and work does revolve a lot around money. I think we need to talk about it more often. We need to justify and prove our worth not just “say” it.

Contact Us:

Dr. Sadie Adado

Contact Us

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Professional Boundaries – Dr. Adado appeared first on The Sports Medicine Broadcast.

Drew, tell me about the injury.

Junior in high school playing 8-man football in the panhandle of Nebraska

Diagnosed as a complete ligament tear – multi-ligament knee injury.

A few days after the injury my foot started to turn blue so I went and got a CT scan and was immediately life-flighted to try to save my leg.

In December 2019 I started for my high school’s varsity basketball team.

In rural Nebraska, they had a physician on-site and he missed the diagnosis.

They did not have a plan in place to handle that type of injury

Discuss how the injury was handled or managed on-site (at the time of injury).

On the night of the injury, I got tackled from behind and my knee buckled

By the time I got off the field, my knee was swollen to the size of a grapefruit.

I was taken over to a barn where he diagnosed me with a multi-ligamentous tear.

He said we would continue the evaluation on Monday.

I got up on crutches and the more I stayed up the worse my leg started to feel.

I sent the picture to my parents and I knew something was wrong.

I went to the local ER where they performed CT scans, IVs, and other tests.

I was in Denver within 4 hours of noticing my foot was blue.

My 6-hour surgery started at about 4 am.

The surgery looked successful at first but after a few hours, there was no pulse left in my leg.

Drew, when did you know you would need amputation? (do not name names please)

Before taking me into the surgery they had talked to my mom that amputation was a likely outcome.

After the surgery, I looked at my mom and said “I am going to lose my leg aren’t I?”

The surgeon came in and broke down while explaining what was going to happen.

You spent 30 days in the hospital and had 8 surgeries.  What are you thinking or feeling during that time?

After the doctor left my dad asked if I was telling them family or if he needed to.  But I was going to be the one to share the news.

We called my head FB coach and he was driving to come see me.  He pulled over at the time and started crying.

Drew came in almost weekly.  That meant driving 4 hours one way for treatment.

First few days I was in the ICU due to the necrosis and the potential problems from that.

The whole football team drove the school bus down to the hospital to visit me.

I had a lot of people coming in to visit me and that motivated me to stay positive.

Newspapers started picking up the story and I got a ton of cards and gift baskets.

Food was weird, I got good at video games and connected with most of the team helping me 

Daniel: I grew so much through Drew's injury

I always want patients to have an experience when they are here, not just have a doctor's appointment

Contact Us:

Drew – drewhaley01@gmail.com – @drewhaley5136

Daniel – Daniel.Ruedeman@uchealth.org

Jeremy – MrJeremyJackson on “X”

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Knee Dislocation and Amputation with Drew Haley appeared first on The Sports Medicine Broadcast.

Kaitlyn, how did you get into Athletic Training, and what led you to IMG?

I was an injured athlete in high school.

I met an AT while traveling with the team and knew Athletic Training was what I was meant to do.

Jared, How did you get into Athletic Training

Planned to go to med school and do orthopedics because I loved being in and around sports.

A random guy was sitting behind our bench with a little black bag and I started asking questions about him and what he did.

I had zero previous experience with Athletic Trainers.

Went to Anderson State University then transferred back to middle Tennessee State

Worked with Vanderbilt

GA at Auburn

Season intern with the KC Chiefs

Became the head AT for the KC Brigade Arena football

Became head AT in Nashville at a D2 school for about 7 years.

At the interview, I loved the IMG academy environment and leadership.

The academy has a boarding school with the traditional student life.

We do not have tryouts, but we have 12 support teams for the one baseball director.

We also have campers throughout the year.

Many pro teams use our campus as an off-season host site.

We are a for-profit business.

We have a very diverse population of TV Stars, a 10-year-old tennis player who is the son of an Abu Dhabi prince, professional athletes, and working-class athletes.

Wayne said there are a lot of unique growth opportunities for an AT at IMG.  Can you explain?

You may have a camper here for a week or a student with a torn ACL.

Our ATs have a lot of physician interaction and see a lot of injuries.

Both Kaitlyn and Jared have been forced to grow.

As a for-profit business, we have to help the company make money.

Personal and professional growth.

We are focused on customer experience. Our staff has to understand the ins and outs of the business.

We are housed in a building that houses strength coaches, nutritionists, mental health specialists, leadership and character development, and sports science and data analytics.

We get to work with a lot of sponsors like Gatorade or Under Armor.

IMG Academy’s summer hires are looking for a staffer who can be part of our team in the future.  

A good candidate needs to be a part of the team and do the same tasks as the full-time staff.

You do need to be an LAT to work in Florida.

We started the growth summit where we host an entire week of education for our AT staff.

How to read imaging

Dermatology issues

Suji BFR will host a course

Emergency Med situations

CPR AED, Emergency transport

ROM and measurement education

Where have some of the ATs who left IMG gone to?

Some have gone home and had a family, and some have springboarded into their dream jobs.

We have alumni in almost all aspects of athletic training.

Clinical, hospital, LPGA, NFL

How does IMG Academy provide life balance?

We have 23 athletic trainers now and hire 7 during the summer camp season.

We do not have a “hard” PTO schedule.  If you can swap with someone to attend to a personal event then do it.

We only have 9 sports and have multiple ATs working baseball but have 200 baseball players.

Contact Us:

Jeremy Jackson – THE SMB on IG

Kaitlyn – Kaitlyn.deshaies@imgacademy.com

Jared – Jared.White@imgacademy.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post IMG Academy Opportunities appeared first on The Sports Medicine Broadcast.

Contact Us

Jeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB

ATCorner Podcast

Ryan Collins

Joseph Eberhardt

Christina Fry

Bob Marley

The post BOC after 50 – Stephanie Greeson appeared first on The Sports Medicine Broadcast.

What is the ATLAS ambassador?

What changes would you make to protocols in Texas?

WBGT takes in several more important factors than Heat Index

Don’t forget about band, dance, cheer in your WBGT needs

What is the next major tech advancement you would like to see?

Switching to WBGT and becoming a mandate rather than a recommendation.

NFHS covers 48 states..but not TEXAS

Will heat illness training become a required training?

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post WBGT – Wet Bulb with Tom Woods appeared first on The Sports Medicine Broadcast.

What can I do to benefit my athlete since turf is here to stay?

Making sure the field is well maintained, and proper personal protective equipment is significantly important. A lot of football players like to wear narrow cleats which can contribute to lower extremity injuries based on the cleat pattern, length, and width of the shoe. The time of day we practice is important as well. 

Is there any data or research done about laces and appropriately tying the shoe with appropriate arch support?

Great question, I’d have to look into that. I’m sure there are studies – I didn’t delve into that. These are very important questions, I think that core strengthening is a very pertinent point as well. 

You spoke about an increase in PCL injuries. From my education, the mechanism of injury for PCL is that dashboard injury, coming from direct force on the anterior tibia. Is there any research, or from your background and knowledge, why is it that we’re seeing more prominence from that mechanism on that turf?

When it’s not a dashboard injury, the common mechanism is that you onto your knee bent at 90 degrees, your toe has interacted and your cleat is stuck in the turf so it's not giving away.

Your foot is in this dorsiflexed position and you land on that knee with all of the force going back through, as opposed to if the shoe gives out allowing you to land on less of a 90-degree angle. 

Is there any correlation to gastrocnemius weakness regarding those Turf Toe injuries?

I think that's a valid argument, I don't have enough science or background to say but I do think that would be an interesting thing to study. 

We talked about the history of turf in your presentation, would you say we’ve moved in a safer direction? Are we moving to a safer surface?

I think we are, I think we’re moving to a safer surface for our lower-level athletes. I think our higher-level athletes have different muscle builds and different muscle types that may lead to some of those injury at a higher level.

I do think the technology that's going into it is moving towards a safer playing surface, I don't think there's much we can do about the heat and some of the other things, and they are looking into that. I think we are moving there, the important thing here is that turf isn't going away, I don't think that we’ll ever go back to grass.

With technology moving forward, I do think it's becoming safer. I don't think it'll ever be 100% safe but with education, and proper maintenance, I think we can make it as safe as we can. 

You mentioned the coconut or the cork, those things are natural materials that would rot, and putting turf in is a lengthy and expensive process. How does it make sense for a high school field to put something that might rot underneath there?

So part of it is just the turnover of it, so it's got to be properly maintained. So when we use the proper equipment and the proper rakes just to shift it around that's a valid question, especially in a wet and humid environment like it is here. It’s not being used a ton yet, and I think that's yet to come. We may determine years from now that it's a bad idea.

Rice uses wood instead of rubber on their field, I found that interesting when we played there last year. 

Did you notice any difference?

Thinking back, I think your point about feet being sore on these fields; is a major problem. Your feet hurt at the end of the day on the rubber. There’s less of that impact.

We did have in our Rice game, but I don't think it makes a difference in injury, we had an ankle fracture that game, we had a significant hamstring rupture, and a couple of other things so I don't think it makes a difference as far as the interaction of the cleat but it may make it as far as the softness. 

You mentioned your time in the military where you would sweep and make sure there was no foreign debris as part of the turfing. Can you speak briefly about your time serving our country?

I served in the Navy for 12 years and loved it. I trained as an intern, and then I was 3 years as a flight surgeon with the Marines, serving in an F-18 squadron. I had the opportunity to go all over the world with that, then finished my ortho training in San Diego.

Then I spent 4 years as an orthopedic surgeon in Japan and Florida, and loved it.

They were not allowing me to do sports medicine, which is what I came to Houston to do a fellowship for. So, there are nothing but good things to say about the Navy and those who serve. 

People who go to the military to become physical therapists or surgeons, can you talk about what they should and shouldn't think about before?

So for me, it was an avenue for me to pay for medical school. They paid for me to go to George Washington University, and so one thing is well paid and very well educated no matter where I go in the world or in the country.

The training that we got is respected. Same thing for physical therapy. Other than the Naval Academy, and probably West Point Force Academy, there are not a lot of athletic trainers in the military.

But you certainly get that experience working with different types of teams, and I think the opportunities that you get serving far outweigh the downsides of deployment or other unfriendly things like being told where you have to be, when you have to be there, where to have to move to, overall very positive.

I think the Navy and all of the armed forces provide great education both in-person and online learning. A lot of the coremen would enlist, and have their education paid for while working on campus, and several of the individuals I worked with would graduate with a year's degree while they were on active duty service with no cost to them. 

Got Questions about Turf Toe?

Dr. Paul Shupe – Reach out to his office and tell them the Sports Medicine Broadcast sent you

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Turf Injuries in Competitive Athletes appeared first on The Sports Medicine Broadcast.

Discussion topics: 

• Searching for EMR
• How to obtain EMR
• How to Familiarize yourself with EMR
• Communications with EMR Companies

What has been your process for searching for an EMR?

Identifying limiting factors like cost. Sportsware and AT Genius are cheaper options.

Barriers to documentation – time, limited resources, uncertainty of what to document. NATA has created guidelines regarding methods of documentation. Consider the legal aspect of documentation.

How do you approach your school about obtaining an EMR?

Build value in the documentation. Explain how EMR protects patients, coaches, and healthcare providers; and keeps everything secure. Convenient place to store all UIL-required documentation.

What is the best way to familiarize yourself with EMR’s?

CAATE standards have now included EMR’s. 

Pearland ISD uses Rank One – signs in upon entry and documents almost everything. We introduce our MAT program students to Rank One and have them document all patient interactions. 

Did companies offer demos of their EMR systems during your search?

Rank One, Healthy Roster, Healthy Monitoring, Sportsware, AT Genius.

All provided demos, and were very open and helpful.

The creator of AT Genius took the time to meet with me. 

Collecting some data is better than none, do what you can. 

Use documentation to show the dollar value of your care and how much money you save parents by providing care. 

Christina Instagram:

Cmfry16

Sydney Instagram:

sydneyhayes95

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post EMRs with Will Ryan appeared first on The Sports Medicine Broadcast.

You are always posting gnarly pictures and videos on IG. What gives you pause or catches you off guard?

As an Athletic Trainer, I started covering tournaments around 1997.

Personal experience in the sport helps me understand the types of injuries that occur.

Tournaments now are 40 mats over 6 days

Dislocations, unconscious used to give me pause.

Now it is just running a company.

Or working youth tournaments, those are always difficult for me.

Does Blackbelt Sports Medicine have tournaments across the United States?

Yes, we work with the BJJ organizations to help provide medical care for combat sports.

A new AT is going to work in combat sports medicine.  How do you prep them?

Gloves, gauze, skin lube, and nose plugs.

An Athletic Trainer working with Black Belt Sports Medicine could almost get away with just bringing their fanny pack, like the Nexus Deadbug

There is almost no taping done, maybe some finger taping.

You do a good bit of suturing…discuss that as an AT. 

Many of these BJJ athletes are from out of state or another country.

Suturing on the sidelines helps them out tremendously.

I have done about 10 sutures so far.

There is a lot of practice involved with the practice kits.

Not being licensed gives me more freedom to practice the emerging skills.

We take a table behind the scenes and do the standard prep work.  We also instruct them to follow up with their HCP.

The larger tournaments have an overseeing physician onsite as well.

Sign up for a tournament and see if Combat Sports Medicine is for you.

Contact:

Dr. Kreiswirth – https://www.facebook.com/Blackbeltsportsmedicine/

IG: https://www.instagram.com/dr.kreiswirth/

Jeremy – https://www.instagram.com/sportsmedicinebroadcast/

Resources:

Pub med research

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Combat Sports Medicine appeared first on The Sports Medicine Broadcast.

Discussion topics: 

• AT Cares
• Crisis Management
• CCISM Credential
• COVID Impact on AT Cares Program
• NATA Gather Program
• Mitigating Secondary Loss

Did crisis management help you be prepared for being inducted into the SWATA Hall of Fame?

AT Cares drove me there.

CCISM credential:

Certified Critical Incident Stress Management – Level 1 deals with individuals in crisis, the majority of AT Cares population. Level 2 deals with groups in crisis. 

Began Crisis Management training in 2019. 

AT’s managing grief:

Grief comes in at a later time, ATs have to finish the game/event after a critical injury/event.

AT Cares reaches out once notified to ensure assistance is provided where needed

NATA Gather Program Integration:

Young professionals can use NATA’s gather program to find mentors. 

Crisis on campus – what is the best method to find that definite grief to counsel them?

Don’t counsel them. Listen. Refer out. 

Soapbox Warning – What is step 1 in managing the secondary loss of loved ones?

Have affairs in order. Have a will, have life insurance. Have your burial wishes written down. Have the conversation. Have a list of your account usernames and passwords. Know how many death certificates you may need. Legal Zoom is a good resource. Make sure you constantly update your affairs. The primary loss will be exacerbated if we don’t handle our affairs. 

Currently working on a presentation with AT Cares members regarding their experiences with loss and what they’ve learned along the way.

Thanks, Sydney Hayes for creating the Crisis Behavior show notes

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Crisis Etiquette appeared first on The Sports Medicine Broadcast.

Discussion topics: 

• Advancing students in the profession
• Preparing students 
• Outfitting students
• Providing learning opportunities 
• Scheduling
• What to avoid
• Practical Preceptor Tips

How long have you been a preceptor?

7 years. 

Can you share some of the things you have done to help master's students be involved and advance in the profession?

We treat the masters' students as an extension of our staff, we want them to be respected in our ATR just like us.

We have our high school students refer to them as Mr/Ms/Mrs. We interview them to make them feel that they are in a professional setting.

My assistant, Thomas, likes to ask them “What did you learn today?”. We outfit them, invite them to our pregame meals, we make sure that they feel respected. We make sure that every day they learn something new.

You interview them for the position, but they’re already assigned there?

Correct. We ask them to submit a resume, and for a lot of them this is their first job “interview” and ask them interview-like questions and ask them to submit a cover letter.

We then give them critiques so they can start working and build that resume so that when they are done with their program they can apply and be successful for their interviews for their actual job. 

Do you do that just once, or every week, every 3 weeks, etc?

So our level 2’s are with us all year long, we make sure we give them monthly updates. Our level 2 this past year wanted an update every day, every week, so we always were helping her and growing her, anytime there was a hiccup or something she was unsure of, we gave her that reassurance and feedback.

For the level 1’s, it takes a while to get into that comfort zone, but we always try to give them feedback when we notice something, good or bad. 

You talked about outfitting them to make them feel welcome, do we give them the ones that say athletic trainer, or the ones that the students wear, do they keep them; what does that look like for you?

So it varies, level 2 vs level 1. Level 2’s we’ll give them the game day polo for the year, and require them to look professional when they come into the ATR.

Our students will wear Nike shorts and a T-shirt. We ask that our UH students either wear something UH to differentiate them or they wear a polo with either nicer shorts or nicer slacks, with their UH ID badge. And that way it identifies them as an adult and not a student.

More Practical Preceptor Tips: Include them in almost everything! So for GHATS, we made a fun t-shirt for the t-shirt contest, and we had a team-building activity of tie-dying the shirts.

We invited our UH students to join in since they went with us to GHATS, and they were allowed to wear that shirt as a fun GHATS representation. For our level 1’s, if there’s an event going on during the time that they are with us we’ll give them one of the students' shirts, but for the most part, we’ll give them our practice shirt for the year that they can wear to Saturday treatments, etc.

One of the things I’m trying to still work out is scheduling, how do you balance that out and hold them accountable while keeping in mind that they’re college students?

You and I have the luxury of working in a high school setting, so we automatically have Sundays off, that is the one day a week they have off because they are required to have at least one day off within a 7-day span. So we keep that in mind.

We use something called “Homebase” which is a scheduling app, where our students, ourselves, and our UH kids can submit their days off requests, so we honor that.

We always remember that they are students first, so they can communicate with us if they have a big test coming up and they'd like the evening off before to study, they just have to have that communication with us, and then we treat it like how if one of us had a doctor’s appointment that morning and we’d say hey, I need this off for that; so encourage them to communicate with their staff, which is the other UH students, to ensure that things get covered.

When it comes to accountability, they've got a set amount of time with us to get the hours they need, so they know that if they’re not going to be there they have to make up the hours they need. 

For games that they weren’t scheduled for but show up for, how do you handle that?

A great Practical Preceptor Tip is to have them ask them to ask us in advance. Especially for indoor games or baseball/softball because the space is limited, so we tell them if they do want to come and work extra to give us that heads up that way we can say yes or no.

Ensuring that you're providing an educational opportunity, how do you hand off responsibility to those students?

So when the first years come in, they haven't gone over any anatomy for their assessment class so once they reach the test or the ankle, knee, hip, etc; if they're going over the ankle at the time, we say that every ankle sprain that comes in here, we want you on it, evaluating it to where you're at in your studies.

Once you complete ankle, every ankle eval we say that's yours. That way they are getting that clinical experience.

Our level 2’s, get a little more autonomy when it comes to that. If they’re struggling to remember shoulder special tests, every shoulder that comes in, go get on that eval and come back and ask us questions. We’re right there with them making sure they’re completing it correctly but we want to make sure they get as much hands-on experience with different patients. 

Do you have the course syllabus of when they go over certain things?

We ask to see that, we just ask them hey what did you go over today in assessment, hey what are you learning in this class and they tell us and we say okay we’ll make sure to touch on that.

We’re using a more practical time in a hands-on setting. We also meet each week to go over GHATS quiz bowl material with our kiddos and we always invite our grad students to sit in on those lectures as well. 

Do you have any release of responsibility schedule or do you just have an internal feel for it?

We’re not going to give them something they’re not comfortable with, we kind of feel them out in the beginning and try to build up what they're not as confident in within their realm of comfortability, because at the end of the day, they’re students too and we want them to learn and grow, within their limits.

Our UH girl this past year wanted to learn more about admin, so we said okay, you’re going to look at our student manual and we want you to go through and make these changes. So it varies based on each individual, and we always ask “What are you not comfortable with?”, and then we try to make them comfortable. 

Are any other cool things that stand out?

Something I learned when I was in undergrad, we called it twisted Tuesday. Every Tuesday the upperclassmen, whoever was in charge of that sport, became in charge for the day. The preceptors dressed down into what the students would wear, and those students in charge dressed up as the preceptors.

For every new injury that walked in, they corralled how to treat it, or tasked a student with rehabbing them, they set up practice, talked to coaches, delivered injury reports, etc. So that’s something I’ve taken over at Dawson, and every Thursday night during football season, our UH students are “in charge”, so they’re the first ones to go onto the field, they set up games for the day, and that is their time to get their autonomy and to feel confident in those high-pressure situations. 

How do you prepare your students and staff for those Thursday nights?

So we go over the way games are set up in the beginning, they usually get a game or two under their belt as a UH student and then we say alright it's your turn, so they get to see what a setup looks like, they get to understand how we run things and our expectations. We tell the coaches, hey by the way you are going to be hearing from so and so tonight they are in charge.

Of course, we are always right there behind them making sure that if there is something a little bit more extreme or if they’re out of their comfort zone and need us to step in we’re right there. We let them communicate with coaches and parents, that way they get that experience in a high-pressure situation. And they know that it's coming, we give them a heads up. 

When you say you're right there with them, are you still on the sideline when they go onto the field, are you kind of halfway in between, or are you standing right beside them and just not saying anything?

I am behind them, always looking over them. I’m always watching. We might stand off a little to the side especially if they don’t like someone hovering over them, but we’re always watching to make sure there's no malfeasance going on and ensuring that they’re doing everything correctly. And we do make sure that before they go do it in a game-time situation, they’ve performed the skill correctly in clinic. 

What else as far as practical preceptor tips?

I just always remember my time as a student, and things that helped me, things that didn't help me. We try to give them the recipe for success.

I always want to make sure that our students feel comfortable and can come to us with any issue, we always have open communication with any question they have and we always want them to learn, so by providing that safety realm of education and comradery, we want to make sure that they know that were an asset for them, we talk to them about how we came to be who we are and we want them to feel proud in their journey too. 

Anything that you've seen or heard from your students over the last few years as something you should try to avoid?

 A lot of the times whenever we do kind of expose them in the first few weeks they feel kind of overwhelmed, but we explain to them that every situation you are in won't be a comfortable one, you are not always going to feel like it's easy.

A lot of times we get “At first I was nervous because you just kind of like put me in there.”, but we explained it, and we went through it, and it is scary but that's what our job is. Sometimes we have them drive our gator, and a lot of times they say they don't feel comfortable doing that so we say okay. We listen to what their comforts are and respect them.

Previous Practical Preceptor Tips Conversations:

Preceptor Tips with Dr. DJ Gilliland

Don't be That Preceptor

Contact Us

Jeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB

ATCorner Podcast

Ryan Collins

Joseph Eberhardt

Christina Fry

Bob Marley

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Practical Preceptor Tips – Christina Fry appeared first on The Sports Medicine Broadcast.

Give me the big picture. Background and origin of the idea.

–Founder DJ Schmitt was injured during service and wanted to find a way to get healthy without taking so much medication. 

He used his electrical engineering degree to develop the first Neuro20 suit.

The suit is made up of a compression material(spandex).

Establish firing rates for healthy individuals and be able to choose for the AT/PT to know which one to use.

Where does the name Neuro20 come from?

20 large electrodes placed strategically to engage the maximum amount of motor neurons.

Who is using it right now in sports?

NHL 

Olympic Athletes 

NFL

D1 Athletes

What are the most common applications of neuro20?

Prehab

Rehab

Active recovery

Motor education

Accessibility for the Athletic Trainer?

At the moment it is not accessible to the high school population because of privacy issues.

College-level or professional level

Can you set them up and “walk away?”

Patients can be set up and allowed to complete a workout session on their own.

• One of our pro sports athletes uses it after games while on the plane for recovery.

Can I use Neuro20 with my high school athletes?

It is FDA-cleared for adult patients.  Some youth patients have used it with waivers and clearance from their doctors but that is not the target population.

Contact Us:

Jeremy Jackson

Wayne Smith – wsmith@neuro20.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Neuro20 – Wayne Smith appeared first on The Sports Medicine Broadcast.

Contact Us

Jeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB

ATCorner Podcast

Ryan Collins

Joseph Eberhardt

Christina Fry

Bob Marley

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Sudden Cardiac Arrest in Sports appeared first on The Sports Medicine Broadcast.

What is your 10-second sales pitch for Suji BFR?

A portable, affordable, and easy-to-use gold standard, AI-powered BFR technology

The affordability of the device is one reason we chose to add Suji BFR.  Discuss current pricing.

Suji has found the middle ground. We are data-driven for incredible accuracy at an affordable price, never before seen in the BFR space. 

Let's get into the app, it is one of the big differences from the Delphi unit we have.

Our AI-powered app automatically calculates LOP for the clinician and then saves that data to a patient/athlete profile, saving at least 3-5 minutes every BFR session. The AI-powered calibration process is also incredibly robust. 

All patient/athlete data is stored in a HIPAA-compliant cloud that lives in your institution. A Suji institution is your team or clinic where all your Data lives. Only you have access to it as the administrator. With Suji, you only have to calibrate as often as you deem necessary. 

Discuss the continuous monitoring vs the detachable hose.

With Suji Pro and its real-time pressure adjustments, you won’t need to attach the hose to adjust the pressure within the cuff.

With Suji Pro, you’ll be able to adjust the pressure on the pump in real-time. 
Suji BFR Pro – what should we expect? Suji Pro is Lighter, Smaller, and Hoseless.

Our users are passionate about our portability and our customizable in-app recovery sessions so we’ve made advancements in both areas. Our users also expressed the desire for real-time pressure control without attaching hoses and a pump, so you can expect greater control with Suji Pro without breaking the bank.

Contact Us:

Contact Us

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Support the podcast sponsors

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post SUJI BFR – Michael MacPherson appeared first on The Sports Medicine Broadcast.

How common are spinal cord injuries?

-9-10% of injuries are spinal. About 12,000 nationally.

Looking at physicals I have a couple of athletes with previous spinal cord injuries. What are some of the things that I should be more aware of when taking care of these athletes? 

-Usually due to trauma or born with cervical stenosis. 

-Should have a spine surgeon associated with the athletic population

We talk about spinal cord injuries, and the first thing we think about is football. We think that it is equipment-heavy and collision-based and talk about equipment removal for that. But what is the instance in other sports?

-Happens in lacrosse, gymnastics, hockey, soccer, baseball, and basketball.

-Helmet and shoulder pads keep them in alignment then leave it on. 

-If only a helmet probably needs to come off. 

These spinal cord injuries, I believe you mentioned there are about 12,000 injuries per year. Are these spinal injuries with awareness in education are we increasing these or decreasing these?

-Since 1975 they have gone down. 

-A lot of spinal injuries come from automobile accidents. 

Is there a reason for that?

-Awareness, and if it goes away the numbers will go up again. 

Moving back into narrowing down into more of an athletic training setting when working with sport athletes for example what would be our initial assessment and what would be some red flags to actually move the person onto a spine board?

-Big trauma like a head-on hit you want to be careful. 

-Clinical judgment.

-numbness bilaterally 

The athlete just has a lot of pain. 

-Trust your gut

So once you decide to stabilize someone, I know you talked about two methods to stabilize, but what is your preferred method?

-6 man lift

-If you don’t have enough hands, nobody will fault you for doing a log roll. 

When is it appropriate to move the neck into neutral?

-It is always ok as long as you do the head or trap squeeze.

-You want to make sure you have access to the airway. 

Can you talk a little bit about the difference between a head or trap squeeze?

– head squeeze is more about putting you hands around the athletes head or helmet

-trap squeeze where you are putting your thumbs and finger around someone's traps and gives you more stability because you also have to add in the fatigue factor. 

-Trap squeeze is more stable

Be aware that clothing could cause you to slip while holding a helmet.

I think it comes down to practice and figuring out how everything works. Because once you get it down, then when all that emotion going, if you practice over and over again it just becomes a routine. 

What are some tips you have for someone who is working with an equipment-intensive sport, like hockey, that they are not familiar with the equipment?

-Practice

-Use equipment managers to become familiar with equipment. 

What does it look like once they are at the hospital?

-equipment removal and go into a cervical collar. 

-Then straight to a CT scan is #1. 

-Transport to a level 1 hospital because you don’t want to have to move to multiple locations. 

Can you talk about differences between places that have stopped using spine boarding techniques like in motorcycle accidents?

-Two different mechanisms and two different thoughts.

-Make sure everyone is on the same page

-You can always ask to talk to a supervisor because these are generally big EMS areas and you can’t control what everyone does. 

Can you talk about the order you take the piece off of the helmet?

-Side pieces off first. Allows to flip and gives access to the airway

CPR with shoulder pads. With a spinal cord injury and you are having to do CPR and you are removing the equipment, you would leave the shoulder pads in place as long as you open them up?

-Open them

-If getting into CPR take them off because it has become life-threatening. 

Do you have any recommendations for an AT who does not have a lot of volunteers or staff and might be working alone? 

You have coaches. Train the coaches. Coaches are always there. Make sure your coaches are in line with helping you. 

The highest incidents seem to be in high school/middle school. Can you talk about why?

-Proper tackling technique

-Old equipment

Is there anything else we didn’t touch upon that you wanted to add?

-Education and preparation are the biggest things.

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Backboarding the Injured Athlete appeared first on The Sports Medicine Broadcast.

Where did the idea come from?

Engineering student

Liked 3D printing

Daniel Jones, the quarterback at Duke, went down with a clavicle fracture. They decided their engineering project would help Daniel and other elite athletes needing protection.

Customized for his unique needs and ROM

What has been the most difficult hurdle for Protect3d?

In the early days, we were recognized by the NFL and won $50,000 and Superbowl tickets.

The pandemic caused a lot of challenges.

Every device we make has a positive impact on the athlete and their performance

Share a success story you enjoy.

Clavicle pads reduce the risk of re-injury and increase the confidence of the player and health care team.

It is also the original pad or brace that birthed the idea.

Outside of your own clinics where have you had doctors adapting this style of bracing?

We started with elite athletes and have worked with orthopedic surgeons and athletic trainers.

An ankle/foot orthotic is a new brace to help with foot drop.

We had a D1 athlete participate in games with a Protect3D brace for foot drop. 

What do you see as a hurdle for secondary setting adoption of Protect3d braces?

The cost of the product is one hurdle.

Setting up a system for billing on demand can be an obstacle as well.

Are these braces something that could be printed on your everyday, at-home printer?

Due to the material, printer, and the need to control different variables as a medical device, they are not currently printed at home devices.

There may be options in the future as we grow and develop.

Want to test out Protect3D?

Have an athlete needing a brace?

Willing to give me your honest feedback on the podcast?

Send me an email and maybe follow it up with a social media post.

Give me the story (protect patient privacy)

If it works out then we will collaborate to get you a custom 3D-printed brace for your athlete.

Contact Protect3D

The post Protect3D – 3D Printed Braces appeared first on The Sports Medicine Broadcast.

How common are facial injuries occurring?

-20-40% involve face

It could just involve something as simple as a slap in the face.

On-field assessment allows you to hone in on a specific injury. 

Where does your mind go during the initial assessment for a facial injury? What are you looking for?

-1st talking and airway 

Ecchymosis is present, when should you refer?

-Racoon eyes (both eyes) – vasal or skull fracture possibility

-Battle sign – ecchymosis behind the ear. Basal or skull fracture possible.

Skull fractures is surgery common or just monitor?

-CT to check the brain and for fracture

-not all require surgery

Mandibular fractures. Are we looking at surgery?

-Depends on the type of fracture. Not displaced can monitor and have on a soft food diet. 

-High protein foods for high-level athletes so they can still get nutrients

Healing time during a mandible fracture, what are they allowed to do?

-As tolerated

-Lift, light exercise

-nothing stressful that they clench their jaw.

Difference between RTP. What are you looking for, for an athlete returning to play in a contact sport?

-Depends on sport and position. 

-2-3 months, but it depends on how the athlete is healing and what their position entails. 

Regulations in rugby. They aren’t allowed to wear certain masks?

-Protective gear cannot be a hard shell. 

-Lots of pads and tape.

-Can have a mouth guard.

TMJ dislocation. What is the relocation process?

-Usually down and out. Put posterior pressure and push back in. 

-Wear gloves and roll gauze on your thumbs since you have to push on the bottom teeth. 

-Relocated the TMJ, but chose to not let him back in the game. 

Follow up for TMJ dislocation?

-Follow up with them. 

-Ask about symptoms, can lead to who they need to be sent to. 

-Typically if it is back in and they are good, you can watch them.

Maxillary fracture. Seen one clinically?

-Common from motor vehicle injuries

-Never seen one from sport. 

-Could maybe see one from a combat sport.

Splint a lefort fracture.

-Bartans split technique.

Key signs of a zygomatic fracture?

-Big swelling over cheek bone

-Dent in the cheek bone

Nasal fracture, when can you get them back to sport?

-Depends on sport/position

-usually 4-6 weeks

-Need to be pain free and breathe ok. 

Mask wearing can be just to be for the athlete to have comfort and prevent another injury. 

Fix nasal bone once done with sports.

Nasal bleeds. At what point should you call EMS if you cannot control a nosebleed?

-Symptoms of lightheadedness or dizziness. Headache or nauseous

Manage a nosebleed if someone is dizzy?

-Tilt and pinch. Try sitting, not just lying down. 

Orbital injuries

Eyelid injuries – refer to an ophthalmologist. ER have on call?

-Have to go to an ER connected to a hospital because they will have one on call. 

-The movement and tear ducts are something to consider. 

AT should control bleed and refer?

-Control bleeding, and cover then refer to ER.

What should the AT’s actual action be when referring an athlete to the hospital for an orbital injury?

-ABC’s

-Neck

-Then they can sit up and you can evaluate. 

Most orbital injuries something you would refer to ER?

-Corneal abrasions can be sent to urgent care. 

-Foreign body could go to an urgent care

-ER globe rupture, eyelid laceration, loss of vision

Ear injuries

Ear magnets

-Put on the outside ear to squeeze which can help prevent cauliflower ear. 

How long do you have to drain cauliflower ear?

-Hematoma is the beginning, cauliflower ear is when you don’t take care of it. 

-As soon as possible when it is still fluid/squishy. Can be within the next couple of days.

The most common head injury seen is a concussion. 

All five senses are on your head. Want to check all 5 in your assessment.

Contact Us

Jeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB

ATCorner Podcast

Ryan Collins

Joseph Eberhardt

Christina Fry

Bob Marley

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Facial Injuries – Irvin Sulapas MD appeared first on The Sports Medicine Broadcast.

Discussion topics: 

-Team paramedic and coordinates emergency care for on field. 

What are the classifications from paramedic to ECA, EMS, and Paramedic

-ECA – first responder. Couple weeks class

-EMT basic – everyone starts off at. Full college semester

-EMT advanced – Intubate and start IVs, and cardiac meds. Can’t RSI or DSI

-Paramedic – nationally and state certification; Two-year program and learn advanced cardiology and pharmacology

Difference: Licensed paramedics will have an AA in paramedics or a bachelor's in emergency medicine. 

ATs are under the direction of a physician, how does that work with emergency medicine?

-Work under a medical director. Medical directors must be licensed by the state. Emergency certified physician.

Roll of team physician on the sideline?

-EAP’s 

-Get together with all emergency response teams to see what everyone can do or should do. 

-Communication

-EMS arrives, they take over control of the athlete and their protocols go into effect. 

Equipment removal in in-service?

-Discuss how far to go with equipment removal. 

-CPR of football, don’t remove helmet/shoulder pads, just face mask. Open shoulder pads to do CPR and place AED pads.

Organizing the annual practice, how should the AT approach it?

-Week before training camp starts. 

-Coordination through their contact. EMS Chief or president of the company. 

How long does the training last?

-Depends on how much you want to cover. 

-At least CPR, backboarding, trauma injury. 30 minutes each

-Debrief before and after. 

How can we educate EMS on what ATs can do?

-Invite EMS groups to your in-service to participate in the training process. 

-Look at each other's protocols. 

-Get everyone's education 

How much are protocols changing year to year?

-Generally, they don’t. Just based on technology and medical changes. 

Differences between rigs?

-BLS is a basic truck with 2 EMTs. Basic first aid/childbirth

-ALS truck for higher emergencies. 

What does it look like after EMS has taken over care and on the way to the hospital?

-After a report from AT, they do their own patient assessment. 

-After assessment, determine the care plan. Get vitals and stabilize life events. 

What is the most important information coming out of the report from an AT?

-Short and sweet

-This is what happened, what I did, what I found. 

Spine board or not to spine board?

-Depends on the medical director's protocol. 

-Depends on the situation and if it will make the injury worse. 

-For the team, it might depend on the spine doctor/team physician. 

-Annual meeting to discuss spine boarding and log roll vs. 6-man lift.

Stories

-Professional baseball game. Baserunner ran into the catcher. The collision was bad. Amazing that there was only a broken nose. 

-Open femur fractures, concussions

Anything else to add?

-Communication is the number one key.

-Reach out to local EMS agency

-Athlete/patient comes first. 

-Find out each other's capabilities.

Contact Brad: bwilson@hcec.com

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Emergency Transport – Brad Wilson appeared first on The Sports Medicine Broadcast.

How do you go about starting a relationship to find a team dentist?

-A lot of AT’s have nobody. 

-Find someone who is available to come after hours and loves it.

-Can cold call offices or Google search. 

-looking for sports dentistry

-Ask other ATs if they know a dentist since the community is small. 

What resources are available to the AT with dental emergencies, especially after hours?

-Cell phone number of the dentist

-Tooth SOS app.

How do you know who to refer to for dental injuries?

-General dentist first, then general dentist can refer to the proper personnel. 

Special consideration for athletes with braces?

-If you have braces, ligaments are already loose and can put you at risk for trauma/injury.

-Mouth guard.

-Mouth guards specifically for braces. And because teeth move they might have to get mouth guards frequently. 

-Custom has more compliance than boil and bite. 

-Can get a custom mouthguard to go over Invisalign. 

-See more soft tissue trauma

How have patients felt with mouth guard around braces?

-Tough sell because nobody wants to wear a mouthguard at that age. 

What would you like the AT to do to help with the referral process?

-Send pictures.

-Backstory is nice to know

-Timing

-Don’t need past dental records

Team dentist be utilized for PPE’s?

-Have the athletes come in groups.

-Visual exam 

-Oral cancer screening

-cavities/wisdom teeth

-Get scans for mouthpieces. 

-Able for the athletes to ask random questions

-Establish a dental home, especially for college students who move away from home. 

-Dentist can give a card

Fun stories

-Mowing lawn and trying to tie a string and it took the tooth. 

The little girl had her silver cap come off and there was a Jolly Rancher glued to it. 

-Kids are very resilient and heal a lot quicker than adults. 

Action Item: What should an AT have in their bag?

-gloves, gauze, light

-Guidelines on what to do when it happens. 

Cheat Sheet

-Cell phone number of the dentist, 

– Tooth SOS app

– Save a tooth solution

– Spit in a cup

– Do not put the tooth in water

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Dental Issues with Drs. Hiner appeared first on The Sports Medicine Broadcast.

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Labral Rehab with Russ Paine appeared first on The Sports Medicine Broadcast.

Jody, Start with your AT story.

From Waco

Was not enjoying playing football and quit to become the student AT for softball.

Chris Hargrove was the AT that me under his wing

Graduated from Baylor as an AT working with some legendary ATs like Mike Simms

Jody moved to Lincoln Nebraska to get a master’s degree and work with their Track & Field teams.

2007-2009 did a fellowship with US Olympic and Paralympic Track and Field.

That led to internships with USA teams.

He has worked with a lot of providers throughout the US and learned different perspectives as well as made a lot of connections.

13-year Outreach Coordinator at BSW

2012 I began the GA partnership with Baylor and grew the program to about 16 schools.

How does WorkRight fit into that?

Auto industry, shipping and delivery, food, manufacturing, and warehouses across the United States.

We focus on being proactive with industrial athletes.

These workers are at the same station doing the same repetitive motions for 8-10 hours per day.

We are limited to OSHA first aid guidelines.

There are plenty of at-home exercise options or opportunities.

Better posture.

Improved hydration.

Early symptom intervention – 15-minute eval on site.

Tell me a few stories

Often times the job is the first time the workers have benefits that include healthcare.

We provide a list of healthcare coverage professionals in the area and establish relationships with them to help facilitate care.

One line worker was having continued upper trap and cervical issues.  After a few visits, he was able to work pain-free.

One of our ladies had posture issues and we were basically the only medical option for her. 

I have thought about how I could change into the industrial setting.  Walk me through the process.

We work 4/10s with someone on duty 24/7 

Mon-Friday. *dependent on site*

We do a lot of 3-day weekends.

Vacation time: can accrue up to 2 weeks of vacation time

Holidays: get a lot of major holidays off…but this is site-dependent too.

Manual therapy skills are important.

Taping and first aid skills are important.

Start learning the lingo.

Visit LearnRightNW.com and take the entry-level course.

How do you build connections with clients at Work Right NW?

Listening

Seeing them at their job

What do I need to consider before making the move?

Making that big of a change will come with some hiccups.

Research the company

Know the details

Know their injury software

Learn the lingo

OSHA first aid principles

• One of my biggest deciding factors was their personal growth support.

Resources

https://WorkRightNW.com/

https://www.learnrightuniversity.com/

Contact Us:

Jody Moore – Jody.Moore@workrightnw.com

C: 254-715-1727

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Work Right Northwest – Jody Moore appeared first on The Sports Medicine Broadcast.

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Mental Readiness appeared first on The Sports Medicine Broadcast.

Christmas Sale

KT will hold its 12 Days of KT in December. On November 30, the 12 Days of KT will be announced; it is a grand prize giveaway where every purchase on-site between Dec 1-Dec 12 equals one entry for the grand prize giveaway. On Monday, December 4,  the KT Pro Oxygen Tape Pro Oxygen will be highlighted as a great gift for the endurance dad who shows everyone up at his weekend Ironman events. You can visit https://www.kttape.com/ to enter the 12 Days of KT for the chance to win a Grand Prize Giveaway.

Dr. Stark, what is your favorite use of KT Tape?

Shoulders and knees

KT Tape is a supportive tape and not a structural tape.

It is less of a restrictive tape.

Joint decompression

What is your least favorite?

I do not like to use it around the feet or hands because it does not hold up well.

Taping in a crease can really irritate the skin.

A lot of patients record the taping so they can replicate

Tips and Tricks

Clean the skin with soap and water or hand sanitizer

Make sure the skin is clean and DRY

Do not stretch the ends or anchors

• Increases irritation and blisters

Tape doesn't stick well to itself

Tape doesn’t stick well to hair

It is a heat-activated adhesive so don't take it off while hot and sweaty or in the shower.

How do you feel about Tapes that have a heating or cooling effect?

Some have a menthol incorporated into the tape but that can cause irritation

These effects are for the skin and tricking the skin.

KT Tape recently launched the Pro Oxygen. Can you explain how the Pro Oxygen works and its benefits?

Patients seem to love it

It is an infrared powder infused into the tape and reflects the body's own heat as infrared heat.

You do not feel the heat but it helps with the oxygenation of the cells.

This can help keep the oxygen flowing during endurance-type sports.

It has the pro adhesive that will last 4-7 days

It is heat-activated, so rub it in

Give it 5-10 minutes to set up

Over-stretching is a big problem

If you stretch the tissue you won't need to pull as much on the tape

Slight forward bend when applying to the back…

Knee – put the knee into 90 degrees so you stretch the tissue

Contact Us

Contact Us

Jeremy Jackson

Dr. Shea Stark

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Pro Oxygen KT Tape with Dr. Stark appeared first on The Sports Medicine Broadcast.

What are some of the common things you RankOne sees from ATs?

End-of-year audits

Newspapers seeking info

Easily filter through the data that has been entered

We take data security seriously

Data transfer is really important in security.

We work with a lot of partners to make the transfer of data as seamless as possible

We partner through our API to integrate those partners.

Do you have a complete online solution for forms?

We put the medical history form online

We have included a physical upload form so parents can include a scan of the form.

There are definitely pros and cons for both.

Going Back to Data Collection

Other than concussion reporting integration what are you seeing?

Justifying the need for Athletic Trainers

• Reports show how many treatments and using the CPT codes can demonstrate value

The proof of your value is in the data.

Until something bad happens the ATs value is usually glanced over.

It gives you a great way to look back and reflect.

Seen anything weird?

We get calls requesting additions often.

So we add fields when it helps them collect that data.

We like to get a consensus before we make any big changes by checking with the Athletic Trainers.

Ease of use features with RankOne Data:

Print Paperwork

Run Reports

Messaging within RankOne

We are creating a more robust messaging system that allows two-way communication.

It will message the email that the account was created with.

Any features you have cut?

There have been quite a few changes that are in response to user feedback.

What are we doing to prevent the dreaded August 1st breakdown?

We have set up some API boundaries for our partners.

Load-tested the servers.

Thanks, Bethpage Consulting for helping make the trip to SWATA 2023 possible

Check out the Instagram Live video

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post RankOne Data appeared first on The Sports Medicine Broadcast.

Nutrition Myths are so close, so easy, so trendy…Kim Lowry discusses some of the Sports Nutrition myths with Ryan Collins at the Memorial Hermann Sports Medicine Update.

Protein

2-2.2 grams of protein if they are trying to bulk up

Total calories are a common misconception

You can not bulk up Muscle but not add any fat…almost universally

Spread it out throughout the day

Nutrient Timing

Research is mixed – some say within an hour increases your muscle growth

You can ap into muscle synthesis about every 3-4 hours

High Protein snacks and meals

Nuts

Low-fat cheese sticks

Greek yogurt

Deli turkey

P3 packets

Protein bars and shakes

Adding chicken to your pasta dish

RAMEN – 

You can add peanut butter

Or peanuts

I like to use the “Tasty App” and search for dorm room ramen for healthier options

Eggs are another good option

Creatine is BAD…

Pretty much all of the nutrition myths have been disproven in all healthy usage of creatine.

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Nutrition Myths – Kim Lowry appeared first on The Sports Medicine Broadcast.

Tell us your story, Sean

Korean American

Went to UT Austin.

US Army field artillery officer for 3 years

Went to chiropractor undergrad for a semester

I had been doing something similar to AT with my amateur Korean soccer teams

I shadowed John Houston at the University of Houston Women’s Basketball

SWATA Student Track?

I was not expecting to learn a lot because they made it out to be a fun hang-out.

Dr. Knoblauch’s lecture about balance

Being up to date on current trends

Cannabis lecture from Dr. Konin

Have you met anyone knew?

I would love to…but I have not really.

Dr. Harrison: we will take you around and let you shake hands with everyone

Does UH pay for the students to go to SWATA?

Nope they fundraise

Last year's group did a great job fundraising.

The stickers and bracelets were a pretty big hit

How many students ended up coming from UH?

There were about 20 students.

Our preceptors and partners jump on the opportunity to get the students here.

If you are passionate about learning new things then coming to SWATA is the place to be.

What has been the most unique thing you have learned so far?

Cannabis is not THC. CBD can be used without it causing an impact on your THC test levels.

Suggestions from Sean

I would like to see more nonathletic setting workshop courses here at SWATA.

Tory Trevino asks: what are you learning as professionals?

DG: CBD talks

DG: Seeing people I have not seen in years

LH: Bre’Layshia’s talk included a personality trait test and have mock conversations with different personality types.

Contact Us

@s.noogi__ on Instagram

@drgililland on Twitter (X)

@layciJ on Twitter (X)

Contact Us

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post SWATA Experience – Sean Hwang appeared first on The Sports Medicine Broadcast.

Contact Us

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Foster Care ATs appeared first on The Sports Medicine Broadcast.

I have been attending SWATA for about 38 years

I broke my collarbone playing football and then became the team manager.  Sam Aguilara came to teach the coaches about Athletic Training products.  I knew I could do the stuff he was showing the coaches.

The next thing I knew they were sending me to AT clinics at colleges.

I have met a lot of great people during my career as an Athletic Trainer

Joel Kregerberg was the assistant AT for the Oilers while I was an intern.  I got to tape Earl Cambell.  He greatly deflated my ego when he told me it was the worst tape job he ever had.

Give me some more storytime

Houston Rodeo got me started with Justin Sports Medicine and Truman Spoon Sports Medicine

Did you get autographs?

Not really, I was always around the people and did not consider it.

Where was your first job as an AT?

Seminole High School is about an hour from Lubbock.

I moved to Macaney with the head coach

Then the Houston Oilers called and I moved to Houston

Take us back to Seminole HS

I taught driver's ed in the morning.

It is a small school with a small AT Facility

We were really good at basketball and gymnastics

I taught a job at the Air Force base with firemen and nurses

Who are some of the mentees that have impacted you?

Valerie Tinklepaugh-Hairston – with her impact on college sports and SWATA

David Traylor – SWATA Hall of Honor

Southlake Carroll High School is being run by two of my former ATs

TSATA Hall of Honor

This award brings a smile to my face every time I think about it.

What did you dream about being as a kid?

My dad was a pharmacist

My brother was a pharmacist and MD

I thought about following them

Storytime – What sticks out the most?

A Houston Oiler went down and was basically numb from the neck down

We backboarded him

That was his last game to ever play.

He was a good friend of mine.

My wallet and everything I needed were in my bag that the equipment managers packed up since I went to the hospital with him.  We almost got stranded in Kansas City.

MarkChisum@alertservices.com

Contact us:

Contact Us

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Storytime with Buzz appeared first on The Sports Medicine Broadcast.

What are we looking for as parents

Volume

Radar guns

BAD in Youth Athletes

Rest for throwing Athletes

We usually suggest no athlete should be pitching for more than 7 months

Maybe pitch for 2 seasons then focus on fielding and hitting

Pitchers should not play pitcher and catcher as well

Breaking balls

James Andrews – you should not throw a curve ball until you can shave

Mechanics is key during the pitch

Fastball and changeup are very effective for youth athletes

What are the signs and symptoms to look for

Medial elbow pain is number one

The posterior cuff is sore on the Youth Athlete after almost every pitching outing

When do we shut them down?

Flex 

Rotation

Cross body abduction

External Rotation Gain

Is it GIRD or adaptation?

Mr. Burns Posture (The Simpsons)

Soft tissue

Pec Minor 

Deep Neck Flexors

Contact Us

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Preparedness to Throw appeared first on The Sports Medicine Broadcast.

Sponsored by San Antonio Sports Medicine

What are the goals of the Career Advancement Committee?

• Chaired by Bre’Layshia
• Split from the young professional committee

• 7-12 years in the profession
• Everyone on our committee presented at SWATA 23

The Career Advancement Committee also hosts a scavenger hunt for prizes to increase engagement.

Student workshop highlights:

• Resume workshop
• Career Advancement talks
• Tools on how to advance your pay or benefits
• Life Balance options

How do we contact the Career Advancement group?

• @D6_YP_CAC
• @Swata-YPC
• Email: brelayshia.alexander@bswhealth.org
• Facebook Bre’Layshia
• @atc_mojo2015
• Facebook  

Where did you get into AT?

• I was a cheerleader in high school and band in high school.  After not making the team I searched for a way to be on the sidelines.
• I became a student aide for 1.5 years in high school
• Graduated from Texas State and got a job in Temple.
• After 3 years as a middle school AT I knew I had to move on
• SportsCareAT
• Now a physician liaison with BSW

What is your role with TSATA?

• Recently passed legislation that opens up jobs and expands the scope of an ATs practice.

Contact Us

Jeremy Jackson

Bre'Layshia Alexander

Joseph Eberhardt

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Career Advancement appeared first on The Sports Medicine Broadcast.

What is a digital assessment?

• Started in the ’90s,
• Professional teams
• Not meant to replace traditional assessments
• A combination of tests is still being used

Pros:

• Efficient
• Easy access and use of mobile devices
• Allow tracking
• Remote testing

Cons:

• What/which app  is reliable
• Who is using/trained to use
• Environment

Considerations when deciding on a digital tool

• Budget
• Feasibility
• Is it comprehensive

Age range Considerations

Comparison / Contrast different tests available

• Example: Impact, Axon, ANAM
  • 20 min to complete
  • Test Cognitive Skills and symptom

• Ex. C3 Logic, Sway, King Devick
  • Used with Handheld devices
  • Quicker to complete 10-15 min
  • Offer Alternative stimuli
• Important to look at “What is the cost?”
• Does the cost correlate to the effectiveness

What tools and how many are practitioners using in assessing Concussions

How do you pick a digital tool? / What is the right choice?

What is VOMS?

Looking at: eye movements, eye tracking, convergence, and rating symptoms while performing assessments

Symptom Checklist-

Can be broken down into clusters: Physical, Emotional, Sleep, Cognitive,

Case Management example:

Natasha Law

• The Law and UIL sports vs Club sports on concussion

Considerations for Special populations (504, at-risk)

• The Law and Academic Accommodations/Recommendations
• Reach out to @ATC_mojo for PDF of Academic Recommendations

Contact Us

Jeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB

ATCorner Podcast

Ryan Collins

Joseph Eberhardt

Christina Fry

Bob Marley

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Concussion Technology – Summer Ott appeared first on The Sports Medicine Broadcast.

SWATA is the largest attended district meeting.

Next year Keith and the team in Arkansas hope to make SWATA 2024 the newest record holder for SWATA attendance.

Why come to Hot Springs?

It is a family-friendly place.

Three lakes

Hot Springs

Lots of hiking and biking trails

I love coming to SWATA because:

Interacting with Texas folks.

Friendships

Great topics

Fun entertainment

What else about SWATA in 2024:

There will be plenty of places to eat

Bath Houses

National Park

Contact Heidi for the local scoop

Contact Keith Shireman on Twitter – @KeithMxATC

Contact Us

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

The post Hot Springs Arkansas – SWATA 2024 appeared first on The Sports Medicine Broadcast.