ACL Injury Risk Reduction

Risk Reduction is the key to preventing ACL injuries. Chris “Tex” McQuilkin joins us to share how Power Athlete HQ is building better movers.

Complete the course work to earn Category A CEUs sponsored by Methodist Healthcare Sports Medicine of San Antonio – SportsMedicineBroadcast.com/CEU

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Movement is going to be our common language

HELPING PEOPLE UNLOCK THEIR ATHLETIC POTENTIAL.

Empower your performance

Non-Contact Injury Risk Reduction

Athleticism will be the focus

Create a common language between coaches, strength coaches, parents, and athletes

Primal Movements

  • Vertical push
  • Vertical Pull
  • Horizontal Push / Pull
  • X-Squat
  • Y- Lunge
  • Z- Stepup

In sports, none of the movements are isolated, but in the weight room, we train them as isolated planes.

The frontal plane is the back injury prevention lane

Create a systematic approach

Demands of Sport

  • Reverse engineer the sport

Athlete Assessment

  • Identify potential and limitations
  • DO NOT DO 1 REP MAX with HIGH SCHOOL ATHLETES
  • Limiting factors – what happens to their head, their core during the lift

Develop a Program

  • Based on your individual needs
  • DON’T take the college program for top recruits at D1 school

Injury Prevention – 27 minutes

We need valuable scalable tools that use common language so the coaches can correct it easily without the Medical Professional there

Train them to see movement

Stu McGill’s Big 3

Assessment – each set and rep in the weight room should be used to assess.

Integrate correctives into a program

ACL Injury Prevention Model

ACL Tear Mechanism

  • Quad dominance
  • Ligament dominance
  • Asymmetry
    • Leg dominance – plant leg or kick leg
    • Jump tuck test
      • Looking for one hitting the ground first
  • Trunk Dominance
    • Trunk leaves the center of gravity and compromises the muscle is the largest problem that is modifiable
    • Can not jump and land repeatedly in the same spot

Athlete Assessment

  • Trunk
    • Heavy Barbell – relative
      • Deadbug and spiderman
      • Add 5lbs each session to the 3×5
  • Primal X-Y-Z
    • Show where they are weak withing the lunge or step-up
  • Frontal Plane
  • Transverse Plane
    • Can you separate knees from shoulders?

Corrective Exercises

  • Reeducation
    • Teaching them how to move
  • Warmups
    • Best chance to implement corrective exercises.  Work within the window of their normal warmups
  • Accessory Work

Neuromuscular reeducation – 41 minutes

  • Quad Dominance – use: Power Athlete SeeSaw Walk
  • Ligament Dominance – triplanar arch…have them work barefoot and do toe yoga stuff
  • Asymmetry – Symmetry training
  • Trunk Dominance – Trunk Strategy – overload and give them the opportunity to make adjustments

Phases of Neuro reeducation

  1. Alignment
  2. Force Reduction
  3. Force Production – Coaches often jump to this because it is easy to put in a spreadsheet and “showoff”
  4. Isometric Force – 
  5. Protective Force – 
  6. Overload – show you can move well then we add load

Principle of specificity

The Warmup

Rename it if you need to so they take it seriously

Why – enhance athleticism

  • Every day is a way to get really good and master your movement
  • Psychological gives you a chance to get a feel for the athletes and how the day will go.

Risk Reduction through Anatomy Warmups

  1. Pre-warm up warmup – do a lap/motion without lollygagging
  2. Iso-Stability – establish a posture and then challenge it
  3. Feet and ankles
  4. Primal Movements
  5. Combining primal movements
  6. Energy systems – what does the game call for…represent the highest demand they will see in competition
  7. X-factor

Training vs Competition

  • Avoiding talking about ACL injury prevention before the game, but build it into the normal warmup
  • Be mindful of your words

Injury Prevention Integration  – 57 minutes

Accessory Work

Why – work mitigating factors

  1. Structure
  2. Remodeling – never accept flat feet
    1. We can remodel arches
    2. Tri-planar arch development
  3. Hypertrophy – increasing the cross-sectional mass
  4. Inter/INTRAmuscular Coordination

I need it difficult in a controlled environment so that I can trust they can handle it in an uncontrolled one.

Execution

Look

How can we have these conversations without taking over?

  • Knowledge
  • Experience
  • Ego
  • Identify what the coach’s limiting factor is and appeal to that factor.
  • Always be adding to “their” program
    • “I noticed people standing around during squats I think (your interventions) could benefit some of the other ankle issues…”
  • If the coach is into working out you can show instead of telling

https://powerathletehq.com/tag/see-saw-walk/

Watch the ACL Injury Risk Reduction Presentation

https://www.facebook.com/sportsmedicinebroadcast/videos/299113867774673/

Contact us

Tex – @McQuilkin

Shawn – @ShawnReady_atcJeremy – @MrJeremyJackson

Resources

Foot Work – Matt Zanis on Power Athlete HQ

Triplanar Arch development

Active foot isometrics

Academy.powerathleteHQ.com

Email, message, or otherwise let them know you are listening

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

HOIST – No matter your reason for dehydration DRINK HOIST

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Marc Pro – Use “THESMB” to recover better.

Mental Health EAP

Do you have a Mental Health EAP? Do you have a athletic injury EAP?

Dr. Hector Lopez of SMASA shares some of the tips for building a mental health EAP for Athletic Trainers

Complete the course work to earn Category A CEUs sponsored by Methodist Healthcare Sports Medicine of San Antonio – SportsMedicineBroadcast.com/CEU

Have you planned what to do in the event of a suicide threat or attempt?

The secondary setting is harder because we are dealing with minors

A good understanding of mental health

Video from YouTube – For NCAA student Athletes’ Mental health: a more educated approach

NCAA Sports Science Institute mental health awareness

According to the WHO it is a state of wellbeing in which the individual realizes his or her own abilities.

Mental illness refers to diagnosable mental disorders and health conditions

There is a stigma that it is a weakness

Myths about Mental health:

  • Children do not get mental health issues – 75% begin before age 24
  • Personality weakness or character flaws cause them
  • I can not do anything for a person with mental health problems

Examples:

  • Anxiety
  • Eating disorders
  • Major depression
  • PTSD
  • Adjustment disorder
  • Social anxiety
  • Bipolar disorder
  • Substance abuse
  • Co-existing learning disabilities
  • ADHD
  • Autism spectrum
  • Chronic Medical illness
  • Bullying
  • Hazing
  • Relationship Abuse
  • Sexual Assault
  • Gender Dysphoria
  • Unexpected Pregnancy
  • Gambling
  • Undiagnosed medical issue
  • Stressors affecting athletes
  • Team culture
  • Pressure to perform
  • Balancing demands

Identifiers for a mental health EAP

ID based on performance

Injury causes isolation or forced retirement

Burnout due to early specialization

Poor performance

“I can’t show weakness”

Dealing with injured athletes:

Listen

What does the injury mean to the athlete?

What is your team and AT Clinic culture?

Educate about the diagnosis

Correct any misinformation

Provide a road map for recovery

“Dr. google is a big problem in my world”

An emotional response to an injury is normal

Sadness

Isolation

Irritation

Lack of motivation

Anger

Frustration

Changes in appetite

Sleep disturbance

Disengagement

Response to injury

Stress can lead to increased injury, muscle tension, poor concentration, and performance

Can trigger depression

Problematic emotional responses

Persistent symptoms

Worsening symptoms

Excessive symptoms

Summary of possible symptoms

Barriers to care:

Stigma

Poor understanding

Difficulty willing to express

Lack of time

Denial

Fear

Worried about it affecting play

Not accessible

Facilitators:

  • Increased awareness
  • Social support
  • Encouragement from others
  • Accessibility
  • A positive relationship with staff
  • Confidentiality
  • Time
  • Integration into athlete life
  • Positive past experiences
  • Ease of expressing emotion

Treating injured Athletes

  • Rapport is key
  • Supportive culture
  • Respect privacy
  • Acknowledge and understand their identity may be tied to athletics
  • May be the first injury for them
  • Be on alert for red flags

Mental Health EAP TIPS

Interview the athletes away from other athletes or with another staff member if possible

Ask open-ended questions

If the concern is self-harm be blunt

Actively listen and allow them to talk without interruption

KNOW YOUR ATHLETE

RED FLAGS

Any talk of self-harm or suicide

Talking about hopelessness and empty

Making a plan for killing themselves

Talking about great guilt or shame.

Suicide hotline

www.nimh.nih.gov/sucideprevention

5 steps graphic

Identifty an Emergency

  • maintain safety for yourself and others
  • Call for help
  • Talk in a quiet place where you can defuse the situation
  • Do not leave the student alone but do not place yourself in danger
  • Develop policy and procedure and practice them

KOWN YOUR LIMITS

Your responsibility is to recognize and refer

Prevention

  • PPE
    • Are you stressed
    • Do you want to weigh more or less
  • Open-ended questions – 
    • are you sad, do you feel hopeless, do you feel safe
  • What are the protocols at your institution
    • Emergency scenarios
    • Keep names and numbers accessible
    • What about after hours?
    • National suicide prevention hotline
      • 800-273-TALK
      • Text – “help” to 741741

Resources on NCAA website

NATA has a list of resources as well

Sports Science Institute through NCAA

What your school says “we don’t talk about that?”

Start the conversation – they may not know

Use the models that are published

If you are going to bring a problem forward, bring a solution.

Lean heavily onto your team physician.

Get someone’s copy to help you build yours.

Do not be afraid to act…call 911 if need be.

Watch the Facebook live

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Dr. Hector Lopez – hector.lopez@smasatx.com

Shawn Ready@ShawnReady_ATC

Jeremy Jackson@MrJeremyJackson

Get your CEUs

Financial Partners

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Sports Science and Medicine Converge

Dr. Paul Saenz shares how the San Antonio Spurs have used Sports Science to help their Sports Medicine.

Complete the course work to earn Category A CEUs sponsored by Methodist Healthcare Sports Medicine of San Antonio – SportsMedicineBroadcast.com/CEU

Sports Science, Sports Medicine, dr. Paul Saenz

The Spurs have always been on a leading edge of performance have looked at best practices around the globe.

The sports medicine team consists of at least 10 positions with multiples at several of these positions.

ATs serve as the backbone and primary interface between the players and the medical team.

WHY monitor?

  • Direct Feedback
  • Injury prevention
  • Performance enhancements
  • Rehabilitation baselines

Key facets of Athletic Performance

Strength

Aerobic Capacity

Nutrition

Recovery – has replaced the word “rest” – its intentional

Psychological Wellness – they fill out these surveys onn a daily basis

What to Monitor with Sports Science

Games and Training – volumes and intensity

Player Strength and conditioning

Fatigue / Recovery

Player Availability ( injury incidence and prevalence)

Types of Loads

External – the physical load they have endured

  • Road cyclist – mean power output for given duration – 400 watts for 30 minutes

Internal – how have they responded physiologically

  • HR, RPE, Blood lactate, cortisol, testosterone, inflammatory biomarkers

External Load Monitoring

Time Motion analysis – GPS and digital video movement analysis

Accelerometer Data – 

  • Catapult system – GPS wearable system that monitors elapsed exercise time.

Neuromuscular function

The huge collection of data requires the skill to extrapolate and draw conclusions.

Internal Load Monitoring

RPE – Relative Perceived Exertion

Heart Rate Response

Biochemical

Weight

Adductor Squeeze

Dorsi-flexion lunge

Isometric lunge

RPE Scale

Self-determined assessment of exercise intensity

Correlates well with heart rate

Blood draws can be done during this time.

Cardio Recovery

Heart Rate Recovery – how quickly your heart rate returns to normal

Markers of fatigue vs fitness

Yo-Yo Intermittent Recovery Test

Salivary Biomarkers

testosterone /Cortisol markers of stress and recovery

Anabolic vs Catabolic state

Adductor Squeeze

Done with a blood pressure cuff

Very well documented with European teams

Recovery Methods

Light cardio

Massage

Cryotherapy –  whole body cryotherapy

– reduces edema and positive effects on the autonomic system

Pulsed compression –  NormaTec type

  • Convenient for air travel or post-game

Aquatic Therapy – 

AlterG

NordBoard

Measures ongoing hamstring health over the course of the season

Which Sports Science Tests to Choose?

Most relevant to your use

Practical implementation

Most reliable

Produce actionable intel

Key points to make it effective

Make sure your athletes understand

Make sure your coaches understand

Be consistent in implementation

Consider the data but make clinical decisions

What about electronic recovery units like Compex, MarcPro or Firefly

These are great options

Do not forget cold tubs or 

SLEEP

Stationary bikes

Group session in a pool

How do we apply the Sports Science data in our high schools?

Focus more on periodization of training.

COVID19 emphasizes the need for that.

The Yo-Yo test is simple and easily performed

Talking to your athletes individually

https://www.facebook.com/sportsmedicinebroadcast/videos/1123009438093307/

Contact Us:

Jeremy Jackson

Dr. Paul Saenzget a hold of Shawn Ready

Shawn Ready – @ShawnReady_ATC

Financial supporters that make the podcast possible.

Frio Hydration – Superior Hydration products.

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

HOIST – No matter your reason for dehydration DRINK HOIST

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Marc Pro – Use “THESMB” to recover better.

Sports Science

Complete the course work to earn Category A CEUs sponsored by Methodist Healthcare Sports Medicine of San Antonio – SportsMedicineBroadcast.com/CEU

AT Education Post COVID – 653

What does AT education look like now from a student's perspective? What changes both positive and negative have come from the pandemic?

World Federation of Athletic Training and Therapy (WFATT) has put together a global group of students to share their take on on AT Education post COVID-19.

AT Education

Tell us about you

Kate – should be doing her internship at the University of Pitt but is at home in Dublin

Possible masters in physio or research in AT

Madie – St. Louis University in her 5th and final year

Dream Job – D1 Sports in US

AT Education, Madeleine Bozych, WFATT, COVID

Nick Lichti – Manitoba Canada

Hockey guy preferably with a pro hockey team

AT Education, Nick Lichti, WFATT, COVID

Anat – Israel

Entering her final year as part of the first class of Sports Medicine in Tel Aviv

AT Education, Anat Buhnik, WFATT, COVID

What has been challenging about the transitions associated with AT Education and COVID-19?

Anat – nobody expected it

Hard to pay attention at home

Difficult to test on different bodies without risking exposure

Taught her to be a self-learner

Learned to be more sophisticated in the way she learns

Maddie – Went home for Spring Break and was not prepared for learning home

Wifi Issues

Learned the back over zoom

Had to get help from her family for her practical skills

Studying at home with 5 other people in the house

Kate – Gained independence learning

Looking forward to getting back to face to face.

Nick – U of W hands-on exams have been postponed without an official date for completion…

It is basically a waiting game right now

Masks at your placements make communication harder.  It hides expressions.

Gloves for all assessments can make it harder to palpate an area.

Lost a lot of jobs and volunteer opportunities due to COVID – very frustrating.

What do the leaders in AT education need to know from YOU?

Maddie –

  • Every expectation and experience…throw it ou the window. 
  • Seek feedback from students
  • Revisit a lot of topics
  • Be flexible
  • Take your time with students
  • Students need to extend grace as well

Kate

  • They know we need practical experience and are patient.
  • Keep in mind each student will adat differently

Anat

  • Do not be so hard on yourself
  • Academics in general should take advantage of this opportunity to improve teaching and learning skills both in-person and virtual.

Nick

  • Professors have been role models during this time.
  • Been available for questions and transparent

“We are still very eager to learn, even virtually”

– Nick Lichti
  • Try to replicate the structure of a typical AT class into the virtual format.
    • Do demos over zoom rather than just talking over lecture slides

How have you seen a change in roles in AT in your area?

Kate: AT is still unheard of and fighting for a place at the table in Ireland

Athletic Therapists are still treated as personal trainers

Anxiety drove Kate to contact her local club teams where she was able to learn a lot more during the pandemic by putting herself out there than she did in college.

“It is kinda a blessing in disguise”

Maddie – a new appreciation for AT, I learned more of the administrative side.  In college, we focus so much on the clinical skills

Worked with the preceptor being in the meetings and advocating for the students

Worked as a screener for COVID

Loved seeing how her preceptor advocated for the overall health.

Grew in understanding

Jonathan Burch at SLU

Morgan Jasperton

Nick – “I watched some ATs step-up and volunteer on the front lines.”

Continued working with the hockey team as part of the screening team.

More spare time – allowed Nick to look into other areas of improving himself and his AT education. He is currently studying for the CSCS exam.

You also begin to appreciate in person classes and exams.

Anat – Sports Therapy is not acknowledged by the Minister of Health so we are still limited.

Worked with some COVID related patients as well

https://www.facebook.com/sportsmedicinebroadcast/videos/803349970438442/

Contact Us

anatbuhnik@gmail.com

lichti-n@webmail.uwinnipeg.ca

kate.aughey2@mail.dcu.ie

madeleine.bozych@slu.edu

John Ciecko – @JohnCiecko

Jeremy – MrJeremyJackson on Twitter, and Facebook

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

MioTech; AT Education

Patient-Reported Outcome Measures – 648

Have you tried installing Patient-Reported Outcome Measures into your practice as an Athletic Trainer?

PROMs just tell a story” – Dr. Lam

Patient Reported Outcome, Kenny Lam

Brian Columbe from Texas Luthern University and Dr. Kenny Lam join the Sports Medicine Broadcast today to help discuss what they are and how we can add them to our practice to add value to our services. This podcast was at the request of Ryan Pena, long time listener and Athletic Trainer in Dallas ISD

What are PROMs or Patient-Reported Outcome Measures?

Are there different types of PROMs?

Short form 36

Common body region measure – uses FAM

Single item measure – one item questions – numeric pain rating score.

May not be sensitive enough for our patients but the numeric pain scale relates to their understanding.

What is the current state of PROM use in AT? 

Fairly low about 26% of regular usage in AT

PT / OT is 30 – 40% so we are close to similar disciplines.

Usually higher with higher support staff groups

General lack of familiarity with PROM

What are the major barriers related to their routine use?

The main barrier is changing routines, habits, and culture.

Incorporating it into notes

What is your goal?  Use that and the single-item measures to set clearer exercises.

SCAT5 is a PROMs

How do we demonstrate the need for this to admin?

Increases difficulty when bringing in the AD or admin as they may not know or care.

As far as improving the situation, it is truly a case by case basis.

How do you reflect on these PROMs?

Allows you to formalize the impact

ATs are good at asking about the whole person.

We have not systematically assess those components across patient care

Formal single item measures every time a patient comes in.

Share some examples and stories of this being used?

Single item measure is a great place to start

START SIMPLE, build momentum, and expand from there.

Maybe – this year we are only going to focus on ankles and give the FAM for every ankle.

Resources:

https://natajournals.org/doi/pdf/10.4085/1062-6050-171-19 – article by Dr. Lam

Related Podcasts:

Watch the episode on YouTube

https://www.facebook.com/sportsmedicinebroadcast/videos/245191343508872/

Contact us

Dr. Lam @kennyLam_

Ray Olivo@RayOlivo20

Brian Columbe

Jeremy Jackson

Ryan Pena – @RyanPena75 or @DallasSportsMed

Sponsors

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

FrioHydration; frio hydration; Get Frio; Best in class; Waterboy; wisstech; hydration station; sports medicine broadcast; Jeremy Jackson; Rob McFarlin

Chinese Olympic Experience – 647

Ever wondered what it is like to have a Chinese Olympic Experience…and then get interrupted by a global pandemic/

Adam Stoyanoff joins John Ciecko to share his odd path to working with the Olympic kayaking team of China.

Chinese Olympic Experience

Where did Adam get his start?

I have been fortunate to observe and be part of many different things…some may seem wrong, but that is a closed-off perspective.

Assistant coaching at Boling Green University for 3 years – spent time with all sports

Worked with local high schools as a contract S&C coach

Then went out on his own as an independent contractor with 2 high schools and college.

This increased his diversity and ability to adapt his skills.

Then went to Boston to lead an afterschool program for 2-5th graders – larget challenge as you have to keep changing to keep them interested.

Learned it was important to keep contact and build relationships with parents so the kids and parents are doing and talking about the same thing.

Next job was to Dallas, Texas

Opened his eyes to see “there is always a reason why”

Did not spend his life thinking “How can I build my resume?”

He got a phone call from the Chinese canoe association that was training in Waco, about 1-2 hours from Dallas. That lead to him becoming a coach more than a coordinator.

Juataga Portugal was their training site and also made the canoes they were using.

Lived on the training compound with the athletes

More about his Chinese Olympic Experience

Coaching vs coordinating

Coordinating is more like the AD role – dealing with all of the wants and needs

It will stress your relationship building skills

As the coordinator, you are in a service position and making sure everyone has everything they need and want.

“Rocky 4 was a documentary right?” – John Ciecko

But really that is what life is like, someone is always watching you and videotaping

You should always act as if there is a camera on you.  Even in your moments of weakness.

“What are you doing when nobody is looking – definition of Integrity”

You have to stop, observe and listen to understand why a person may be acting a certain way

Chinese athletes are taken out of school at 12-13 years old to be an athlete.

Lessons Learned

The coaches who are and were doing well put their ego aside and were there to serve and help.

Calm and stillness with a few deep breathe

Do not take it personally when a Serbian coach yells at you for setting a plate down to loud and disturbing their athlete.

He was working with professional athletes…professional kayakers who wee making millions

I can get you that info, I need to find the best way to get that to you safely.

https://www.facebook.com/sportsmedicinebroadcast/videos/1126643737710753/

Contact Us

Adam – Instagram

John – Twitter

Jeremy – Twitter

Want to be able to make moves like Adam?

School loans and other debt prevent a lot of people from taking the job they long for.

Check out Financial Peace University from Dave Ramsey and change your family tree. If you do the work and stick to the plan it works every time.

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Krampade – An Intro – 646

Krampade claims to stop cramps through science. John Ciecko, Sofia Mata, and I provide some anecdotal evidence.

Krampade

Our experience with Krampade

Jeremy

Tasted it. it tastes and feels like cloudy or salty water should.

I have never had an athletic related cramp so I can not vouch for the effectiveness

My wife tried it to validate the Menstrual cramp claim. She honestly hated it but she is not an active athlete or intense workout person.

My boys will drink it but it does not go down smooth.

With a little getting used to it i think players could get past the salty taste.

Jeremy's Athlete

Senior Male soccer player with a serious history of cramping during games.

he felt the product helped prevent him from cramping but drinking the whole bottle of water + Krampade left him feeling heavy.

With some fine tuning in intake and nutrition I think the athlete could really benefit from the product.

Sofia's experience

Personal – had a hard time drink it due to the salty nature. Did not feel the menstrual cramps were affected by drinking it either.

Sofia's Athlete using Krampade

Varsity female soccer player goes down with cramps. Sofia administers the Krampade and within minutes the athlete is back up and running like nothing happened.

John Ciecko's thoughts –

One swig in and one swig out…if you are not ready for the saltiness then you will spit it back out like he did.

Contraindications – 

Heart or kidney issues check with your doctor

Dietary contraindications –

nope…but two 4ks back to back will create osmotic diarrhea

Watch our Krampade talk on Facebook:

https://www.facebook.com/sportsmedicinebroadcast/videos/2312673835502763/

Contact Us:

Sean Murphy

John Ciecko

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

COVID19 RTP Recommendations – 639

Have you prepared your COVID19 RTP plans?

Bart Peterson and Jennifer Rheeling join the SMB to discuss the current recommendations and considerations created by the NATA Secondary Schools Athletic Trainer Committee to help you create your COVID19 RTP.

COVID19 RTP

We need to reconsider EAPs to include social distancing guidelines.

What about lightning…now, where will they go?

Know what phase of COVID19 RTP you are in from the local public health department.

Know the terminology and how its is defined:

Phase 2 is groups of 50.  Is that on the field or altogether outside at once?

Covid response team

Who is on yours?

They need to know what the plan of action is if you have a room full of kids and one test positive with temps or signs and symptoms.

ATs are a key component in risk mitigation

Being part of the decision-making process is important.

We also have to know how we are going to take care of the over 55 population…coaches, teachers, and officials.

Communication with the school nurse is crucial and this is a great way to build the bridge.

Cleaning Supplies

Districts may need to buy them out of another fund or fund next years purchases now even though budgets have not opened

Hydration

NO water sources until phase 3

Illness Reporting – start with the state, including local, report up the chain. 

Telemedicine –

Congress made this easier during COVID19

Need consent each time you do a telemedicine video

Can not cross state lines

Document as normal

Know your platform

Make sure that this is not occurring in a bedroom

Facebook Video of the COVID19 RTP talk

https://www.facebook.com/sportsmedicinebroadcast/videos/563648741015093/

Resources:

COVID19 RTP Document

Telemedicine

Contact US:

Jeremy Jackson

Jennifer Rheeling email – jennifer.rheeling@gmail.com

Jennifer on Twitter

Bart Peterson – email – arizatc@cox.net

Bart on Twitter

Help them keep supporting the podcast

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Presidential Discussion – 634

NATA Presidential candidates Kathy Dieringer and Katie Flanagan join Cari Wood in answering some member-driven questions.

Presidential Debate, presidential discussion, Katie Flanagan, Kathy Dieringer, Cari Wood, NATA, President, election, 2020, COVID19

Jill A. asks – Licensing in California – what’s the plan?

Katie Flanagan (KF): We need to pull back, circle the wagons and reconsider it

Kathy Dieringer (KD): It has gotten to the Governor’s desk multiple times…then vetoed but it does not pass due to politics. There is no lack of effort, but there are organizations working against us.

  • Continue to be persistent

Chris P – How will we work to expand Diversity in our field?

KF: Tripled our membership in 20 years but only increased diversity 3%

  • Diversity wins

KD: Diversity makes us stronger

  • NATA membership stat is about 80% caucasian
  • Other than the board our leadership does not reflect this number

Jeff K – What suggestions do you have for ATs to sustain viable employment due to the lack of sports?

KF: The secondary setting is hugely important and is a portion of what we do.

  • Use Go4Ellis
  • Be flexible and keep growing your skills
  • We need to think forward
  • Reach out to the NATA for additional resources

KD: We do not even know what is coming

  • We are great at responding and shifting
  • Advocate for yourself
  • Maximize your skillset
  • “Can I teach something else?”

Adam – What is the presidential plan for AT growth in rural areas?

KD: All about advocacy, collaboration with NFHS, principals…going to those meetings and getting facetime with those folks.

KF: Empower the local people and walk alongside them.

The NATA may be facing some financial difficulties due to canceling the annual convention.   How do you see that affecting the membership?

KD: Convention is a revenue producer, many ATs have been laid off.

  • What are the financial implications? this has to be considered.
  • Past treasurer of NATA
  • My business background will serve us well in this situation

KF: NATA has been very financially responsible and relies on several checks and balances.

  • NATA Offered ACES prep exam for the students getting ready for BOC exam
  • Creative thinking will be required

Secondary Schools – 

KD: It is where athletes are introduced to the AT for the most part

  • Collecting Data
  • Medical Autonomy
  • Pointing towards available resources
  • Monthly calls with chairs of committees and workgroups “What is working and not working?”

KF: they have rural and urban school settings and her students get to experience different settings.

  • The AT becomes the gatekeeper for the small schools and urban schools alike
  • Need to be flexible and know the situation to make them successful in that setting
  • Investigate equal representation for each type of secondary school

 Should we teach Sports Medicine in high schools:

KF: ATs are now has a seat at the table on the high school medical education

  • I could not do my job without my students…that creates a problem
  • Have them help collect data to show the need for help.

KD: HS ATs have a skill set of teaching

  • They are our preceptors…its what they do
  • The introduction to health professions is VERY important
  • Caution about teaching students skills that should only be practiced by and LAT BOC person
    • Student ATs were attending to the kid with a spleen injury…he almost died.
    • Perception is difficult when people think the students can do your job

Final Presidential Discussion remarks

KF: “I do not want to pretend to know everything.”

KD: “The most important thing is to be unified as a profession moving forward”

https://www.facebook.com/sportsmedicinebroadcast/videos/2859018704153260/

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Jeremy Jackson

Cari Wood – cari.wood@redmondschools.org

Kathy Dieringer – kidier@ddsportsmed.com

Katie Flanagan – FLANAGANK@ecu.edu

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Frio Hydration – Superior Hydration products.

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, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

MioTech, Presidential Discussion, NATA President, 2020 Election, Kathy Dieringer, Katie Flanagan