Category: Podcast

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Dr. John Gallucci discusses Five Things that Athletic Trainers can do as clinicians to help prevent injury.

John, what is your Athletic Trainer story? 

Wrestler and baseball player in high school

A local PT company had an outreach AT

His family owned a supply company that connected him with PTs.

Through high school and college, he had several great interactions with ATs that lead him down that path to becoming an AT.

Five things we are doing wrong that could cause injury:

Providing self-care

• We understand biomechanics and how the body works.
• Use proper biomechanics
• Appropriate nutrition

I learned this lesson about 15 years ago when I was feeling unhealthy.  I was not fit enough to get across the field and do CPR.

I could not run to get the AED if needed.  

We are givers but sometimes we as Athletic Trainers need to TAKE a little.

We never get enough sleep

• This causes soft tissue injuries and cramping

Biomechanics

• PNF patterns cause the clinician not to use the legs and strength of the chain
• Put yourself in a de-risk situation
• Outpatient is the PT of choice
• 8-12 patient loads – consider the height of the table and use proper leverage and bracing

When I was day to day with redbull as their AT, I got there early to stretch and run to be ready for the day.

Are you ready for the demands of the day?

The Industrial ATs are teaching the workers how to be ready for the job.  Take some of that and internalize it.

Stress Causes Harm

• Think about your responsibility each day
• Think bout the communication chains between medical professionals
• Make sure the EAPs are clear, written, communicated, and practiced
• We have to make decisions as healthcare professionals that can impact the lively hood of the patient
• Vent or decompress in a safe place – internalizing the stress is a big problem.

Proper lifting techniques

• Lifting techniques are important for high shelves

• Use the tools to provide the best mechanical advantage
• Do lifting drills as a team
• Practice lifting technique

 Time with the RedBulls:

In the 90s I had the opportunity to work with the local team that only had one AT / medical professional

Spent 7 years working in the professional soccer realm.

Became the player care coordinator

I currently help the MLS ID good AT candidates

Medical coordinator

I have been lucky to see the league evolve from 10-12 teams up to 31 teams in the next few years.

Santa Monica PEP program

Ruben Echenmendia – concussion expert

Back to Ryan Stevens and being a team leader:

Communication is key

• Be part of the voice when we are building the processes and policies.

• Reflection – how have you behaved, learned, and affected situations?

Contact us:

Jeremy Jackson

Dr. John Gallucci – info@jagonept.com

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

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FooBag is Craig's other child. He created the product to keep his AT gear dry after a coach accidentally soaked his whole med kit. Many hours have gone into creating the product that you see today.

5 words to describe FOObag:

Innovative

Necessity

Driven

Family

Committed

FOO – I have ten siblings and we were the jocks in the neighborhood

We were nicknamed the egg rolls

Where did the idea start?

Hofstra University where I met my wife

We were founders of the student AT organization

Summer intern with the New York Jets

I have worked at each level of sports

Got my masters from Hofstra in 2003

Stepped down as the coach/AT to follow my daughter's college sports careers

I passed the stadium on a rainy day where I always kept my gear on the back of the cart

The coach borrowed the cart to move gear but did not keep my kit out of the weather, it soaked everything in my medkit.

At that moment I knew I needed a solution

I spent about a year or two looking at all the kits to design and create the bag to fit my needs and the other ones on the market.

I wanted to find a local manufacturer so I could make trips there as needed.

The manufacturer showed him a bag they use when onboarding inmates at the penitentiaries

After a few weeks, we had a prototype. Then we tweaked it several times.

And then adjusted the sizes.

We have grown with feedback.

What “version” of the FOObag are you on now?

We now have the 2.0.

Who was your first sale to?

Marissa, a local AT here on Long Island and a long-time friend.

Your biggest haters?

I do not remember anyone giving me a hard time or telling me that it wouldn't work

Other ATs were a little “jealous” of me thinking of it first.

If you were to start over what would you have done differently?

I would have learned more about social media and online marketing and online sales.

I would like to have switched and delved into other markets earlier.

Contact Us

Craig – craigatc14@aol.com

Foobag – @FooBagFoo

Jeremy – @MrJeremyJackson

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

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Connecting PTs and ATs to create a high-performance sports medicine team is part of the mission Dr. Eddis Smith is accomplishing with Ellie Roenig.

As an AT I want people to know why we should collaborate.

We need to move things forward in creating high-performance teams

PT, AT, Team Doc, Mental Health, Sports Science.

We send our residents 4 days a week to the AT Facility

And available after school and on Saturday

Load management – How do you do it?

Create high-performance teams

Communicate

Close those gaps

Athletes need to be weight room ready when they leave your care

How else are we connecting PTs?

PT asked the manager how they can work it out.

Find a company that values the community integration

It has created a significant increase in referrals

Eliana Roeing

Contact Us:

eddiePTATC

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

Dr. Josh Yellen – jbyellen@central.uh.edu

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

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Subscribe: Spotify | RSS

Up to 90% of eye injuries in sports can be prevented with proper eyewear. Dr. Alireza Somji, OD joins me, Jeremy Jackson to discuss some of what he sees and how we can help prevent eye injuries.

International sports vision association – eye safety awareness program

WileyX are ballistic rated

Sportsvision.pro

Protect prevent play

Over half of the brain is dedicated to visual processing.

But we almost never train the visual performance

Alexander Arnold from the redbull documentary

Steph Curry, Matt Ryan.

First step should be getting a full eye evaluation.

Make sure they have an examination and not a screening.

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

Dr. Josh Yellen – jbyellen@central.uh.edu

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

Podcast: Play in new window | Download

Subscribe: Spotify | RSS

Females Athlete Care is not the same as male athlete care. Dr. Jill Moschelli is making a career specializing in it. Megan Smith, the chairperson for Women In Athletic Training, leads the interview.

Looking into your bio, you specialize in Female Sports Medicine. Can you share with us what that entails?

Female athletes are just different than men

Female athlete triad.

Concussion recovery is different

Predisposed to different types of injuries

How popular is being a female sports medicine-specific doctor?

It is not really common, but some of it is due to comfort level.

There has been an increased discussion about women training on their menstrual cycles and understanding how each phase affects your training. When someone is looking into this- do you have any recommendations on how to get started or a basis of understanding while training during different phases?

Educating in general is the biggest first step

Educate them about their own body and their cycle

Know what is normal for you and be aware of what changes look like.

Some of those changes can be due to oral contraceptives for whatever reasons.

Basic menstrual tracking app.

Perceived performance scales but nothing has been clear or consistent…so more research is needed.

How do we ask: are you on your period?

Make it not taboo…make it part of their general health

I am going to ask a lot of questions and if you feel like you can't or do not want to answer that is fine.

“How has your menstrual cycle been?”

“Are you on any medicines that would impact it?”

We bring up topics like that at the beginning of the season so it is less taboo and breaks through the barrier.

Over the years I have taken many female-specific continuing eds, but one stood out to me which was pelvic floor dysfunction in female athletes. Is this something that you’re seeing in the clinic or refer out to a pelvic floor PT? Can you share how this can affect the training of our female athletes?

It happens more than we are aware of.  It is not discussed as much. 

Up to about 30% of elite female athletes experience incontinence.

Impact sports have a greater incidence.

Bringing up the conversation more often helps teach people about it.

Finding a pelvic floor therapist can be difficult

Stress Incontinence:

Inability to control the flow of urine during stress.

How can Athletic Trainers bridge that gap?

The more we talk about it the more it normalizes it.

You can be the first line of defense for those athletes.

Maybe set up a regular schedule to discuss it so they know to expect it.

Have the resources available or posted for them. 

Are there areas of female patient care that you believe would be beneficial for athletic trainers to be better versed on? What are those areas? Is there training that you recommend?

Reproductive/menstrual cycle/ pelvic floor in your education as you get your degree.

Spend time discussing the differences between male and female athletes.

Have grand round discussions on female athlete care.

Females recover differently from concussions

Timetables are different for females

The treatments are similar but they might take longer.

The Female Athlete Conference every other year in Boston to tackle issues concerning female athlete care.

Contact us:

Jeremy Jackson

Dr. Jill Moschelli – sadoskij@msu.edu

Megan Smith – Twitter

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

Podcast: Play in new window | Download

Subscribe: Spotify | RSS

Post Exercise Recovery Nutrition is one of the topics Brett Singer addresses with high school, college, and professional sports in Houston as part of the Ironman Sports Medicine team.

Doubling carb intake prior to an event

Cliff Bar and Gatorade

Gatorade and a banana

Applesauce and Gatorade

Gummy bears or Fruit snack

Choose any two of them and that should get you to the right amount.

Is there a chart for glycemic reference?

Brett uses the USOC recovery chart

Glycemic Index Chart by National Library of Medicine

Post-exercise nutrition can minimize the NEED after for a recovery drink

Milk is more effective at rehydration than just water.

If you are eating then you probably do not need the recovery drink

Electrolyte drink vs Gatorade

Situations dictate different needs.

The 10-year-old kid will likely need less than an adult

Sodium and Chloride are the most important components of the recovery drinks

Professional soccer players may lose 6-7 pounds during the course of practice

A meal and water with an electrolyte drink between meals.

Youth bodies can handle the heat better?

2% of body weight loss shows visible effects of performance

In general, water should suffice if trying to recover 12 ounces (kid) versus 72 ounces (adult)

What are some dehydration signs to look for in Youth Sports?

Losing abnormal amounts of sweat

Headaches 

Nausea

Fatigue

Cramping

Weighing in and out should be done with caution.

High School and Rec athletes – Are there ideal mixes? 

There is not one that has all of the needs of an athlete.

Most products are insufficient for high-level athlete carb needs

3 to1 or 4 to 1 ratio is ideal for carbs/protein but needs to look at the big picture.

20-40 grams of protein

High-glycemic foods in recovery are OK

Creatine and Post Exercise Recovery Nutrition

I do not push it for high school athletes but it is safe.

Following the guidelines is important

The benefit is really for the high-level athletes

It also helps with glycogen replenishment

Whey vs casein protein?

It does matter how much protein you take in?

As far as protein synthesis goes 20-40 grams is the general window

Adding glycogen to protein does not improve glycogen uptake

Focus on carbs if there are small windows between competitions or training sessions.

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Don't be that preceptor who is just trying to get CEUs or the one who only uses MAT students as grunt labor.

Being a Mentor is a choice.  A choice to give of yourself for the good of others.  So is adoption.  DJ tell me some of your adoption story.

Taylor has been such a fantastic part of our life.  She is a part of my life as an Athletic Trainer and my life as a preceptor and mentor.

Worst preceptor story you have heard?

Worst mistake I made as a preceptor was right out of Grad School.

• My responsibility is to the team and athletes, not the students.
• I did not want to invest in the students
• I did not want to give up control
• I only allowed them to set up the field
• It is finally my time to be the Licensed Health Care Provider and make decisions
• It is about me now

Communicate the roles and expectations

Some other bad examples?

I am not getting any feedback

I am doing what they ask but I am not getting any feedback

How to avoid being average as a preceptor:

Do not complain about students on social media

What are some of the struggles for preceptors?

Accountability

Set expectations

• Have an orientation
• What can the program cover before the kids get to you
• What do you need to cover

Dress code

Look at this as a semester-long interview process.

For scheduling purposes

• We try to keep a really structured process
• Immersion should be a minimum 40 hours per week
• 85 hours /2 weeks
• 1 day off every 7
• And at least 8 hours between shifts

Shout out to my administrators and my co-worker for giving us the opportunity to be preceptors for U of H MAT.

JP: I felt like my hands were being held the whole time… I was either setting up the field or observing.

Contact us:

Jeremy Jackson

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

Podcast: Play in new window | Download

Subscribe: Spotify | RSS

Preceptors are an important part of the MAT program for future Athletic Trainers. Dr. DJ Gilliland shares what makes a good

Call out by name a few of the best preceptors you have known.

David Stuckey at Hardin Simmons – instilled in us the desire to give back to the profession.

It was our responsibility to mentor someone

David Colt or DC hired me out of undergrad. He guided us on how to teach and interact with our students.

Kyle Southall at Briarwood Christian in Alabama

48 local preceptors

Dustin Rush – What you see is what you get

He does a great job of letting students take chances and risks.

Dustin has a fantastic debrief with the students.

Frank Perez – He is a tough preceptor with a ton of experience.  He is really good.

He spent several years with Cirque De Soleil and brings dance medicine into the equation

He has a large administrative component to his site.

• Great communication skills with coaches and admin, and team docs
• He is an alumnus
• Always an ear to listen or a shoulder to guide them…we need to guide them more

Administrative work:

• Documentation practices are on par with what is needed for professional communication

• Team management – day-to-day injury report presentations
• Working alongside the nutritionist for the team
• Physician referrals
• Scheduling
  • Second-year students should be involved with scheduling and communicating with the opponents' medical staff.
  • 5% of the BOC is now about Administration
  • Allow the MAT students to schedule the student coverage
  • Teach them how to manage the student aides
  • Allow them to create an evaluation system
  • Have them look at and update the policies and procedures.
  • Have them look at and update the EAP
  • Teach them to be a mentor to the kids
  • Understanding professional boundaries

Mike Ramirez – 

• “You can not work in the NFL unless you work at a college”
• Great with organization and teaching the students what to expect.
• He puts students in charge of making sure the gear is ready
• They learn inventory
• Real-world problem solving
• Writing rehab plans

Brenna Ellis –

She transformed the experience for our students. They leave feeling like they have grown as an individual and professionals.

AT is a family.

Supervised Autonomy – 

The preceptor should be the patient's advocate

Build up the student's trust and confidence by having mock scenarios in downtime.

The really good preceptors take advantage of that time.

• EMS situations
• Knowing the rules of the sport
• Use the scaffolding approach to build trust
• Give them more freedom in lower-pressure situations first.
• Give them a comfortable environment to fall forward

From the students:

JP: I felt like my hands were being held the whole time… I was either setting up the field or observing.

JP: One preceptor gave us printed steps for taping. So we could use them during independent practice

JP: Having a written plan for the athletes to follow helps us grow, but also gives me the opportunity to develop a plan.

Contact us:

Jeremy Jackson

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

Podcast: Play in new window | Download

Subscribe: Spotify | RSS

Cryotherapy Research discussion with Sean Kennedy, live from the Memorial Hermann Sports Medicine Update. What is current science telling us?

Cryotherapy – What do you tell them?

We have a lot of interpretations, so it makes it hard for there to be clear guidance

Cryo after injuries – there is no hard science about dosing for ice

Think about the messaging (chemical and nerve) that may be delayed

There is a place to allow the swelling to do its job.

Evidence shows compression edges out ice but can be used together easily.

Listen to the theories and allow your mind to be open. Do not be a stagnant clinician.

Cold water emersion

We used to believe it would send them into shock and the heat would stay in the core

All position statements say full body immersion is the standard to lower core temperature

Joint application only could take 80 minutes to cool the body

It could be 3-5 minutes with cold water immersion

Cryotherapy Recovery from workout

What is the value of reducing the perceived soreness from the damage that was done?

If you are trying to mask the fatigue by ice bath you are increasing the risk of injury.

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

Dr. Josh Yellen – jbyellen@central.uh.edu

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

Instead of Icing try MarcPro