Orthopedic Trauma – Daniel Ruedeman

Orthopedic Trauma is one of the newer settings an AT can work while being employed in the physicians practice setting.

Daniel Ruedeman joins Sandy Harris and me to discuss what Orthopedic Trauma is and how Daniel is setting the stage for AT growth in the field

Daniel, where are you working right now?

University of Colorado/ UC Health

Orthopedic Trauma

Limb restoration – Patients with non-union fractures

Infections

Prevent amputations

Osseointegration – interactive way to help amputees with their artificial limbs

Doing AT for about 20 years

Daniel has worked in the PT, college and secondary setting

“I do not want patients to come in and have just a doctor appointment. I want it to be a relationship and a positive experience.”

He was the first one hired in the hospital setting at UC Health

When they first hired him they did not know what his role was and he was able to build that from the ground up

What was the transition like from the traditional setting?

Started with him shadowing the physician

That lead to a team focused approach so nursing, MA, AT, Doc all communicating the same thing to patients

Being the pilot AT Daniel was able to set the stage for bringing on an AT and the office manager connected them.

Departments like Oncology was asking how they could get an AT to work with them.

He was also an office manager at a private practice between clinical sites and his current setting.

What does a week look like in the Orthopedic Trauma center?

Works 4/10s

40 patients between 7-2

Taking brief history

Allows the med students to do the exams

Preps the patient for what to expect

Schedule next appointments

Scheduling and setting up PT

Home exercise programs

Off Tuesday

Wednesday is half office time / half clinic

Thursday/Friday are full of clinic time

Trauma doesn’t stop during COVID

Tell us more about your Orthopedic Trauma job setting

They use EPIC for the EMR.

Daniel feels the open line of communication is important.

The whole team is important.

He touches base with each of his professionals almost daily

What are you seeing in Orthopedic Trauma?

Sees a lot of tibial plateau fractures

Do not do spine or hand stuff

“Any student that does a rotation or internship with me, I want them to Look at the x-ray and understand the injuries, but also think through the process of how the injury happened.”

What do you not love about Orthopedic Trauma?

Constantly building relationships

Life balance has become a key focus

Daniel leaves work at work

How does Sandy create life balance?

It is tough since they are both ATs and host an AT podcast

They do have a dog

Do you have a hard close time?

There are no rain delays or extra innings in the OT center

They schedule their last patient at 3:30 so they have time to get out by 5:30

He has flexibility to leave at 4:30 or earlier if needed

He was furloughed during COVID and then switched to hourly.  Now he has to watch his hours.

What are some of the cool tools you see?

Worked on a leg ring like Alex Smith used.

Got to see a rod running through a pelvis

Discuss the talks you do across the country and where someone should search to learn more?

COPA

ATPPS

Email Daniel for more

https://www.facebook.com/sportsmedicinebroadcast/videos/630276870965893/

Contact Us:

Financial Partners for 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.

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.

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.

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.

MioTech; AT Education

Mental Clarity – an intro

Todd Sabol has been working to gain Mental Clarity since he suffered a weight lifting injury about 18 months ago.

Mental Clarity

Fellow AT and host of The Eli Kassab Experience – Eli Kassab guest hosts this podcast and discusses some of his mental health struggles leading him to leave one position as an AT.

Mental Clarity; Eli Kassab

What is Mental Clarity to You?

Not feeling foggy, scattered, busy, angry, confused.

Todd, what mentally got you?

4 am workout crew

Lack of sleep (habitual)

Beats and Barbells

315 front squat did one rep, then passed out mid rep on the second one

Felt like a heart attack at softball practice one day.

Felt like his heart was beating out of his chest

Was driving a couple of hours each day

Would drive to the gym, sit in his car and then drive home because he could not mentally gear himself up to walk in

Cory Carpenter recommended Todd to do the “75 hard” with him

  • Follow a diet
  • Gallon of water
  • No cheat meals
  • 2 x 45-minute workouts
  • Take a progress picture daily

Before the injury, I thought I was tough mentally

Wake up early, train really hard, get back for grad school class, self-help podcasts and books… I was killing it

But the one injury caused the whole deck of cards to fall.

“YOU ARE BUILDING TRUST WITH YOURSELF”

Todd Sabol on completing “75 hard”

Constant building blocks…but that is how every building is built…from the bottom up with a solid foundation

He had some hecklers along the way, but that did not phase him

Running with Mindfulness

Walking through the snow talking to himself audibly as he was following the book.

Todd believes in the law of attraction – put kindness out and you will get that back eventually.

How did the long drives impact Mental Clarity – 

Fast food

Was this how you were escaping?

Burying himself in work and working out were his other two escapes.

How does your mental clarity affect our relationships?

Sharing your journey is healing

For you and your listener

I pour all of myself into my patient, my students, or clients.

I used this as a way to take care of them instead of myself.

FIND WHAT WORKS FOR YOU!!!

Pick something and go with it, and if it does not work, give it another shot and then alter your path as needed, but do not look for the quick fix.

Where are you at now compared to where you started?

It is really hard to compare since I was at that low point for most of my life.

“Hey Todd, you did X,Y,Z in spite of that thing”

Before grad school, he went to a therapist who said he should not go to grad school because of his ADHD.

The Body Keeps the Score

My communication and vulnerability have grown so much during this.

You are going to have some of those hard days…how do you get through them?

Movement – walks and talking to yourself

Meditation

Getting after it in the gym

Use your mental energy to refocus and get back on track.

Watch Mental Clarity on Facebook

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Contact Us:

Todd Sabol

Eli Kassab

Jeremy Jackson

Podcast Partners

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.

Negotiating Benefits – 651

Susan Taah knows negotiating benefits is the only way to work one job and maintain a quality of life. So she did.

Now she joins Jared Plummer to share her story on the Sports Medicine Broadcast

Negotiating Benefits; Susan Taah

Where did Susan start?

Working at a beer and wine distributor – so in industrial AT.

Susan knew she wanted to make her living solely off of her job, not having to do side jobs.

She knew starting off that she was making at least 40k so she skipped out on several sub 30k jobs.

What triggered you to go into the industrial setting?

  • Start with Why
  • President of the student AT program for 2 years
  • Worked with Volvo truck plant in Dublin Virginia and doing a health fair type event
  •  My why was always preventing injuries

Even though healthcare is part of the job benefits the distribution plant workers were oddly cut off from healthcare

That first salary met my needs and I did not have facts.

Sometimes it is not the right time to advocate. Sometimes you just have to gather facts and data

Susan Taah

What is next in negotiating benefits?

Have a list of things you are accomplishing and want to accomplish at work.

Projects were a big part of what she did.

  • Heat illness was a huge issue
  • They did not have coaching
  • She started a heat acclimatization program
  • Weight charts like in football training camp

She presented the results an findings at her company conference

The company already has a dollar value for loss of man hours, hospitalization, workers compensation. Use them.

What are the factors you feel like you need to put together to illustrate your point?

  • Documentation – Susan can calculate costs based on the cost of hospitalization, loss of productivity. 
  • Expertise – tell them about an area you are an expert in.   ie. hydration or injury prevention

What does this look like in COVID times?

For her current job she had one phone call and two video interviews.

Advocate for why you are the one worth picking and why you are the one.

Have a timeline for when you are going to get certain certifications they will need.

What about times like right now where so many ATs are unemployed?

  • Show your value, your worth, know the important metrics to your employers
  • Be flexible and willing to help
  • Going the extra mile now shows the need for others in the future
  • Long term health
  • Insurance
  • Risk management

Did you drop a bomb or hint at your compensation package?

She was advocating through the process of her previous job

Money talk was saved towards the end so they are bought in and invested.

Give the reasons first, then you are less likely to need to defend the request.

These are the things I have implemented, these are projects I am working on, this is the value I am bringing.

  •  great
  • Write an elevator pitch – maybe 4 sentences – practice it.
  • I have looked over the offer, but it will not be adequate to cover the cost of living and change in responsibility
  • After they hung up Susan thought “I am done”
  • Have your number ready in salary format and hourly.
  • Moving Bonus – she did not negotiate this as it was a one-time payment.

Hours

Population you see (only this facility, only one school, no weekends)

Mileage

What are Industrial setting negotiating benefits items?

  • Salary
  • Moving
  • CEUs
  • Schedule
  • License / certification
  • Lunch break
  • 40 hour weeks
  • Per diem or help

Special thanks to my guest intro by Jonah

Facebook version of Negotiating Benefits

https://www.facebook.com/sportsmedicinebroadcast/videos/309758317004679

Contact us:

Susan Taah

Jared Plummer

Jeremy Jackson

Partners:

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.

Hoist logo; rapid hydration

Energy Drink Education – 650

Energy Drink Education; Brett Singer; Shawn Ready; Ray Olivo
https://www.facebook.com/sportsmedicinebroadcast/videos/2460115144109830/

Contact Us

Jeremy Jackson

Contact Us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

ATCornerPodcastATCornerds@gmail.com

Joseph Eberhardteberhardtj@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.

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.

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.

Burnout in Athletics with Dr. Etnier – 649

Understanding why youth burnout of sports is a question Dr. Jennifer Etnier says comes back to coaching.

https://smile.amazon.com/Coaching-Love-Game-Practical-Athletes-ebook/dp/B07XH9FPK2/ref=sr_1_1?dchild=1&keywords=jennifer+etnier&qid=1598497524&sr=8-1

Who is Dr. Jennifer Etnier?

  • A Fellow of the American College of Sports Medicine and the National Academy of Kinesiology. 
  • Former the President of the North American Society for the Psychology of Sport and Physical Activity and Editor of the Journal of Aging and Physical Activity. 
  • The principal investigator of the Physical Activity and Alzheimer’s Disease 2 study at UNCG.

You talk about sports, but do you even play them?

She plays pretty much all sports

Soccer is the family favorite, but in the days before the interview, she was out water-skiing and playing tennis…so yes she plays

How can we avoid contributing to athlete burnout?

ATs can really help in preventing this, here are a few ways.

  • Educating athletes about being in tune with their own body
  • Educating about overtraining – leads to higher stress hormones
  • Knowing the ability to get over a plateau and encouraging them through
  • Being a confidant/peer/friend

Talk more about the confidant role:

  • If you have a sports psych they should be the main contact.
  • You can really point them in the right direction
  • Sometimes the battle is with the parents
  • We are already knowledgeable of the needs and burnout, but outside of sports can really play a role…acknowledge, normalize, what does bring you joy… let’s bring those things back into sport.
  • EDUCATE, use every tool
  • Know that if I push too hard they may burn out of ALL physical activity.
  • Avoid sports specialization

After the interview, Sofia, my co-worker, said the coach was the reason she quit playing sports in college. She did not feel she could talk to the coach without retribution. Half of the team left because of the abusive style of the coach.

In your NYT article, published earlier this year, you detailed the lack of “quality” coaches at the youth level. What do you think youth organizations could do now, and in the future, to promote higher quality coaching?

Organizations like SportsMedDiscussion that help educate

FUN – people play sports because it is fun…if it is no longer fun it is because of the people in it

Focus on process, not the outcome when a kid says:

“Oh my coach only cares about winning”

They figure it out quickly, if you focus only on winning then they learn there is no point of playing unless you are winning.

Even at the professional level this is true, focus on the process.

FUN and the Process

With respect to the effects that COVID has had on the mental health of student-athletes (young and old), what do you feel are the most important principles that should govern the way we approach coaching?

Dr. Etnier reminds us: Do not cross the line – if you are not a mental health professional do not take on that role

Find joy and fun in our lives

I have never dealt with depression, but in May of 2020 I was dealing with some

Calling friends on the phone.

“Isn’t it great that we are back together” – maybe you need to help amplify

How do we teach “process”

Mental imagery is a great tool if you can teach it

Goal Setting is important

Setting up short term goals that move you to long term goals can help prevent burnout…small victories

Have coaches provide positive feedback not just negative.

From a coaching standpoint: How do you suggest dealing with the kid who isn’t necessarily the “most talented” or “least attentive”? How do you get them to buy-in?

Only as strong as your weakest link the top athletes are going to get the attention, but the bottom half of the order can strike out and kill the rally.

If we all get better than we as a team will have more success than we did last year.

Equitable vs equal is an important shift

What are some suggestions you have for compliance to exercise/practice that coaches can use/we can use ourselves?

Revisit goals

Routine and Rut can get old

  • Is it always the same old thing?  Let’s mix it up

Make it so they want to come.

Always have something new as part of your routine

Play music

Picture wall

Change the location some – outside, hallway, gym

***it comes back to relationships***

Watch Dr. Etnier on Facebook

https://www.facebook.com/sportsmedicinebroadcast/videos/4602152389802502/

Contact Us:

Dr. Jennifer Etnier – jletnier@uncg.edu

Ray Olivo – https://twitter.com/RayOlivo20

Jeremy – https://twitter.com/MrJeremyJackson

Links and Resources

Article in NY Times

Sponsor for today's podcast

Podchaser sponsored today’s podcast with Dr. Etnier.

Get connected with potential guests or find some new podcasts on podchaser.com

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.

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.

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.

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.

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.

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.

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.

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.

Smart Cuffs by Smart Tools Plus – 645

We are ordering Smart Cuffs by Smart Tools to provide Blood Flow Restriction training to our patients. Sofia has taken the course and we are excited to add this tool to the high school. First, we have some questions for Nick and Ed.

BFR is the ultimate biohack and tricks your body into “thinking it is doing a heavy load without the heavy load”

Ed LeCera
Smart Tools

Talk about the Gen 3 BFR cuffs that are fully automatic.

Gen 1 cuff in 2017 was kinda a POS

But they quickly learned that was not best practice

Multi-chamber system does not allow for limb occlusion.

The new systems are single chamber which are much more effective.

5 sizes of the cuffs that are over 4 inches

External doppler was chosen because it is close to the computer monitored systems

SmartToolsPlus is focused on taking what the expensive units do and making it affordable and compact.

Currently Two models of Smart Cuffs: commercial and consumer

It auto measures the LOP

3 steps, inflates in 45 seconds

The manual model is available, but the system auto senses occlusion and auto shuts off.

Keep it connected for autoregulation of pressure.

What is in Level 1 Smart Tools Training?

Level 1 is a rehab or clinical-based training that is from scratch.

It focused on getting the cuffs on and doing a hands-on workshop.

Discuss the recommended frequency and duration of treatment. 

It depends on the goal.

You can train multiple times per day as there is not any damage being done

One study showed D1 basketball players – 11% increase by using the cuffs on walking programs.

2-3x per week is as effective over the long run

I always have to ask about my elderly parents and grandparents.  How can Smart Tools be used with them safely?

Ischemic preconditioning – getting ready for surgery and being under a tourniquet

Cellular swelling protocol is great for reducing swelling.  As the limb starts to swell from the cuff, then the cells start to reabsorb the fluid which leads to muscle protein synthesis without the muscle damage

Lots of growth factors start moving

Bottom Line: We want to drive growth hormone

https://www.facebook.com/sportsmedicinebroadcast/videos/516565245698745/

Smart Tools Resources

We currently have a Spring Sale going on. 25% off and free shipping SmartCuffs Basic and Personal sets (code: smart25): https://www.smarttoolsplus.com/detail.cfm/id/76/name/smart-cuffs

Our Level 1 live courses booked for this year: https://www.smarttoolsplus.com/courses/index.cfm/level/1-day-bfrOnline course for $59 How to Train Clients Online: A Guide to Virtual BFR Training : https://www.smarttoolsplus.com/online-courses/

Contact Us

SmartToolsplus.com – email preferred

Joel –  athletictrainingchat.com

Jeremy / Sofia – info@sportsmedicinebroadcast.com