Care For The Active Wrist – 582

Dr. Candice Teunis joins Shawn Ready to discuss care for the active wrist.

Can't Miss Injuries of the Hand; care for the active wrist

How do we Care For The Active Wrist

One of the huge tips she continued to share was REFER ANYTHING YOU REDUCE!!!

I have reduced injuries before and since meeting Dr. Teunis I always refer them to get an x-ray before allowing them to return to play.

Mallet Finger:

What is it: Extensor tendon rupture or avulsion involving DP joint.

Treatment– Splint religiously! 6-10 weeks

Alumaform vs. Stax Splint- Not all 1 size fits all. consult with your local hand doctor to see what they prefer and why. discuss ways to ensure patient compliance and seamless transition from office to AT Facility.

NOT ALL Mallet Fingers can be splinted, some require surgical intervention.

Jersey Finger-

What is it – Flexed finger pulled into extension (commonly ring finger, 75%) rupturing flexor tendon.

Treatment:

Dislocations

Dorsal Dislocation- splint 1 week, then buddy tape

Volar dislocation – much less common, extensor mechanism disruption, hard to reduce

Mimickers-

Traumatic Boutonniere
Skiers Thumb

Scaphoid Fractures

Hard to treat
hard to diagnose.
Common in football – “see these in December”

Scaphoid fractures…about 40% are missed and that is bad news, they take several months to heal due to poor blood flow. if it dies you get arthritis in your 20s.

Fall on outreached hand (FOOSH)

Need more on Care for the Active Wrist?

Live from Memorial Hermann's Sports Medicine Update 2019 Dr. Teunis lectures on Can't-Miss Injuries of the Hand and you can see that presentation here on Facebook

https://www.facebook.com/sportsmedicinebroadcast/videos/374992716459279/

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Dr. Teunis – Email

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

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

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

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

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.

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September 6, 2019September 21, 2019

Abdominal and Thorax Injuries – 579

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Dr. Benedict Ifedi, MD, CAQSM covers Abdominal and Thorax Injuries from diagnosis to treatment. After his presentation at the Memorial Hermann Sports Medicine Update we get to follow up dig a little deeper.

Have experience with Thorax Injuries?

Dr. Ifedi was around the medical team at the University of Houston when they had an athlete rip his inferior vena cava.

What about getting a soccer ball to the chest causing comotio cordis?

Here are a few previous episodes dealing with the heart

thoraxinjuries, Ifedi, Benjamin, Abdominal injury, Thorax Injury

Check out his presentation broadcast on Facebook live

https://www.facebook.com/sportsmedicinebroadcast/videos/2245509332430569/

More about Dr. Ifedi

After graduating magna cum laude with his Bachelor of Science in Biochemistry from the University of Houston, Dr. Benedict Ifedi received his medical degree from Baylor College of Medicine in Houston. He went on to complete his family medicine residency at Memorial Family Medicine Residency in Sugar Land, Texas, where he also served as chief resident. Afterwards he completed a fellowship in sports medicine at Bayfront Health in St. Petersburg, Florida.

Board certified in family medicine and sports medicine, Dr. Ifedi treats patients ages 5 and older. He provides care for sports-related injuries, such as strains, pulls and concussions, as well as wellness and preventive medicine. His clinical interests include management of chronic diseases, exercise medicine and physical activity.

He is an active member of the American Academy of Family Physicians, American Medical Society for Sports Medicine, and American College of Sports Medicine. Patients in Katy and the surrounding communities enjoy his welcoming smile and genuine concern for their well-being. Dr. Ifedi’s goal is to help his patients get back to feeling their best and to help teach them the best methods to achieve optimal health.

In his spare time, he enjoys traveling as well as watching and playing sports.

Call to Action:

Dragonfly Max is here to help you improve efficiency and make best use of your valuable resources. Designed for Athletic Trainers, DragonflyMax can help you improve communication, record keeping and efficiency

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Contact Us:

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

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August 21, 2019August 29, 2019

Stop Using Ice – Gary Reinl – 576

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Stop Using Ice!!!

Buy a FrioHydration Unit that will hold ice for days and then STOP USING ICE and be done…

Actually, this is about using Ice as a treatment option for injuries.

In his book, Iced, The Illusionary Treatment Option, Gary Reinl covers almost everything we talk about here.

Stop Using Ice, Gary Reinl, Delayed healing, congestion of waste

Why should you Stop Using Ice?

There is very little research to support its efficacy

It actually slows the healing down by creating congestion at the damage site. Similar to a lane closure on a freeway due to an accident. when the cars back up the Emergency crew can not get there quickly and the 30-minute commute now takes 90 minutes.

There is no Google or Waze app for the human body. It really tries to repair rather than destroy itself. Let it run its course.

We confuse swelling and inflammation

Swelling can occur when a part of the body becomes inflamed. However, it is caused by the accumulation of fluid in tissues throughout the body, or in a specific region of the body

Inflammation is classified as a protective response from the immune system to injury, infection, or irritation.

Discussion on the SMB not in the book…

Practical application of the principal

How to talk to your coaches about it
How to talk with your athletes about it
How to discuss changing your physician's protocol

Slight exception to the rules:

If you have a dislocation and need to transport, ice will reduce swelling which will allow for a better relocation.
If you are using it once as an emotional trigger to help calm down the athlete

What About MarcPro

Using my code (TheSMB) helps to ensure your best discount as well as support the SMB

A medical-grade device that can run for hours to relieve the congestion of waste in and around the damaged tissue.

Try out the loaner program and see if it is worth your while – Email Gary@MarcPro.com and mention the Sports Medicine Broadcast and the Loaner Program

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Gary Reinl – Email Gary Reinl

Contact Us:

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

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June 24, 2019April 3, 2019

Eating Disorders: Current Research – 566

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Whats is your story?

Catherine Lawrence previously shared her story of battling with an eating disorder here on the Sports Medicine Broadcast.

Live from the Sports Medicine Update Catherine shares her story interjected into Dr. Brooks's research based talk.

Catherine Lawrence, LAT, ATC

Brooks Brodrick MD

Google Drive folder containing slides from Memorial Hermann Sports Medicine Update.

Where are we?

The Sports Medicine Update is one of the best summer workshops in Houston to cover a variety of topics.

Who makes this possible?

Bob Marley continues to allow us to record and interview the speakers.

He gives away registrations so The Sports Medicine Broadcast can continue to add value to you.

If you would like to win one of the FREE REGISTRATIONS then join the email list or check back at the beginning of each March

There are plenty of others that help make this possible:

Bubba Wilson,
Ryan Collins,
Josh Yellen,
Mark Knoblauch,
Justin Lander
Russell Sadberry
Eduardo Beltran
Ross Little
And many others over the years.

Need Some Hydration Equipment?

Frio Hydration provides Superior Hydration products and is the official hydration provider of the Sports Medicine Broadcast.

Tell them the Sports Medicine Broadcast sent you and receive some special deals on custom graphics or a solar panel.

Need more CEUs

Try: The ATVantage Podcast for free or my affiliate link with MedBridge to save a bunch.

Dermoneuromodulation; Medbridge; CEUs Online CEUs; affiliate link

Something you like or want to see more of?

I want to hear from You

Email Me: Info@sportsmedicinebroadcast.com

Tweet Me: @MrJeremyJackson

June 21, 2019June 3, 2019

Patient Based Care – 565

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Jeremy Blanchard, MD asks the question: “Are we really providing Patient Based Care?”

In one of the better sessions in a long time, Dr. Jeremy Blanchard demonstrates what it really looks like, sounds like and feels like to provide patient based care.

What is it?

According to Oneview:
The IOM (Institute of Medicine) defines patient–centered care as: “Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions

Patient Based Care, jeremy blanchard, aafl, Dr. Jeremy Blanchard, Trinity University, Trinity University 2019 — image from Oneview

What is interrupting you?

Research has shown that if you answer a phone notification it will take you about 67 seconds to fully re-engage.

Dr. Blanchard asked us turn our phones to silent and put them away so that we were fully present in the conversation.

What can I do to start now?

At the beginning of this podcast Dr. Blanchard asks us to take a deep breath, hold it and slowly release.

He explains this allows you to step away from what was happening before and step into the current situation “fresh”

This helps clear your mind and prepare you to listen.

DON'T INTERRUPT

11 seconds

Dr. Blanchard stated doctors generally gives you less than 15 seconds to state your reason for visiting before.

Multiple sources back this up but here is an article from Forbes

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Jeremy Jackson

Dr. Jeremy Blanchard

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June 19, 2019April 10, 2019

AT Efficiency with Scott Mullet – 564

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Scott Mullett, founder and owner of AT Efficiency aims to advocate for the value of Athletic Trainers in all settings.

What is your actual ROI?

Who is Scott Mullett?

Founder and owner of AT Efficiency.

Scott received both his bachelor’s and master’s degree from Kent State University. Scott has worked in the secondary school setting, and currently holds a position within the industrial/occupational sector.

Scott’s goal is to advocate the value of the athletic trainer in all settings.

AT Efficiency, Scott Mullett, ATEfficiency,

What is AT Efficiency?

Scott Mullett wants to help you produce a means to show value, generate an ROI for stakeholders, and increase clinical efficiency.

Where does Scott start collecting data?

With whatever you have.

If you have none then they will give you some pointers as to where to start but in this day and age of digital documentation you should be documenting your patient visits and notes.

Some of the services they offer:

Consulting
Data Collection
Data Analytics and Reporting
Patient Outcome Metrics

Contact Us

Scott Mullett – Email Scott

Adam Halpern

Jeremy Jackson

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June 14, 2019April 3, 2019

Exertional Heat Stroke – 563

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Dr. Lesley Vandermark discusses practical considerations for Exertional Heat Stroke, Identification and care live at Trinity University's 2019 conference.

What is Heat Stroke?

According to KSI –

“While exertional heat illnesses (EHI) are not always a life-threatening condition, exertional heat stroke (EHS) can lead to fatality if not recognized and treated properly. As the word heat implies, these conditions most commonly occur during the hot summer months; however, EHS can happen at any time and in the absence of high environmental temperatures.”

What are symptoms of Heat Stroke?

In an article by Mom's Team these are listed:

Exertional Heat Stroke, Lesley vandermark, moms team, momsteam.com, heat stroke,

Exertional heat Stroke, Leslie Vandermark, Lesley Vandermark, Lesley, vandermark, Heat Stroke, UofA, University of Arkansas

What are some of the practical considerations?

Have a practiced EAP
Know the signs and symptoms
Use a rectal thermometer
Cold Water Immersion
1. Cold tub
2. TACO – Tarp assisted cooling
Activating EMS
1. again having a practiced EAP with trained personnel
2. Use
3. Software like TeamEMSoft to help coordinate location

Contact Dr. Vandermark

Lesley Vandermark – lwvander@uark.edu

Dr. Vandermark's presentation

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

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Jeremy Jackson

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https://www.facebook.com/sportsmedicinebroadcast/videos/310386382942242/

June 7, 2019April 3, 2019

Documentation Tips – 561

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Dr. Melissa Long covers Documentation Tips in her presentation at Trinity University.

Melissa Long, Dr. Long; Documentation Tips; Dpcumentation Dos; Documentation Don't; Trinity,
Trinity University.

What are some of the Documentation Tips:

OLDCARTS –

Onset
Location
Duration
Character
Aggravating
Relieving
Temporal
Severity

Use a voice recorder

Use a transcription service after recording all your notes

Nobody really likes documentation…

But for reimbursement and more importantly your job security in a lawsuit be thorough and accurate

Check out Melissa's live video from Trinity University Sports Medicine Clinic

https://www.facebook.com/sportsmedicinebroadcast/videos/291063655100726/

What are tips?

Have experienced a job change that caused you to lose important documents?

Have you switched companies for your records management and not been able to sync the notes?

Let me know what you are doing to make you life easier but still meeting our documentation needs.

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Jeremy Jackson

Melissa Long – Full Bio HERE
Melissa was also on our Listener Spotlight series

Dr. Melissa Long's slide show

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https://www.facebook.com/sportsmedicinebroadcast/videos/291063655100726/

June 5, 2019April 3, 2019

Leadership Mastermind – Brandy & Allison – 560

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Brandy Curry has been creating a Leadership Mastermind and working closely with Allison Strickland.

Allison is a serial entrepreneur Owning Brace Outfitters, Sheahawk Solutions, being involved in CEU startup EBPcentral

What is a Leadership Mastermind?

The Napolean Hill definition of a mastermind. He is who coined the term in his book Think and Grow Rich. Masterminding is a group of individuals working together for a common goal…maybe professional advancement. There is no 1 person above the other…all minds work together and are equal in bringing ideas forward.

Who is Brandy Currie?

Brandy was previously on our “Leadership in Athletic Training” series hosted by John Ciecko.

She constantly discusses Goal Setting and the value of reflecting on those goals daily.

Who is Allison Strickland?

What can I learn from joining a mastermind?

Sign Me Up…

Ready to get into a leadership mastermind?

Setting new goals to grow and improve daily?

Ready to take extreme ownership of everything in you environment?

Have some more questions before you jump on board?

Contact Us:

Brandy Currie

Allison Strickland

Jeremy Jackson

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May 31, 2019April 3, 2019

Cervical Spine Update – 559

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Brian K Farr, Program director at the University of Texas discusses the current Cervical Spine update regarding injury management, treatment and evaluation recommendations.

OUR knowledge is GROWING…are you???

Who is Brian Farr?

His full bio on the UT website is here: https://education.utexas.edu/faculty/brian_farr

Brian Farr has been the Director of the Athletic Training Program since its inception in 2002.

He was instrumental in creating the ATP and has led the program through its initial JRC-AT “candidacy” (2002), CAAHEP accreditation (2006), transition to CAATE accreditation (2006), and CAATE re-accreditation (2011). B

He is the co-director and co-founder of the Longhorns Sports Medicine Camp and Director and founder of the Longhorns Lecture Series for Continuing Education, a professional CEU program for area healthcare professionals.

Brian Farr has delivered more than two dozen professional presentations on a variety of sports medicine topics,

He was lead author on a chapter in Clinical Orthopedic Rehabilitation – An Evidence-Based Approach, 3rd ed and Clinical Orthopedic Rehabilitation – A Team Approach, 4th ed, and co-authored peer-reviewed, published articles in professional journals.

Appropriate care of the Spine Injured Athlete:

Have an EAP with local EMS
Use the “Medical Timeout”
Proper assessment and management of the injury
Remove equipment prior to transport
Equipment removal should be performed by at least 3 experienced rescuers
Know the different equipment for the different sports…and how to remove it
Apply rigid CERVICAL stabilization device prior to transport
Spine injured Athlete should be transported using a rigid immobilization device
1. NASEMSO does NOT support the use of rigid backboards for transport…only extraction.
2. Certain situations warrant one but not many spine injuries require transport using a rigid immobilization device
Use techniques to minimize spinal motion
Develop a plan prior to the start of the any events
Patient transport directly to a facility that can handle the spinal trauma.
Collaborate with medical staff, coaches and athletes in prevention of spine injuries
Medical team needs a strong working knowledge of current research
Future research continue to investigate the efficacy of these devices