Head Impact Monitoring with Athlete Intelligence

Athlete Intelligence currently has 3 products: Vector, Cue, and Cue+ to help you monitor head impacts for your athletes.

Athlete Intelligence

Tell me about Athlete Intelligence

Wearable device – Cue sports sensor – Bluetooth enabled device

Vector mouthguard – transmits data live and not just Bluetooth

Can receive signals up to 300 yards away

Cue+ – combo of the other two, wearable with the capability of the mouthguard.

Discuss the science behind Athlete Intelligence?

It is the only way to measure in real-time what is happening to the player's head.

Complex algorithms and really nerdy stuff aside, we use accelerometers and gyroscopes to calculate and pinpoint the impacts players receive.

Who is using it?

We built Athlete Intelligence for the youth sports crowd.  It is made to be set up and run by volunteer coaches with little to no training.

What does this look like in a high school setting?

Generally, there would be a locker room table with the mouth guard cases set out.  The cases would be labeled with the player's name or number.

At the end of the day, the player returns the mouthguard or Cue to the case for charging.

Inside the software, the data automatically syncs and send reports as assigned by the administrator in charge.

I do not want to add another task to Athletic Trainers, can coaches run this program?

  1. Create a system that is easy to use
  2. Create affordable packages
  3. Answer the question “What do I do with the data?”
    1. We are really good at data visualization

“ You can not manage what you do not measure”

How long will it last?

As long as you have a subscription…we handle that as part of our service contract.

Mark H wants to know about the data.  Who owns it, where is it stored, what happens to it if we stop using AI?

Data security is super important

We are not a medical device but follow the best practices for medical records.

AI owns the data which allows them to store and analyze it.

Historical data stays with the school account.

Book a demo at www.AthelteIntelligence.com 

Contact:

Kevin: kwright@athleteintelligence.com

Andrew: agolden@athleteintelligence.com

Jeremy: info@sportsmedicinebroadcast.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.

Amy Metiva, snocross, HOIST

Leaving the Profession

Ed asked questions about leaving the profession.

Chad took a step.

John jumped off the diving board.

Leaving

Leaving the Profession question 1

When we say that people are leaving or there is an AT shortage, are we actually talking about specifically in the traditional setting? (Not sure on % breakdown, but how many ATs are working in industrial and clinic setting now compared to 5 or 10 years ago)

John: I think both are accurate. People are leaving the profession of Athletic Training and are leaving the traditional setting. Both situations are good for the profession.

Leaving The Profession Question 2:

For those who have moved on from a setting or profession, what were some of the red flags you noticed if any, or were there smaller subtler signs that were overseen that added up?

John: Being close enough to the table to recognize budgets and spending, HR trends, and then not be given a proper salary increase or plan for the future were my major red flags. I, unfortunately, ignored all of the mini red flags of the community leading up to my decision allowing my value to drop or not be seen to be given a fair chance/raise. 

Question 3

Are our governing organizations finding this trend of ATs leaving concerning, or is this what the BOC and CAATE want as we push to be more recognized and respected as healthcare professionals?

John: From a MATS perspective, we are noticing it. We are also noticing the 

Question 4

If our profession is in fact trying to distance ourselves from the traditional setting, how do we maintain the same, or improve the level of care we once provided to that population if we are trying to do that with less people?

John: For me, and I think a lot of people, we want to see a well-laid-out plan complete with proactive answers to questions. Without that, it promotes anxiety and uncertainty even if a positive decision is being made. That being said, who knows? I know our skill set is unmatched but we keep changing directions and losing good athletic trainers in the shuffle. 

John, how have you been treated since leaving the profession 6 months ago?

I have had nothing but respect from peers and coworkers.

Contact Us:

Ed

John

Jeremy

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.

MioTech

Toki Nakazawa’s Story

Being at home with the kids all day gave Toki time to think. He knew he needed to practice his skills and wanted to help others. Late one night he decided to create the joint dislocation simulator.

toki

Toki, tell us about the first time you reduced a dislocation?

Back in 2000, we were playing an hour away from San Antonio

There was no ortho available for the game.

Dr. Bud Curtis said, “Toki, you have to do the reduction.”

Tell us your AT story

1992 I came to the US from Japan. My father had business in Houston so we decided on Texas and since there were almost no Japanese people in San Antonio I knew I would have to learn English with total emersion.

Spent one year at the University of the Incarnate Word learning English

Brackenridge High School in 2000

After 14 years I needed a change

Stayed home with kids

Discuss the origin of your company

One night I started dreaming and then began collecting materials.

CAATE added 3 major standards including Reduction Techniques

I built it for ATs, but I am now getting requests from Emergency Medicine, Wilderness Medicine and a DOD contract.

When you were discussing Dr. Approved, tell us more about that.

Dr. Curtis was my team doctor and we worked with him through the whole process.

We also connected with Dr. Green, a local hand doctor , and had him test it out and give feedback.

How can Jay help you today?

Jay and I are actually going to be at NATA together sharing a vendor space.

If you are no longer in school (an ATEP) how can we get this practice?

I am hosting workshops across the country.

If you can pay for the travel expenses and the best sandwiches in town, I will be there.

What are you using for materials?

It started with an old anatomy teacher donating a broken down skeleton and me using orthoplast to replicate the bones and joints.

Do you feel guilty searching for new providers?

I do not have a problem with switching if the company can do the same thing for cheaper and better.

In the life balance you are creating, where is your line?

I do not have a lot of expectations of someone giving back.

I do a lot of things for others and do not expect anything back.

Toki, talk about Shark Tank.

I applied and presented to the first round.

If I was selected I would fly out to California, but I was not.

For me, I am glad I did not give up money and take on a loan. 

What is the feedback you are getting?

My first workshop was in San Antonio ISD with former colleagues that had never reduced a dislocation before.

A lot of clinical programs do not have someone to teach the skills even though they bought the devices.

Contact:

Toki – Facebook or pretty much everywhere

Elysia – Email or @SIBoards on Socials

Jay – Instagram or Twitter

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.

Tips

Long COVID

Long COVID – define it. 

Symptoms after a covid infection that last past 3 months

Resurfacing of a past issue like asthma

Long Covid

Share some of your story. 

Exposed on March 8th

Symptomatic on March 16

Body aches, shortness of breath

Sprint run chest burning

Mental fog – it was hard to learn new things

Exacerbated an autonomic condition

I tried to keep going but some friends did an intervention

You recently presented at two conferences about Long COVID.  Give me the cliff notes.

San Diego Pain Summit – more theoretical and it is available to watch for free

NJATS – practical and scientific application for the Athletic Trainers

Some settings no longer require an RTP.  What are your thoughts?

Most RTP does not address Long COVID

Encourage Cardiac testing

Breathing symptoms and cognitive symptoms

How do you tell the difference between out of conditioning, a cold, and long COVID?

Look at a normal deconditioning response indicator like heart rate

The aerobic system is broken.

People with cardiopulmonary testing or rehab do worse on day two, typically much worse.

It may be hard for athletes to verbalize their needs and concerns.  It was hard for me as a grown adult medical provider to recognize and verbalize my needs.

The heart rate does not match what they are doing.

When I shower it may be 150 where I am 120 bpm walking upstairs.

Do they seem like they are getting sick from exercise?

What is the one take-home message for ATs dealing with Long COVID personally or professionally?

Make it simple

Crippling fatigue

PEM or PESE post-exertional symptom exacerbation

Breathing pattern disorders – hard breathing when they should not be

Mast cell activation syndrome

An estimated 50% of long covid will have autonomic dysfunction

Heat illness is a major concern

LongCOVID Physio – a group for medical providers struggling – peer support

Stop rest and think

Be intentional

Have conversations early and often

Altered taste and smell is a thing with COVID

This can lead to difficulty with student-athletes getting proper nutrition

This is a Mass Disabling event

Contact:

Daria – OnTapPhysio 

Jeremy – MrJeremyJackson

Resources:

longcovid.physio

David Putrino

Medbridge Course from Todd Davenport – use the code THESMB for your discount

Long COVID discussion with Daria on Facebook

Watch the video here

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.

McDonald; Dermoneuromodulation; Medbridge; CEUs Online CEUs; affiliate link

BFR Tips and Tricks – Kyle & Jennifer

Tips and tricks for using BFR are usually best with some experience. At this point, we have used Delphi BFR for about 6 months.

Jennifer Asberry has used it as a clinician and as an injury-loving weekend warrior. She shares some of her injuries later.

Kyle Kimbrell has been working with BFR for years and has plenty of tips, tricks, and thoughts. He has previously been on the podcast to discuss BFR in adolescents.

BFR Tips

Before we get to BFR Tips I have a few shoutouts.

Judy Bittar – a student AT Aide for listening and reaching out when you visited our campus. 

Tony Young – for purchasing the Compex and looking into BFR after we discussed it here on the podcast

We received funding for the BFR unit from our Pasadena Education Foundation – a few quick tips on getting grants funded:

  • Will it make my classroom more innovative?
  • Will it boost student engagement?
  • Will it be used primarily in the classroom/ campus?
  • Is it underfunded or not funded by the regular school budget?
  • Does it relate to student learning, development, and academic success?

Favorite success story

Femur fracture returned to sport-specific activity after 3 months with equal quad size.

PCL – patient returned after 4 months

Derek – ACL repair after 5 months

Best BFR tip for ease of use.

JJ – you can press anywhere on the clock circle to start the 30-second timer.

Jennifer – Have the exercises planned out before starting.

Jeremy – Teach helpers and patients to set it up.

Why does my LOP swing about 30 mmHg day to day?

The LOP is a measurement of what it takes to measure occlude blood flow at that moment.

  • Stress can effect it
  • Prior activity
  • Cuff placement

Any blunders?

I had a user have the cuff slide down and “pop-out” the BFR cuff. How can we prevent it?

  • User error…that is all …lol
  • You can press deflate without having to do LOP again
  • Or remove the tube from the cuff and press your thumb over it while you readjust the cuff

Large leg, can’t get the cuff to measure LOP. What else can I do?

  1. Isometric Exercise
  2. External cuff pressure
  3. Skip the sleeve if they are wearing compression pants already

“More likely to get funded” tips from the Education Foundation:

  1. Makes learning more engaging and innovative.
  2. Impacts a larger number of students & teachers.
  3. Reusable, sustainable, and long-lasting projects.
  4. Supports classroom instruction and boosts college or workplace readiness skills.
  5. Includes matching funds from other sources.
  6. Completed applications with accurate information.

Matching Funds:

Tips

Contact:

Jennifer – Jennifer.Asberry@cps.k12.ar.us

Kyle – kyle@owensrecoveryscience.com

Jeremy – info@sportsmedicinebroadcast.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.

Tips

Recovery Kelvi Valerie

Valerie Tinklepaugh-Hairston presented on Recovery at the Trinity Sports Medicine Conference in 2022. I had some questions about her presentation because I like technology and toys.

Mike Hopper has some questions about Kelvi and was being an AT Nerd and watching the Facebook live of her presentation.

Valerie Recovery Kelvi

Food, Sleep Hydration…Valerie, give us something fancy…

  • Tell them why they need these things
  • 61% injury reduction rate when these issues are mitigated

The Sports Nutrition playbook

Movement is Medicine – Active recovery is king

  • Alternate activities
  • Vary heart rates

Explain the co-contraction with the Theragun a little more…

We need external stimuli to help the internal stimuli get moving.

This could be done without a percussion gone but would be tiresome. You are basically poking the bear until it wakes up and chases you.

You talk about needing an inflammatory response but knowing when to step in and help control it.

This is the way we were biologically made

It is basically the EMS crew coming in with the wrecker crew and the fireman to sweep up, clean up, haul off the bad stuff and get traffic flowing again.

Pain is great, but sometimes those sensors just get stuck on.

Treat the individual and not the symptom.

Valerie tell us about Kelvi

You really need to see it to believe it. The ability to go from hot to cold in 15 seconds is amazing.

The technology is incredible, we have sensors inside the sleeve that measures and maintain the skin temperature.

Pain management is one area Ice and Heat have really shown beneficial.

Preparation to work is a great way to use the heat feature.

Contact us

Valerie – vhairston@kelvi.com

Mike – Mike.Hopper@bishoplynch.org

Jeremy – info@sportsmedicinebroadcast.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.

Marc Pro

Fueling Recreation Runs

I run for recreation, to keep myself healthy, and to set an example for my kids, students, co-workers, and family. Meredith Sorenson runs because she is good at it…like really good. KP runs because he does not want to break his streak.

Regardless of why we are all recreation runners now and need to refuel.

recreation runs

Meredith, give us a quick tip in case someone turns it off after this.

If you are running do not cut carbs

Kyle – SIX YEAR recreational run streak…let’s talk about that

Started with one month in college and then just kept going.

I was a cross country runner and baseball player in high school.

Now running is for recreation.

Meredith as a collegiate runner what were your eating habits?

In high school, I ran about 30 miles per week

In college, it went to about 55+miles.

I continued with under-fueling which lead to stress fractures since I was cooking for myself.  

I was not good a preparing or planning ahead.  I did not bring snacks.

75 miles in a week is my personal record

GO TO Breakfast

I have a sensitive stomach…so I tried a lot of sports drinks with carbs.

Bananas and clif bars do not work for me

GoGo fruit squeezes work for me.

How are the demands for a steeplechaser different from a straight runner.

You need more muscles than you usually do running

It is a 3k race with barriers and the barriers do not move.  One time I ran into one and got a really big bruise on my knee to show for it.

There is a lot more pounding involved

As an adult / recreational runner how have you changed?

Currently a 40+ mile per week runner

Recovery after runs is a priority at this stage in my life.

I learned to cue into my hunger signals.

Athletic Trainers are like every other profession, some are fitness nuts and some are very unhealthy.  Give us some more depth of fueling the recreation runs.

Early morning you could skip the food if it is low intensity short (under an hour) duration.

In higher intensity runs you need to get something small then follow up with a good breakfast.

You have 60 or less to pick one of these for fuel…lets see how you do!!

Jeremy – Hershey's bar with almonds

Kyle –  Hershey bar without

Jeremy – Protein shake

Kyle – Protein bar

Kyle – Oreos

Jeremy – Gatorade chews

Jeremy – Hot Cheetos or Takis

Kyle – Pringles

Call to action:

Contact:

Meredith IG @MeredithDarcieNutrition

Kyle – MonroeCentralAT on IG and Twitter

Jeremy – @MrJeremyJackson on Twitter

Resources:

Relative Energy Deficiency in sports

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.

MioTech

APATS Who Are You?

APATS or Asia Pacific Athletic Trainer's Society started in a hotel conference room when some ATs were trying to figure out the best way to help new Athletic Trainers get settled in Asia Pacific.

APATS

Our Guests

Erick Chen spent time in China, working with Cirque De Soleil, and opened up a hospital rehabilitation clinic before moving back to the United States (just before COVID)

Ngan “Nina” Chung is an Athletic Trainer at the Candian International School of Hong Kong.

Share some of your story Ngan

  • Born in China
  • Immigrated to the US
  • New Jersey became home
  • An internship in Asia
  • A collegiate AT back in the US.

Erick share some of your expereince

  • SoCal growing up
  • Attended Fresno
  • Several different AT jobs in the states
  • Went to work with Cirqe in Macau
  • 8 Years at United Family Hospital
  • Now back a Los Angeles City College

Struggles of working as an Athletic Trainer in Asia

  • Communicating and education are a huge piece of the puzzle for ATs in Asia Pacific
  • We have to tell people who we are, what we do, why we are important.
  • Creating the role from scratch
  • Literally no space or supplies for an AT Facility
  • The culture of traditional medicine

How did you connect with other ATs in Asia

We did not for a while. We were on our own.

We decided we needed to team up to grow our profession and met up at a hotel and started APATS shortly after.

Now we have the organization and social media.

What are the goals?

  1. Community
  2. Improve the CLinician
  3. Improve the Community buy-in

Where should we go to learn more?

  1. Website- https://www.apats.org/
  2. Facebook- https://www.facebook.com/APATSociety/
  3. IG- https://instagram.com/apatsociety

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.

PhysicalTherapy.com; 1freecourse; continued; Physical therapy
http://sportsmedicinebroadcast.com/1freecourse

Question Without Questioning

Daniel Bellamy left us with a great line in his first podcast: Question Without Questioning. I knew we needed more time to discuss this so we scheduled another session.

Question without Questioning

We missed some parts of the story

  • Grew up in Washington DC
  • Son of a pediatricain and a recreational therapist
  • Grew up in the church
  • When he got to college he decided to test out the college life

Where did that lead you?

I began to question my faith, and I struggled with anxiety. I used drinking and smoking and partying as a way to cope or deal with the anxiety. I eventually came to an “I am going to fix this” situation. That's when I met my wife and started doing great.

“When my wife got pregnant I panicked and started back up. My son was born and I heard a sermon that really struck my heart and changed everything.”

I need to have some initiatvie, I need to get my wife and I out of my parents house and lead my family. I need to take advantage of the time and blessing i have been given.

– Daniel Bellamy

Why did you move on?

I was just coasting, I was chilling at the high school and not really growing.

I needed to repair some relationships, get out of my parent's house and make some more money.

That lead me to develop my core values as an AT while at Howard University.

What are those Core Values?

Effort

Empathy

How do we question without questioning?

Assume the BEST – almost no one was out to get me. If I approach from that perspective it usually goes well.

Be curious to understand – truly ask how, why, when because you want to learn

Enter their space – hit the weight room with the coaches or catch up at baseball practice

Overcommunicate – this leaves you with plenty of deposits in that relationship bank account.

Invite them into your world – joint CEU options or planning and policy teams.

Invite Daniel to speak to your AT program

Daniel – Daniel.Bellamy@utsa.edu

Victoria – @morris_atc

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.

PhysicalTherapy.com; 1freecourse; continued; Physical therapy

Burnout in Athletic Training

Dr. Andrew Gallucci worked on Burnout in Athletic Training as part of his doctoral studies.

Burnout

This podcast was a live recording at the Trinty Sports Medicine Symposium 2022.

The YouTube video is of the live presentation.

Burnout can be Emotional or Physical, or both

Some signs and symptoms of burnout

  • Cynicism
  • Waking up tired after a full night of sleep

Increased exhaustion leads to increased medical errors

It is important to recognize, address, set boundaries, and seek support when you feel like you are experiencing burnout.

Some Athletic Trainers will not speak up, but if you are already planning on leaving the location or profession then why not have the conversation.

A few tips:

  • Set do not disturb on your phone
  • Set lock out timers on your email
  • Delete email from your phone
  • Have seperate devices for checking email and phone calls

Thank You Shawn Ready and the Trinity Sports Medicine Team

Contact us:

Andrew Gallucci – Andrew_Gallucci@baylor.edu

Jeremy Jacksoninfo@sportsmedicinebroadcast.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.