Sports Medicine Broadcast Jeremy Jackson

Turf Toe is ever-changing. Dr. Paul Shupe and Joseph Eberhardt discuss some of the facts and history of turf toe at the Memorial Hermann sports medicine update.















What can I do to benefit my athlete since turf is here to stay?







Making sure the field is well maintained, and proper personal protective equipment is significantly important. A lot of football players like to wear narrow cleats which can contribute to lower extremity injuries based on the cleat pattern, length, and width of the shoe. The time of day we practice is important as well. 







Is there any data or research done about laces and appropriately tying the shoe with appropriate arch support?







Great question, I’d have to look into that. I’m sure there are studies - I didn’t delve into that. These are very important questions, I think that core strengthening is a very pertinent point as well. 







You spoke about an increase in PCL injuries. From my education, the mechanism of injury for PCL is that dashboard injury, coming from direct force on the anterior tibia. Is there any research, or from your background and knowledge, why is it that we’re seeing more prominence from that mechanism on that turf?







When it’s not a dashboard injury, the common mechanism is that you onto your knee bent at 90 degrees, your toe has interacted and your cleat is stuck in the turf so it's not giving away.







Your foot is in this dorsiflexed position and you land on that knee with all of the force going back through, as opposed to if the shoe gives out allowing you to land on less of a 90-degree angle. 







Is there any correlation to gastrocnemius weakness regarding those Turf Toe injuries?







I think that's a valid argument, I don't have enough science or background to say but I do think that would be an interesting thing to study. 







We talked about the history of turf in your presentation, would you say we’ve moved in a safer direction? Are we moving to a safer surface?







I think we are, I think we’re moving to a safer surface for our lower-level athletes. I think our higher-level athletes have different muscle builds and different muscle types that may lead to some of those injury at a higher level.







I do think the technology that's going into it is moving towards a safer playing surface, I don't think there's much we can do about the heat and some of the other things, and they are looking into that. I think we are moving there, the important thing here is that turf isn't going away, I don't think that we’ll ever go back to grass.







With technology moving forward, I do think it's becoming safer. I don't think it'll ever be 100% safe but with education, and proper maintenance, I think we can make it as safe as we can. 







You mentioned the coconut or the cork, those things are natural materials that would rot, and putting turf in is a lengthy and expensive process. How does it make sense for a high school field to put something that might rot underneath there?







So part of it is just the turnover of it, so it's got to be properly maintained. So when we use the proper equipment and the proper rakes just to shift it around that's a valid question, especially in a wet and humid environment like it is here. It’s not being used a ton yet, and I think that's yet to come. We may determine years from now that it's a bad idea.

EMRs are like most things, it is not one size fits all. When looking for a solution for records management Will Ryan wanted to share his search results with all ATs.















Discussion topics: 









* Searching for EMR







* How to obtain EMR







* How to Familiarize yourself with EMR







* Communications with EMR Companies









What has been your process for searching for an EMR?







Identifying limiting factors like cost. Sportsware and AT Genius are cheaper options.







Barriers to documentation - time, limited resources, uncertainty of what to document. NATA has created guidelines regarding methods of documentation. Consider the legal aspect of documentation.







How do you approach your school about obtaining an EMR?







Build value in the documentation. Explain how EMR protects patients, coaches, and healthcare providers; and keeps everything secure. Convenient place to store all UIL-required documentation.







What is the best way to familiarize yourself with EMR’s?







CAATE standards have now included EMR’s. 







Pearland ISD uses Rank One - signs in upon entry and documents almost everything. We introduce our MAT program students to Rank One and have them document all patient interactions. 







Did companies offer demos of their EMR systems during your search?







Rank One, Healthy Roster, Healthy Monitoring, Sportsware, AT Genius.







All provided demos, and were very open and helpful.







The creator of AT Genius took the time to meet with me. 







Collecting some data is better than none, do what you can. 







Use documentation to show the dollar value of your care and how much money you save parents by providing care. 







Christina Instagram:







Cmfry16







Sydney Instagram:







sydneyhayes95

Combat Sports Medicine seems like an extreme environment to practice Athletic Training. Dr. Ethan Kreiswirth created Blackbelt Sports Medicine to provide Athletic Trainer care for combat sports athletes.























You are always posting gnarly pictures and videos on IG. What gives you pause or catches you off guard?







As an Athletic Trainer, I started covering tournaments around 1997.







Personal experience in the sport helps me understand the types of injuries that occur.







Tournaments now are 40 mats over 6 days







Dislocations, unconscious used to give me pause.







Now it is just running a company.







Or working youth tournaments, those are always difficult for me.







Does Blackbelt Sports Medicine have tournaments across the United States?







Yes, we work with the BJJ organizations to help provide medical care for combat sports.







A new AT is going to work in combat sports medicine.  How do you prep them?







Gloves, gauze, skin lube, and nose plugs.







An Athletic Trainer working with Black Belt Sports Medicine could almost get away with just bringing their fanny pack, like the Nexus Deadbug







There is almost no taping done, maybe some finger taping.







You do a good bit of suturing…discuss that as an AT. 







Many of these BJJ athletes are from out of state or another country.







Suturing on the sidelines helps them out tremendously.







I have done about 10 sutures so far.







There is a lot of practice involved with the practice kits.







Not being licensed gives me more freedom to practice the emerging skills.







We take a table behind the scenes and do the standard prep work.  We also instruct them to follow up with their HCP.







The larger tournaments have an overseeing physician onsite as well.







Sign up for a tournament and see if Combat Sports Medicine is for you.















Contact:







Dr. Kreiswirth - https://www.facebook.com/Blackbeltsportsmedicine/







IG: https://www.instagram.com/dr.kreiswirth/







Jeremy - https://www.instagram.com/sportsmedicinebroadcast/







Resources:







Pub med research

Bubba Wilson discusses Crisis Behavior or Crisis Etiquette live from the Memorial Hermann Sports Medicine Update. He has been leading D6 in ATsCare since its inception and has learned a lot over the years.















Discussion topics: 









* AT Cares







* Crisis Management







* CCISM Credential







* COVID Impact on AT Cares Program







* NATA Gather Program







* Mitigating Secondary Loss









Did crisis management help you be prepared for being inducted into the SWATA Hall of Fame?







AT Cares drove me there.







CCISM credential:







Certified Critical Incident Stress Management - Level 1 deals with individuals in crisis, the majority of AT Cares population. Level 2 deals with groups in crisis. 







Began Crisis Management training in 2019. 







AT’s managing grief:







Grief comes in at a later time, ATs have to finish the game/event after a critical injury/event.







AT Cares reaches out once notified to ensure assistance is provided where needed







NATA Gather Program Integration:







Young professionals can use NATA’s gather program to find mentors. 







Crisis on campus - what is the best method to find that definite grief to counsel them?







Don’t counsel them. Listen. Refer out. 







Soapbox Warning - What is step 1 in managing the secondary loss of loved ones?







Have affairs in order. Have a will, have life insurance. Have your burial wishes written down. Have the conversation. Have a list of your account usernames and passwords. Know how many death certificates you may need. Legal Zoom is a good resource. Make sure you constantly update your affairs. The primary loss will be exacerbated if we don’t handle our affairs. 







Currently working on a presentation with AT Cares members regarding their experiences with loss and what they’ve learned along the way.







Thanks, Sydney Hayes for creating the Crisis Behavior show notes

Practical Preceptor Tips from Christina Fry at Dawson High School in Pearland, Texas. They do an amazing job with the Sports Medicine staff, their student aides, and as preceptors for the University of Houston MAT program.















Discussion topics: 









* Advancing students in the profession







* Preparing students 







* Outfitting students







* Providing learning opportunities 







* Scheduling







* What to avoid







* Practical Preceptor Tips









How long have you been a preceptor?







7 years. 







Can you share some of the things you have done to help master's students be involved and advance in the profession?







We treat the masters' students as an extension of our staff, we want them to be respected in our ATR just like us.







We have our high school students refer to them as Mr/Ms/Mrs. We interview them to make them feel that they are in a professional setting.







My assistant, Thomas, likes to ask them “What did you learn today?”. We outfit them, invite them to our pregame meals, we make sure that they feel respected. We make sure that every day they learn something new.







You interview them for the position, but they’re already assigned there?







Correct. We ask them to submit a resume, and for a lot of them this is their first job “interview” and ask them interview-like questions and ask them to submit a cover letter.







We then give them critiques so they can start working and build that resume so that when they are done with their program they can apply and be successful for their interviews for their actual job. 







Do you do that just once, or every week, every 3 weeks, etc?







So our level 2’s are with us all year long, we make sure we give them monthly updates. Our level 2 this past year wanted an update every day, every week, so we always were helping her and growing her, anytime there was a hiccup or something she was unsure of, we gave her that reassurance and feedback.







For the level 1’s, it takes a while to get into that comfort zone, but we always try to give them feedback when we notice something, good or bad. 







You talked about outfitting them to make them feel welcome, do we give them the ones that say athletic trainer, or the ones that the students wear, do they keep them; what does that look like for you?







So it varies, level 2 vs level 1. Level 2’s we’ll give them the game day polo for the year, and require them to look professional when they come into the ATR.







Our students will wear Nike shorts and a T-shirt. We ask that our UH students either wear something UH to differentiate them or they wear a polo with either nicer shorts or nicer slacks, with their UH ID badge. And that way it identifies them as an adult and not a student.







More Practical Preceptor Tips: Include them in almost everything! So for GHATS, we made a fun t-shirt for the t-shirt contest, and we had a team-building activity of tie-dying the shirts.







We invited our UH students to join in since they went with us to GHATS, and they were allowed to wear that shirt as a fun GHATS representation.

Neuro 20 looks like a wet suit with electrodes for E-Stim built in. That is partially true, the materials a spandex or Dri-fit type material, and Wayne and Michael share a lot more on the Sports Medicine Broadcast.























Give me the big picture. Background and origin of the idea.







-Founder DJ Schmitt was injured during service and wanted to find a way to get healthy without taking so much medication. 







He used his electrical engineering degree to develop the first Neuro20 suit.







The suit is made up of a compression material(spandex).







Establish firing rates for healthy individuals and be able to choose for the AT/PT to know which one to use.







Where does the name Neuro20 come from?







20 large electrodes placed strategically to engage the maximum amount of motor neurons.







Who is using it right now in sports?







NHL 







Olympic Athletes 







NFL







D1 Athletes







What are the most common applications of neuro20?







Prehab







Rehab







Active recovery







Motor education







Accessibility for the Athletic Trainer?







At the moment it is not accessible to the high school population because of privacy issues.







College-level or professional level







Can you set them up and “walk away?”







Patients can be set up and allowed to complete a workout session on their own.









* One of our pro sports athletes uses it after games while on the plane for recovery.









Can I use Neuro20 with my high school athletes?







It is FDA-cleared for adult patients.  Some youth patients have used it with waivers and clearance from their doctors but that is not the target population.







Contact Us:











Wayne Smith - wsmith@neuro20.com