Sports Medicine Broadcast Jeremy Jackson

Stephanie Greeson is going back to school after age 50 to earn her BOC. She has been an LAT since graduating college.

Wet Bulb Globe Temperature is the standard for protecting from heat illness which is 100% preventable in athletics. Tom Woods discusses where we are as a state in adopting it.















What is the ATLAS ambassador?







What changes would you make to protocols in Texas?







WBGT takes in several more important factors than Heat Index







Don’t forget about band, dance, cheer in your WBGT needs







What is the next major tech advancement you would like to see?







Switching to WBGT and becoming a mandate rather than a recommendation.







NFHS covers 48 states..but not TEXAS







Will heat illness training become a required training?

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. 







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