SMC Prepares To Take To The Road

While veteran ALS simulator and resident pre-Madonna Wheezer chats with rookie SimMan ALS Norm about the upcoming training schedule, the rest of SMC was busy stocking equipment kits.  It takes nearly 1500 lbs of specialized sports emergency care equipment to administer Sports Medicine Concepts’ acclaimed In 2Min or Less! sports emergency care program.  It is the job of our Logistics Manager to make sure it all gets to where it needs to be on time!  Here, the warehouse is almost ready for the trucks that will pick up the equipment kits and ship them throughout the country during this summer’s training.  They will not return until the end of August!  SMC staff will complete 2 days of instructor simulation training and ACLS certification next week as the final countdown begins.

Airway Adjunct Use By ATs

IMG_0230A recent article in the JAT titled, Airway Management in Athletes Wearing Lacrosse Equipment, brings up the debate about use of supraglottic airway devices (SGA) by athletic trainers.   Of course one always needs to consider local regulations and state practice acts when addressing this debate, but here are some interesting points that have come up as we discussed the issue relative to New York State.  SMC’s EMS Liaison, Peter Bonadonna suggested that there is no specific NYSDOT barrier to the use of SGA devices by ATs, specifically. If a supervising physician were to provide a SGA via prescription to an AT, and the use of such a device were written into the ATs standing orders, it would be technically possible for an AT to use a SGA.  Although these devices are very simple to use they do require ACLS level training in order to understand their proper indications and contraindications.  Therefore, it is unlikely that a typical supervising physician would provide a prescription and standing orders for use of a device that they themselves are not uniquely qualified to use or for use by an AT without ACLS certification.  But it is not out of the realm of possibility for ATs to acquire ACLS certification and have standing orders that provide for the use of SGA devices as part of a comprehensive emergency action plan overseen by an appropriately qualified physician.  This situation is quite possible in professional athletics where there is a trauma physician who may desire to have access to SGA devices during regular season practices or during training camp when trauma physician and paramedics are not on-site.  Although the NYS practice act for ATs does not specifically provide for the use of a SGA device, it does not appear to specifically exclude their use under these conditions.

The bigger take home message from this issue is that the typical AT practice act and current educational standards for athletic trainers in general do provide for the use of BLS airway adjuncts, such as OPAs, NPAs, Suction, BMV, and oxygen supplementation.  When an athletic trainer is properly prepared to use these devices they are capable of providing a very high level of prehospital airway management.  In our experience during In 2Min or Less! training, if an AT were to have established a patent airway through which they are able to effectively ventilate, a paramedic or other airway management provider would not be inclined to use a SGA or intubate with an ETT unless there were difficulty maintaining a patent airway or a change in the ability to ventilate.  In the athletic setting, this is very unlikely.  Therefore, ATs should concentrate on acquiring and maintaining appropriate BLS airway management psychomotor skills and the cognitive understanding of proper BLS airway management.
-prepared by
Mike Cendoma, MS, ATC
Program Director

In Case You Were Thinking of Skipping The Medical Time Out, Just This Once!

Remember, there is always someone in the stands who is counting on you to be ultimately ready to respond |FLAWLESSLY|.  Visit www.TeamEMSoft.com Today.

Moziaah Vergara

Wall Mounted AED Not Good Enough for ATs!

Two recent press releases by the AHA support Sports Medicine Concepts’ long held belief that all athletic trainers should have an AED WITH THEM on the sidelines at ALL TIMES.  According to new research published in the American Heart Association journal Circulation, patients who received AED shock therapy from a bystander prior to the arrival of EMS had a significantly greater chance of survival and recovery without impairment relative to those who received AED shock therapy after an average 4-10 min delay caused by EMS response time.  This is not news to most of us, but it does demonstrate how devastating a delay in AED shock therapy can be.  There is a 10% reduction in chance of survival for every minute AED shock therapy is delayed.  If ATs are relying on wall mounted units rather than AEDs right on the sideline, there will be a significant and unnecessary delay in delivery of AED shock therapy relative to having a unit with them on the sideline.  Furthermore, two recent AHA surveys found that more than half of workplace workers were unable to locate public access AEDs.  This means that ATs who send a co-worker to retrieve an AED while they initiate high quality CPR may experience significant delays in the delivery of AED shock therapy because coworkers will likely have trouble remembering where the AED units are located, particularly in an emergency.

So what does this mean for ATs?

First, relaying on public access AEDs is not the most effective strategy to incorporate into an emergency action plan.  ATs should have a dedicated AED that is on the sideline with the rest of their emergency response equipment.  Second, if a dedicated AED for the AT is not possible, ATs should ensure that a wall mounted AED is as close to each sporting venue as possible.  And, finally, ATs must establish an emergency action plan that involves training to ensure that appropriate personnel know exactly where the AEDs are located and that they can be accessed quickly.  Remember, a 2 min or greater delay in shock therapy is a real possibility that would result in a 20% or more reduction in the chance of survival!  It is hard to justify accepting such a risk when prevention measures can be so readily implemented.  SMC’s In 2Min or Less!® competencies require an emergency action plan that results in the first shock from an AED being delivered within 2 Min or Less!® of collapse.

For more information regarding emergency action planning, visit www.TeamEMSoft.com today.  Visit Sports Medicine Concepts today to learn more about scheduling elite In 2Min or Less® sports emergency care training.

CMS Registration Closing Soon

CMSRegistration for SMC’s Concussion Management Specialist Winter Session II Closes Monday am at 10 am.

Monday February 19th – 22nd, 10:45 am – 12:30 pm

If these dates and times are not convenient, you can complete the program via our very convenient recorded sessions option that allows you to view program sessions at your leisure!

Register Now!

Concussion Management Specialist Reminder

CMS

Please register for CMS Winter Session II on Monday, February 19, 2018 10:45 AM – 12:30 PM EST at: (If you are unable to attend the live session times, you can view the recorded sessions.)
https://attendee.gototraining.com/r/3199044862437366786

The Concussion Management Specialist (CMS®) certificate is earned by completing the curriculum outlined below.  As with all SMC programming, this is a serious educational curriculum intended to elevate the standards of care provided by sports health care professionals.  It is, therefore, an advanced program of study that goes far beyond other simple home study style programming.  The program is completed through a series of scheduled live and recorded webinars, completion of assignments, and a final review.  SMC is approved to offer 15 EBP category continuing education for athletic trainers so participants will receive continuing education credits as well as the CMS® Certificate.

After registering you will receive a confirmation email containing information about joining the training.

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TeamEMSoft |Flawless|Overview Recording

“Some of us will do our jobs well and some of us will not, 
but we will all be judged by only one thing – THE RESULT” – Vince Lombardi

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If you couldn’t make one of our TeamEMSoft |Flawless| overview session, don’t fret.  We recorded them for you.

View Intro
View Overview Recording
Visit TeamEMSoft |Flawless|

Concussion Management Specialist Winter Session Added

CMSDue to the overwhelming number of requests, SMC has added a new CMS session to the Winter calendar.  We hope you will plan to join us, but please do so soon as each class is limited to 50 participants.

 

Learn more

Register Now

Early Bird Discount Code: “CMS2018” (Before February 5th, 2018)
CMS Recert Discount Code: “CMSRecert”

EAP Showcase Reminder

teamemsoft-2Sports Medicine Concepts will host 3 online TeamEMSoft overview sessions next week to review all the benefits and functionality of its emergency action planning software.  Please plan to join us to learn how this powerful software places all of SMC’s 23 yrs of emergency action planning experience at your fingertips.

Tues, Jan 23, 10am
Wed, Jan 24, 10am
Thur, Jan 25, 10am

Register Now!

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Emergency Action Planning Software Showcase!

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Now is your chance to see TeamEMSoft® live and in action!  SMC will be hosting 3 live on-line events that will showcase the features and functionality of this exciting EAP management platform that could only come from the expertise of Sports Medicine Concepts!

Tue, Jan 23, 2018: 10-10:30am (ET)
Wed, Jan 24, 2018: 10-10:30am (ET)
Thur, Jan 25, 2018: 10-10:30am (ET)

Register Now!

Learn More at www.TeamEMSoft.com