Casinelli Survives Neck Injury to Return to Sports

This past week I had the privilege of sitting down with Samantha Villa to talk about October 14, 2011.  For those of you who do not know, Samantha was working a high school football game versus Carlsbad High School as the athletic trainer for La Costa Canyon High School that night.  The game was a typical high school football game when Sam Casinelli went to make a tackle on an opposing player and ended up face down on the field. 

One… Two… Three… and Sam has not tried to get up.  At this point Samantha ran out onto the field along with her team physicians to assess the situation.  Sam was conscious and complaining of neck pain, but was able to wiggle his fingers and toes.  He did admit to having numbness and tingling in both arms at the time of the hit.  Given this information, Samantha made the decision to spineboard Sam.  An ambulance was called during this time, since there wasn’t one on site and he was transported to the nearest trauma center.

At the hospital Sam’s x-ray revealed two fractured vertebrae in his neck.  Shortly, thereafter more testing showed damage to ligaments that stabilize the vertebrae as well, leading to surgery to repair this damage.  Sam was in the hospital for about a week and out of school for about 11 weeks.  Sam went through a rigorous rehabilitation process, but did not require a halo brace during his recovery. 

During this time, Sam and the family expressed their thanks to Samantha Villa as the athletic trainer and all the other health professionals involved in Sam’s treatment and recovery.  Neurosurgeon Sanjay Ghosh, M.D. wrote the following in a letter to La Costa High School and those involved in Sam’s care with the permission of the family:

“It is my opinion that if Sam had suffered at most 10lbs more of force during his injury, this would have rendered him permanently partially quadriplegic.  Furthermore, if it were not for the great attention to detail of the first responders in the field, I am quite certain that we would have had the same catastrophic result.  You and your staff are to be commended for attending to him in such a manner and recognizing the serious nature of his injury, as your care and attention clearly had a profound impact on this young man’s life.”

At the time of his injury, Sam was a junior at La Costa High School. He is now a thriving senior there who no longer plays football, but continues to be a key member of the school’s baseball team.  In fact, Sam was able to play baseball last spring (2012), just several months after his injury.  Sam was also a student-coach as a member of the football team this past fall, giving him the opportunity to continue to support his teammates.  For her part, the California Athletic Trainers’ Association (CATA) recognized athletic trainer Samantha Villa for her actions that evening with the Save A Life Award.  Her colleague Christina Scherr, who is also an athletic trainer in the San Dieguito UHSD nominated her.

If you would like to see more regarding Sam’s injury check THIS out. 

If you know Samantha take the time this March to thank her for being an athletic trainer, after all it is National Athletic Training Month.  If Samantha isn’t your athletic trainer, but you have one at your high school, be sure to take the time to thank him or her, you never know when he or she may be the one to save your life.

Submitted by Heather L. Clemons, MS, MBA, ATC

National Athletic Training Month Helps Kick Start Fundraising for A4IA

As National Athletic Training Month (NATM) is now officially here I thought it would be interesting to find out what people are doing to raise awareness about athletic trainers and their important role in athletic health and safety.  I did not have to go far.  Stephenville High School in Stephenville, Texas and the Athletic Training Club at The Ohio State University has taken it upon themselves to help raise funds for A4IA.  Given A4IA’s mission of promoting the profession of athletic training and this year’s motto of “Everybody Needs and Athletic Trainer” it seems a natural fit.

I had the opportunity to speak with Kendall Goldberg, one of two athletic trainers, along with Mike Carroll at Stephenville High School who put together a t-shirt sale as part of their promotion of NATM.  Both Mike and Kendall are not only advocates for A4IA, but are very active within the NATA and Southwest Athletic Trainers’ Association (SWATA).  Their idea is to sell t-shirts that include on the front, “I 'HEART' My Athletic Trainer” in an effort to promote the need for athletic trainers in high schools.  If you are interested in a t-shirt, you can download an order form and contact Mike or Kendall (their information is available via the Stephenville HS link above).

While speaking with Kendall I learned that there is a small athletic training student program at Stephenville which includes a basic sports medicine class as well as first aid and CPR.  Additionally, Mike and Kendall work with all the athletes on campus.  It is commonplace for older students to advocate for the athletic training staff to the younger students who are hesitant to seek help or are unsure of what Mike and Kendall do.  There is another type of advocacy happening at Stephenville because of this t-shirt sale; Stephenville students are realizing how fortunate they really are to have Mike and Kendall.  They often return from away trips where there is no athletic trainer surprised and disappointed that athletic trainers are not available to them or their opponent.  These high school athletes are beginning to understand at a very young age the importance of athletic trainers.  I would argue that this awareness and understanding could lead to future parent advocates for athletic trainers at more high schools.

At The Ohio State University Alexis Heimert, Vice President and the rest of The Ohio State University Athletic Training Club are planning and participating in the 4^th annual Running with the Buckeyes, a 5K race coordinated by the group.  Each year the event promotes NATM and happens on March 24, 2013.  You can register in advance or race day.

Alex and the rest of the group found out about A4IA through the Facebook page and Tommy’s video.  They did more research to learn about the organization and its goals.  The club, impressed by A4IA’s desire to promote the profession of athletic training, a primary purpose of the club, decided to help.  They felt it was their responsibility as future professionals to advocate for organization that promotes their profession through public education, pushing for increased access to athletic trainers, and the important role athletic trainers play in athletic health care.

These are only two examples of athletic training advocacy happening this month that could use your support.  These two groups decided to help A4IA by raising money on its behalf.  If after reading this, you want to get involved it can be as simple as saying thank you to your athletic trainer for all their hard work, supporting one of the events above or checking with your local, state or regional athletic training organization to see what events they have planned.  Other events to consider:  1) write your state representative in California to support passage of AB864, state licensure for ATs, 2) check out the Far West Athletic Trainers’ Association (FWATA) site for a variety of events, or 3) come up with an event of your own! 

Grassroots advocacy can make a difference as the students at Stephenville High School and The Ohio State University have shown us.  Every little bit helps, so what will you do? 

Happy National Athletic Training Month!

Submitted by Heather L. Clemons, MS, MBA, ATC

Athletic Training Advocacy: Personal Reflections

“Everybody Needs an Athletic Trainer” is the slogan for 2013 as National Athletic Training Month (NATM) quickly approaches.  Each year in March those of you who have been working in the trenches healing bodies and minds or challenging the next generation of professionals to do it better than we did take a moment to remind everyone else what we do and who we are.  This year’s slogan is particularly appropriate given the growing push for the availability of athletic trainers at the high school and youth levels in order to provide improved safety and health care for athletes of all ages.  This slogan has also become particularly meaningful for me personally.  I recently found myself relocating to San Diego after over 10 years in New York Metro teaching the next generation of professionals wondering how I was going to contribute.  Thanks to Beth Mallon and A4IA I am developing a new role as an advocate for both professionals and young athletes by trying to find informational, educational, and inspirational stories to blog about each week. 

This week I have decided to write about something very personal to me that may help you all understand why I take the time each week to bring you new information about how to make your families and yourself safer when participating in physical activity.  Perhaps after I tell this story you will understand why A4IA is so important to me and why I hope for the day when all athletes can participate under the supervision of a highly trained athletic trainer as part of a broader safety plan. 

The story begins back in 2001 when I was a first year assistant athletic trainer at a smaller Division I institution in New York.  I relocated to New York from Corvallis, Oregon following the completion of my graduate assistantship with the women’s soccer program.  It was mid-November and I was finally starting to settle in.  I has just completed my first women’s soccer season, I was getting to know the men on the baseball team and was looking forward to getting used to the surroundings and culture of New York, since I wasn’t traveling for games every weekend.

This particular afternoon started like any other.  It was slow since many of the soccer players were off enjoying the end of the season and the baseball team was just outside on the quad doing some conditioning work.  I was in the athletic training facility catching up on paperwork and going through an assignment with a student, when everything changed. 

One of the pitchers ran in yelling, saying that something was wrong with one of the other players and I needed to run outside quickly.  I knew without asking something was terribly wrong, grabbed a pocket mask and my phone, and ran outside.  I arrived to find one of the players lying face-up on the field, unresponsive, not breathing and without a pulse.  I immediately instructed the coach to contact 9-1-1 and instructed the student who followed to retrieve the AED (which we has just received a few weeks before) and immediately began CPR.  I continued CPR until the AED arrived at which time it was applied and activated.  During this time, the ambulance arrived and the young man was transported to the hospital.  I followed the ambulance to the emergency department and waited for family, coaches and other relevant personnel to arrive, during this wait I was notified that the young man did not survive.  I was shocked.

That young man was named Jerry Gambardella and he was 19 years old.  He was one of the most happy-go-lucky men I had ever met and now he was gone.  I had done everything I could and all we could do is live with the pain of his loss.  I will never forget the look on his teammates’ faces or the sobs from his parents as they were told of his passing.  That particular baseball season would be the longest in my career.   We were all just trying to find a way to get back to normal, but with Jerry being gone we knew nothing would ever be the same.

It has been over 12 years since that fateful day in my career and I still remember it as if it happened yesterday.  Over time, I have come to understand that despite the fact that I had acted appropriately and was fortunate enough to have an AED available (not common at the time) that sometimes we cannot help everyone.  While Jerry may be gone, I have always tried to use that experience to push myself to be a better professional.  I think that it can be easy to fall in the trap of, “but that will never happen to me.”  The truth is, it can.  Emergencies do not consider whether you have prepared for the possibility, you are a new professional or you have been providing care for years; they just happen.  You need to be ready, whether you are a parent, an athlete, a health care professional. 

I have spent the years since that event trying to help students learn having to save someone’s life is part of the job description of an athletic trainer, anytime you are working.  Have a plan, so when it happens you will be ready.  While Jerry’s story did not end happily, I am determined to use his story to help others have a positive outcome.  I am not currently teaching students, but through A4IA, I hope to continue to advocate for the availability of athletic trainers at more events and occasions as well as help parents and athletes be more prepared to prevent and survive potential emergencies.  

I hope Jerry  and his family would be proud of the work I have done through the years.  Jerry's family did set up a scholarship program in his honor.  If you'd like to know more about that program, or even make a donation:  Jerry Gambardella, Jr.Scholarship

Submitted by Heather L. Clemons, MS, MBA, ATC