09/09/2014
From July 22 through July 27th, I had the privilege of working as the athletic trainer at the Asics World Series of Beach Volleyball in Long Beach, California. Words can’t describe the amazing energy of the entire week. From the best beach volleyball in the world to the music and festivities, it was an experience that I will keep in the back in my mind for the rest of my life. Aside from the atmosphere, it was a learning experience of a lifetime, and an opportunity to see several disciplines working in the same tent.
The medical team was well-rounded: with a chiropractor as the medical director, she assembled a crew of MD’s, DC’s, PT’s, ATC’s, Massage Therapists, Acupuncturists, and Nurses. There typically was at least 1 of each discipline in the medical tent with the exception of the Athletic Trainers, who spent the day in the blazing heat roaming the courts. Regardless, this was an opportunity I needed to capitalize on, so I was the only member on the medical team (with the exception of the medical director) who was there for every hour of every day of the tournament. I couldn’t be happier with that decision.
To start off each day, the medical director would hold a staff meeting explaining the responsibilities and expectations, and introducing the staff. At the end of the staff meeting on the first day, the medical director asked a question I will never forget: “Is there anybody who does not know about the medical time-out rule?” My hand went up with 3 others, and it was a rule that, though intimidating, made me into a far better sports injury provider.
The medical time-out rule:
When an athlete is injured, it is the job of the referee to ask if the athlete is in need of medical assistance. In the event where the athlete is in need, the delegated medical provider (The ATC) is allowed to step onto the court, and the score-keeper starts a timer of 5 minutes. At the end of the 5 minutes, the athlete must choose to return to play or forfeit the match. Additionally, each time is provided 2 medical time-outs per season. The 3rd medical time-out results in a forfeit of the rest of the world tour.
Basically, it was up to me, the athletic trainer, to determine the following:
1) What was wrong
2) If I can resolve the issue myself
3) If I can’t resolve the issue myself, who is the most appropriate person to bring from the Medical Tent
If I step onto the court and realize during the assessment that I cannot resolve the issue myself, I need to call for urgent help from the medical tent because the 5 minutes is already ticking. The ATC was the decision maker for those medical timeouts, and for that reason, I cannot have a bias towards certain professions or else I am compromising the athlete’s success in the tournament and prize money far beyond the amount of student debt I’m in (a lot).
So throughout the first day I would run through situations in my head. Between games I would look up the most common injuries in beach volleyball on my phone and think of how to resolve the issue in the shortest amount of time. I taped my own thumb about 3 times just to make sure I did not mess up when it was my time to shine… which could have been on national television. Despite the amount of mental preparation I had done leading up to my first medical time out, I was blind sided.
“Medical to court 3, we have an athlete who requested medical assistance” came through the radio. I ran through the crowd in the sand fast enough to beat any of my college track time to court 3 and saw one of the athletes with her hand on her chest and bent over trying to catch her breath.
I yelled from the sideline “Tell me what’s wrong! Are you okay?!”
The Russian athlete in distress looked over, but said no words to me. Not because of the inability to speak, but due to the fact that she didn’t know a word of English. I took my chance and ran onto the court, and tried to figure out what was wrong without being able to communicate with her at all. I called to the medical tent for an MD and the Medical Director to rush over to resolve the issue. In the meantime, I was able to figure out that she was having difficulty breathing, and her teammate was able to tell me that she has not been feeling well during the day. In that case, I brought her to her sideline in the shade, told her to lift her arms up, and animated how to breathe in the nose and out the mouth to try and get her to relax as I cooled her off, hoping that everything was due to heat. The MD arrived with 2 minutes left and was able to listen to her lung sounds and check her blood pressure. Nothing came up as abnormal, and the athlete was able to return to play and finish the game.
Needless to say, I did not sleep much that night. I looked up ways to say key history words in different languages, and wrote down words that the athlete was able to circle in high hopes that the athlete was able to speak English, Spanish, Russian, German or French.
The 2nd day I spent mostly on the stadium court. My favorite athletes in the world since high school were standing before me, but all I could think of was the situation from the day before. The 3rd match of the day, a Spanish athlete dropped down to one knee with one hand on the ground, and one hand over her eyes. She asked for help, and I ran onto the court while calling for the MD. I had the notebook ready for my first bi-lingual history taking, but she was able to speak broken English. Her vision went blank white and she instantly started feeling dizzy. I have taken a lot of pulses in my life, and my last expectation was for an Olympic athlete during exercise to have such a thready pulse. I asked her how much she hydrated during the past 2 days and she knew she did not have enough water. I brought her to the sideline just as the MD arrived and he took her blood pressure as I cooled her off with ice towels and filled a water bottle with 3 packets of propel to replenish her electrolytes. Her unilateral Blood pressure was very low, which is a problem especially during exercise. Despite her low blood pressure, we got her to feel well enough to finish the game, and she did so in quite impressive fashion with 5 kills and 3 blocks.
The injuries were few but serious nonetheless, and were exactly what I needed to know what it takes to be the best doctor for the sideline. I’m glad that I was able to rise to the occasion and avoid any forfeited matches. After those first couple days I was injury-free, and had developed a relationship with the athletes. I learned from the other medical team members, and they learned from me. Everybody had an open mind and the energy was unbelievable. It’s important for sports council members keep in mind that working with a team of different disciplines is a very important experience to have. I suggest that you all find a way to get that experience as soon as possible because it will open doors you would not believe as long as you keep an open mind, and remember that nothing you do is for yourself. It’s all about the athlete and NOBODY else, especially at the Olympic level.
The best advice I could share with all my peers from this event is that nothing is more important on the sidelines than your sense of urgency. You will be much happier if you don’t have to learn so the hard way. If you have a strong awareness and sense of urgency, your chances of working on the sidelines with your favorite athletes will skyrocket. I can promise you that. The best way to develop that is to expect the worst in every situation, and get your hands on everything that you can.
-Kevin Viezer