10 | NATAnews | JULY 2013 StronG Heroes Among Us

By Jordan Grantham, Nadia Hill and Jaimie Siegle

Each year, thousands of athletic trainers join the 1,800 medical professional volunteers at the Boston , an event that draws elite runners from all over the world. Following the deafening explosions at the finish line, a nation watched helplessly as spectators and athletes fled from the scene while the medical volunteers – 50 of whom were athletic trainers and their AT students – ran toward it. Putting into action a highly organized emergency plan they hoped they’d never have to use, the Marathon’s medical volunteers exhibited unwavering courage that unquestionably saved the lives of many.

nata.org | 11 REUTERS/Jessica Rinaldi

ne of the exceptional care of the medical team, with hospitals along the route to orient most com- those high temperatures didn't result in them on common running injuries and prehensive any fatalities. heat immersion techniques, and coordi- medical Athletic trainers have been a critical com- nates with the ambulance services and teams in ponent of the finish line medical team since fire departments for every town along the the world” it was instituted in 1977. More than 130 ATs route. Coordinating the medical care for a As the Boston and AT students worked the 2013 marathon race of this scope– more than 27,000 run- Marathon’s medical under the supervision of Finish Line Physi- ners in 2013– is a massive undertaking that coordinator for the cian / AT Coordinator Brian FitzGerald, BSN, only grows each year as Troyanos adds past 19 years, Chris Troya- ATC, LAT. FitzGerald oversees the “chute,” new aspects to the medical coverage. nos, ATC, oversees a medical team the section of the race between the finish line Troyanos and FitzGerald are longtime of more than 1,800 volunteers including and Medical Tent A. ATs and AT students are friends and colleagues who have been part physicians, athletic trainers, physical thera- utilized to form the wheelchair sweep team of the finish line medical team for more pists, nurses and EMTs. The volunteers are in the chute, tasked with whisking extremely than 30 years; Troyanos has worked every stationed throughout the 26.2-mile race route fatigued runners from the finish line to the race for the past 36 years, and FitzGerald and inside two large medical tents that are medical tent for treatment. is right behind him at 35 years in a row. To each about the size of a city block. Under the leadership of Troyanos, the say they’ve accumulated a wealth of expe- Medical Tent A, located about 75 medical coverage for the Boston Mara- rience in managing the medical care for a yards past the finish line, is composed thon has continued to grow each year. The race of this size is an understatement. Still, of 15 sections with 10 cots each. A mul- BAA Medical Committee begins meeting nothing could fully prepare them for what tidisciplinary medical team including in December to prepare for the race each happened on April 15. a physician, AT, PT, nurse, IV nurse April. “[Troyanos] adds layers every year,” and medical records technician work FitzGerald said. (Troyanos was unable to “I knew it was a bomb. I just knew.” together to take care of the athletes in comment for this article.) “It has to be one FitzGerald was down in the chute checking each section. Within Medical Tent A of the most comprehensive medical teams on his athletic trainers when the first bomb are specialty areas: ICU, Boston EMS, in the world.” Troyanos recently added a went off. “I knew it was a bomb,” Fitzgerald podiatry and heat illness. The 2012 race cardiologist from a local hospital to serve remembered. “I just knew.” took place on an unseasonably hot day as his co-director, and together they have For a moment, the entire area paused so the heat illness section of the tent was implemented a CPR program taught inside in shock. A plume of smoke twirled incredibly important; the medical team the race expo and an online cardiac course toward the sky. FitzGerald began sprint- treated more than 2,300 runners for heat that details conditions the medical volun- ing back toward the finish line, going illness, many with core temperatures teers might see during the race and how to against the scared mass of spectators from 105 to 109 degrees. Thanks to the treat them properly. Troyanos also works running the opposite direction. “All of

12 | NATAnews | JULY 2013 A running shoe with the date of the bombings hangs beside a Boston Marathon medal at a makeshift memorial along in Boston.

our athletic trainers ran the right way,” with a medical bag, AED and stretcher. Just FitzGerald said. beyond the grandstand is a readied ambu- First responders like Louisiana State Uni- lance in case of emergency. With only those versity’s Ray Castle, ATC, and Larry Venis, initial assets to treat the wounded, the wheel- MEd, ATC, LAT, were frantically tearing chairs piloted by the AT students became away the contorted metal staging, the main critically important for transporting injured obstacle blocking the responders from the spectators to Medical Tent A. scene of the blast. FitzGerald said the scene Jon Dana, ATC, another AT who has was “like walking into another world.” He worked the marathon since 1977, was stand- described the overwhelming smell and the ing directly below the media bridge where all way the blood was covering the sidewalk– an the media cameras film the finish line when “urban war zone,” as Castle put it. he heard the first explosion. Once his mind “I remember going to the first victim, who had processed what happened, he ran toward already had a belt on her leg and her hus- the scene to help. It was overwhelming, he band was with her,” Castle said. “I did a quick remembered, to see the extent of the inju- assessment and repositioned him so that he ries. “I’ve never been exposed to that much could put pressure on both femoral arteries.” carnage in my whole life,” he said, but he did Castle continued this process with three or believe his experience volunteering at the four other victims. He said it was the sheer Paralympics helped him see that the victims volume of injuries that was so hard to pro- could recover if they could overcome the cess. “I’ve been an athletic trainer for more physical and emotional trauma. He tended to than 20 years, but you don’t expect to see so a compound fracture and attempted to calm much [trauma] in one single spot.” a hysterical mother/daughter duo. Bridgewater State University’s Kimberly “Time almost stood still,” FitzGerald said. Wise, MS, ATC, saw two of her AT students “You just did what you could to get them running ahead of her toward the blast. She out of there.” Everyone went to work imme- ran after them, screaming for their attention, diately, he said, compressing wounds and but they couldn’t hear her. In the blur of the applying tourniquets. More emergency work- Top: AT students man the wheelchair sweep team at the moment, they all ended up at the bomb scene ers started arriving on the scene and every- finish line of the 2013 Boston Marathon. Bottom: Ambu- lances stand by to transport ill or injured runners at the tending to the victims. “It was so scary for me one picked up the pace even more, afraid of back of Medical Tent A prior to the start of the race. because I’m responsible for [my students],” another bomb going off in the same vicinity. she said, noting that she feared another bomb Michael Powers, PhD, ATC, EMT, AT Minton described. “Everyone stopped in would go off. captain of Medical Tent A, happened to be their tracks for a second,” Laursen said, and At every Boston Marathon, two para- standing near a seam in the tent when he then the medical team inside the tent hud- medics are always stationed at the finish line heard the explosions. He ripped through the dled together to decide who would go to the seam and instinctively ran toward the blast. bomb scene and who would stay behind in “As AT captain of the Med Tent A, I proba- the tent to receive the wounded. Emergency “It hit you bly should have stayed in the tent, but I didn’t room physicians and EMTs were sent to the even think,” Powers said. Once he got to the blast site, while everyone else began trans- deep within scene, he said there were so many bodies he forming the tent to a triage center. Brent didn’t know where to start. He focused on Hamula, ATC, CSCS, the medical supply which I’ve helping a woman with an open tibia/fibia coordinator for the marathon, keeps a stock fracture and her five-year old son, who was of trauma supplies in a separate portion of never felt the same age as his own son. the tent in case of emergencies like this, so Back in Medical Tent A, AT Co-Captains the volunteers went to work grabbing those before. You Mark Laursen, MS, ATC, and the University trauma supplies for their section of the tent. could feel the of South Carolina’s Dawn Minton, MS, ATC, James Madison University’s Jamie Frye, of Boston University were working in the PhD, ATC, was tending to a runner with sound deep heat illness section when the bombs went off. full body cramps when the bombs went off. “It hit you deep within which I’ve never felt “I just knew I had to stay calm,” Frye said. inside.” before. You could feel the sound deep inside,” “We just picked [the runner] up and moved

nata.org | 13 Top left: Medical coordinator Chris Troyanos, ATC, (second from right) poses before the race with co-medical coordinator Aaron Baggish (second from left) and the medical coordinators for races in Chicago, Houston and Minneapolis. Bottom left: Heat Immersion Team Co-Captains Dawn Minton, MS, ATC, and Mark Laursen, MS, ATC, pose with the rest of their team inside Medical Tent A before the race. Right: Runners relax after receiving medals, fluid and foods after the race. him to the back of the tent [to make room Following the explosions, Wise, who took as tourniquets,” he said, while the other stu- for the wounded].” a total of five AT students to the marathon, dent relayed bandages to distribute to vic- Within minutes, those injured in the bomb- said her students seamlessly blended in as tims and first responders. ings were being wheeled into the tent. Frye part of the medical team. “They did not run “We were more involved with transporting and Laursen both credited the medical tent away from the site,” Wise said. “They went injured people from the blast sites to the med- announcer’s calming presence over the PA toward the individuals who were in need, ical tent, then putting them in one of the triage system for helping the medical volunteers to and that is so commendable for these young areas,” explained 25-year-old Tom Doucette, maintain focus. His normal job is to direct AT students.” FitzGerald agreed, saying the a junior from Bridgewater State University. medical volunteers throughout the day to students were “like soldiers” as they hus- “There were physicians and EMTs [there], so keep the tent running smoothly, and his role tled from the bomb site to the medical tents to be honest we didn’t feel comfortable taking became incredibly important once the tent assisting victims and other volunteers. “They a patient away from them; it was more like, became a makeshift trauma center. “He was never should have been there and witnessed where do you need [victims] and what sup- telling us, ‘You’re medical professionals. Treat what they witnessed, but they were there and plies do you need?” the people in front of you. We have a job to ready to go,” he said. As the marathon run- Powers, a Boston native and ATEP direc- do,’” Laursen remembered. ners continued to reach the finish line, stu- tor at Marist College in New York, said most The medical volunteers applied intense dent volunteers handed them blankets and of what he did that day – working on hemor- focus to the treatment of the injured, work- rhages, dressing wounds, splinting fractures ing together as an eerie silence fell over the – are skills taught during a sophomore level tent. Within 22 minutes, 97 blast victims were class. “There’s nothing we did that was above transported from the bomb site, through For a moment, their level of care,” he said. What students – Medical Tent A, into the backs of waiting or any medical professional, for that matter – ambulances and dispersed to nine different the entire couldn’t have prepared for was the extent of hospitals in the city. The cohesive response these injuries: The number of open fractures, from the multidisciplinary medical team was area paused the amount of bleeding, the amputations, the nothing short of “phenomenal,” FitzGerald said. chaos. In Frye’s observation, her students’ Had the bombs been placed in another in shock. education seemed to help them do their job part of the race, the response might not have effectively: “I think they really appreciated been so fast and more lives might have been A plume their coursework,” she said. lost, according to FitzGerald. The finish line Kaitlin Shimota, a Boston University houses the highest number of medical volun- of smoke undergraduate who was Troyano's intern on teers, all of whom were put to the test when the medical planning committee, had been the bombs exploded. “It was [Troyanos’] twirled toward involved with the marathon several months system, his medical team, that saved the day,” before the date of the event. When the bombs Dana said. “There were more medical profes- the sky. went off, she ran out to help immediately, but sionals in that spot than in any other place in she said she wasn’t thinking of what she had the city that day. The plan he had in place to learned in school. “I don’t know whether it save runners ended up saving lives.” directed them away from the chaos; mean- was because we had practiced in our classes while, others helped medical professionals in so much or if it was just natural instinct,” “Our future is in good hands as a Tent A by distributing supplies or providing she said, noting that she’s trying to view the profession” an extra pair of hands. tragedy as a learning experience so she can Armed with little more than moderate skills “They were rock stars in the truest sense,” be more prepared in the future. Moreover, and knowledge gained from their AT educa- Castle said of the students, many of whom Shimota said she’s eager to volunteer at next tion programs at their respective universi- were in their first year of clinical studies. year’s event, as well as at the Boston Half ties, the student volunteers helped however “They didn’t necessarily know what to Marathon this fall. and wherever they could, whether they were do but followed instructions and did what Like Shimota and many of this year’s med- stationed just behind the finish line or with had to be done.” Dana’s two students went ical team members, all five Bridgewater State the wheelchair sweep team. The students, straight for the bomb site, as evidenced students plan to return to the 2014 Boston mostly undergraduates, were stationed at by graphic photos circulating through the Marathon, with more of their ATEP peers the latter where their original responsibili- media. “There is a picture of my student in in tow. “As horrific as the events were, we’ve ties consisted of using wheelchairs to trans- the middle of the [bomb scene] without his gotten something extremely positive out port ill or injured runners. jacket and belt because he was using them of it,” said Bethany Foreshaw, who recently

14 | NATAnews | JULY 2013 Photos by Mickey Goldin

graduated from the program. “We have a ful preparations helped them locate each education. The students drafted a proposal bond not many people have together, and I other after the fact despite the poor cell to have an EMT course as part of their AT appreciate it,” she said. phone service. student curriculum. “It was humbling for Looking back on their actions, Laursen In the days after the incident, the ATs me to listen,” Wise said. “[The students] said the students’ heroism is something he’ll and students began to process what they wanted more, a better scope of practice to never forget. “Our future is in good hands as a had been through. Many had trouble focus- assist the school and community.” profession,” he said. ing on regular tasks that week as the scenes FitzGerald was concerned about all of from the marathon kept running through the athletic trainers and AT students who “I wish I’d done more” their heads. were at the race that day, so he took it Less than 30 minutes after the initial blast, “I was back at football practice at 6:30 upon himself to call each one personally. all of the victims had been treated and trans- the next morning, and I wasn’t very toler- “I wanted to feel their voice and check on ported to hospitals. Once they had a moment ant of the usual whining,” Dana said. “It’s all of them and make sure they had the to take a deep breath, the focus shifted to going to take some time for me to get back resources to help them when they got back reuniting supervising ATs with the students some empathy for the stuff we consider to campus,” Fitzgerald said. they brought with them to work the race. In more minor.” As with any tragedy, those involved are the chaotic aftermath of the attack, many lost For Dana and the other ATs, the coping coping in different ways. “I don’t know that track of one another. process involved a conscious decision to I’m done changing from it,” Dana said. FitzGerald began taking roll, making stop beating themselves up about what sure all athletic trainers and students were they did or didn’t do that day. “I wish I’d “I’ve never been prouder to be present and accounted for. Laursen remem- done more. Everyone who was an AT at an athletic trainer” bered that phone service wasn't great, but the finish line that day has spoken to the Being on the frontlines of the Boston Mar- they were able to text each of their students fact that they could do more,” Dana said. athon has “bonded all of us who were there to make sure they were OK. Frye had two “It speaks to how the athletic trainers are.” for life,” according to FitzGerald. The AT students working the finish line and three Dana has a superstition in which he always group has been overwhelmed by the out- who were part of the wheelchair sweep carries five gauze pads in his pocket. “I took pouring of support from the entire athletic team. When the chaos subsided, she went the gauze pads out [at the bomb scene] and training community. to find the three students who weren’t with I’m looking at people with missing legs and “I can’t tell you how many calls and text her. “I was not leaving without knowledge thinking, ‘What the **** am I going to do messages I’ve received from friends and of where they were,” Frye said. “I was fran- with these?’” Dana said, emotion seeping colleagues across the country and how tically texting. One was in Medical Tent B, through his voice. “I don't want to be in that much that has meant,” Laursen said. “I another in wheelchair pickup, and another spot again. I don’t want to be that guy with really believe we were presented with an was pulled away in the evacuation.” five gauze pads anymore.” opportunity to take care of these patients, Wise had prepared her own emer- For many, the mental conversation had but I have no doubt that any AT would have gency action plan with her students before to turn from replaying the horrific scene done the same things. All ATs are special, the marathon, knowing they would likely over and over in their heads to thinking but we just happened to be the ones who be assigned to different parts of the race. about what they can learn from the expe- were there that day. The profession should Part of the EAP included a rendezvous rience. Wise and her students gathered be really proud. point at a local hotel in case they became together two days after the bombings and “I’ve never been prouder to be an separated during an emergency. Her care- came to one conclusion: they wanted more athletic trainer.”

nata.org | 15 National Incident Management/Command System: preparedness, incident management and/or Another Tool for the Athletic Trainer Toolbox emergency response during an incident.2

By Nancy Burke, MS, ATC Fairfax County Police Department [email protected] • IS-700.A: National Incident Management System (NIMS) An Introduction thletic trainers have been Originating as a process to improve the This course introduces and over- involved in mass casualty events fighting of wildfires, Incident Command views the National Incident Management such as natural disasters and, System (a component of NIMS) provides System (NIMS). NIMS provides a con- more recently in Boston, a man- an infrastructure for planning large-scale sistent nationwide template to enable all Amade catastrophic event. When the tragedy events and/or coordinating the response to government, private-sector, and nongov- strikes, all medical personnel quickly fall into any disaster. Fire and rescue, EMS and law ernmental organizations to work together the routines for which they are trained: pro- enforcement routinely employ Incident Com- during domestic incidents.3 viding immediate care to those most at need. mand System strategies in planning for music In the aftermath of the Boston Marathon At some point one will notice the coordina- concerts, athletic events, large local events, bombings many jurisdictions are review- tion of information and resources beginning etc. FEMA's expectation is that the Incident ing their ICS planning and procedures in to build. This framework is the National Inci- Command System shall be utilized in plan- their localities.4 Having an understanding dent Management System (NIMS), a compo- ning for all large events of any kind. of NIMS and ICS will help athletic trainers nent of the Federal Emergency Management Athletic trainers may acquire an overview best utilize our strengths within the scope of Agency (FEMA) and is key to managing the of the Incident Command System by taking emergency management. emergency in the most effective way. free independent study courses offered by The National Incident Management FEMA at http://training.fema.gov/IS/NIMS. References: System (NIMS) identifies concepts and prin- aspx. Those who successfully complete the 1. http://www.fema.gov/national-incident-man- agement-system ciples for managing emergencies from pre- course receive a certificate. 2. paredness to recovery regardless of cause, http://training.fema.gov/EMIWeb/IS/course- Overview.aspx?code=IS-100.b size, location or complexity. NIMS provides Suggested Courses: 3. http://training.fema.gov/EMIWeb/IS/course- a consistent, nationwide approach and • IS-100.HCB: Introduction to the Incident Com- Overview.aspx?code=IS-700.a vocabulary for multiple agencies or juris- mand System (ICS 100) for Healthcare/Hospitals 4. Taylor, Dennis, Big Sur Marathon Beefs Up dictions to work together to build, sustain This course introduces the Incident Com- Security for Saturday's Race in Response to and deliver the core capabilities needed to mand System (ICS) for hospital personnel Boston Bombs, MontereyHeraldSantaCruzSen- achieve a secure and resilient nation.1 who would have a direct role in emergency tinel.com, 4-25-2013.

After the Bombings: The Coping Process meet-up areas and others reunited on the walk back to Boston University, where most By Nadia Hill were staying. “When we were on the walk back, we s the injured found treatment and helping them any way they could. It’s didn’t know what just happened but knew in hospital beds and fami- looping through your brain continually and something had happened. I felt like I was lies began to reunite, as bags you’re reliving it, and it’s so horrific,” mar- where I needed to be but walking back, the were packed and lives started athon athletic coordinator Brian FitzGerald adrenaline was rushing,” Bridgewater State Amoved on, those who witnessed the Boston said. “I didn’t have much time to do that. I student Jordan Leonard said. “It was sort of Marathon bombings had to come to terms didn’t withdraw, I just wanted to communi- surreal, you don’t know if it was real what with traumatizing memories. Some were cate and connect. I was concerned with my just happened, and it wasn’t until a couple able to seek weekly counseling with Boston AT team and these kids who were travel- days later when it started to sink in. I didn’t natives, while others participated in Skype ing home the next day. I needed to contact remember much other than pixelations of sessions with counselors from their home- them by phone. I wanted to feel their voice things. Then things started to come back in towns or universities. The Boston Athletic and check on all of them and make sure my mind in the next 72 hours.” Association, along with Chris Troyanos, they had the resources when they got back FitzGerald had 16 coworkers on the finish the Red Cross, and government officials, to campus.” line at the race, and they were having trouble sent a mass email to runners and volun- dealing with the aftermath. He called each teers directing them to counseling services IMMEDIATE AFTERMATH athletic trainer who was at the marathon and information on PTSD. Many students and their athletic training over the course of a few days. The BAA “Every single campus was phenomenal professors, teachers and advisors found each held an emergency meeting two days after about putting their arms around these kids other after frantic texts. Some had designated the race and an interfaith service shortly

16 | NATAnews | JULY 2013 Ray Castle found solace in his church and his wife. He said he found resources for his students to utilize while he took care of his own emotional health, feel- ing like he was spiraling down after the marathon. “The post-process is so important and what you do after that, everyone handles dif- ferently. The first week I was very sensitive to noises,” Castle said. “I remember five or six days later at an event near campus there was a band set up, and I was only there about five after, where President Obama thanked vol- help more people. They were incredible,” or 10 minutes. There are still sounds that are unteers and shook students' hands. Laursen said. unsettling, but I’m getting better every day. Ten days later, Boston University ATEP I think we have a great opportunity to learn Coordinator Mark Laursen, Brian FitzGerald, BACK HOME from this and we will.” Chris Troyanos and others hosted a Skype Small things like thunder or doors slamming session to thank the athletic trainers and stu- have triggered flashbacks in the minds of vol- FUTURE dents who were there at the race and to talk unteer athletic trainers, sounding very similar In looking ahead, FitzGerald and other com- about how they were coping.. to the sound of the nearby explosions from mittee members will review action plans, com- “I was concerned about my students. race day. Frye and her five students have munication streams, and ways to improve on I didn’t have time to process it until I was spoken with a post-traumatic stress disorder a mass casuality situation in the future. They home, then all the emotions pent up from counselor, while others who were there have anticipate creating a plan to make it even safer the past couple days finally hit me,” Dawn relied on religious organizations or familial next year, for the runners he says who want to Minton said. “The first week was really support to get them through. run in defiance of terrorism. hard. I couldn’t work, I was constantly “ATs in the Northeast are a close- Another struggle in deciding what to thinking about it. The people around you knit community, [so], a lot of people have improve is how the athletic trainers that are supportive but they don’t necessarily reached out to express concern or offer were there felt like they could have done know what to do, so you have to find ways help. Several of them have had very good better. “I hope I never see anything like to take care of yourself. I’m in a really good points of view for how to look at things dif- that again, but if I do I’ll have a better sense place right now.” ferently than I was spinning it,” Jon Dana of where to go and what to do about it,” Many volunteers said they personally said. “It was difficult the first couple of Dana said. “I don't think I can move ahead struggled with allowing others to help, days. A lot of athletes and ATs texted and without continuing to look at how I can especially right after, as well as being called, and it was difficult to understand improve. In this application it does me no snippy and short with people, and didn’t why they felt the need to aggrandize what good to spin my wheels and rehash it. For care about much of anything for the first I’d done and check on what I had done. me, I feel like I have to keep trying to learn week following the race. During debrief- The school psychologist made the point from it so I can move ahead.” ing meetings and counseling sessions, that everyone has to process it, not just Looking back at what happened after the other athletic trainers from the race event me, and it’s not OK for me to judge how bombings has shed some light on the success expressed the same difficulties. Some, like they handle it.” of the day. “The medical system at the finish Jamie Frye from James Madison Univer- Athletic trainers and students from the line saved hundreds of lives,” Dana said. “The sity, have attended group therapy sessions, University of New Hampshire talked to the fact that I was part of it was incredible.” and others have attended informational director of the school’s counseling center for sessions to learn more coping. two hours the day after the explosion and did If you or someone you know is coping with loss or a The athletic training students have turned a debriefing. Dana said it took him about 10 traumatic experience, helpful resources are avail- to their advisors, professors and directors for days to feel more normal about what hap- able online from the National Center for PTSD suggestions on how to come to grips with pened, but he’s had to look at the experience at http://ptsd.va.gov/public, the American what they witnessed, and several schools as a way to grow as a professional. Psychological Association at http://apa.org/ have held weekly dinners or meetings to talk “I need to be better if something like that helpcenter/recovering-disasters.aspx, and through any lingering memories. ever happened again,” he said. “There are the Substance Abuse and Mental Health Services “The students handled it really well. Those plenty of ways for bad things to happen so I Administration at http://samhsa.gov/trauma/. In students are heroes. Not a single student need to be better prepared. I like to think I’d addition, SAMHSA’s toll-free treatment referral turned and left. They stayed, went back to do better next time.” line is open 24/7 at 1-800-662-HELP.

nata.org | 17 2013 Boston Marathon Athletic Trainers & AT Students

NATA commends all of the athletic trainers who were part of the medical team for the 2013 Boston Marathon. We are truly inspired by your heroic actions and calm professionalism in the face of unspeakable tragedy.

Shammara Al-darraji Sylvia Goodman, EdD, ATC, LAT Ej Occhiboi, ATC Kostas Andreo Alex Hall Krystin Ojala, MS, ATC, CSCS Karina Berenbaum Brandon Hall, ATC Chelsea Ouellette Matthew Bergh, ATC Emily Hanson, ATC Amanda Porter Nicholas Berghela Kaila Harpin Michael Powers Robert Bouchey Stephanie Hart, MS, ATC, LAT Elizabeth Rathje Charla Bouranis, ATC Jonathan Hartman Cheyenne Reynolds Ashlei Brock, ATC Barbara Hemphill, MS, ATC, PES Marianne Ritterova Jennifer Burt Dominique Heres Monica Rivera Elizabeth Campanella Brendan Jacob Jason Roberts, ATC Derek Carter Lisa Kavjian Joe Sanford Whitney Cashin Kristin Kerrigan Diane Sartanowicz, MS, ATC, LAT Ralph Castle, ATC Caitlin Ketcham Robin Shabunia, ATC Jessica Colborne Jennifer Kitano, MS, ATC, OTC Elizabeth Sheehan Jeri Connor, ATC Christopher Lai, MBA, ATC Dave Sherman Briana Croker Christopher Lane Ian Shultis Steve Cronin Mark Laursen, MS, ATC Jessica Smith Michelle Crosby Jordan Leonard Sarah Stone, ATC Timothy Cuddeback Margaret Lesnikoski, ATC Taylor Sullivan Sara Dalton Marisa Love, ATC Wanda Swiger, EdD, ATC Jonathan Dana, ATC Kimberly Lyle, ATC Anthony Szol Jordan Dasilva Michaela Main Catherine Taglilatela Patrick Deal, ATC, PES Helena Malczewska, MS, ATC Evan Thompson Patrick Deedy Stephanie Manyak, ATC Edgar Urbina Samantha Desmarais, ATC Stephanie Marryat Lia Vann Thomas Dodge, PhD, ATC, CSCS Dominique Mathieu, PhD, ATC Lawrence Venis, MEd, ATC, LAT Thomas Doucette Antigone Matsakis, ATC Melissa Walker Drew Duckett, ATC Christina McAnespie Margaret Walkup, ATC Kevin Dunham, ATC Matthew McCabe, ATC Devin Wang Valerie Edwards, ATC Kenia McKeon Scot Ward, MS, ATC Victoria Elia Caitlyn Mckinley Philip Welsh Ralph Evans, ATC Lindsay McManus Nick Wendel Tamara Fattaleh Nairi Melkonian, MS, ATC, PTA Deborah White- Lyons, ATC, RN, RPT Brian FitzGerald, BSN, ATC, LAT David Mincberg, Mark White, ATC John Foley Dawn Minton, MS, ATC Kimberly Wise, MS, ATC Bethany Forshaw Martin Monteiro, ATC, LAT Adrian Wright-Fitzgerald, MS, ATC Nate Foster Aren Moorman Emily Young Jamie Frye, PhD, ATC Joseph Murphy, Ph.D., ATC Kala Young Alexandro Fusco Leann Nickerson

18 | NATAnews | JULY 2013