Performing Emergency Care "Art": From Circus to BMX with Trish Bare-Grounds ATC
02/12/25 • 41 min
CEU Credit Available
Earn CEU credit for this course and explore 58+ Sports Emergency Care Courses at CEUnleashed.com – an annual subscription is just $4.99/year!
Episode Summary
In this high-energy episode of the AT Pit Crew Podcast, host Ray Castle welcomes Trish Bare Grounds, a leading expert in performing arts and action sports emergency care. Trish has spent decades pioneering medical coverage for non-traditional sports, from BMX and freestyle motocross to circus performances and combat sports.
She shares insights on:
✔ Unique emergency planning strategies for non-traditional settings
✔ Challenges in managing spinal injuries, airway emergencies, and extractions in high-risk environments
✔ How to train both medical and non-medical personnel for emergency response
Trish’s real-world experiences—including responding to critical injuries during circus performances, BMX competitions, and international Taekwondo events—offer invaluable lessons for medical professionals working in unpredictable sports and performance settings.
Key Takeaways
✅ EAPs must be customized to venue-specific challenges (e.g., aerial rigs, ramps, confined spaces).
✅ EMS access limitations require alternative extrication strategies in action sports.
✅ Athletic trainers & emergency providers must adapt traditional protocols to non-traditional environments.
✅ Collaboration with stagehands, riggers, and event staff is crucial for effective emergency response.
✅ Mental preparation & real-world scenario training enhance emergency response effectiveness.
About the Guest: Trish Bare Grounds, ATC
Trish Bare Grounds, ATC, has extensive experience in emergency response for non-traditional sports. She has worked with USA Taekwondo, BMX events, freestyle motocross, and Ringling Bros. Circus, developing innovative emergency action plans tailored to high-risk performance environments.
Follow Trish on:
LinkedIn: @trishbaregrounds
Twitter: @trishbare
Production Credits
This podcast is a production of Action Medicine Consultants, LLC.
Legal Disclaimer
The medical information provided in this episode is for educational purposes only and should not substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for medical concerns.
Support the Show!
✅ Like, subscribe, and share this episode with your network!
✅ For more episodes and updates, visit: www.actionmed.co/podcast
Stay prepared. Stay proactive. See you next time on the AT Pit Crew Podcast!
CEU Credit Available
Earn CEU credit for this course and explore 58+ Sports Emergency Care Courses at CEUnleashed.com – an annual subscription is just $4.99/year!
Episode Summary
In this high-energy episode of the AT Pit Crew Podcast, host Ray Castle welcomes Trish Bare Grounds, a leading expert in performing arts and action sports emergency care. Trish has spent decades pioneering medical coverage for non-traditional sports, from BMX and freestyle motocross to circus performances and combat sports.
She shares insights on:
✔ Unique emergency planning strategies for non-traditional settings
✔ Challenges in managing spinal injuries, airway emergencies, and extractions in high-risk environments
✔ How to train both medical and non-medical personnel for emergency response
Trish’s real-world experiences—including responding to critical injuries during circus performances, BMX competitions, and international Taekwondo events—offer invaluable lessons for medical professionals working in unpredictable sports and performance settings.
Key Takeaways
✅ EAPs must be customized to venue-specific challenges (e.g., aerial rigs, ramps, confined spaces).
✅ EMS access limitations require alternative extrication strategies in action sports.
✅ Athletic trainers & emergency providers must adapt traditional protocols to non-traditional environments.
✅ Collaboration with stagehands, riggers, and event staff is crucial for effective emergency response.
✅ Mental preparation & real-world scenario training enhance emergency response effectiveness.
About the Guest: Trish Bare Grounds, ATC
Trish Bare Grounds, ATC, has extensive experience in emergency response for non-traditional sports. She has worked with USA Taekwondo, BMX events, freestyle motocross, and Ringling Bros. Circus, developing innovative emergency action plans tailored to high-risk performance environments.
Follow Trish on:
LinkedIn: @trishbaregrounds
Twitter: @trishbare
Production Credits
This podcast is a production of Action Medicine Consultants, LLC.
Legal Disclaimer
The medical information provided in this episode is for educational purposes only and should not substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for medical concerns.
Support the Show!
✅ Like, subscribe, and share this episode with your network!
✅ For more episodes and updates, visit: www.actionmed.co/podcast
Stay prepared. Stay proactive. See you next time on the AT Pit Crew Podcast!
Previous Episode
Mastering Lacrosse EAPs: Emergency Care Insights from USA Lacrosse’s Kellie Loehr ATC
CEU Credit Available
Visit www.CEUnleashed.com to earn CEU credit for this course and access 50+ Sports Emergency Care Courses. Annual subscription for all courses is just $4.99/year!
Episode Summary:
In this high-impact episode of the AT Pit Crew Podcast, host Ray Castle welcomes Kellie Loehr, ATC, head athletic trainer at USA Lacrosse. Kellie is a seasoned expert in sports emergency care, specializing in lacrosse. She dives into the essentials of Emergency Action Plan (EAP) development, including the unique challenges of lacrosse equipment, emergency protocols, and best practices for collaborating with EMS at events.
Kellie shares valuable lessons learned from her experiences managing international lacrosse tournaments, highlights innovative strategies for improving athlete safety, and provides insight into how to continuously evolve emergency protocols.
Key Takeaways:
- Customizing EAPs: EAPs for lacrosse require sport-specific considerations, including differences between men’s and women’s equipment and injury patterns like commotio cordis.
- Helmet and Equipment Removal: Learn why lacrosse helmet removal differs from football and why poorly fitted helmets pose a challenge.
- EMS Collaboration: Effective communication and relationship-building with EMS is vital. Kellie stresses proactive planning through joint trainings and site visits.
- Lessons from Major Events: Discover how proactive planning helped manage emergencies during the Women's World Lacrosse Championship and how lessons from that event improved future protocol development.
- Athlete and Parent Communication: Building trust through transparency and education is critical to ensuring injuries are reported promptly and handled appropriately.
About the Guest:
Kellie Loehr, ATC, is the head athletic trainer at USA Lacrosse and works with MedStar Health in Maryland. With nearly a decade of experience coordinating medical coverage for over 200 annual lacrosse events, including international tournaments, Kellie has been a driving force in improving emergency care planning and response for the sport.
Connect with Kellie Loehr:
Twitter: @kellie_loehr
LinkedIn: @kellieabendschoenloehr
Production Credits:
This podcast is a production of Action Medicine Consultants, LLC.
Legal Disclaimer:
The medical information provided in this episode is for informational purposes only and should not substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for medical concerns.
Support the Show:
Make sure to like, subscribe, and share this episode with your network! For more episodes and updates, visit www.actionmed.co/podcast.
Stay prepared. Stay proactive. See you next time on the AT Pit Crew Podcast!
Next Episode
Advice Line with Ray Castle ATC, NREMT
CEU Credit Available
Earn CEU credit for this course and explore 58+ Sports Emergency Care Courses at CEUnleashed.com – an annual subscription is just $4.99/year!
Episode Summary
In this special edition of the AT Pit Crew Podcast, host Dr. Ray Castle, ATC, NREMT—CEO of Action Medicine Consultants—launches the new Advice Line series. After gathering pressing questions from athletic trainers at a recent conference, Ray takes the mic solo to tackle key emergency care challenges faced by clinicians in the field.
This episode dives into:
✔ Strategies for managing the current rectal thermometer shortage in exertional heat stroke assessment
✔ Building confidence in emergency situations—from training strategies to real-world application
✔ How to stay sharp in emergency care when you’re not practicing daily
✔ The importance of equipment checks and preparation for game-day readiness
✔ Selecting the right airway management devices based on patient size and scenario
Ray shares practical solutions, expert insights, and personal experiences—including his first on-field cardiac arrest case in 34+ years of sports medicine practice. He also previews upcoming hands-on content, including a video demonstration on airway management techniques.
Key Takeaways
✅ Adapt & Overcome – Workarounds for discontinued rectal thermometers in heat illness management
✅ Training = Confidence – Practice-based scenario training is critical for emergency preparedness
✅ Stay Ready – Regular equipment checks & EAP reviews prevent critical failures in emergencies
✅ Know Your Airway Tools – Choosing the right airway device for the right scenario can save lives
✅ Learn & Evolve – Every medical encounter is an opportunity to refine your emergency response
About the Host: Dr. Ray Castle, ATC, NREMT
Dr. Ray Castle is a nationally recognized leader in sports emergency care, with over 34 years of experience in athletic training and event medicine. As the CEO of Action Medicine Consultants and host of the AT Pit Crew Podcast, Ray is dedicated to advancing medical preparedness for athletic trainers and emergency providers in sports settings.
Support the Show!
✅ Like, subscribe, and share this episode with your network!
✅ For more episodes and updates, visit: www.actionmed.co/podcast
Legal Disclaimer
The medical information provided in this episode is for educational purposes only and should not substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for medical concerns.
Stay prepared. Stay proactive. See you next time on the AT Pit Crew Podcast!
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