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“ BRINGINGTO WATER” University of Maryland Department of Intercollegiate Athletics Heat Illness...
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“BRINGING TO WATER” University of Maryland Department of Intercollegiate Athletics Heat Illness Prevention & Management Program
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Transcript of “ BRINGINGTO WATER” University of Maryland Department of Intercollegiate Athletics Heat Illness...
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University of Maryland Department of Intercollegiate Athletics
Heat Illness Prevention & Management Program
Developed by the University of Maryland Sports Medicine Department in consultation with University of Maryland Team Physicians
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Personnel (Team Physicians)- Dr. Craig Bennett MD
Team Physician / Orthopedist Dr. Yvette Rooks, MD
Team Physician / Family Practice Dr. Michael Yorio, MD
Team Physician / Sports Medicine Dr. Tom Maino, MD
UMMS Family Practice / Sports Medicine Fellow
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Personnel (Physicians)- Dr. Sacared Bodison, MD
Physician- University Health Center
Dr. Stephen Fahey, MD Physician- University Health Center
Dr. Yulanda Swindell, MD Physician- University Health Center
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Personnel (Athletic Trainers)- Darryl Conway (Football) Sandra Worth (Football) JJ Bush (Volleyball / Comcast Center) Matt Charvat (Football) Deanna Bennett (Field Hockey) Terrence Gee (Men’s Soccer) Andrea Roth (Women’s Soccer)
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Personnel (Athletic Trainers)- Mary Anderson (Men’s Soccer / Cross-
Country) Theresa Doherty (Field Hockey) Chris Duncan (Women’s Soccer) Erin Field (Football) Niki McElroy (Volleyball) Jason Olszewski (Football)
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Temperature Regulation- Air temperature Wind Humidity Clothing Activity intensity Fluid intake Adaptability of the body
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Susceptibility- Prior history Medical conditions Poorly conditioned / un-acclimatized Overweight / high BMI Low body fat / low BMI Low “heat tolerance” Ill athletes
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Susceptibility- Taking medications Supplements Poor diet / nutrition High core temperatures > 3% body weight loss Restricted / low-salt diets Heavy sweaters (“Salty Sweaters”)
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Prevention (Pre-Season)- Medical history / physical exam Strength & conditioning Acclimatization Education (coaching staff) Education (student-athletes) Education (athletic trainers)
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Prevention (Pre-Season)- Facility prep Emergency planning Team meetings
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Supplements- Notify your athletic trainer
what supplements you are taking Supplement Notification Form
STOP taking all supplements
Prevention (Pre-Practice)- Heat Index (HI) / weather radar Communicate with SA Communicate with coaches Weight charts Field Prep Charts-
Urine Color Chart How Much Water To Drink
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1 If your urine matches the colors 1, 2, or 3, you are properly
2 hydrated. Continue to consume fluids at the recommended
3 amounts.
4 If your urine color is below the RED line, you are
5 DEHYDRATED and at risk for cramping / a heat illness!
6 YOU NEED TO DRINK MORE WATER / GATORADE!
7
8
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Hydration- 12-20 oz of cold water / Gatorade every
10-20 minutes pre-practice 12 oz of cold water / Gatorade every 10-
15 minutes throughout practice
24oz of cold water / Gatorade for every one (1) pound lost during practice
Prevention (During Practice)- Athletic trainer presence during practice Monitor HI Sports Medicine Staff communication Communicate with coaching staff Communicate with student-athletes On-site physicians Tent / “Cool Area”
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Prevention (During Practice)- Ice / water / Gatorade / ice towels Gatorlyte / Heat Guard / Magonate IVs Cold tubs
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Prevention (Post-Practice)- Weight Charts Urine Color Chart How Much Water To Drink Chart Diet / Nutrition REST Heat Guard / Magonate / MediLyte
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Prevention (Post-Practice)- Cold Tubs Communicate with coaching staff Team Physician availability IVs
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Hydration- Fulfill thirst eat a good,
nutritious meal DRINK!
24oz of cold water / Gatorade for every one (1) pound lost during practice
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Meals- Low-fat, high carbohydrate, moderate
protein Fruits & vegetables Foods high in sodium & potassium
(e.g. ham & cheese, tomatoes / tomato sauce, pickles, bananas, etc.)
No fast food No caffeine or alcohol Lightly salt foods to taste No supplements
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Meetings- DRINK!!
Water bottles
Cool clothing
Heat Cramps-
Heat Exhaustion-
Heat Stroke-
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Heat Index-
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Heat Index Practice Recommendations- Below 80- monitor 80 – 85- additional breaks 85 – 90- additional breaks; monitor
closely; ?? modify uniform > 90- additional breaks; monitor closely;
modify uniform; ?? shorten practice time
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Modification of Athletic Activities- Chain of Command Criteria-
Monitor HI Communicate with coaching staff Recommendations
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Supplement Notification Form-
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1 If your urine matches the colors 1, 2, or 3, you are properly
2 hydrated. Continue to consume fluids at the recommended
3 amounts.
4 If your urine color is below the RED line, you are
5 DEHYDRATED and at risk for cramping / a heat illness!
6 YOU NEED TO DRINK MORE WATER / GATORADE!
7
8
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How Much Water To Drink Chart- 12-20 oz of cold water / Gatorade every
10-20 minutes pre-practice 12 oz of cold water / Gatorade every 10-
15 minutes throughout practice
24oz of cold water / Gatorade for every one (1) pound lost during practice
3% Weight Loss Chart-
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Heat Illness Warning-
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Miscellaneous- Communicate Be prepared Encourage & PRACTICE good fluid
replacement & dietary habits Recognize heat illnesses & follow
the established emergency plan Get REST!
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Questions???
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THANK YOU!
