HEat ExHauStioN is the most common heat-related condition observed. it is defined as the inability to continue exercise due to cardiovascular insufficiency and energy depletion that may or may not be associated with physical collapse. Rectal temperatureis <104°F (40°C). if heat exhaustion is not managedproperly, it can develop into heat stroke.

ExERtioNal HEat StRokE is a far more severe condition.it is characterized by a rectal temperature = or >104°F(40°C), presenting with collapse or central nervous system dysfunction (e.g., irrational behavior, irritability, emotional instability, altered consciousness, collapse,coma, dizziness etc).

KnOWWHat to Do iN CaSE oF

HeaT exHausTiOn Or exerTiOnal HeaT sTrOKe

aDDitioNal

SigNS

& SyMPtoMStHat May iNDiCatE

ExERtioNal

HEat StRokE

ExERtioNal HEat StRokE

immediate and rapid cooling via ice water immersion is

CRuCial to tHE SuRViVal of a heat stroke victim.n Remove all equipment and excess clothing.

n Cool the athlete as quickly as you can with whole body ice water

immersion (place them in a tub with ice and water); stir water and

add ice if necessary throughout the cooling process.

n if immersion is not possible (no tub or no water supply), take athlete

into a cold shower or move to a shaded, cool area and use cold, wet

towels over as much of the body surface as possible, rotating with fresh

towels about every minute.

n aFtER cooling has been initiated, activate emergency medical system

(EMS) by calling 911.

n Continue to cool and do not transport until the rectal temperature

is <102.

n it is important to note that in most cases the athlete may appear

to get worse soon after cooling is initiated; however, this should not

discourage you from continuing cooling.

HEat ExHauStioN

n Move athlete to a cool/shaded area.

n Remove excess clothing.

n Elevate legs to promote venous blood flow.

n Cool with fans, rotating ice towels or ice bags.

n Provide oral fluids for rehydration.

*if the athlete does not respond quickly to treatment, exertional heat stroke should be suspected.

irrational Behavior n

irritability n

Disorientation n

Diarrhea n

Vomiting n

Collapse n

altered Consciousness n

Rectal temperature >104°F n

SigNS & SyMPtoMS

CoMMoN to BotH

HEat-RElatED

CoNDitioNS

n Headache

n Nausea

n Exhaustion

n Weakness

n Muscle Cramps

n Profuse Sweating

n Dizziness

n Decreased Blood Pressure

n Rapid Respiration

n Fainting

TreaTmenT

KnOWWHat to Do to PREVENt

HeaT exHausTiOn OrexerTiOnal HeaT sTrOKe

PRE-PaRtiCiPatioN EValuatioNSBe aware of “high risk”athletes. High-risk athletes usually are:

n “out of shape” or obese.

n New to the team and not used to high-intensity exercise.

n Naturally highly-competitive.

n Have a history of a previous exertional heat illness.

n taking medications, including aDHD stimulants and certain antidepressants or antipsychotics.

n are practicing in especially hot conditions, early in the season, without appropriate medical supervision. Reference: korey Stringer institute: information for Coaches. (n.d.).

Retrieved from: http://ksi.uconn.edu/infospecificgroup/coaches.html

FolloW HEat aCCliMatizatioN

guiDEliNES aND PRotoColS

FoR ENViRoNMENtal CoNDitioNS

n gradually adapt athletes to exercise in the heat over 10-14 days.

n as conditioning and practices begin, slowly increase the amount of time and intensity.

n Minimize warm-up time, and practice in the shade when feasible.

n Practice at appropriate times if possible, avoiding the heat of the day (10 am - 5 pm).

n Minimize the amount of equipment and clothing required duringhot or humid conditions.

n Wear loose-fitting or moisture-wicking clothing.

MaiNtaiN HyDRatioN StatuS

n avoid drinking fruit juices, gels, sodas and beverages containingcaffeine and carbonation.

n Encourage athletes to monitor urine color before practice, as darker urine may indicate inadequate hydration. urine should appear more like lemonade rather than apple juice.

n Have water stations set up prior to practice to allow for sufficient hydration.

n Provide multiple breaks throughout practice, allowing athletes to drink as much as they wish.

n Never deny or discourage an athlete from drinking water/fluids.

n if possible, weigh athletes before and after practices. For every pound lost, the athlete should drink approximately 20 oz. of water or sports drink to re-hydrate adequately.

DrinK up!17- 20 oz. 2-3 hours

pre-practice

7- 10 oz. Every 10-20 minutes during practice

20 oz. Per pound lost post-practice

ice up!Be prepared for heat illness and exertional heat stroke by having an ice bath ready on hot days.