Transcript bringing to water - UWA Athletic Training & Sports

“BRINGING
WATER”
TO
University of Maryland Department of
Intercollegiate Athletics
Heat Illness Prevention &
Management Program
“BRINGING
TO WATER”
 Developed by the University of
Maryland Sports Medicine
Department in consultation with
University of Maryland Team
Physicians
“BRINGING
TO WATER”
 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
“BRINGING
TO WATER”
 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
“BRINGING
TO WATER”
 Personnel (Athletic Trainers)
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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)
“BRINGING
TO WATER”
 Personnel (Athletic Trainers) Mary Anderson (Men’s Soccer / CrossCountry)
 Theresa Doherty (Field Hockey)
 Chris Duncan (Women’s Soccer)
 Erin Field (Football)
 Niki McElroy (Volleyball)
 Jason Olszewski (Football)
“BRINGING
TO WATER”
 Temperature Regulation
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Air temperature
Wind
Humidity
Clothing
Activity intensity
Fluid intake
 Adaptability of the body
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TO WATER”
 Susceptibility
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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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TO WATER”
 Susceptibility
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Taking medications
Supplements
Poor diet / nutrition
High core temperatures
> 3% body weight loss
Restricted / low-salt diets
Heavy sweaters (“Salty Sweaters”)
“BRINGING
TO WATER”
 Prevention (Pre-Season)
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Medical history / physical exam
Strength & conditioning
Acclimatization
Education (coaching staff)
Education (student-athletes)
Education (athletic trainers)
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TO WATER”
 Prevention (Pre-Season) Facility prep
 Emergency planning
 Team meetings
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TO WATER”
 Supplements Notify your athletic trainer
what supplements you are
taking
 Supplement Notification Form
 STOP taking all supplements
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TO WATER”
 Prevention (Pre-Practice)
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Heat Index (HI) / weather radar
Communicate with SA
Communicate with coaches
Weight charts
Field Prep
Charts Urine Color Chart
 How Much Water To Drink
“BRINGING
TO WATER!”
1
If your urine matches the colors
1, 2, or 3, you are properly
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hydrated. Continue to consume
fluids at the recommended
3
amounts.
4
If your urine color is below
the RED line, you are
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DEHYDRATED and at risk for
cramping / a heat illness!
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YOU NEED TO DRINK MORE
WATER / GATORADE!
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“BRINGING
TO WATER!”
 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
“BRINGING
TO WATER”
 Prevention (During Practice)
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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”
“BRINGING
TO WATER”
 Prevention (During Practice)
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Ice / water / Gatorade / ice towels
Gatorlyte / Heat Guard / Magonate
IVs
Cold tubs
“BRINGING
TO WATER”
 Prevention (Post-Practice)
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Weight Charts
Urine Color Chart
How Much Water To Drink Chart
Diet / Nutrition
REST
Heat Guard / Magonate / MediLyte
“BRINGING
TO WATER”
 Prevention (Post-Practice)
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Cold Tubs
Communicate with coaching staff
Team Physician availability
IVs
“BRINGING
TO WATER!”
 Hydration Fulfill thirst  eat a good,
nutritious meal  DRINK!
 24oz of cold water /
Gatorade for every one (1)
pound lost during practice
“BRINGING
TO WATER!”
 Meals Low-fat, high carbohydrate, moderate
protein
 Fruits & vegetables
 Foods high in sodium & potassium
 (e.g. ham & cheese, tomatoes / tomato
sauce, pickles, bananas, etc.)
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No fast food
No caffeine or alcohol
Lightly salt foods to taste
No supplements
“BRINGING
 Meetings DRINK!!
 Water bottles
 Cool clothing
TO WATER!”
“BRINGING
 Heat Cramps Heat Exhaustion Heat Stroke-
TO WATER”
“BRINGING
 Heat Index-
TO WATER”
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TO WATER”
 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
“BRINGING
TO WATER”
 Modification of Athletic Activities Chain of Command
 Criteria Monitor HI
 Communicate with coaching staff
 Recommendations
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TO WATER”
 Supplement Notification Form-
“BRINGING
TO WATER!”
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
“BRINGING
TO WATER!”
 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
“BRINGING
TO WATER”
 3% Weight Loss Chart-
“BRINGING
 Heat Illness Warning-
TO WATER”
“BRINGING
TO WATER!”
 Miscellaneous Communicate
 Be prepared
 Encourage & PRACTICE good fluid
replacement & dietary habits
 Recognize heat illnesses & follow
the established emergency plan
 Get REST!
“BRINGING
 Questions???
TO WATER!”
“BRINGING
TO WATER!”
THANK YOU!