Clarksville panthers

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Clarksville panthers

• Fall Sports and Marching Band Parents Meeting

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Hydration Video

• http//www.nfhslearn.com/flash/Gatorade_demo_v3_st
  ream.aspx

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Exertional Heat Illness

• Heat illness is inherent to physical activity and
  its occurrence increases with rising ambient
  temperature and relative humidity.
• Potential Signs and Symptoms to Recognize
• Heat (Muscle) Cramps 5. Lightheadedness
• Fatigue 6. Dizziness
• Profuse or NOT Sweating 7. Nausea/Vomiting
• Confusion
• If an athlete is displaying any of these signs or
  symptoms remove from participation immediately.
  Begin to cool rehydrate as quickly as possible
  and DO NOT let the athlete return to
  participation.

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Symptoms of Heat Illness

• Heat (muscle) Cramps
• Exercise-associated muscle (heat) cramps
  represent a condition that presents during or
  after intense exercise sessions as an acute,
  painful, involuntary muscle contraction. Proposed
  causes include fluid deficiencies (dehydration),
  electrolyte imbalances, neuromuscular fatigue or
  any combination of these factors.

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• Treatment
• Try to rehydrate orally, preferably with
  electrolyte solution
• Apply ICE to the affected area
• Encourage athlete to counter contract opposing
  muscle group
• Light stretching or massage is permissible
• If cramps do not subside or if the athlete is
  vomiting the athlete may need I.V. fluids

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• Heat Syncope - Orthostatic Dizziness
• May occur when a person is exposed to high
  environmental temperatures. Usually occurs within
  the first five days of acclimatization, before
  blood volume expands.
• Treatment
• Remove athlete from participation to a cooler
  place
• Try to rehydrate orally preferably use
  electrolyte solution
• Monitor vital signs and cognitive status

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• Heat exhaustion or heat stroke
• Treatment
• Activate EAP and call 911
• Remove equipment and clothing
• Remove athlete from participation to an air
  conditioned space if available
• Begin aggressive cooling (ice packs, cold shower,
  cold water immersion)
• Try to rehydrate orally
• Monitor vital signs and cognitive status

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Preventing Heat Injuries

• Acclimatization is a must
• If possible, arrange training for the coolest
  part of the day or go indoors.
• Rest in the shade during breaks. Remove excess
  clothing take advantage of wind, fans or cooling
  devices to cool.

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Preventing Heat Injuries

• Use minimal, loose-fitting clothing made from
  natural fibers to promote heat loss.
• Ensure players are fully hydrated prior to
  participation. 16-20 oz of fluid, 2 hours before
  and at least 8-10 oz every 15 minutes during is a
  must.
• Drink properly formulated sports drinks to delay
  onset of fatigue during exercise and to provide
  carbohydrates. Especially important as muscles
  favor carbohydrate metabolism in warm conditions.
  

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Heat Index Calculator

• http//www.osaa.org/heatindex/

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Heat Index Levels and Guidelines

• Under 95 Heat Index
• All Sports
• Provide ample amounts of water. This means that
  water should always be available and athletes
  should be able to take in as much water as they
  desire
• Optional water breaks every 30 minutes for 10
  minutes in duration
• Watch/monitor athletes for necessary action
• Check and record Heat Index during each break and
  make necessary modifications

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Heat Index Levels and Guidelines

• 95- 99 Heat Index
• All Sports
• Provide ample amounts of water. This means that
  water should always be available and athletes
  should be able to take in as much water as they
  desire
• Mandatory water breaks every 30 minutes for 10
  minutes in duration
• Watch/monitor athletes for necessary action
• Check and record Heat Index during each break and
  make necessary modifications
• Contact sports and activities with additional
  equipment
• Helmets and other possible equipment removed if
  not involved in contact

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Heat Index Levels and Guidelines

• 100- 104 Heat Index
• All Sports
• Provide ample amounts of water. This means that
  water should always be available and athletes
  should be able to take in as much water as they
  desire.
• Mandatory water breaks every 30 minutes for 10
  minutes in duration
• Watch/monitor athletes for necessary action
• Check and record Heat Index during each break and
  make necessary modifications
• Alter uniform by removing items if possible
• Allow for changes to dry t-shirts and shorts
• Reduce time of outside activity
• Contact sports and activities with additional
  equipment
• Helmets and other possible equipment removed if
  not involved in contact or necessary for safety

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Heat Index Levels and Guidelines

• Above 104 Heat Index
• All Sports
• Limit outside activity in practice and/or play.
• Watch/monitor athletes for necessary action
• Check and record Heat Index during each break and
  make necessary modifications.
• Inside practices are limited to the following
• Walk-throughs
• Weight training
• Meetings
• Provide ample amounts of water. This means that
  water should always be available and athletes
  should be able to take in as much water as they
  desire.
• Mandatory water breaks every 20 minutes in a
  shaded area
• Contact sports will conduct practice in helmets
  and shoulder pads with the option to remove one
  or both pieces of equipment as conditions change.

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Wet Bulb Categories (Inside)
Category WBGT F WBGT C Flag color
1 lt79.9 lt26.6 No flag
2 80-84.9 26.7-29.3
3 85-87.9 29.4-31.0
4 88-89.9 31.1-32.1
5 gt90 gt32.2
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WBGT Guidelines according to Categories or Flags
(Inside)

• No limits, suggested breaks for hydration every
  30 minutes depending on exertion.
• No limits, must hydrate every 30 minutes and at
  least a 5 minute break in shade with fans.
• Limit strenuous activities to a maximum of 20
  minutes, hydration and cool down break in shade
  for at least 5 minutes.

1. Limit strenuous activities to maximum of 20
   minutes, hydration and cool down break in shade
   for 10 minutes.
2. Limit strenuous activities to maximum of 15
   minutes, hydration and cool down break in shade
   for 10 minutes. Walk-throughs, weight training,
   and meetings are suggested if conditions worsen.
   activities to 15 minutes, hydration and cool down
   break in shade for 10 minutes. Walk-throughs,
   weight training, and meetings are suggested if
   conditions continue to worsen.

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Fluid Replacement

• During practice make fluids readily available.
  Every 15 minutes athletes should consume 7 to 10
  oz of fluids. (DO NOT DENY WATER BREAKS)
  Remember to calculate your rest/break sessions
  based on temperature to humidity forecast.
  Provide some sort of shade to allow the athletes
  to get out of direct sun exposure.
• Post-exercise hydration should aim to correct any
  fluid loss accumulated during the practice or
  event. Ideally completed within 2 hours,
  rehydration should contain water to restore
  hydration status, carbohydrates to replenish
  glycogen stores, and electrolytes to speed
  rehydration.

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How to Determine Dehydration

• Urine Color
• Urine color of a well hydrated individual should
  be clear to slightly tinted. If the urine output
  is the color of Apple Juice, the individual is
  dehydrated and should be rehydrated before
  participating.

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AM I HYDRATED? - Urine Color Chart
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2 If urine matches 1, 2, or 3, you are properly hydrated.
3 Continue to consume fluids at the recommended amounts.

4 If your urine color is below the RED line, you are DEHYDRATED
5 and at risk for cramping and/or a heat illness!
6 YOU NEED TO DRINK MORE WATER!
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How to Determine Dehydration

• Weight Loss
• Weigh athletes prior to first practice. (DO NOT
  go by weight listed on the athletes
  pre-participation physical)
• Weigh athletes pre- and post-practice.
• 1 to -1 percent of total body wt. loss Well
  Hydrated
• -1 to -3 percent of total body wt. loss
  Minimal
• If an athlete has not recovered to less than
  -3 total body weight, he is held out until he
  makes weight.
• 3. -3 to -5 percent of total body wt. loss
  Significant
• Notify Parents of potential hazards
• gt 5 percent of total body wt. loss Serious
  Dehydration
• Notify Parents and suggest taking to ER for
  IV fluids

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Implement a Hydration Protocol

• Educate athletes AND parents on effects of
  dehydration on physical performance.
• Inform athletes on how to monitor hydration
  status.
• Convince athletes to participate in hydration
  protocols based on sweat rate, drinking
  preferences, and personal responses to different
  fluid quantities.
• Encourage coaches to mandate rehydration during
  practices and competitions, just as required
  other drills and conditioning activities.

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Implement a Hydration Protocol

• ID at risk heavy sweaters
• Have scale accessible to weigh before and after
  practices, alert athlete and or parent if an
  unusual amount of weight loss.
• Provide optimal oral rehydration solution (water,
  sport drinks, electrolytes) before, during, and
  after exercise.
• Implement hydration protocol during all practices
  and games, and adapt as needed.
• Finally, encourage event scheduling and rule
  modifications to minimize the risks associated
  with exercise in the heat

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Why Is Treatment So Critical?

• The Golden Hour?
• The Golden ½ Hour the first 30 minutes of heat
  illness are the most crucial for treatment!

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Cold Water Immersion Cooling Guidelines

• Prepare ice water immersion
• On the field or in a tent, half-fill tub or
  wading pool with water and ice (before use, check
  water source to see how quickly tub fills).
• Stock tank can be filled with ice and cold water
  before an event or have tub half-filled with
  water and coolers of ice next to tub to prevent
  keeping tub cold throughout the day.

• Ice should cover the surface of the water
• If the athlete collapses near an athletic
  training room, a whirlpool tub or cold shower may
  be used.

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Total body coverage

• Cover as much of the body as possible with ice
  water while cooling
• If full body coverage is not possible, cover the
  torso as much as possible
• Keep the athletes head and neck above water, an
  assistant may hold the victim under the armpits
  with towel or sheet wrapped across the chest and
  under the arms.

• Place an ice/wet towel over head and neck while
  body is being cooled in tub
• Use a water temperature below 60ºF

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• Vigorously circulate waterDuring cooling, water
  should be continuously circulated or stirred to
  improve the water-to-skin temperature gradient,
  which optimizes cooling. Have an assistant stir
  the water during cooling.

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• Continue medical assessment
• Vital signs should be monitored at regular
  intervals.
• It may be helpful for an assistant to stand
  nearby in case the athlete becomes combative.
• Other assistants may be needed to lift or roll
  the athlete if vomiting occurs.

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• Cooling duration
• Continue cooling until the patients rectal
  temperature lowers to 39ºC (102ºF)
• If rectal temperature cannot be measured and cold
  water immersion is administered, cool for 10-15
  minutes and then transport to a medical facility
  (1F/3 minutes)
• If rectal thermometer is not being used because
  of lack of proper medical help, remove from water
  after shivering begins, a natural reaction of the
  body to warm itself

• Patient transfer
• Remove the patient from the immersion tub only
  after rectal temperature reaches 39ºC (102ºF) and
  then transfer to the nearest medical facility via
  EMS as quickly as possible

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Cold Water Immersion
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AAA Recommendations

• Football Pre-season Regulations
• 1. Football practice may begin on Monday of week
  5.
• 2. Schools cannot have consecutive days of
  two-a-day practices.
• 3. Three days of conditioning with only football
  helmets and shorts are mandatory before full pads
  are worn.
• 4. Thursday of week 5 is the first permissible
  practice with full equipment.(August 4)

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AAA Recommendations

• 5. Student athletes shall not engage in more than
  three hours of practice activities on those days
  during which one practice is conducted.
• 6. Student athletes shall not engage in more than
  five hours of practice activities on those days
  when more than one practice is conducted.
• 7. The maximum length of any single practice
  session is three hours.
• 8. On days when more than one practice is
  conducted, there shall be, at a minimum, one hour
  of rest/recovery time between the end of one
  practice and the beginning of the next practice.

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AAA RecommendationsWhen determining how to count
time spent as practice activities please
consult the following chart
What Counts WHAT DOESNT COUNT
Actual on field/court practice Meetings
Sport specific skill instruction Weight training
Mandatory conditioning Film Study
Voluntary Conditioning Water breaks
Rest breaks
Injury treatment
No activities (including meetings, weight
training, and film study) can occur during the
one hour rest/recovery time between the end of
one practice and the beginning of the next
practice (on days when more than one practice is
scheduled). This time is exclusively for students
to rest/recover for the following practice
session.
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Things we will do

• Weigh in and out
• Weigh in before and after practice and chart to
  keep records for coaching staff and athlete
• Water breaks
• every 15 30 minutes in shade, depending on
  weather and intensity of practice

• Cold water emersion after practice
• After practice wading pools are setup up with
  water and ice for athletes to cool down their
  core temperature
• This aids in healing of leg muscles and
  alleviates cramping later

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Things we will do

• Water available at all times during practice
• Water bottles will be available to all groups for
  drinks between reps or plays
• Heat Index Calculator
• Take readings every water break and adjust
  schedule and equipment as indicated by reading
  and chart
• Gatorade after practice
• 10 gallons mixed for athletes after practice

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Things we will do

• Have parent meetings for necessary activities. We
  will disseminate information we have to parents
  on, proper hydration, nutrition, and rest. Let
  them know the protocols that we are using are
  accepted and safe for their athletes.
• R\Athletic EAP\Hydration Campaign - Printed
  Information.pdf

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Things we will do

• Have canopies, misters, tents, and fans set up
  for a break area
• We will have water and Gatorade available at all
  breaks
• Athletes will take off shoulder pads and helmets
  during water and cool down breaks to aid in
  getting core temps down
• Have cold water emersion tank at break station
  with water in it and ice ready if needed

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Supplemental Instruction Plan

• We will be having a Supplemental Instruction
  Program (SIP) this year for students who do not
  have a 2.0 or higher grade point average.
• I will be having meetings with the parents of
  those students who qualify.
• Monday and Wednesday from 330-510
• Two tardies of up to 5 minutes will be allowed.
• Must remain in SIP for an additional 20 minutes
• During semester student is enrolled
• No unexcused absences
• No out of school suspension
• No criminal convictions
• Result is immediate suspension from the program

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Supplemental Instruction Plan

• Maintain Eligibility
• Pass 4 academic courses and earn a minimum of 2.0
  GPA (Out of SIP)
• Pass 4 Academic courses and show improvement of
  at least one tenth of one point in his/her GPA
  after first semester of SIP. Student is in SIP
  for the next semester but must make a 2.0 to
  remain eligible.
• The rule restricts a student to a maximum of two
  consecutive semesters in the SIP any time a
  students GPA falls below a 2.0 for the previous
  semester.

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AAA Concussion Guidelines and Procedures

• The Arkansas Activities Association Board of
  Directors has adopted the following guidelines
  for dealing with a concussed student athlete
•  
• 1. No athlete should return to play or practice
  on the same day of a concussion.
• 2. Any athlete suspected of having a concussion
  should be evaluated by an appropriate health-care
  professional that day (MD, DO, Nurse
  Practitioner, Certified Athletic Trainer, or
  Physician Assistant).
• 3. Any athlete with a concussion should be
  medically cleared by an appropriate health-care
  professional prior to resuming participation in
  any practice or competition.
• 4. After medical clearance, return to play should
  follow a step-wise protocol with provisions for
  delayed return to play based upon the return of
  any signs or symptoms.
• Any athlete who exhibits signs, symptoms, or
  behaviors consistent with a concussion (such as
  loss of consciousness, headache, dizziness,
  confusion, or balance problems) shall be
  immediately removed from the contest and shall
  not return to play until cleared by an
  appropriate health-care professional.

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AAA Concussion Guidelines and Procedures

• Behavior or signs observed indicative of a
  possible concussion
• Loss of consciousness
• Appears dazed or stunned
• Appears confused
• Forgets plays
• Unsure of game, score or opponent
• Moves clumsily
• Answers questions slowly
• Shows behavior or personality changes
• Cannot recall events prior to or after the injury
  

• Symptoms reported by a player indicative of a
  possible concussion
• Headache
• Nausea
• Balance problems or dizziness
• Double or fuzzy vision
• Sensitivity to light or noise
• Feeling sluggish
• Feeling foggy or groggy
• Concentration or memory problems
• Confusion

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MRSA Guidelines

• Athletes MUST wash their hands prior to any
  athletic participation.
• Athletes should have all cuts and scrapes covered
  prior to participation. After participation clean
  the wound and recover.
• DO NOT allow athletes to share water bottles,
  towels, razors, or athletic equipment. (use cups
  disposable drinks, individual towels or
  disposable towels, and make sure athletes are
  wearing the equipment that was issued to them.
• Make alcohol based hand sanitizer available
  during practice and games.
• Athletes MUST take showers after practice and
  games.

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MRSA Guidelines

• Disinfect ALL balls used in practice or games by
  spraying with Lysol.
• Clean locker rooms, meeting areas, in-door
  workout facilities, courts, and cheerleading mats
  weekly with an FDA approved solution that targets
  MRSA (wrestling mats should be cleaned daily)
• Wash all soft good items daily (towels, practice
  gear, etc.)
• Specific equipment for each sport should be
  cleaned weekly (volleyball knee pads, football
  equipment, catchers gear, etc.
• Weight rooms should be equipped with disinfecting
  wipes and hand sanitizer (wipe down weights after
  each use, encourage athletes to clean hands,
  cover and tears on weight benches, athletes
  should wear shirts while working out)
• Any athlete with signs and symptoms of an
  infection should be isolated from the rest of the
  team immediately and referred to a licensed
  health care professional, such as a school nurse,
  certified athletic trainer, or physician

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WE NEED YOU TO

• READ THE HYDRATION INFORMATION
• TAKE THE QUIZ
• RETURN THE COMPLETED FORMS TO YOUR COACH OR
  SPONSOR