Implementing Exertional Heat Illness Prevention Strategies in US High School Football

2014 ◽  
Vol 46 (1) ◽  
pp. 124-130 ◽  
Author(s):  
Zachary Y. Kerr ◽  
Stephen W. Marshall ◽  
R. Dawn Comstock ◽  
Douglas J. Casa
2020 ◽  
Vol 64 (4) ◽  
pp. 643-650
Author(s):  
Shaina Poore ◽  
Andrew Grundstein ◽  
Earl Cooper ◽  
Jerry Shannon

2019 ◽  
Vol 127 (4) ◽  
pp. 047003 ◽  
Author(s):  
Zachary Y. Kerr ◽  
Johna K. Register-Mihalik ◽  
Riana R. Pryor ◽  
Lauren A. Pierpoint ◽  
Samantha E. Scarneo ◽  
...  

2013 ◽  
Vol 44 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Zachary Y. Kerr ◽  
Douglas J. Casa ◽  
Stephen W. Marshall ◽  
R. Dawn Comstock

2020 ◽  
Vol 55 (7) ◽  
pp. 673-681 ◽  
Author(s):  
Earl R. Cooper ◽  
Andrew J. Grundstein ◽  
Jessica D. Miles ◽  
Michael S. Ferrara ◽  
Patrick Curry ◽  
...  

Context Interscholastic heat policies for football have not been evidence based. Therefore, their effectiveness in mitigating exertional heat illness has not been assessed. Objective To discuss the development of the Georgia High School Association heat policy and assess the effectiveness of revised guidelines. Design Descriptive epidemiology study. Setting Georgia high schools. Patients or Other Participants Interscholastic football players in grades 9 through 12. Main Outcome Measure(s) Heat syncope and heat exhaustion (HS/HE) illness rates (IRs) were calculated per 1000 athlete-exposures (AEs), and relative risk (RR) was calculated as a ratio of postpolicy (POST) IR divided by prepolicy (PRE) IR. Results A total of 214 HS/HE cases (172 PRE, 42 POST) and 341 348 AEs (178 230 PRE, 163 118 POST) were identified. During the first 5 days of the PRE period, approximately 50% of HS/HE illnesses occurred; HS/HE IRs doubled when practice sessions increased from 2 to 2.5 hours and tripled for practices ≥3 hours. The HS/HE IRs in the PRE period increased from 0.44/1000 AEs for wet-bulb globe temperatures (WBGTs) of <82°F (<27.8°C) to >2.0/1000 AEs for WBGTs from 87°F (30.6°C) to 89.9°F (32.2°C). The RRs comparing PRE and POST policy periods were 0.29 for WBGTs of <82.0°F (<27.80°C), 0.65 for WBGTs from 82.0°F (27.8°C) to 86.9°F (30.5°C), and 0.23 for WBGTs from 87.0°F (30.6°C) to 89.9°F (32.2°C). No HS/HE illnesses occurred in the POST period for WBGTs at >90°F (>32.3°C). Conclusions Results from the PRE period guided the Georgia High School Association to revise its heat and humidity policy to include a mandated 5-day acclimatization period when no practices may exceed 2 hours and the use of WBGT-based activity-modification categories. The new policy reduced HS/HE IRs by 35% to 100%, depending on the WBGT category. Our results may be generalizable to other states with hot and humid climates similar to that of Georgia.


2007 ◽  
Vol 39 (Supplement) ◽  
pp. S49
Author(s):  
Rebecca M. Lopez ◽  
Susan W. Yeargin ◽  
Douglas J. Casa ◽  
Brendon P. McDermott ◽  
Matthew S. Ganio ◽  
...  

2018 ◽  
Vol 23 (4) ◽  
pp. 172-177 ◽  
Author(s):  
Riana R. Pryor ◽  
Douglas J. Casa ◽  
Susan W. Yeargin ◽  
Zachary Y. Kerr

All high schools should implement exertional heat illness (EHI) safety strategies. We determined if there were differences in the implementation of EHI safety strategies between schools with and without additional paid athletic trainers (ATs) or a team physician present at preseason football practices. High schools with multiple ATs or a team physician implemented more EHI prevention and management strategies than schools with only a single AT, including training staff in EHI recognition and treatment and having an emergency action plan. However, schools with a paid team physician were more likely to have double practices in the first week of football practice. Schools with additional medical personnel at football preseason practices were more likely to implement EHI safety strategies.


2021 ◽  
Vol 53 (8S) ◽  
pp. 220-220
Author(s):  
Samantha E. Scarneo-Miller ◽  
Adrian Boltz ◽  
Avinash Chandran ◽  
Andrew E. Lincoln ◽  
Hannah Robison ◽  
...  

2014 ◽  
Author(s):  
Chris Brown ◽  
Taryn J. Acosta ◽  
Bethany Mealy ◽  
Conrad T. Mueller ◽  
Lauren T. Dashjian

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