BRINGINGTO WATER - PowerPoint PPT Presentation

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BRINGINGTO WATER

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Dr. Yulanda Swindell, MD. Physician- University Health Center 'BRINGING TO WATER' ... 12-20 oz of cold water / Gatorade every 10-20 minutes pre-practice ... – PowerPoint PPT presentation

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Title: BRINGINGTO WATER


1
BRINGING TO WATER
  • University of Maryland Department of
    Intercollegiate Athletics
  • Heat Illness Prevention
  • Management Program

2
BRINGING TO WATER
  • Developed by the University of Maryland Sports
    Medicine Department in consultation with
    University of Maryland Team Physicians

3
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

4
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

5
BRINGING TO WATER
  • Personnel (Athletic Trainers)-
  • Darryl Conway (Football)
  • Sandra Worth (Football)
  • JJ Bush (Volleyball / Comcast Center)
  • Matt Charvat (Football)
  • Deanna Bennett (Field Hockey)
  • Terrence Gee (Mens Soccer)
  • Andrea Roth (Womens Soccer)

6
BRINGING TO WATER
  • Personnel (Athletic Trainers)-
  • Mary Anderson (Mens Soccer / Cross-Country)
  • Theresa Doherty (Field Hockey)
  • Chris Duncan (Womens Soccer)
  • Erin Field (Football)
  • Niki McElroy (Volleyball)
  • Jason Olszewski (Football)

7
BRINGING TO WATER
  • Temperature Regulation-
  • Air temperature
  • Wind
  • Humidity
  • Clothing
  • Activity intensity
  • Fluid intake
  • Adaptability of the body

8
BRINGING TO WATER
  • Susceptibility-
  • Prior history
  • Medical conditions
  • Poorly conditioned / un-acclimatized
  • Overweight / high BMI
  • Low body fat / low BMI
  • Low heat tolerance
  • Ill athletes

9
BRINGING TO WATER
  • Susceptibility-
  • Taking medications
  • Supplements
  • Poor diet / nutrition
  • High core temperatures
  • gt 3 body weight loss
  • Restricted / low-salt diets
  • Heavy sweaters (Salty Sweaters)

10
BRINGING TO WATER
  • Prevention (Pre-Season)-
  • Medical history / physical exam
  • Strength conditioning
  • Acclimatization
  • Education (coaching staff)
  • Education (student-athletes)
  • Education (athletic trainers)

11
BRINGING TO WATER
  • Prevention (Pre-Season)-
  • Facility prep
  • Emergency planning
  • Team meetings

12
BRINGING TO WATER
  • Supplements-
  • Notify your athletic trainer what supplements you
    are taking
  • Supplement Notification Form
  • STOP taking all supplements

13
BRINGING TO WATER
  • 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

14
BRINGING TO WATER!
15
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

16
BRINGING TO WATER
  • 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

17
BRINGING TO WATER
  • Prevention (During Practice)-
  • Ice / water / Gatorade / ice towels
  • Gatorlyte / Heat Guard / Magonate
  • IVs
  • Cold tubs

18
BRINGING TO WATER
  • Prevention (Post-Practice)-
  • Weight Charts
  • Urine Color Chart
  • How Much Water To Drink Chart
  • Diet / Nutrition
  • REST
  • Heat Guard / Magonate / MediLyte

19
BRINGING TO WATER
  • Prevention (Post-Practice)-
  • Cold Tubs
  • Communicate with coaching staff
  • Team Physician availability
  • IVs

20
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

21
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.)
  • No fast food
  • No caffeine or alcohol
  • Lightly salt foods to taste
  • No supplements

22
BRINGING TO WATER!
  • Meetings-
  • DRINK!!
  • Water bottles
  • Cool clothing

23
BRINGING TO WATER
  • Heat Cramps-
  • Heat Exhaustion-
  • Heat Stroke-

24
BRINGING TO WATER
  • Heat Index-

25
BRINGING TO WATER
  • Heat Index Practice Recommendations-
  • Below 80- monitor
  • 80 85- additional breaks
  • 85 90- additional breaks monitor closely
    ?? modify uniform
  • gt 90- additional breaks monitor closely
    modify uniform ?? shorten practice time

26
BRINGING TO WATER
  • Modification of Athletic Activities-
  • Chain of Command
  • Criteria-
  • Monitor HI
  • Communicate with coaching staff
  • Recommendations

27
BRINGING TO WATER
  • Supplement Notification Form-

28
BRINGING TO WATER!
29
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

30
BRINGING TO WATER
  • 3 Weight Loss Chart-

31
BRINGING TO WATER
  • Heat Illness Warning-

32
BRINGING TO WATER!
  • Miscellaneous-
  • Communicate
  • Be prepared
  • Encourage PRACTICE good fluid replacement
    dietary habits
  • Recognize heat illnesses follow the established
    emergency plan
  • Get REST!

33
BRINGING TO WATER!
  • Questions???

34
BRINGING TO WATER!
  • THANK YOU!
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