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BRINGING TO WATER

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BRINGING TO WATER

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    1. “BRINGING TO WATER” University of Maryland Department of Intercollegiate Athletics Heat Illness Prevention & Management Program

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

    3. 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”

    4. 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”

    5. Personnel (Athletic Trainers)- 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”

    6. Personnel (Athletic Trainers)- Mary Anderson (Men’s Soccer / Cross-Country) Theresa Doherty (Field Hockey) Chris Duncan (Women’s Soccer) Erin Field (Football) Niki McElroy (Volleyball) Jason Olszewski (Football) “BRINGING TO WATER”

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

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

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

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

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

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

    13. 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 “BRINGING TO WATER”

    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. 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” “BRINGING TO WATER”

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

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

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

    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. Heat Cramps- Heat Exhaustion- Heat Stroke- “BRINGING TO WATER”

    24. Heat Index- “BRINGING TO WATER”

    25. 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”

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

    27. Supplement Notification Form- “BRINGING TO WATER”

    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. 3% Weight Loss Chart- “BRINGING TO WATER”

    31. Heat Illness Warning- “BRINGING TO WATER”

    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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