BRINGINGTO WATER

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BRINGING TO WATER

• University of Maryland Department of
  Intercollegiate Athletics
• Heat Illness Prevention
• Management Program

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BRINGING TO WATER

• Developed by the University of Maryland Sports
  Medicine Department in consultation with
  University of Maryland Team Physicians

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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

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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

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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)

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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)

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BRINGING TO WATER

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

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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

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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)

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BRINGING TO WATER

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

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BRINGING TO WATER

• Prevention (Pre-Season)-
• Facility prep
• Emergency planning
• Team meetings

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BRINGING TO WATER

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

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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

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BRINGING TO WATER!
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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

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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

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BRINGING TO WATER

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

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BRINGING TO WATER

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

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BRINGING TO WATER

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

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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

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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

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BRINGING TO WATER!

• Meetings-
• DRINK!!
• Water bottles
• Cool clothing

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BRINGING TO WATER

• Heat Cramps-
• Heat Exhaustion-
• Heat Stroke-

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BRINGING TO WATER

• Heat Index-

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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

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BRINGING TO WATER

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

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BRINGING TO WATER

• Supplement Notification Form-

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BRINGING TO WATER!
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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

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BRINGING TO WATER

• 3 Weight Loss Chart-

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BRINGING TO WATER

• Heat Illness Warning-

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BRINGING TO WATER!

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

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BRINGING TO WATER!

• Questions???

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BRINGING TO WATER!

• THANK YOU!