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5 Critical Pulse Points: Circulation Assessment in Unstable Patients
5 Key Signals: Decoding General Impression and Mental Status in Sports Emergencies
6 Crucial Breath Checks: Navigating Airway and Breathing Challenges in Sports Injuries
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Critical Decision Points 2.0: Interactive Case on Managing A Swimmer Drowning
Critical Decision Points 2.0: Interactive Case in Managing Uncontrolled Bleeding In A Baseball Player
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Hand It Over: Giving Report To EMS In A Clear, Concise Manner
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Understanding The Respiratory System and Assessment
Understanding Psychiatric Emergencies in Athletic Settings
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Heat-Related Illnesses: Pediatric vs. Adult Patient Management
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Course Info (Learning Objectives; Practice Gap; Clinical Bottom Line; Summary Conclusions)
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1:05:52
1:05:52
Presentation (Video)
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Heat-Related Illnesses: Pediatric vs. Adult Patient Management
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Learning Material
Presentation (Video)
Updated Jan 22, 2024
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00:03
Welcome everyone to the 12 o'clock midday on Wednesday. Ray Castle, the moderator for today's session. I'm excited to have doctor David Heath on board for our next our our second presentation of the day.
04:00
So, again, I appreciate you coming on board with me here. I was both an athletic trainer for 20 years as well as an emergency physician. So I do see a lot of heat illnesses both in pediatrics and adults. In this presentation, as there is in real life, on heat stroke, exertional heat stroke. And also throughout the lecture, you're gonna see a little pearls, pitfalls, and little chicken nuggets that you can hopefully snack on.
08:37
Athletic trainers have to care for everybody. I see a lot of these folks even in the emergency department. But on the field, you're gonna have to take care of grandma, grandpa, the coach, the other athletic trainers.
13:46
Exertional heat on its 1.5 new cases per 100,000 people or players. Heat stroke is about the same, but if you look for heat illness, it's a little bit higher. American football, American style football, girls field hockey, Cross country are gonna be your highest risk.
19:16
Athletic trainers also have to be aware of pre existing conditions. 50% of those people with exertional heat elements don't have any risk factors.
24:46
Children produce more metabolic heat per kilogram of body weight. Their body surface area is also different. Their mass isn't quite as dense as adults.
30:04
August is a really high risk month. If you suspect it, like, if you have those individuals that you know on your medical screening exams, like pre participation exams. Just keep an eye on them. Then you can identify those individuals with those risk factors.
35:16
Ambulances can't accommodate cold water immersion. Evaporative cooling is probably the best thing for pre pervertal individuals. Aggressive management is key here.
40:11
There's also a method called tarp assisted cooling with oscillation, a taco method. The Polar Life pod is actually a decent option, but it costs a lot of money.
45:05
Doctor Heath: I cannot emphasize enough the importance of an emergency action plan at whatever venue you're at. Athletic trainers do it, and we do it right. We have to educate people. If you're going to do a temperature, do the rectal one.
50:22
You're welcome. Next question is from Chris is What is the rationale for why cold water immersion should not be used for pediatric patients? Is there an age or body mass cutoff for using CWI?
54:42
Jeff: I wholeheartedly can concede that it's a a very safe way of treating coal treating the exertional heat elements. Hillary: We also do We have the retro thermometer on the on the ambulance.
59:24
Athlete cooling method is applied prior to their departure from whatever venue they're at and when feasible that is transported with the athlete. Most commonly, they're gonna get CWI on-site before ambulance arrives to the scene in their body bags.
1:03:16
They're not gonna have these altered mental status you know, aberration, so to speak. The main thing is just do the wrap do rapid treatment.
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