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Transcript
Exertional Heat Illnesses Gone Wrong: Case Failure Points
General Course Information
Course Info (Description; Learning Objectives; Practice Gap; Clinical Bottom Line; Summary Conclusions)
About the Presenter
Continuing Education Credits / Course Disclaimers and Conflicts of Interest / Refund Policy
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1:01:24
1:01:24
Presentation (Video)
Completed
Complete
Exertional Heat Illnesses Gone Wrong: Case Failure Points
›
Learning Material
Presentation (Video)
Updated Jan 22, 2024
Bookmarks
00:00
This is Ray Castle, moderator for the session. We have a solid hour of content from Doctor Walters, and then also from have a chance to answer your questions during this session. Doctor Walters is considered one of the leading emergency care experts in the country.
03:34
Doctor Cassel was asked to look at cases, you know, what went wrong, what happened, why did exertial heat problems happen, and then we wanna review some of the failures to prepare for better performances in the future. One of the big issues today that I think we have to think, and and guys, bear with me. Sometimes when I start talking, I'll really get on some patents here.
07:09
The NCAA has 25 bylaws specific to health and safety. These are not enforced or required by the n c double a, whether it be CPR training for coaches or AEDs. So if your institution does enforce that, it's gonna be a problem.
11:42
The time from the onset of his cramps following his 7th repetition to being removed from the field was over 34 minutes. The time, the interval from his cramp until his mental status changed was almost an hour later. So we have to identify these problems. We have to make sure that we're looking for these things.
15:36
Athletes were allowed to leave the field. There was no supervision here. There's also a failure to monitor weather conditions. Do we have information specific to that venue specific emergency action plan and venue specific facilities.
19:48
Athletic trainer failed to recognize assess or treat appropriately on these these types of problems. Emergency action plans is not just why being an emergency action plan specific to exertional heat problems. It's also important that we train our people, that we educate them, we assess and that we continue to train.
23:34
"We have to look at the emergency action, we have to have a plan. Failing to plan is planning to fail" "We're focusing on the environment and the uniform as causes of the stroke"
27:42
Parsons Anderson Casa article preventing catastrophic injury and death and collegiate athletes. They talked about gradually and progressively encouraging the proper exercise and commoditization. We have to look at this. The science is there, and it does a lot of things for us.
31:42
The signs of fatigue to me are not making their comms and moving slower. Their hands are on their hips. They can't run, but they can't walk. And then when they get the stress here, that may be wobbly. They may have panic demeanor. They need assistance to be held up.
35:12
When we take a person from a line to a seated to a standing position with a 2 minute incremental there, what happens to their blood pressure? Are they orthostatically stable? What happens to the heart rate? What's your pulse oximetry? We have these handheld pulse oximeters now, and they would tell us a lot about a person's condition.
39:08
A rapid assessment involved the core temperature. If it's above a 104 degrees, we know we need to cool that person down. And we're gonna put them in a cold tub with that water being circulated around.
43:17
If we're if we're suspicious of exertional heat stroke, we've gotta look at those signs associated there and make sure that include disorientation, confusion, business, loss of balance, staggering, irritability, irrational unusual behavior. You have to plan and prepare for that. We have a pulse oximeter, blood pressure, cussle. We're monitoring vitals, respirations, part rate.
46:52
Ad works with me a lot of times when we're doing the training with the with the teams, but he talks about the transfer report. He says many times as a paramedic, the athlete trainer comes up and they just start telling you about what's going on. Give it to them in an organized way.
50:31
We always found that dehydration was a major problem. And so before they could practice the next practice, they had to be with 2% of their pre practice weight. So we applied that 2%, 4% to the whole to his weight or her weight for the whole week. I do think there's a lot of of usefulness in weight charts.
53:47
Siri: I'm really impressed with this this Siri. I think you have really got some impressive people on this Again, and I'm I'm this is really good. Thank you.
57:18
Steve Spurrier: We're finding out that when we don't hit so much, we're not having near as much trauma and problems with the head. I used to have a card at every practice that had all the medical alerts on there. I'm gonna, you know, be watching those people just to see where they are.
1:00:42
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