Pickens player released from hospital after heat illness; coach says GHSA guidelines help

New Pickens football coach Chris Parker says the GHSA’s new heat guidelines and education helped last week when one of his players was hospitalized after practice because of a heat illness.

The player, a starter on the defensive line, was released over the weekend, although he might not return to practice until next week, Parker said.

The player became ill at the end of practice Thursday, the second day that teams could have mandatory workouts. One of the new GHSA guidelines requires that a cold immersion tub be available to players if the wet-bulb temperature exceeds 92 degrees.

The reading was not that high on Thursday, but the tub was used on the player. He seemed to rally, Parker said, but began experiencing severe cramps afterward, and an ambulance was called.

‘’The things they’re doing with the temperature guidelines, it’s good,’’ Parker said. “It holds people accountable. We’re much more educated on how to handle those things. When most of us first started coaching, we didn’t know any better.’’

Parker cautioned that heat issues in football are almost impossible to prevent entirely. They occured last week even when his team wasn’t in full pads and followed the GHSA’s guidelines.

‘ ‘The mistake that people make is that they assume now that we have these guidelines, things aren’t going to happen,” Parker said. ”When something happens, we have to do best we can at that moment and hopefully learn from it.’’

9 comments Add your comment

mgdawg

August 6th, 2012
3:08 pm

Actually heat issues are the most easily preventable injury. The only problem is that it takes the athletes to responsible. I am an athletic trainer and work in the high school level. I bet well over half the team skips breakfast daily, and probably around half of them skip lunch. We can do a lot of things for them when they are at the school, but when they go home we have no control. Also, even when they are at the school we can offer them food and drink, but we can’t force it down their throat.

Most high school football coaches are doing a fine job at monitoring practice, but the failure comes when they leave the school. Did you know the water you drink while at practice isn’t to rehydrate you, it is to cool you down by the temperature of the water. You really don’t want to drink that much while practicing because it just sits in your stomach and can cause nausea. Your body doesn’t digest well when exercising, when you go home is when you rehydrate.

FAN

August 6th, 2012
3:51 pm

GOOD INFO MGDAWG,MIGHT CONSIDER THIS FOR LITTLE LEAGUE ALSO. GOOD COMMENT

sports

August 7th, 2012
6:32 pm

Here we go again. Are we close to losing another kid at the hands of the fanatical coachs. The Georgia High School Association needs to leash thesefanatics before another tragedy occurs. Every year these kids are subjected to danger at the hands of the “win at alny cost” idiots. I wouldn’t dare leave my child in the hands of these people.

billdawg

August 8th, 2012
7:39 am

sports,
Sounds to me like Coach Parker did everything right. What is your problem? Now slowly read what mgdawg has to say. Then, if you are man enough, apologize to Coach Parker.
billdawg

Jordan H.

August 9th, 2012
9:07 am

Tony

August 9th, 2012
12:44 pm

We are finishing our conditioning week tonight. On Tuesday, I had a kid arrive at practice dehydrated. It’s summer, these boys are out all day with friends, and the player told me he had 1 SODA all day to drink. But, if this was not caught, and the kid was allowed to proceed, this would have been 100% on us coaches. So be careful, you do NOT have to be the one responsible for the kid being dehydrated upon arrival, but as soon as he straps his helmet on, he’s our responsibility and no one will care WHERE he became dehydrated if the player sucumbs to heat exhaustion, just that it happened on YOUR field under YOUR watch.

Debbie

September 2nd, 2012
10:16 pm

Is heat exhaustion and dehydration the same thing? If not, how do the symptoms differ?

mike craven

September 3rd, 2012
8:08 am

Mike Craven True Fitness Solutions The irony of football being a team sport and success coming from buy in, culture change, unity, collective responsibility and LEADERSHIP is The TEAM that is responsible for caring for our players safety in preventing Exertional Heat Stroke needs to understand the same. SUPPORT NEEDS TO EXIST TO DO THE RIGHT THING. The Medical Field has said that Exertional Heat Stroke (EHS) IS 100% preventable yet often leaves judgment to intensity,duration,and frequency of practice to coaches without giving them clear guidelines to the individuals heat and exercise tolerance. Pre-participation physicals never have and never will prevent EHS unless change to include Peak Vo2 testing. Peak Vo2 testing measures a players production of heat and the circulatory system ability to release that heat. A players Peak Vo2 under 40 ml/kg /min is consider a risk factor for Heat Storage that can lead to EHS when doing High Intensity work in a repeat manner according to the ACSM guildlines.In fact some coaches are under the false impression that the athletic Trainer handles all his heat related concerns. If a player goes down from what the coach had him do in practice is having a Athletic Trainer come to the rescue is this PREVENTION or REACTING to a very bad situation that is in need of a Emergency Action Plan. Our Teams goal should be to take Evidence Based information and show Coaches HOW to practically applied it (Prepare to Prevent). However support needs to exist from all TEAM members to do the right thing.Princple, AD, AT, Team Physician, Coach, Strength & Conditioning Coach, and Parents all have a role but the most important role is respecting what is Evidence Based and not letting our attitude prevent change if it can prevent a death.Exertional Heat Stroke can occur from many combine risk factors. The number one risk factor that I see being ignore from all TEAM members at every level is High Intensity Exercise or Physical Exertion that produces more heat than the individuals Cardio system can release to environment. So Heat can be gain from environment and muscles contracting that can lead to heat storage unless there is a sufficient level of AEROBIC STRENGTH to allow Thermal Balance. Aerobic Strength can be measure though Peak Vo2 testing with the same degree of accuracy as a blood pressure test. Peak Vo2 testing can INDENTIFY low to high heat tolerance before practices even start. The American College of Sports Medicine Position Statement on heat illness list VO2 scores under 40ml/kg/min as a risk factor relating to poor physical fitness. The National Athletic Trainers Position Statement Exertional Heat Illness lists under Nonenvironmental risk factors Poor Physical Condition as Individuals who are untrained are more susceptible to heat illness than are trained athletes. As the Vo2 max of individual improves, the ability to withstand heat stress improves independent of acclimatization and heat adaptation. High Intensity work can elevate core temperature of at risk individuals to dangerous levels within 20 to 30 min.Acclimatization to heat and high intensity exercise is a Physiologic process. When describing acclimimatization we must ask to what, walking to a school bus or running wind sprints that produce heat 5 times higher. Acclimatization describes HOW the body changes to allow more work to be performed with a lower core temperature. Your Cardiovascular system is the workhorse to get more blood to muscle for muscle contractions and skin for heat release. The capacity to increase blood flow to muscle and skin comes from improvements in Peak Vo2 but to sustain comes from correct training. Aerobic Strength Training from Vo2 test results is what causes the Physiological responses to becoming HEAT FIT. Like any other form of strength (absolute, speed, short term endurance, anaerobic) AEROBIC STRENGTH has guidelines that need to be followed for safety and performance. Aerobic Strength leads to improvements of Peak Vo2 scores during steady rate training which increases the Acclimatization by being able to transfer more heat to skin. Misconception, Inconsistency, and outright fraudulent claims that doing football anaerobic drills in practice can cause the same training affect are still the mindset of many Leaders that are wrong. Physical Fitness, increase condition, in shape, in relation to being Heat Fit or a higher rate of acclimatization should only be associated with Peak Vo2.What is the best way to develop this form of strength should be just as important as INDENTIFYING low to high scores. The number one cause of Exertional Heat Stroke is an unmatched physical intensity of exercise for the athletes current level Peak Vo2 capacity. Produce more heat from muscles than you have the circulatory capacity to release. Heat that is GAIN becomes Heat that is STORED. Evidence Based Information vs. Attitude. We are losing players to EHS across the United States because we are not practically applying what we know we can prevent. SUPPORT FOR THE RIGHT THING TO DO NEEDS TO EXIST before we can see a culture change that just like water being present at all practices and encourage to drink. How could water being restricted from practices continue from 1960 though 1975 when the EVIDENCE show muscle dehydration cause blood volume to drop, which reduce stroke volume, that lower Cardio Output and cause athletes Peak Vo2 to drop 10% at 2% dehydration which leads to Heat Storage and possible death from EHS. We have more Coaches buying in today to the importance of hydration not because they understand Thermal Balance but because of other members of TEAM that support that it is the right thing to do to prevent a death. Whether your Peak Vo2 is low from dehydration or low from not training for Aerobic Strength correctly either way causes players to be at risk for Exertional Heat Stroke. Collective Responsibility is who to hold responsible for someone’s else’s action by tolerating, or ignoring them without participating in the action that you knew was wrong. A Team Physician, AT,Coach,AD,Strength& Conditioning Coach or even a Parent would not let a coach teach tackling with the head down because it has become well known to being the cause of severe injury. This support needs to exist from all TEAM members to do the right thing to prepare to prevent EHS. Safety every parent wants, performance every player desires and liability of all involved. Mike Craven True Fitness Solutions

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September 16th, 2012
3:33 am

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