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Prevention of Exertional Heat Injuries: Clinical Implications and NCAA Regulations

This presentation by Dr. Michael Ferrara from the University of Georgia discusses the prevention of exertional heat injuries (EHI) in athletes. It covers the cumulative effects of environmental factors like Wet Bulb Globe Temperature (WBGT) and the clinical implications for training. The NCAA's 2003 regulations mandate a five-day acclimatization period for all football athletes, specifying practice limits and equipment usage. The increase in EHI risk due to environmental factors and individual athlete characteristics, such as fitness level and medical conditions, is emphasized.

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Prevention of Exertional Heat Injuries: Clinical Implications and NCAA Regulations

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Presentation Transcript

  1. ACSM/DOD Conference Prevention of EHI Michael S. Ferrara, Ph.D., ATC, FNATA University of Georgia Dept. of Kinesiology

  2. EHI Factors Cumulative Effect Role of the Environment - WBGT Clinical Implications Goals

  3. NCAA Regulations - 2003 Five-day acclimatization period for all football athletes. Only one on-field practice per day during the first five days. Days 1 and 2: helmets. Days 3 and 4: helmets and shoulder pads. Day 5: full pads.

  4. NCAA Regulations - 2003 Day 6 and on: full pads, but must alternate single and double session days Maximum of three hours of on-field practice on single session days Maximum of five hours daily on multiple session days. On multiple session days, three hour recovery must separate sessions. Team meetings not allowed during this time.

  5. Participation by Region 2004 –17 DI & 23 DIII schools submitted complete data 2005 –15 DI &17 DIII schools submitted complete data 2006 –15 DI & 20 DIII schools submitted complete data

  6. When do EHI Occur?

  7. Overall Injury Rates No Reported Exertional Heat Strokes

  8. Injury Rate by Region

  9. Injury Rate by Practice DayHeat Exhaustion

  10. Injury Rate by Pre-Season Session Number- Heat Exhaustion

  11. Injury Rate by WBGTAll Cases Accounts for 13.5% of exposures but accounts for 45% of the total injuries and 50% of Heat Exhaustions.

  12. Revised ACSM Scale, 2007

  13. Injury Rate by WBGTAll Cases Monitor Intervention Cancel

  14. Injury Rate byWork:Rest Guide

  15. EHI Prevention - Environment • EHI risk increases at: • ~820F WBGT • Risk of EHI rises exponentially as the WBGT increases • Cumulative Risks

  16. Common Sense • Fitness Level • Acclimatization • Overachiever • Supplements • Nutrition • General Medical Condition • Sickle Cell Trait • Weight Loss

  17. THANK YOU ST. MARY’S ATHLETIC TRAINING EDUCATION AND RESEARCH LABORATORY

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