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Specialty: Sports Medicine
Source: J Athl Train

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Total 125 results found since Jan 2013.

High Schools Struggle to Adopt Evidence Based Practices for the Management of Exertional Heat Stroke
CONCLUSIONS: ATs in the HS setting appear to be struggling to adopt a comprehensive EHS strategy, with rectal temperature continuing to appear as the biggest undertaking. Tailored strategies based on health behavior, facilitators and barriers may aid in changing this paradigm.PMID:33626130 | DOI:10.4085/361-20
Source: J Athl Train - February 24, 2021 Category: Sports Medicine Authors: S E Scarneo-Miller R M Lopez K C Miller W M Adams Z Y Kerr D J Casa Source Type: research

Cooling Capacity of Transpulmonary Cooling and Cold-Water Immersion After Exercise-Induced Hyperthermia
CONCLUSIONS: Transpulmonary cooling via cooled-air inhalation did not promote an optimal cooling rate (>0.15°C·min-1) for the successful treatment of EHS. In remote settings where EHS is a risk, access and use of treatment methods via CWI or cold-water dousing are imperative to ensuring survival.TRIAL REGISTRY: ClinicalTrials.gov (NCT0419026).PMID:33543267 | DOI:10.4085/1062-6050-0146.20
Source: J Athl Train - February 5, 2021 Category: Sports Medicine Authors: William M Adams Erin E Butke Junyong Lee Mitchell E Zaplatosch Source Type: research

Cooling Capacity of Transpulmonary Cooling and Cold-Water Immersion After Exercise-Induced Hyperthermia.
CONCLUSIONS: Transpulmonary cooling via cooled-air inhalation did not promote an optimal cooling rate (>0.15°C·min-1) for the successful treatment of EHS. In remote settings where EHS is a risk, access and use of treatment methods via CWI or cold-water dousing are imperative to ensuring survival. TRIAL REGISTRY: ClinicalTrials.gov (NCT0419026). PMID: 33543267 [PubMed - as supplied by publisher]
Source: J Athl Train - February 4, 2021 Category: Sports Medicine Authors: Adams WM, Butke EE, Lee J, Zaplatosch ME Tags: J Athl Train Source Type: research

Assessing the Validity of Aural Thermometry for Measuring Internal Temperature in Patients With Exertional Heat Stroke.
CONCLUSIONS: Aural thermometry is not an accurate method of diagnosing EHS and should not be used as an alternative to rectal thermometry. Using aural thermometry to diagnosis EHS can result in catastrophic outcomes, such as long-term sequelae or fatality. PMID: 33449102 [PubMed - as supplied by publisher]
Source: J Athl Train - January 15, 2021 Category: Sports Medicine Authors: Morrissey MC, Scarneo-Miller SE, Giersch GEW, Jardine JF, Casa DJ Tags: J Athl Train Source Type: research

Exertional Heat-Stroke Management Practices and Intentions Among Secondary School Football Athletic Trainers.
CONCLUSIONS: Inconsistencies occurred between intended and actual use of EHS management strategies. The standard of care for managing patients with suspected cases of EHS were not consistently used in clinical practice, although ATs who did not treat EHS stated they intended to use these management strategies more frequently. Future researchers should identify factors that preclude ATs from using the standard of care when treating patients with suspected cases of EHS. PMID: 32966554 [PubMed - as supplied by publisher]
Source: J Athl Train - September 22, 2020 Category: Sports Medicine Authors: Nedimyer AK, Chandran A, Hirschhorn RM, Adams WA, Pryor RR, Casa DJ, Register-Mihalik JK, Kerr ZY Tags: J Athl Train Source Type: research

Perceptions of Secondary School Athletic Trainers in the Diagnosis of Exertional Heat Stroke.
CONCLUSIONS: These data suggested that the health belief model constructs were associated with the performance of best practice, including using rectal thermometry to diagnose EHS. Researchers should aim to create tailored interventions based on health behavior to improve the adoption of best practice. PMID: 32947610 [PubMed - as supplied by publisher]
Source: J Athl Train - September 17, 2020 Category: Sports Medicine Authors: McLean DR, Scarneo SE, Lopez RM Tags: J Athl Train Source Type: research

When Should a Heat-Tolerance Test Be Scheduled After Clinical Recovery From an Exertional Heat Illness?
CONCLUSIONS: The HTT results were similar between participants with EHS who were tested early (<6 weeks) and those tested late (>6 weeks). Further investigation of heat-tolerance changes in larger cohorts of patients after EHS is required to verify the theory of transient HI. PMID: 31986100 [PubMed - as supplied by publisher]
Source: J Athl Train - January 26, 2020 Category: Sports Medicine Authors: Schermann H, Hazut-Krauthammer S, Weksler Y, Spitzer S, Epstein Y, Kalmanovich G, Yanovich R Tags: J Athl Train Source Type: research

Exertional Heat-Stroke Preparedness in High School Football by Region and State Mandate Presence.
CONCLUSIONS: Our findings suggest a greater use of EHS-preparedness strategies in environmentally warmer regions with state-level mandates for preseason heat acclimatization. Future researchers should identify factors influencing EHS preparedness, particularly in regions 1 and 2 and in states without mandates. PMID: 31454289 [PubMed - as supplied by publisher]
Source: J Athl Train - August 26, 2019 Category: Sports Medicine Authors: Kerr ZY, Scarneo-Miller SE, Yeargin SW, Grundstein AJ, Casa DJ, Pryor RR, Register-Mihalik JK Tags: J Athl Train Source Type: research

Analysis of States' Barriers to and Progress Toward Implementation of Health and Safety Policies for Secondary School Athletics.
CONCLUSIONS: Although a majority of respondents reported progress in implementing health and safety policies in their states, perceived barriers pointed to the need for the continued education of state leaders in charge of developing and implementing health and safety policies. Despite these barriers, collaboration among key stakeholders is crucial to successful implementation of best-practice policies in secondary school athletics. PMID: 31017807 [PubMed - as supplied by publisher]
Source: J Athl Train - April 23, 2019 Category: Sports Medicine Authors: Pike A, Adams WM, Huggins RA, Mazerolle SM, Casa DJ Tags: J Athl Train Source Type: research

Cooling Rates of Hyperthermic Humans Wearing American Football Uniforms When Cold-Water Immersion is Delayed.
CONCLUSIONS: Treatment delays and football equipment did not impair CWI's effectiveness. Because participants felt cooler and better after the 30-minute delay despite still having elevated Trec, clinicians should use objective measurements (eg, Trec) to guide their decision making for patients with possible exertional heat stroke. PMID: 30562055 [PubMed - as supplied by publisher]
Source: J Athl Train - December 18, 2018 Category: Sports Medicine Authors: Miller KC, Di Mango TA, Katt GE Tags: J Athl Train Source Type: research

A Functional Return-to-Play Progression After Exertional Heat Stroke in a High School Football Player.
CONCLUSIONS:   Using a gradual RTP progression and close monitoring, a high school defensive end successfully returned to football practice and games after EHS. This case demonstrates the feasibility of implementing a safe RTP protocol after EHS and may serve as a guide to ATs working in the high school setting. This case also highlights the need for more research in this area. PMID: 29373058 [PubMed - as supplied by publisher]
Source: J Athl Train - January 26, 2018 Category: Sports Medicine Authors: Lopez RM, Tanner P, Irani S, Mularoni PP Tags: J Athl Train Source Type: research

An Evaluation of Portable Wet Bulb Globe Temperature Monitor Accuracy.
CONCLUSIONS:   The QUESTemp° 34, followed by the Extech, had the smallest error compared with the reference unit. Moreover, the QUESTemp° 34, Extech, and Kestrel units appeared to offer conservative yet accurate assessments of the WBGT, potentially minimizing the risk of allowing physical activity to continue in stressful heat environments. Instruments using the psychrometric wet bulb temperature tended to underestimate WBGT under low wind speed conditions. Accurate WBGT interpretations are important to enable clinicians to guide activities in hot and humid weather conditions. PMID: 29154695 [PubMed - as supplied by publisher]
Source: J Athl Train - November 20, 2017 Category: Sports Medicine Authors: Cooper E, Grundstein A, Rosen A, Miles J, Ko J, Curry P Tags: J Athl Train Source Type: research

Evaluation of Various Cooling Systems After Exercise-Induced Hyperthermia.
CONCLUSION:  These findings provide objective evidence for selecting the most effective cooling system of those we evaluated for cooling individuals with exercise-induced hyperthermia. Nevertheless, factors other than cooling efficacy need to be considered when selecting an appropriate cooling system. PMID: 28156130 [PubMed - as supplied by publisher]
Source: J Athl Train - February 2, 2017 Category: Sports Medicine Authors: Tan PM, Two EY, Ali NB, Ang BC, Iskandar I, Law LY, Lee JK Tags: J Athl Train Source Type: research

NCAA Football Off-Season Training: Unanswered Prayers …A Prayer Answered.
NCAA Football Off-Season Training: Unanswered Prayers…A Prayer Answered. J Athl Train. 2017 Jan 31;: Authors: Anderson S Abstract Off-season training in year-round collegiate football is purported to be performance enhancing. Absent principles of exercise physiology, excesses in sport-training regimens pose risk to the participant athletes. Since 2000, 32 National Collegiate Athletic Association (NCAA) football players have died in sport: 26 nontraumatic deaths and 6 traumatic deaths, a ratio of more than 4 nontraumatic deaths for every traumatic death. On average, 2 NCAA football players die per se...
Source: J Athl Train - January 30, 2017 Category: Sports Medicine Authors: Anderson S Tags: J Athl Train Source Type: research

Optimizing Cold-Water Immersion for Exercise-Induced Hyperthermia: An Evidence-Based Paper.
CONCLUSIONS: Hyperthermic individuals were cooled twice as fast by CWI as by passive recovery. Therefore, the former method is the preferred choice when treating patients with exertional heat stroke. Water temperature should be <10°C, with the torso and limbs immersed. Insufficient published evidence supports CWI of the forearms and hands. PMID: 27441949 [PubMed - as supplied by publisher]
Source: J Athl Train - July 20, 2016 Category: Sports Medicine Authors: Nye EA, Edler JR, Eberman LE, Games KE Tags: J Athl Train Source Type: research