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Keyword: athletic-trainer

By Stephanie Davey, MEd, ATC, PES
Athletic Trainer
MUSC Health Sports Medicine
www.MUSCHealth.org/Sports

The middle of July means that high school football is just a couple of weeks away. In South Carolina, most of our high schools start around July 27th. If your son is planning to play football and go through preseason, there are a few things they need to focus on off the field in order to be safe and productive on the field.

Hopefully, your son has already been working on his conditioning. This will go a long way to him being able to acclimate to the South Carolina heat. South Carolina High School League mandates an acclimatization practice plans that all high schools must follow. If you have questions about that plan you can find it on the South Carolina High School League website

Hydration is always the first thing that comes to mind when we think of preseason football. Your son must be hydrated prior to reporting to practice each day. There is no way to catch up if they are already dehydrated when they arrive. Two ways to tell if they are hydrated is monitoring the color and volume of their urine and making sure they weigh in and out of practices. Their urine should be a light yellow color and high in volume before they go to bed each night. Secondly, they should be weighing in prior to practice and out after practice. They can do this at home or with their athletic trainer. For every pound that they lost during practice, they need to drink 20-24 oz of fluid. If they do not regain the weight they’ve lost during the previous practice, they may need to be held out of practice until they’ve rehydrated. To rehydrate, they should consume water and a sports drink. Soda and beverages with a high caffeine content should be avoided. Energy drinks should not be consumed at all.

The next thing to focus on is proper nutrition. The body is just like a car, the better fuel you put in it the better it performs. Your son needs quality food that is high in nutrition volume with a good balance of carbohydrates, proteins, and fats. Your son needs 40 – 50 kcals/kg of body weight. They should consume 4-8g/kg of carbohydrates and 2-3 g/kg of proteins.  Foods to focus on are lean meats, eggs, nut butters, protein shakes, pastas, and fruits and vegetables. Fruit and vegetables with a high water content can also help to hydrate. Your son needs to eat prior to practice, even if it is an early morning practice. It shouldn’t be a big heavy meal, but they need to have some source of energy before practice.

The last thing to focus on is sleep. The National Institute of Health recommends that high school athletes get an average of 9-10 hours of sleep each night.  Proper sleeping habits with allow your son’s body the time it needs to recover after each practice.  It allows him to stay focused and think clearly during practice. Better recovery and better focus leads to better performance.

Taking these steps will go a long way towards protecting your son during preseason football, ensuring that he has a fun, productive and safe football season.

By Alecia Good, MEd, ATC
Athletic Trainer
MUSC Health Sports Medicine

A young athlete collapses to the ground in front of you. No trained emergency personnel are present on the scene. Would you know what to do?

As the athletic trainer at Pinewood Preparatory School, I have posted Emergency Action Plans in every sports venue. The plans include what to do, who to call, and exact locations for dispatch if there is a need to call for emergency personnel. The hope is that if an emergency should ever occur and I am not there the first responders (usually coaches), will know how to respond. Two weeks ago, these plans were put into place and the first responders were able to save a young man’s life.

One evening a few weeks ago, several alumni gathered to play pick up basketball in our gym. Around 8 pm one of the players crashed to the ground and was unresponsive with sudden cardiac arrest. The other players quickly acted to find two coaches that were in the other gym, send someone for an automated external defibrillator (AED), and call 911. Within minutes, one coach performed hands-only CPR while the other quickly attached and turned on the AED. They continued their rescue efforts until the paramedics arrived. 

Once at the ER it was reported that emergency personnel were able to regain a pulse after at least 10 to 20 minutes of the young man’s heart being stopped. The question the doctors then began to ask was what the brain function would be like because his heart was stopped for such a long duration. The doctors were comforted by the fact that early CPR and defibrillation was performed. 

After only 2 minutes without oxygen-rich blood from the heart, brain cells can start to die. After 6 minutes, brain death occurs. According to the American Heart Association, “Sudden Cardiac Arrest is a leading cause of death in the U.S.—but when ordinary people, not just doctors and EMTs, are equipped with the skills to perform CPR, the survival rate can double, or even triple.”

The young man was placed in a medically-induced coma with a cooling therapy for a few days. After his body was brought back up to temperature and the paralytic drugs were discontinued, the young man woke and returned to normal function. He was talking and moving around and has since been discharged from the hospital. 

Early CPR to manually pump the blood to the brain and early defibrillation to shock the heart back into rhythm is without a doubt what saved this young man’s life. Had the coaches and students not acted quickly to enact the emergency action plan, this story would not have had the same happy ending. To reiterate my colleague’s blog on the importance of knowing CPR, please take the time to learn CPR and how to use an AED. Here is a link for hands-only CPR from the American Heart Association. Even if you don’t have time to take a full course, this compression only technique can save a life as it did in this situation. More importantly, know your surroundings and be willing to act in the event of an emergency. Take note of where there may be emergency equipment (AED, first aid kit) and know your location to be able to give accurate directions. Any delay in action can be the difference in the outcome of the emergency.

 

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