By a News Reporter-Staff News Editor at Physician Law Weekly -- Current study results on Sporting Activities - Football have been published. According to news originating from Tampa, Florida, by NewsRx correspondents, research stated, “To present a functional return-to-play (RTP) progression after exertional heat stroke (EHS) in a 17-year-old high school football defensive end (height = 185 cm, mass = 145.5 kg). The patient had no pertinent medical history but moved to a warm climate several days before the EHS occurred.”
Our news journalists obtained a quote from the research from the University of Southern Florida, “After completing an off-season conditioning test (14-x 110-yd [12.6-x 99.0-m] sprints) on a warm afternoon (temperature = approximately 348 degrees C [938 degrees F], relative humidity = 53%), the patient collapsed. An athletic trainer (AT) was called to the field, where he found the patient conscious but exhibiting central nervous system dysfunction. Emergency medical services were summoned and immediately transported the patient to the hospital. Differential Diagnosis: Exertional heat stroke, heat exhaustion, exertional sickling, rhabdomyolysis, and cardiac arrhythmia. Treatment: The patient was immediately transported to a hospital, where his oral temperature was 39.68 degrees C (103.38 degrees F). He was transferred to a children’s hospital and treated for rhabdomyolysis, transaminitis, and renal failure. He was hospitalized for 11 days. After a physician’s clearance oncethe laboratory results normalized, an RTP progression was completed. The protocol began with light activity and progressed over 3 weeks to full football practice. During activity, an AT monitored the patient’s gastrointestinal temperature, heart rate, rating of perceived exertion, fluid consumption, and sweat losses. Uniqueness: Documentation of RTP guidelines for young athletes is lacking. We used a protocol intended for the football setting to ensure the athlete was heat tolerant, had adequate physical fitness, and could safely RTP. Despite his EHS, he recovered fully, with no lasting effects, and successfully returned to compete in the final 5 games of the season. 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.”
According to the news editors, the research concluded: “This case also highlights the need for more research in this area.”
For more information on this research see: A Functional Return-to-Play Progression After Exertional Heat Stroke in a High School Football Player. Journal of Athletic Training , 2018;53(3):230-239. Journal of Athletic Training can be contacted at: Natl Athletic Trainers Assoc Inc, 2952 Stemmons Freeway, Dallas, TX 75247, USA.
The news correspondents report that additional information may be obtained from R.M. Lopez, University of Southern Florida, Dept. of Orthopaed & Sports Med, Tampa, FL 33612, United States. Additional authors for this research include P. Tanner, S. Irani and P.P. Mularoni.
The direct object identifier (DOI) for that additional information is: https://doi.org/10.4085/1062-6050-138-16.35. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.
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CITATION: (2018-05-09), Findings from University of Southern Florida Broaden Understanding of Sporting Activities - Football (A Functional Return-to-Play Progression After Exertional Heat Stroke in a High School Football Player), Physician Law Weekly, 249, ISSN: 1551-5303, BUTTER® ID: 015608363
From the newsletter Physician Law Weekly.
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