00:01
Now heat and hydration
related risk factors.
00:05
I live in a very warm part
of the United States.
00:08
In fact, it is well over 100 degrees
for multiple days in a row here.
00:13
So, this is really a problem
where I live.
00:18
One of the worst codes I've ever
seen was an eighth grader
who was doing two a day
football practice
and ended up having heatstroke
and going down on the field.
00:26
So sadly, that student
did not survive that event.
00:31
And that was a
spurt on my memory.
00:34
I will never ever forget it.
00:36
So, what's our responsibility there
as nurse practitioners?
Well, heat and hydration is
always a risk factor for students.
00:44
So, you want to look
for students who may be
at increased risk of heat
problems and heat stroke.
00:52
So, if this is an athlete who has
excessively caffeinated drink use,
they're at an increased risk
because of the dehydration.
00:59
If they're taking performance
enhancement medications,
they're at an increased risk.
01:04
And also, if they have an
increased BMI,
that's higher than normal.
01:09
Their body's gonna have a harder
time getting rid of core body heat.
01:12
They're less efficient,
so they're more likely to overheat.
01:16
So you want to take
a look at the student
and see do they have any
of those risk factors?
Ask them history questions,
like,
"Have you had any problems
with heat previously?
Have you ever had a heat stroke?"
And encourage them to maintain
adequate hydration.
01:31
If they're gonna
drink energy drinks,
try to get them to limit that.
01:36
Try to make sure that
they're taking in
an average acceptable amount of
water on a consistent basis,
not just the days that
they have practice.
01:46
So, this is where you have
to employ some
motivational interviewing
techniques, right.
01:51
You want to make sure
that you help them understand
why it helps them not come off
as like a parent figure
telling them what
they can or can't do.
02:01
So just encourage them that this
is going to help them play better.
02:04
It's gonna help them
perform better.
02:06
And they're going to feel
a lot better.
02:08
But remember, they particularly
need to increase their water intake
before the game, right.
02:13
Before the game,
they need to drink.
02:15
During the game and after the game,
they need to replenish.
02:18
So, be a good idea
for them to drink,
usually about 20 ounces an hour
before the game,
and then drink throughout the game.
02:25
But you're gonna be able
to assess that:
By the environment
that the player is playing in,
And what their
risk factors are for heat?
And what the temperature
is typically where they play?
But our state has become
very aware of this problem,
because we've lost athletes,
young students to heatstroke.
02:46
So you want to make sure that
that's always something
you're keeping an eye on educating
coaches, parents, and athletes
about the importance
of watching that so closely.