Days 1-2: Helmets only. Up to 3hrs on field
Days 3-4: Helmets and Shoulder pads. Up to 3hrs on field
Day 5: Full equipment. Up to 3hrs on field
Days 6+: Full equipment. Up to 5hrs on field. No more than 3hrs per session
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Characteristic |
Heat Cramps |
Heat Syncope |
Heat Exhaustion |
Heat Stroke |
Description |
Acute, painful, involuntary muscle contractions presenting during or after exercise |
Collapsing in the heat, resulting in loss of consciousness |
Inability to continue exercise due to cardiovascular insufficiency |
Severe hyperthermia leading to overwhelming of the thermoregulatory system |
Physiologic Cause |
Dehydration, electrolyte imbalances, and/or neuromuscular fatigue |
Standing erect in a hot environment, causing postural pooling of blood in the legs |
High skin blood flow, heavy sweating, and/or dehydration, causing reduced venous return |
High metabolic heat production and/or reduced heat dissipation |
Primary Treatment Factors |
Stop exercising, provide sodium-containing beverages |
Lay patient supine and elevate legs to restore central blood volume |
Cease exercise, remove from hot environment, elevate legs, provide fluids |
Immediate whole-body cold-water immersion to quickly reduce core body temperature |
Recovery |
Often occurs within minutes to hours |
Often occurs within hours |
Often occurs within 24 h; same-day return to play not advised |
Highly dependent on initial
care and treatment; further medical testing and physician clearance required before return to activity |
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WBGT Reading |
Activity Guidelines and Rest-Break Guidelines |
Under 82.08F (27.88C) |
Normal activities: provide 3 separate rest breaks/h of minimum duration 3 min each during workout. |
82.0–86.98F (27.88C–30.58C) |
Use discretion for intense or prolonged exercise. Watch at-risk players carefully. Provide 3 separate rest breaks/h of minimum duration 4 min each. |
87.08F–89.98F (30.58C–32.28C) |
Maximum practice time 1/4 2 h. For football: players restricted to helmet, shoulder pads, and shorts during practice. All protective equipment must be removed for conditioning activities. For all sports: provide 4 separate rest breaks/h of minimum duration 4 min each. |
90.0–92.08F (32.28C–33.38C) |
Maximum length of practice 1/4 1 h. No protective equipment may be worn during practice and there may be no conditioning activities. There must be 20 min of rest breaks provided during the hour of practice. |
Over 92.18F (33.48C) |
No outdoor workouts, cancel exercise, delay practices until a cooler WBGT reading occurs. |
Guidelines for hydration and rest breaks
- Rest time should involve both unlimited hydration intake (water or electrolyte drinks) and rest without any activity involved.
- For football, helmets should be removed during rest time.
- The site of the rest time should be a ‘‘cooling zone’’ and not in direct sunlight.
- When the WBGT reading is greater than 868F (308C):
a. Ice towels and spray bottles filled with ice water should be available at the ‘‘cooling zone’’ to aid the cooling process.
b. Cold-immersion tubs must be available for practices for the benefit of any player showing early signs of heat illness.
All information provided is accessible on the NATA website.
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