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This came from Graydon Thorne, Safety Coordinator for Lone Star PCA.
Being aware of a student's physical condition during an event can help us instruct and possibly save a life. We can also use this on ourselves while at events. It is good data and sent with his permission. -------------------------------- DEHYDRATION PRIMER Usually with water loss due to heat, we think of 3 problems Heat Cramps Heat cramps are muscle contractions, usually but not always in the gastrocnemius or hamstring muscles (the muscles at the back of the calves). These contractions are forceful and painful. These cramps seem to be connected to heat, dehydration, and poor conditioning, rather than to lack of salt or other mineral imbalances. They usually improve with rest, drinking water, and a cool environment. Also it helps to work out at the gym when not at the track. Heat Exhaustion Although partly due to exhaustion -- and feeling like exhaustion, as the name implies -- heat exhaustion is also a result of excessive heat and dehydration. The signs of heat exhaustion may include dry mouth, paleness, dizziness, nausea, vomiting, fainting, poor judgment and the feeling that the laws of physics do not apply to you or your car(Note that some of these symptoms are similar to those secondary to carbon monoxide exposure). Rest and water may help in mild heat exhaustion, and ice packs and a cool environment sometimes with a fan blowing may be necessary in more extreme cases. Even more severely exhausted patients may need IV fluids, especially if vomiting keeps them from drinking enough. Hopefully we don't go this far at the track. Heat Stroke Heat stroke is a medical emergency! Heat stroke is the most severe form of heat illness. It can occur even in people who are not exercising, if the weather is hot enough. These people have warm, flushed skin, and do not sweat. Athletes who have heat stroke after vigorous exercise in hot weather, though, may still be sweating considerably. Whether exercise-related or not, though, a person with heat stroke usually has a very high temperature (106 degrees F or higher), and may be delirious, unconscious, or having seizures. These patients need to have their temperature reduced quickly, often with ice packs, and must also be given IV fluids for rehydration; they must be taken to the hospital as quickly as possible (EMS is appropriate here), and may have to stay in the hospital for observation since many different body organs can fail in heat stroke. We better not be seeing this at the track. Gobbledy gook theory (do not need to read) Your sweat is your body's main system for getting rid of extra heat. When you sweat, and the water evaporates from your skin, the heat that evaporates the sweat comes mainly from your skin. As long as blood is flowing properly to your skin, extra heat from the core of your body is "pumped" to the skin and removed by sweat evaporation. If you do not sweat enough, you cannot get rid of extra heat well, and you also can't get rid of heat as well if blood is not flowing to the skin. Dehydration will make it harder for you to cool of in two ways: if you are dehydrated you won't sweat as much, and your body will try to keep blood away from the skin to keep your blood pressure at the right level in the core of your body. But, since you lose water when you sweat, you must make up that water to keep from becoming dehydrated. If the air is humid, it's harder for your sweat to evaporate -- this means that your body cannot get rid of extra heat as well when it's muggy as it can when it's relatively dry. Why....because the air is already wet so the wetness on your skin does not evaporate into the air as well so there is a less efficient heat transfer from you to the air. Treatment (start to read again) It's smarter to stay ahead of the game. Your thirst mechanism will kick in but you will be behind the eight ball and likely suffer some of the symptoms of dehydration such as poor judgment. As you know, a dilute urine and peeing frequently are your clues to good hydration. Don't forget that caffeine is a diuretic which means that you pee more out than you take in. Therefore its ok to drink it as long as you are very vigilant and also drink lots of water to stay ahead of the game. Don't forget...stay ahead of your thirst mechanism. The best fluid to drink when you are sweating is water. Although there is a little salt in your sweat, you don't really lose that much salt with your sweat, except in special circumstances; taking salt tablets may raise your body's sodium level to hazardous levels. "Sport drinks" such as Gatorade® are fine, too, but water is easier to obtain. The clothing you wear makes a difference, too: the lighter that clothing is, the easier you can cool off.
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brad barber peace.love.track. |
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