Proper recognition and management of exertional heat stroke in a high school cross-country runner. A validation clinical case report.

Autor/inn/en	Garrett, Bryanna; Lopez, Rebecca M.; Szymanski, Michael R.; Eidt, Drew
Titel	Proper recognition and management of exertional heat stroke in a high school cross-country runner. A validation clinical case report. Gefälligkeitsübersetzung: Richtige Erkennung und Behandlung eines Hitzeschlags bei einem Highschool-Langstreckenläufer. Ein klinischer Fallbericht zur Validierung.
Quelle	In: Journal of athletic training, 57 (2022) 6, S. 586-591 PDF als Volltext kostenfreie Datei Link als defekt meldenVerfügbarkeit
Sprache	englisch
Dokumenttyp	online; gedruckt; Zeitschriftenaufsatz
ISSN	0160-8320; 1062-6050; 1938-162X
DOI	10.4085/1062-6050-0462.21
Schlagwörter	Empirische Untersuchung; Fallstudie; Physiotherapie; Früherkennung; Belastung; Erste Hilfe; Management; Medizinische Versorgung; Sportmedizin; Toleranz; Schulsport; Risikomanagement; Analyse; Fallstudie; Behandlung; Hitze; Kälte; Laufen; Schock; Hitze; Behandlung; Erste Hilfe; Medizinische Versorgung; Schock; Kälte; Toleranz; Laufen; Schulsport; Sportmedizin; Management; Analyse; Belastung; Risikomanagement
Abstract	A 14-year-old female high school cross- country runner (height = 154 cm, mass = 48.1 kg) with no history of exertional heat stroke (EHS) collapsed at the end of a race. An athletic trainer assessed the patient, who presented with difficulty breathing and then other signs of EHS (eg, confusion and agitation). The patient was taken to the medical area and draped with a towel, and a rectal temperature (Tre) of 106.9°F (41.6°C) was obtained. The emergency action plan was activated, and emergency medical services was called. The patient was submerged in a cold-water immersion tub until emergency medical services arrived (ca. 15 minutes; Tre = 100.1°F; cooling rate: 0.41°F.min-1[0.25°C.min-1]). At the hospital, the patient received intravenous fluids, and urine and blood tests were normal. She was not admitted and returned to running without sequelae. Following best practices, secondary school athletic trainers can prevent deaths from EHS by properly recognizing the condition and providing rapid cooling before transport.
Erfasst von	Bundesinstitut für Sportwissenschaft, Bonn
Update	2023/1