• Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Context : Prior researchers have examined the first-aid knowledge and decision making among high school coaches, but little is known about their perceived knowledge of exertional heat stroke (EHS) or their relationships with an athletic trainer (AT). Objective : To examine secondary school football coaches' perceived knowledge of EHS and their professional relationship with an AT. Design : Qualitative study Setting : Web-based management system. Patients or Other Participants : Thirty-eight secondary school head football coaches (37 men, 1 woman) participated in this study. Their average age was 47 ± 10 years old, and they had 12 ± 9 years' experience as a head football coach. Data Collection and Analysis : Participants responded to a series of online questions that were focused on their perceived knowledge of EHS and professional relationships with ATs. Data credibility was established through multiple-analyst triangulation and peer review. We analyzed the data by borrowing from the principles of a general inductive approach. Results : Two dominant themes emerged from the data: perceived self-confidence of the secondary school coach, and the influence of the AT. The first theme highlighted the perceived confidence, due to basic emergency care training, of the coach regarding management of an emergency situation, despite a lack of knowledge. The second theme illustrated the secondary school coach's positive professional relationships with ATs regarding patient care and emergency procedures. Of the coaches who participated, 89% (34 out of 38) indicated positive interactions with their ATs. Conclusions : Thse secondary school coaches were unaware of the potential causes of EHS or the symptoms associated with EHS, and they had higher perceived levels of self-confidence in management abilities than indicated by their perceived knowledge level. The secondary school football coaches valued and understood the role of the AT regarding patient and emergency care.
    Journal of athletic training 08/2014; 49(4):469-477. · 1.51 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: American Football players are among the most susceptible athletes to heat-related illnesses. Environmental conditions are an important factor when considering risk rates for these illnesses. Thus, we examine the spatio-temporal variations in the wet bulb globe temperature (WBGT), a commonly used metric for heat exposure, and quantify the hazard for extreme heat using safety thresholds specifically derived for athletes from the American College of Sports Medicine (ACSM). The objective is to provide better information on heat-related hazards to help mitigate the risk of exertional heat illnesses (EHI) among football players. We created a unique 15-year climatology (1991–2005) of August WBGTs for 217 locations across the contiguous United States using weather station observations and a WBGT model. Thirteen 3-h overlapping training session times ranging from 6–9 a.m. to 6–9 p.m. were examined to identify how the WBGT varies with the time of day the practice session was held and how frequently the WBGT during those sessions posed a hazard for extreme heat by exceeding two ACSM safety thresholds (30.1 °C and 32.3 °C). Maximum hazards for extreme heat are located in an arc across the Southern tier of the country, stretching from eastern Texas through to South Carolina as well as across southern Arizona and southeastern California. Climatologically, practice sessions early in the morning and later in the evening were best for minimizing heat exposure while those held from late morning through afternoon, particularly the noon-3 p.m. and 1–4 p.m. periods, had the highest WBGT values and were the practice periods that most frequently exceeded safety thresholds. Delaying the start of afternoon practices a few hours, however, may substantially reduce the likelihood of oppressive conditions and reduce the risk for heat illnesses.
    Applied Geography 01/2014; 46:53–60. · 3.08 Impact Factor
  • Source
    Strength and conditioning journal 12/2013; 35(6):24-33. · 0.77 Impact Factor

Full-text (2 Sources)

Available from
May 22, 2014