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Heat Illness Warning Signs

This is the time of year we need to review some aspects of heat illness, and a potentially deadly form of heat injury called exertional heat stroke. A recently published study of NCAA athletesrevealed that heat illness is most common in preseason training, and that tackle football has the highest incidence but athletes in all sports are potentially at risk. I highly recommend this 2017 New York Times article by neurosurgeon Dr. Julian Bailes, in which he describes the effects of heat stroke and argues for banning football two-a-days at the high school level.  The NCAA Division 1 and the NFL have banned two-a-days.

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Be On The Lookout For Heat Illness and Exertional Heat Stroke

By Dev K. Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Heat Illness is a broad term used for a range of problems such as dehydration, cramping, dizziness, heat exhaustion and a very serious problem called heat stroke Milder forms of heat illness are common in young…

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Helmets Off Makes Heads Cooler

By Dev Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Coaches need to maintain awareness of possible heat illness during the early days of September, when air temperatures can be high Sweating through exposed skin is one of the body’s most effective ways to reduce the risk…

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The Heat Is Still On. Pay Close Watch For Heat Illness In Football

By Dev K. Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: It’s still hot and humid. Young athletes are still very susceptible to heat illness in football. Be on the lookout for signs and take immediate action Allow rest breaks with the helmet removed as often as…

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Manage The Heat And Humidity So You Don’t Go ‘Lebroning??

By Dev K. Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Ok, even the most diehard Miami Heat fans must have thought the photos of various people ‘Lebroning’ were a little bit funny. But the reality is that a severe muscle cramp and heat illness can be very serious….

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Watch For Heat Illness In July and August

By Dev K. Mishra, M.D. President, Sideline Sports Doc Coaches, parents, and players need to be particularly aware of exertional heat illness (EHI) during the summer months. A recently published study provides further detail, showing in particular that football players in southern humid climates are at particular risk. The study authors noted that there are…

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Hydration Tips For Summer Sports

By Dev K. Mishra, M.D. President, Sideline Sports Doc July and August are popular months for sports camps, many of which will be taking place in hot and humid climates. Hydration is a key element in proper sports safety, and a good hydration strategy will also improve performance. Start hydrating well before your planned activity…

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Recognizing Heat Illness In Young Athletes

By Dev K. Mishra, M.D., President, Sideline Sports Doc I am often asked this time of year about some strategies for coaches and parents to recognize heat illness, and for some strategies to manage the young athlete. With that in mind let’s review some basic principles. Key Points A good hydration strategy will go a…

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Two-A-Days Are Here: Watch Out For Heat Illness

By Dev K. Mishra, M.D., President, Sideline Sports Doc It’s time for that annual rite of passage for high school football- two a day practices. With much of the country stifled in sweltering humid weather it’s a good idea for everyone to remind themselves of the spectrum of heat illness in young athletes, and to…

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