Evidence map›Paper›PMID 32966554›Full record

ArticleJournal of athletic training2020

Exertional Heat-Stroke Management Practices and Intentions Among Secondary School Football Athletic Trainers.

Aliza K Nedimyer, Avinash Chandran, Rebecca M Hirschhorn, William M Adams, Riana R Pryor, Douglas J Casa, Johna K Register-Mihalik, Zachary Y Kerr

Open access · diamondAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of athletic training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Exertional Heat Stroke Knowledge and Management among Emergency Medical Service Providers.International journal of environmental research and public health · 2021
    Article
  6. Preseason Heat Safety in Secondary School Athletics.Journal of athletic training · 2021
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Aliza K NedimyerDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill.
Avinash ChandranDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill.
Rebecca M HirschhornDepartment of Exercise Science, University of South Carolina, Columbia.
William M AdamsDepartment of Kinesiology, University of North Carolina at Greensboro.
Riana R PryorCenter for Research and Education in Special Environments, Department of Exercise and Nutrition Sciences, University at Buffalo, State University of New York.
Douglas J CasaKorey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs.
Johna K Register-MihalikDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill.
Zachary Y KerrDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill.
University of North Carolina at Chapel Hill · USUniversity at Buffalo, State University of New York · USUniversity of Connecticut · USUniversity of North Carolina at Greensboro · USUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAthletic trainers (ATs) are educated and trained in appropriate exertional heat-stroke (EHS) management strategies, yet disparities may exist between intended and actual uses in clinical practice.

objectiveTo examine the intended and actual uses of EHS management strategies among those who did and those who did not treat patients with suspected cases of EHS during the 2017 high school (HS) American football preseason.

designCross-sectional study.

settingOnline questionnaire. PATIENTS OR OTHER

participantsA total of 1016 ATs who oversaw patient care during the 2017 HS American football preseason. MAIN OUTCOME MEASURE(S): Responding HS ATs recorded whether they had or had not managed patients with suspected EHS events during the 2017 HS American football preseason. Those who had managed patients with suspected cases of EHS reported the management strategies used; those who had not managed such patients described their intended management strategies. For each management strategy, z tests compared the proportions of actual use among ATs who managed patients with suspected EHS with the proportions of intended use among ATs who did not manage such patients.

resultsOverall, 124 (12.2%) ATs treated patients with suspected EHS cases during the 2017 HS American football preseason. Generally, the proportions of intended use of management strategies among ATs who did not treat patients with suspected EHS were higher than the actual use of those strategies among ATs who did. For example, ATs who did treat patients with suspected EHS were more likely than those who did not treat such patients to intend to take rectal temperature (19.6% versus 3.2%, P < .001) and immerse the athlete in ice water (90.1% versus 51.6%, P < .001).

conclusionsInconsistencies occurred between intended and actual use of EHS management strategies. The standard of care for managing patients with suspected cases of EHS was not consistently used in clinical practice, although ATs who did not treat EHS stated they intended to use these management strategies more frequently. Future researchers should identify factors that preclude ATs from using the standard of care when treating patients with suspected cases of EHS.

Indexed as

IntentionSchoolsAdultAthletesCross-Sectional StudiesFemaleFootballHeat StrokeHot TemperatureHumansMaleMiddle AgedSurveys and Questionnairesemergency careexertional heat illnesshigh school sports

Identifiers

PMID32966554
PMCPMC7594601
OpenAlexW3088646638

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.