ArticleJournal of athletic training2021
High Schools' Adoption of Evidence-Based Practices for the Management of Exertional Heat Stroke.
Article in Journal of athletic training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Validity of common body temperature sites and gait parameters during a heat tolerance test.Temperature (Austin, Tex.) · 2025Article
- Exertional Heatstroke Survivors' Knowledge and Beliefs About Exertional Heatstroke Diagnosis, Treatment, and Return to Play.Journal of athletic training · 2024Article
- Recommended water immersion duration for the field treatment of exertional heat stroke when rectal temperature is unavailable.European journal of applied physiology · 2024Article
- Gaps in Heat-Related Knowledge, Practices and Adaptation Strategies Among Coaches in German Outdoor Sports.International journal of public health · 2024Article
- Navigating implementation barriers: a holistic approach to improving exertional heat stroke management.BMJ open sport & exercise medicine · 2024Article
- Article
- Single-Legged Triple-Hop Propulsion Strategies in Females With and Those Without a History of Anterior Cruciate Ligament Reconstruction.Journal of athletic training · 2023Article
- Proper Recognition and Management of Exertional Heat Stroke in a High School Cross-Country Runner: A Validation Clinical Case Report.Journal of athletic training · 2022Article
- Development and evaluation of a predictive nomogram for survival in heat stroke patients: a retrospective cohort study.World journal of emergency medicine · 2022Article
- Exertional Heat Stroke Knowledge and Management among Emergency Medical Service Providers.International journal of environmental research and public health · 2021Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextExertional heat stroke (EHS) deaths can be prevented by adhering to best practices.
objectiveTo investigate high schools' adoption of policies and procedures for recognizing and treating patients with EHS and the factors influencing the adoption of a comprehensive policy.
designCross-sectional study.
settingOnline questionnaire. PATIENTS OR OTHER
participantsAthletic trainers (ATs) practicing in the high school (HS) setting. MAIN OUTCOME MEASURE(S): Using the National Athletic Trainers' Association position statement on exertional heat illness, we developed an online questionnaire and distributed it to ATs to ascertain their schools' current written policies for using rectal temperature and cold-water immersion. The precaution adoption process model allowed for responses to be presented across the various health behavior stages (unaware if have the policy, unaware of the need for the policy, unengaged, undecided, decided not to act, decided to act, acting, and maintaining). Additional questions addressed perceptions of facilitators and barriers. Data are presented as proportions.
resultsA total of 531 ATs completed the questionnaire. Overall, 16.9% (n = 62) reported adoption of all components for the proper recognition and treatment of EHS. The component with the highest adoption level was "cool first, transport second"; 74.1% (n = 110) of ATs described acting on or maintaining the policy. The most variability in the precaution adoption process model responses was for a rectal temperature policy; 28.7% (n = 103) of ATs stated they decided not to act and 20.1% (n = 72) stated they maintained the policy. The most frequently cited facilitator of and barrier to obtaining rectal temperature were a mandate from the state HS athletics association (n = 274, 51.5%) and resistance to or apprehension of parents or legal guardians (n = 311, 58.5%), respectively.
conclusionsAthletic trainers in the HS setting appeared to be struggling to adopt a comprehensive EHS strategy, with rectal temperature continuing as the biggest challenge. Tailored strategies based on health behavior, facilitators, and barriers may aid in changing this paradigm.
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