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| Why
use guidelines? |
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Every year in South Australia a heat wave hits our State. At that
time Sports Medicine Australia (SA Branch) has requests from
associations, individuals and members of the media asking:
"Should
our sporting event be cancelled?"
To
assist organisations, coaches, teachers and other individuals
when considering their .duty of care. responsibilities, SMA (SA)
has produced this set of guidelines and a checklist.
The
guidelines are not binding and SMA SA reminds all parties that
they must act responsibly.
Cancellation
of events or withdrawal from participation may be appropriate
even in circumstances falling outside these recommendations.
When
considering cancelling or postponing a specific sporting event,
there are many factors that need to be considered.
Exercise
in the heat creates competitive demands on the cardiovascular
system which is required to increase the blood supply to the exercising
muscles. At the same time it must regulate body temperature by
increasing skin blood flow in order to produce the sweat that
keeps the body cool.
High
intensity exercise in a hot environment, with the associated fluid
loss and elevation of body temperature, can lead to:
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DEHYDRATION
- HEAT EXHAUSTION - HEAT STROKE
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| |
| Dehydration |
- Fluid
loss occurs during exercise, mainly due to perspiration and respiration.
It makes an athlete more susceptible to fatigue and muscle cramps.
Inadequate fluid replacement before, during and after exercise
will lead to excessive dehydration and may lead to heat exhaustion
and heat stroke.
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| Heat
Exhaustion |
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Dehydration can lead to heat exhaustion:
-
Characterised by a high heart rate, dizziness, headache, loss
of endurance/skill/confusion and nausea.
-
The skin may still be cool/sweating, but there will be signs of
developing vasoconstriction, eg pale colour.
-
Athletes will pass little urine, which will be highly concentrated.
-
Cramps may be associated with dehydration.
-
The rectal temperature may be up to 40°C and the athlete may collapse
on stopping activity.
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| Heat
Stroke |
|
Severe dehydration may lead to heat stroke.
-
Characterised similar to heat exhaustion, but with a dry skin,
confusion and collapse.
-
Heat stroke may arise in an athlete who has not been identified
as suffering from heat exhaustion and has persisted in further
activity.
This
is a potentially fatal condition and must be treated immediately
by a medical professional.
Heat
exhaustion/stroke can still occur even in the presence of good hydration.
Sports
Medicine Australia (SA Branch) recommends athletes drink:
-
at least 500mls (2-3 glasses) before activity
-
200mls (1-2 glasses) every 15 minutes during activity
-
and more than they are thirsty for after activity. (At least 500mls)
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Factors
to consider before cancelling a sporting event
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The following are factors to be considered in cancelling of sporting
events.
SMA
has compiled a checklist to guide your association in making that
decision.
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| 1.
The Wet-Bulb Globe Temperature |
-
One way of evaluating the environment is the wet-bulb globe
temperature (WBGT). The WBGT measures thermal stress. It
is a more reliable indicator than ambient temperature as
it takes into account humidity. The higher the humidity,
the less likely the chance to cool off through the evaporation
of sweat.
-
WBGT is not the same as temperature in degrees Celsius,
ie 35 degrees Celsius 20% relative humidity is approximately
a WBGT of 27.6 degrees Celsius.
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The
relation between WBGT and heat stress is summarised as follows: |
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| WBGT |
RISK
OF THERMAL INJURY |
|
<18
>18
but <22
>23
but <28
>28
|
Minimal
Moderate
High
Extreme
|
|
|
-
Obviously the greater the risk of thermal injury, the more you
should be considering postponing / cancelling your event.
-
The WBGT is available through the Bureau of Meteorology. (see
Obtaining WBGT)
WBGT is that used by the American College of Sports Medicine.
It does not take into account added stress due to direct sunlight
or ventilation due to wind. It is the best available estimation
at the current time.
|
| 2/3.
Duration and Intensity of an event |
- The
combination of extreme environmental conditions and sustained
vigorous exercise is particularly hazardous for the athlete.
The greater the intensity of the exercise the greater the
risk of heat related symptoms. eg Distance running is more
of a problem than stop-start team events.
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|
-
A reduction in playing time and extending rest periods with
opportunities to rehydrate during the event, would help
safe guard the health of athletes and participants.
-
Provision of extra water for wetting face, clothes and hair
is also important.
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|
| 4.
Acclimatisation of the Participant |
- Preparation
for exercise under hot conditions should include a period
of acclimatisation to those conditions, especially if the
athlete is travelling from a cool/temperate climate to compete
under hot/ humid conditions.
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Regular
exercise in hot conditions will facilitate adaptation to
help prevent the athlete.s performance deteriorating, or
heat illness, during later competitions. A period of 7-10
days of 60 minutes acclimatisation activity each day provides
substantial preparation for safe exercise in the heat.
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| 5.
Fitness Levels / Athletic Ability of Participant |
-
A number of physical/physiological characteristics of the
athlete will influence the capacity to tolerate exercise
in the heat, including body size and endurance fitness.
-
In endurance events an accomplished yet non elite runner,
striving to exceed their performance may suffer from heat
stress. The potential for heat related illnesses will be
exacerbated if they have not acclimatised to the conditions
and have failed to hydrate correctly.
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|
|
| 6.
Age and Gender of Participant |
-
Female Participants may suffer more during exercise
in the heat, due to their greater percentage of body fat.
-
Young Children are especially at risk in the heat.
Prior to puberty, the sweating mechanism, essential for
effective cooling, is poorly developed. The ratio between
weight and surface area in the child is also such that the
body absorbs heat rapidly in hot conditions.
-
In practical terms, child athletes must be protected from
over-exertion in hot climates, especially when required
to exercise for 30 minutes or longer.
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|
-
Although children can acclimatise to exercise in the heat,
they take longer to do so than adults.
Coaches should be aware of this and limit training for
non-acclimatised children during exposure to hot environments.
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Veteran Participants may also cope less well with
exercise in the heat. Reduced cardiac function is thought
to be responsible for this effect.
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|
| 7.
Rules of the Game (Hydration Opportunities) |
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Will your players be able to consume enough water during
the event?
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To avoid excessive dehydration during exercise in the heat,
fluid (preferably water) should be consumed before, during
and after exercise.
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Even
a small degree of dehydration will cause a decrease in performance.
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Associations may consider dividing games into shorter playing
periods rather than halves to allow for extra drink breaks.
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|
| 8.
Time of Day for the Event |
- Avoid
the hottest part of the day ( usually 11:00am - 3:00pm).
Scheduling events outside of this time should be a
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consideration throughout any summer competition or event,
regardless of the temperature.
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| 9.
Surface Type |
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A shaded / protected grass exercise surface does not attract
and retain as much heat as other surfaces (eg solid black
asphalt.)
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Exercise
surface type and the amount of direct sunlight vary significantly
with different sporting activities and therefore must be
analysed for each individual sport.
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| 10.
Venue of an Event |
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An air conditioned indoor venue will provide less of a problem
whilst a hot indoor venue or an outside venue
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without
shade can constitute an unacceptable environment. Air flow
should also be considered.
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| 11.
Predisposed Medical Conditions |
-
It is important to know if any of your athletes have a medical
condition or are taking medication that may predispose them
to heat illness
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Examples include; asthma, diabetes, pregnancy, heart conditions
and epilepsy. Some medications and conditions may need special
allowances.
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|
| 12.
Other Factors to Consider |
-
Preventative measures can be undertaken to minimise heat
injuries. Examples include the provision of shade, hats
and appropriate sunscreen and drinking water.
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Availability of Sports Trainers or First Aid Personnel.
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It is important to have trained personnel available to manage
heat injuries.
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- In
situations where heat problems may be expected, an experienced
medical practitioner should be present.
-
Heat stroke is potentially life threatening. Any indication
of this condition should be immediately referred for Medical
Assessment.
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Determine
the point score for each item. (Some categories may not be exactly
to your needs so you will need to use common sense, if in doubt
choose higher value in order to err on the side of caution.)
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| 1.
Wet bulb globe temperature. |
|
7.
Time between available drinks. |
|
<18degrees
|
2
|
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Less
than 15 minutes |
2 |
| 18
to 22 degrees |
10 |
|
15
to 25 minutes |
4 |
| 23
to 28 degrees |
14 |
|
25
to 35 minutes |
6 |
| Above
28 degrees |
20 |
|
35
to 45 minutes |
8 |
| |
|
45
minutes plus |
10 |
| 2.
Overall duration of event. |
|
|
|
| Less
than 30 min. |
2 |
|
8.
Time of the event. |
| 30
to 60 minutes |
4 |
|
Before
9am |
2 |
| 60
min. to 2 hours |
6 |
|
After
dark |
2 |
| Greater
than 2 hours |
8 |
|
9am
till 11am |
5 |
| |
|
|
3pm
till sunset |
5 |
| 3.
Individual Intensity during the event. |
|
11am
to 3pm |
10 |
| Easy
pace throughout |
2 |
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|
|
| Moderate
pace, breaks in intensity |
4 |
|
9.
Surface Type. |
| Moderate
pace throughout |
6 |
|
Water |
1 |
| Sustained
effort with some breaks |
8 |
|
Grass |
2 |
| Sustained
effort throughout |
10 |
|
Boards |
4 |
| |
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|
Sand |
6 |
| 4.
Acclimatisation of participants. |
|
Synthetic
surface |
6 |
| Used
to hot weather conditions |
2 |
|
Asphalt |
8 |
| Used
to warm weather conditions |
5 |
|
|
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| Used
to cool / cold conditions |
8 |
|
10.
Venue. |
| |
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|
Indoor
air conditioning |
1 |
| 5.
Athletic ability of individuals. |
|
Indoor
no air conditioning |
4 |
| Elite
fitness levels |
2 |
|
Outdoor |
8 |
| Good
fitness level |
6 |
|
|
|
| Moderate
fitness levels |
6 |
|
11.
Other predisposed medical conditions of participants. |
| Low
fitness levels |
8 |
|
No |
0 |
| |
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Yes |
6 |
| 6.
Age of participants. |
|
|
|
| 18
to 30 |
2 |
|
12.
Other factors to consider. |
|
| 13
to 17 |
5 |
|
Shade
available during breaks |
Yes
/ No |
| 30
to 40 |
5 |
|
Water
freely available at venue |
Yes
/ No |
| Over
40 |
8 |
|
Sports
trainer/first aid person on site |
Yes
/ No |
| Under
13 |
8 |
|
Individual
body fat of participants |
High
/ Low |
| |
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| Recommended
Guidelines for Sport |
| Point
Score |
|
| Above
75 |
SMA
SA recommend you cancel your event. |
| 66
to 74 |
SMA SA recommend you cancel or reschedule your event if
-
the WBGT is above 28 or
-
the age of participants gets a point value of 8.
If
this is not the case and the event goes on then:
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Extra drink breaks should be allowed.
-
Shade should be provided.
- Promotion
of fluid replacement should be actively encouraged. (eg
Through PA systems or umpires.)
|
| 56
to 65 |
SMA
SA recommend play may go ahead BUT
-
Extra drink breaks should be allowed.
-
Shade should be provided.
- Promotion
of fluid replacement should be actively encouraged. (eg
Through PA systems or umpires.)
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| 55
and below |
SMA
SA recommend play with usual fluid replacement measures in
place. SMA reminds sporting groups and individuals that:
Cancellation
of events or withdrawal from participation may be appropriate
even in circumstances falling outside of these recommendations.
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Individuals
can use the guidelines and point scores to ascertain whether
they should be involved in a particular event. |
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| Obtaining
WBGT |
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Web-site:
www.bom.gov.au/products/IDS65004.shtml
or visit www.smasa.asn.au
The
forecasts cover SA metropolitan and country
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DISCLAIMER
The information in this brochure is of a general nature. Individual
circumstances may require modification of general advice from an appropriate
health professional eg doctor, physiotherapist, Podiatrist or Dietitian. |
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