As summer heats up, heatstroke risk rises

Vandalia-Butler football players talk with a coach in a huddle during the Miami Valley Football Coaches Association Social Justice 7-on-7 on Wednesday, July 9 at Welcome Stadium. Doctors are warning coaches and band leaders to watch for signs of heat illnesses in children this time of year. BRYANT BILLING / STAFF

Credit: Bryant Billing

Credit: Bryant Billing

Vandalia-Butler football players talk with a coach in a huddle during the Miami Valley Football Coaches Association Social Justice 7-on-7 on Wednesday, July 9 at Welcome Stadium. Doctors are warning coaches and band leaders to watch for signs of heat illnesses in children this time of year. BRYANT BILLING / STAFF

As school sports start up and the weather is at its hottest, the risk of young athletes suffering from heat stroke rises.

“As your body temperature starts to heat up, you’re gonna start to see different things such as heat exhaustion and even up to what we call heat stroke, which is the most severe form of heat related illness,” said Dr. Jordan Grilliot, a sports medicine doctor at Premier Health. “It kind of goes in a sort of a continuum from heat rash, heat cramp, heat related cramps, to heat exhaustion and even up to heat stroke.”

Add in a heat advisory in the area until Thursday, and Grilliot suggests families and coaches who are sending young athletes to camps or musicians to band camp this time of year should take extra precautions.

A Beavercreek High School band member drinks water during a break on Tuesday, July 29. The program is hosting its camp all week long. On Tuesday, the band practiced in early morning and later evening to avoid mid-day heat. BRYANT BILLING / STAFF

Credit: Bryant Billing

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Credit: Bryant Billing

A heat-related illness occurs when the body is exposed to extreme heat. Heat stroke is the most serious condition, when the body hits about 106 degrees Fahrenheit within about 10 to 15 minutes.

While the temperature has been in the upper 80s and 90s in late July, Grilliot said in Ohio and the southern states humidity can make heat more dangerous. The human body cools by producing sweat, which then evaporates into the air. If the body is producing sweat that can’t evaporate due to a high amount of water already in the air – also known as humidity - it’s much more difficult for the body to cool off.

Grilliot said families with athletes or kids who will be attending an outdoor sports camp during the heat should first encourage hydration, about 24 to 48 hours ahead of time. He said during a fellowship he completed in New Orleans, it was difficult to get teenagers to understand they need to hydrate well ahead of time, with both water and electrolytes.

“You can’t do it the day before and you can’t do it the day of,” he said. “If you do it the day of, it’s already too late.”

Kids can also wear loose-fitting clothing and stay in the shade as much as possible, he said.

Early signs of heat exhaustion, which is the step before heat stroke, include dizziness and lightheadedness. If an athlete complains of those symptoms, they should be pulled out of practice and into a shaded area and provided with whatever cooling measures are on hand, such as ice packs placed around the body or wet towels. Grilliot said cold tubs can be extremely effective in this way.

Grilliot said an adult should also check the athlete’s body temperature and make sure it’s not in that 106-degree range.

An athlete who starts slurring their words could be experiencing heat stroke, Grilliot said. In that situation, the most important thing to do, even before calling 911, is getting them to cool down rapidly with ice packs or wet towels.

“You need to start cooling them right away because the longer their temperature stays that high, the more potentially damage can be done,” he said.

Dayton Children’s Lora Scott, division chief for sports medicine, advised getting people to try to acclimatize to the heat.

“During the acclimatization period, many athletes are unable to do the intense workouts they can do in cooler temperatures,” she said in a 2022 blog post. “And if you stop exercising in the heat, your body loses these adaptations.”

The Franklin High School marching band performs during Franklin's Independence Day Parade Tuesday, July 4, 2023, on Main Street in Franklin. Doctors are warning coaches and band leaders to watch for signs of heat illnesses in children this time of year. 
NICK GRAHAM/STAFF

Credit: Nick Graham

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Credit: Nick Graham

Scott also advised unlimited access to water and electrolytes during a workout.

Grilliot said there is more awareness now than before about heat-related illnesses, especially after high-profile cases in the NFL.

“There’s a lot more awareness in ways they can mitigate some of those issues now, which - it can save lives, because heat stroke can be deadly,” he said.

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