Making a Game Plan for a Safe Season – Tips for Parents and Coaches

Making a Game Plan for a Safe Season – Tips for Parents and Coaches

The to-do lists for coaches and sports administrators preparing for sports seasons are long. It’s time to meet new players, evaluate the condition and skills of each player, inform the parents of rules and schedules and get the playbook finalized. What may get overlooked is the emergency plan and training. Pediatric sports medicine physician Shane M. Miller, M.D., who has a background as a firefighter and EMT, offers some safety tips for parents and coaches. “Many organizations have the best of intentions to keep athletes safe, says Dr. Miller. “Preparation and practice can make all the difference in emergencies.”

Miller is passionate about helping athletic trainers and others in sports. He conducts training for several school districts including Frisco ISD and Irving ISD. From handling heat illness to spine injuries, athletic trainers are an invaluable resource on the sidelines. Young athletes may be in settings where athletic trainers are not available, so it’s important for parents and coaches to be aware of safety protocols.

Tips for Parents

  • Take the preseason sports physical process seriously. With an accurate and thorough history and exam, the family doctor can identify conditions that may need special attention before and during the season.
  • Get to know the athletic trainer, if available. From emergency care during sporting events to rehabilitation after injury, these health care professionals are knowledgeable about sport-related injuries.
  • Ensure your team/organization has an emergency action plan. These include protocols for lightning safety, preventing heat related illness and communication plans for all emergency situations.
  • Ensure your child’s equipment fits correctly and is worn properly. Poorly fitting equipment misses the mark for protecting the child in the way it is designed. In some cases, this can even cause an injury.
  • Learn signs and symptoms of problems that put young athletes at risk. No one knows your child better than you do. Learn the signs and symptoms of a concussion, heat illness and overuse injuries. Taking the right steps when you recognize these can make all the difference for your athlete.
  • Check the condition of the field and access to emergency personnel. When arriving at practice or a competition, assess the conditions. Is the field in good condition? Is there an automatic external defibrillator (AED) present and accessible? Is there an ambulance or athletic trainer on-site, or will 911 be used for emergencies?

 
Tips for Coaches

  • Review safety guidelines provided by the league and other reputable national sports organizations. These are designed to keep all participants safe.
  • Know your athletes’ major medical conditions and injuries. Because each athlete is unique, it has become more important to recognize individual needs. For example: An athlete with exercise-induced asthma may require use of an inhaler. For someone with an overuse injury, ignoring activity restrictions can shorten his or her season rather than improve performance.
  • Plan rest and water breaks for all activities, these should be modified when the environment is hot. Learn the signs and symptoms of heat illness and heat exhaustion.
  • Review and practice critical decisions and emergency procedures. Establish a plan for making and communicating decisions about weather conditions from heat and humidity to lightning. Identify what resources are available for first aid at each event and how to respond in various emergencies. In many organizations, this is documented in a comprehensive Emergency Action Plan (EAP).

 
“Teamwork is as important in the game as it is in when it comes to emergencies,” says Miller. “When the game plan is clear, situations can be avoided or handled with the best possible outcomes. Take time to prepare for the upcoming season.”

Hydration Tips for Young Athletes

Hydration Tips for Young Athletes

Our certified sports dietitian Taylor Morrison, M.S., R.D.N., CSSD, L.D., frequently teaches athletes that staying hydrated is an important part of staying healthy. She says, “Our bodies need water to replenish and refuel, especially after exercising or playing sports, and young athletes have different hydration needs than adults.” Each child or teen may have unique needs based on a variety of factors. Taylor shares key tips on how to help keep your young athlete hydrated and healthy.

  • Choose a fun water bottle. Try customizing with team stickers so it’s easy to identify on the sidelines.
  • Add high water content foods like oranges, cucumbers or yogurt to meals to make hydrating more fun.
  • Drink fluids throughout the day. Carry your water bottle or stop by the water fountain between classes.
  • Do not drink a large volume of fluid right before an event or physical activity.
    • This may not fully hydrate or rehydrate the athlete.
    • This may cause stomach discomfort or a trip to the restroom during the event.
  • Drink plenty of fluids during and after the event.
  • Learn what works for different activities.

How Much Fluid Does My Athlete Need?

Fluid needs vary based on age, gender, weight, and even genetics. For young athletes, other factors are just as important, such as stage of development, activity type, and the duration and intensity of activities. For some athletes, the amount of sweat or the composition of sweat may also affect how much and what type of fluid is needed. The below table shows a child’s or teen’s daily baseline fluid needs based on age and gender. Make sure to increase fluid intake above this when active or playing sports.

Hydration Strategy for Sports

Having a plan for staying hydrated is essential for young athletes playing sports or doing other physical activities. A hydration strategy is especially important for athletes who train in extreme temperatures or climates and participate in physical activities that last more than an hour. A good strategy for young athletes is to drink fluids before, during and after physical activity.

Before:
Drink fluids with and in-between meals and snacks throughout the day. Two to fours hours before physical activity, athletes should consume 2.3 to 4.5 milliliters per pound of body weight. This is the minimum amount of water your young athlete should be consuming in milliliters. A 12-ounce water bottle is about 350 milliliters, which is appropriate for pre-activity hydration for a 100-pound athlete.

During:
Athletes 9 to 12 years of age should drink three to eight ounces of fluids every 15 to 20 minutes. Athletes 13 to 18 years of age should drink 34 to 50 ounces of fluids every hour.

After:
Young athletes should drink fluids right after the event or physical activity, as well as with meals and snacks following the event.

When to Drink More Fluids

Special Conditions

Certain conditions can increase an athlete’s fluid needs. These conditions may increase sweat rates, alter the body’s ability to cool itself and increase the body’s core temperature:

  • Hot weather
  • Humidity
  • Altitude
  • Type of sport played
  • Length of activity
  • Clothing
  • Recent illness
  • Certain medications or supplements

More than Water

Water is the first choice for hydration but sometimes a sports drink or salty snack is necessary to replace sodium and other electrolytes lost through sweat and to provide energy from carbohydrates. After puberty, an athlete may sweat more, so replacing electrolytes becomes more important. Some salty snack ideas are sports drinks with six to eight percent carbohydrate, pretzels or salty crackers, cheese, pickles, or broth-based soup or vegetable juice.

A sports drink or salty snack may be needed for the following:

  • High intensity activities lasting longer than an hour
  • Tournaments and back-to-back events
  • Hot conditions, indoors or outdoors
  • Having salt on the skin or clothes after activity

Signs and Symptoms of Dehydration

If your young athlete is experiencing any of the following signs and symptoms, he or she may be dehydrated, and a hydration strategy may be needed.

  • Fatigue early in the game or practice
  • Decreased/poor performance
  • Headache
  • Muscle cramps
  • Overheating
  • Difficulty focusing
  • Urine that is dark in color, like apple juice
  • Low amount of urine

If you suspect that your young athlete is dehydrated, use our strategies above to rehydrate them. If your child is especially lethargic, a call to your medical provider may be in order.

Signs and Symptoms of Heat Illness

Heat illness is a preventable condition, and dehydration is an early sign of heat illness. Respond quickly if you notice any of the following signs of heat illness:

  • Weakness
  • Vomiting
  • Excessive thirst
  • Headache
  • Fatigue
  • Sweating
  • Nausea
  • Light-headedness
  • Confusion or disorientation

If your child is exhibiting one or more of the signs of heat illness, immediately call your medical provider for assistance to determine if treatment is needed. It is important that your young athlete knows these signs and symptoms so that they can recognize heat illness if they experience it.

Additional Support

With practice, a young athlete should learn what hydration strategy works best for training and competition. If you need help, reach out to a medical provider, the school’s athletic trainer or a certified sports dietitian for personalized recommendations.

Learn more about five strategies for keeping your young athlete fueled.

Learn more about hydration and nutrition for young athletes.