College Athlete Deaths in Workouts Spur New Guidelines

WEDNESDAY, June 27 (HealthDay News) — The sudden death of a
growing number of college athletes during conditioning sessions has
prompted a task force, led by the National Athletic Trainers‘ Association
(NATA), to issue new safety recommendations for these workouts.

NATA said the guidelines are designed to provide doctors, trainers,
coaches and athletes with ways to prevent sudden deaths among young
athletes, particularly those with underlying heart conditions.

Strength and conditioning sessions have become fundamental to success
in collegiate sports,” task force chair Douglas Casa, director of athletic
training at University of Connecticut Neag School of Education, and chief
operating officer of the Korey Stringer Institute, noted in an NATA news
release. “However, the athletes’ development, health and safety are
sometimes overshadowed by a culture that values making athletes tough,
instilling discipline and focusing on success at all costs. This
ill-conceived philosophy has been a contributor to the alarming increase
in collegiate athlete deaths and serious injuries during conditioning
sessions.”

Over the past 12 years, 21 National Collegiate Athletic Association
(NCAA) football players died during conditioning sessions, which typically
involve activities such as sprinting, lifting weights and mat drills. Of
these deaths, 75 percent involved Division 1 players. NATA noted 11 of the
athletes died during the first or second day of training, suggesting they
did not have enough time to get used to their workouts.

Rodger Saffold, an offensive tackle with the St. Louis Rams who was
drafted from Indiana University three years ago, admitted that athletes
often overexert themselves, so it’s critical for trainers and coaches to
provide guidance to ensure their safety.

“As a former collegiate player, I often pushed myself too far. . .
These guidelines today will prevent just that and I’m glad to be a part of
such an important forum,” said Saffold.

The new guidelines, entitled “Preventing Sudden Death in Collegiate
Conditioning Sessions: Best Practices Recommendations,” make the following
recommendations to prevent injuries and death among amateur athletes
during conditioning sessions:

  • Introduce new conditioning activities gradually and allow athletes to
    acclimate.
  • Exercise and conditioning activities should not be used as
    punishment.
  • Strength and conditioning coaches must have the proper education,
    experience and credentials.
  • Athletes must have medical supervision, including a strength and
    conditioning coach and athletic trainer.
  • An emergency action plan must be developed and tested.
  • Coaches and staff must be prepared to provide first aid as soon as an
    athlete shows signs of distress.
  • Coaches and staff must be aware of athletes’ medical conditions.
  • Health and safety concerns for student athletes must be managed during
    strength and conditioning workouts.
  • A working partnership should be established with recognized
    professional organizations, including athletic, coaching, sports medicine
    and strength and conditioning organizations.
  • Coaches and their medical staff must complete adequate continuing
    education.

“It’s vital that we administer collegiate conditioning sessions with
appropriate oversight by educated and experienced strength and
conditioning coaches. They, in turn, should work in collaboration with
athletic trainers and team physicians and follow an adhered to plan of
gradual acclimatization to each workout session,” task force member Jay
Hoffman, president of the National Strength and Conditioning Association,
said in the news release. p

The task force noted that following the new recommendations on
conditioning workouts would also lower the liability of a school or its
organization’s administrators, teams and coaches.

Commenting on the guidelines, Richard Adler, a founding principal
partner of the Seattle law firm Adler Giersch and chairman of the
executive board of the Brain Injury Association of Washington, said in the
news release: “These guidelines are a great resource to prevent easily
preventable tragic and catastrophic deaths, reduce financial and legal
risks, and make sports more enjoyable for participants, their families and
fans.”

The task force was comprised of several organizations including the
American College of Emergency Physicians, the American Medical Society for
Sports Medicine, the American Orthopaedic Society for Sports Medicine, the
National Collegiate Athletic Association and the United States Olympic
Committee.

The task force guidelines were presented Wednesday during NATA’s annual
meeting in St. Louis. They will also be published in the July/August
issue of the Journal of Athletic Training.

More information

The U.S. National Heart, Lung, and Blood Institute has more about sudden cardiac arrest.

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