Heat-related deaths among high school athletes is a serious and growing problem, although one that has only recently begun to receive widespread public attention. A study by the National Center for Catastrophic Sports Injury Research at the University of North Carolina reports that 18 high school athletes suffered from fatal exertional heat stroke between 2005 and 2009, with an additional 19 since 2010. A representative from the Kory Stringer Institute (KSI) a sports safety research and advocacy organization located at the University of Connecticut, stated that, since 2004, the yearly average of high school students suffering from fatal heat stroke is almost twice that of the preceding decades. Although there have been many efforts at the state and local level to combat these traffic deaths, a recent study by KSI and the National Football League (NFL) found that the implementation of policies to prevent heat-related deaths is far from uniform.
The study at issue shows that many individual states are not fully implementing key safety guidelines to protect athletes from potentially life-threatening conditions. The Youth Sports Safety Alliance, an organization representing more than 100 groups, issued the guidelines, which call for access to health care professionals, better-trained coaches, and up-to-date equipment. The state-by-state survey showed that North Carolina had the most comprehensive health and safety practices, adhering to 79% of the guidelines, followed by Kentucky at 71%. At the bottom were Colorado at 23% and California at 26%. Those scores are based on a state meeting the best practice guidelines addressing the four major causes of sudden death in high school athletes: cardiac arrest, traumatic head injuries, exertional heat stroke, and exertional sickling occurring in athletes with the sickle cell trait.
Dr. Douglas Casa, of KSI, says that progress is slow because most states only make changes to their safety guidelines after a tragedy. In his field of expertise (exertional heat stroke), Casa notes that states that have adopted significant changes to their heat acclimatization practices have not suffered any deaths from exertional heat stroke. To prevent death from EHS, best practices come down to three things: