[ { "page": 1, "items": [ { "page": 1, "type": "TEXT", "location": { "l": 70.56, "t": 676.8, "r": 529.2, "b": 662.64 }, "text": "Information about the Kentucky State University Cooperative Extension Program", "reading_order": 0 }, { "page": 1, "type": "TITLE", "location": { "l": 99.12, "t": 636.24, "r": 510.24, "b": 593.52 }, "text": "Seasonal CRD Preparedness Tips (August)\nHeat-Related Illnesses in Sports", "reading_order": 1, "level": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 32.64, "t": 570, "r": 288.72, "b": 496.8 }, "text": "During this season, temperatures will continue to rise and heat related illnesses will also increase. We want to help you take safety measures to secure your loved ones in sports during this season of rising temperatures.", "reading_order": 2 }, { "page": 1, "type": "TITLE", "location": { "l": 33.36, "t": 482.16, "r": 267.36, "b": 465.84 }, "text": "Exercising/Practicing while hot outside", "reading_order": 3, "level": 3 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 32.64, "t": 452.88, "r": 295.68, "b": 422.4 }, "text": "If you feel faint or weak, STOP all activity and get to a cool place", "marker": "●", "list_id": "L1", "level": 0, "reading_order": 4 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 32.88, "t": 409.44, "r": 280.8, "b": 378.48 }, "text": "Pace activity. Start activities slow and pick up the pace gradually.", "marker": "○", "list_id": "L1", "level": 0, "reading_order": 5 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 32.64, "t": 366, "r": 293.04, "b": 336 }, "text": "Limit outdoor activity, especially during the middle of the day when the sun is hottest\nSchedule workouts and practices earlier or later in the day when the temperature is cooler.", "marker": "●", "list_id": "L1", "level": 0, "reading_order": 6 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 311.52, "t": 570, "r": 565.2, "b": 540.24 }, "text": "Schedule workouts and practices earlier or later in the day when the temperature is cooler.", "marker": "○", "list_id": "L1", "level": 0, "reading_order": 7 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 311.52, "t": 527.28, "r": 538.32, "b": 511.44 }, "text": "Don't wait until you're thirsty to drink more.", "marker": "●", "list_id": "L1", "level": 0, "reading_order": 8 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 311.28, "t": 498.24, "r": 547.68, "b": 468.24 }, "text": "Muscle cramping may be an early sign of heat-related illness.", "marker": "○", "list_id": "L1", "level": 0, "reading_order": 9 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 311.52, "t": 454.8, "r": 572.4, "b": 424.8 }, "text": "Monitor a teammate's condition, and have someone do the same for you.", "marker": "●", "list_id": "L1", "level": 0, "reading_order": 10 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 311.52, "t": 411.84, "r": 550.32, "b": 395.52 }, "text": "Wear loose, lightweight, light-colored clothing.", "marker": "●", "list_id": "L1", "level": 0, "reading_order": 11 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 311.52, "t": 383.04, "r": 573.6, "b": 352.32 }, "text": "Synthetic turf fields absorb heat, resulting in surface temperatures that are much higher.", "marker": "●", "list_id": "L1", "level": 0, "reading_order": 12 }, { "page": 1, "type": "TABLE", "location": { "l": 41.04, "t": 312.48, "r": 429.12, "b": 58.56 }, "text": "
RISKWBGT*MODIFICATIONS*
Minimal Risk≤ 76.1circFNormal Activities, no modifications necessary
Low Risk76.2 - 81°FNormal Activities/Regular practice/game prepDiscretion for Intense/Prolonged Activity; Watch at Risk PlayersProvide at least 3 rest/fluid breaks each hour of 4+mins each.
Moderate Risk81.1 - 84°FRest/Work ratio to be increased;15-20 min of activity followed by 4+ min rest/fluid breaks;Practice will be in shorts, helmets, shoulder pads onlyNo equipment may be worn for conditioning activitiesMaximum length of practice 2 hours
High Risk84.1 - 86°FRest/Work ratio to be increased; 20 mins activity/6+ min rest20 mins of rest distributed throughout 1 hr of practicePractice will be in shorts only (all protective equipment removed)No conditioning activitiesMaximum Length of practice 1 hourChange Time of Day activity is held (no practices b/t 11am-4pm)
Extreme Risk≥ 86.1circFNo Outdoor WorkoutsMay delay practice until cooler WBGT reading occurs
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Watch at Risk PlayersProvide at least 3 rest/fluid breaks each hour of 4+mins each.", "html_text": "Normal Activities/Regular practice/game prepDiscretion for Intense/Prolonged Activity; Watch at Risk PlayersProvide at least 3 rest/fluid breaks each hour of 4+mins each.", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 3, "location": [ 41.04, 143.2, 429.12, 185.52 ], "cells": [ { "location": [ 41.04, 143.2, 170.4, 185.52 ], "text": "Moderate Risk", "html_text": "Moderate Risk", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 170.4, 143.2, 299.76, 185.52 ], "text": "81.1 - 84°F", "html_text": "81.1 - 84°F", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 299.76, 143.2, 429.12, 185.52 ], "text": "Rest/Work ratio to be increased;15-20 min of activity followed by 4+ min rest/fluid breaks;Practice will be in shorts, helmets, shoulder pads onlyNo equipment may be worn for conditioning activitiesMaximum length of practice 2 hours", "html_text": "Rest/Work ratio to be increased;15-20 min of activity followed by 4+ min rest/fluid breaks;Practice will be in shorts, helmets, shoulder pads onlyNo equipment may be worn for conditioning activitiesMaximum length of practice 2 hours", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 4, "location": [ 41.04, 100.88, 429.12, 143.2 ], "cells": [ { "location": [ 41.04, 100.88, 170.4, 143.2 ], "text": "High Risk", "html_text": "High Risk", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 170.4, 100.88, 299.76, 143.2 ], "text": "84.1 - 86°F", "html_text": "84.1 - 86°F", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 299.76, 100.88, 429.12, 143.2 ], "text": "Rest/Work ratio to be increased; 20 mins activity/6+ min rest20 mins of rest distributed throughout 1 hr of practicePractice will be in shorts only (all protective equipment removed)No conditioning activitiesMaximum Length of practice 1 hourChange Time of Day activity is held (no practices b/t 11am-4pm)", "html_text": "Rest/Work ratio to be increased; 20 mins activity/6+ min rest20 mins of rest distributed throughout 1 hr of practicePractice will be in shorts only (all protective equipment removed)No conditioning activitiesMaximum Length of practice 1 hourChange Time of Day activity is held (no practices b/t 11am-4pm)", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 5, "location": [ 41.04, 58.56, 429.12, 100.88 ], "cells": [ { "location": [ 41.04, 58.56, 170.4, 100.88 ], "text": "Extreme Risk", "html_text": "Extreme Risk", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 170.4, 58.56, 299.76, 100.88 ], "text": "≥ 86.1circF", "html_text": "≥ 86.1circF", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 299.76, 58.56, 429.12, 100.88 ], "text": "No Outdoor WorkoutsMay delay practice until cooler WBGT reading occurs", "html_text": "No Outdoor WorkoutsMay delay practice until cooler WBGT reading occurs", "links": [], "cell_header_index": 2, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" } ], "n_rows": 6, "n_cols": 3, "ref": "#/tables/0", "reading_order": 13 }, { "page": 1, "type": "FIGURE", "location": { "l": 455.52, "t": 305.52, "r": 561.84, "b": 62.16 }, "text": "", "reading_order": 14 } ] }, { "page": 2, "items": [ { "page": 2, "type": "TITLE", "location": { "l": 33.6, "t": 758.16, "r": 278.88, "b": 725.04 }, "text": "Return to Play Following Exertional Heat Stroke", "reading_order": 0, "level": 2 }, { "page": 2, "type": "TEXT", "location": { "l": 33.6, "t": 711.36, "r": 259.92, "b": 680.88 }, "text": "The following is the protocol for return to play following heat stroke:", "reading_order": 1 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 309.36, "t": 758.16, "r": 570.72, "b": 699.6 }, "text": "When cleared for activity by a licensed physician, begin exercise in a cool environment and gradually increase the duration, intensity, and heat exposure for 2 weeks", "marker": "3.", "list_id": "L2", "level": 0, "reading_order": 2 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 33.84, "t": 667.92, "r": 284.64, "b": 638.16 }, "text": "Refrain from exercise for at least 7 days following the acute event.", "marker": "1.", "list_id": "L2", "level": 0, "reading_order": 3 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 309.36, "t": 686.4, "r": 572.64, "b": 642.48 }, "text": "If return to activity is difficult, consider a laboratory exercise-heat tolerance test about one month post incident.", "marker": "4.", "list_id": "L2", "level": 0, "reading_order": 4 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 33.12, "t": 624.96, "r": 275.52, "b": 594.48 }, "text": "Follow up in about 1 week for physical exam by licensed physician (MD, DO)\n3. 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