PREVENTING ENVIRONMENTAL COLD INJURIES
The
late fall is upon us and in some places signs of winter have arrived with snow
and cold temperatures. While
environmental cold injuries can happen any time of year in the right conditions
the likelihood of these injuries increases as the ambient temperature drops, the
snow falls and the ski or snowboarding trips are planned. While those competing in traditional winter
sports or wildernesses activities can be particularly at risk for environmental
cold injuries, so can athletes who are participating in traditional fall sports in
cold conditions. Participation in a football
or soccer game or even a cross country race in cold weather can potentially
lead to frostbite or hypothermia with the right combination of conditions. The important thing to understand is that
these types of injuries can be prevented with appropriate precautions.
ENVIRONMENTAL
RISK FACTORS:
In
order to understand how to prevent environmental cold injuries you must first
understand cold stress and your body’s response. As an equation, cold stress can be described
as follows:
As the
temperatures become lower and wind speeds rise the likelihood of environmental
cold injuries increase. The likelihood
increases even further if a person is outside in cold temperatures with high
wind speeds and is wet (perhaps from sweating or even immersion in cold
water). Heat transfer in the water is 70
times greater than in the air. Heat loss
increases two times when someone is wet and cold as compared to dry and
cold. Additionally, the insulating
properties of clothing are decreased up to 90% when wet. The NOAA windchill chart can give you an idea
of the increasing injury potential as temperatures drop and wind speeds
increase.
NON-ENVIRONMENTAL
RISK FACTORS:
Several
non-environmental risk factors or certain medical conditions can increase the
potential for environmental cold injuries.
Those who have suffered previous environmental cold injuries are 2 – 4
times more likely to suffer another injury.
Females are also 2 times more likely to suffer from environmental cold
injuries. Wearing the appropriate
clothing (check
insulation rating) is a particular focus on prevention, being
unprepared increases injury risk. Youth
athletes are at increased risk of injury because of higher surface area to mass
ratio and lower adipose deposits. This
means young athletes can suffer from an injury in conditions that would not
normally impact adults. Also, if your
child suffers from exercise-induced bronchospasm or asthma, Raynaud’s syndrome
or cold urticaria the risk of environmental cold injury increases.
PREVENTION
RECOMMENDATIONS:
The
National Athletic Trainers’ Association Position Statement: Environmental Cold Injuries (2008) delineates
several recommendations in order to prevent cold injuries. Those recommendations are as follows:
- Have trained personnel available that are specifically trained in cold injury prevention, recognition, and treatment; athletic trainers are among these.
- Identify those participants that are increased risk and monitor them closely; in certain situations they may need to be withheld from participation.
- Have a clear event or practice guideline on assessing weather conditions and making decisions about event postponement or cancellation.
- Know how to properly layer clothing with an inner wicking layer, middle insulation layer and wind and water resistant external layer; click HERE for a video and HERE for an article on how to layer properly.
- For young athletes more frequent breaks and opportunities to warm are necessary.
Next
post: Recognizing common environmental cold
injuries
REFERENCES:
Cappaert,
T.A., Stone, J.A., Castellani, J.W., Krause, B.A., Smith, D., and Stephens, B.A. (2008). National Athletic
Trainers’ Association position statement:
Environmental cold injuries. Journal of Athletic Training; 43(6): 640–658. Available at http://www.nata.org/sites/default/files/EnvironmentalColdInjuries.pdf
Occupational
Safety and Health Administration. Cold Stress Accessed at http://www.osha.gov/SLTC/emergencypreparedness/guides/cold.html
Submitted by Heather L. Clemons, MS, MBA, ATC
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