Author: Phillip Sasser, MD
Co Author #1: Jeremy Kent, M.D.
Editor: Mandeep Ghuman, MD
Senior Editor: Mandeep Ghuman, MD
Editor: Robert Baker, MD, PhD, ATC
An 18-year-old male football player with no significant PMH began displaying symptoms of lightheadedness, fatigue, and nausea during practice.
During practice on a mid-July day with a temperature of 90 degrees F and humidity of 52%, the football player was noticed to start displaying signs of illness including lightheadedness, fatigue, and nausea. 75 minutes into practice with reported water breaks every 10-12 minutes, the student-athlete was walking across the field when he fell into a seated, slumped-forward position without sustaining a head injury. His teammates tried to rouse him with cool water. The ATC placed the athlete supine and called EMS. 2-3 minutes later, a team physician found the patient to be minimally responsive with verbal grunts and inconsistent withdrawal to painful stimuli. EMS arrived on the field 10 minutes later.
Initial exam was performed by the sports medicine fellow. Vitals: Temp 109.1F rectally; HR 160 bmp; BP 105/55.
General: Diaphoretic with rare attempts to open eyes. Sweat saturated clothing.
Neuro: Inconsistent withdrawal to sternal rub. Constant verbal grunting.
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