Dear All,

Many of you will remember the heat related health problems that Mango
suffered in Heilbronn 2000 whilst playing for GB open. Unfortuantely, this
weekend at the Boston Invitational, Lucy Moore (Bliss and OW player)
suffered from hyponatremia (low sodium levels) after playing in high
temperatures on saturday. She is currently stable but remains in intensive
care in Boston.

With so many players departing shortly for Rostock. It is essential that
all players/captains are aware of this potentially fatal danger.
Hyponatremia is usually caused in athletes by over hydrating! and not
replenishing enough salts/electrolytes.

Please read the advice below and prepare appropriately for every
tournament your team goes to.

Also it would be highly recommended to compile a file with all of your
players insurance details and any important medical information (ie any
allery to medications) just in case you should need it.

Thanks,

Bex
Bliss


Below I have copied the american college of sports medicine advice.



Hot Summer Heat: Workers and Athletes Must Hydrate Properly, Experts Urge
As the heat of Summer rises, runners be properly hydrated, according to
the American College of Sports Medicine (ACSM).

Seeking to clarify complex issues involving hydration for athletes, the
ACSM reiterated its statements on hyponatremia and dehydration for
athletes during endurance events. Hyponatremia is a dangerous condition
that may arise when athletes consume too much water or sports drinks,
diluting or disrupting the body's sodium levels.

ACSM experts in sports medicine and exercise science point out that while
hyponatremia is a serious concern, excessive fluid consumption resulting
in hyponatremia is unlikely to occur in most athletes, and hydration is
important for all active people. Water and sports drinks, when consumed as
recommended, are not dangerous to athletes.

Appropriate fluid intake before, during and after exercise is important to
help regulate body temperature and replace body fluids lost through
sweating.

"Runners should follow a hydration plan based on their sweat losses during
training, and slow runners in particular should take care not to drink
beyond that level during exercise," said Larry Kenney, Ph.D., FACSM.

He also advised runners to consume salty snacks before and after the race
to replace any sodium lost during exercise. ACSM's current hydration
guidelines state that those exercising for more than one hour may benefit
from sports drinks, which replace carbohydrates for energy.

Generally, says Kenney, a a past president of ACSM and an expert on
hydration and related issues, persons participating in typical athletic or
work environments should continue to heed current hydration guidelines.

"There are dangers associated with both extremes of behavior – severe
under-drinking and severe over-drinking. Not drinking at all is not a safe
option for preventing hyponatremia."

The key, he said, is "drinking intelligently, not drinking maximally."

Dehydration resulting from the failure to replace fluids during exercise
can limit the body's ability to regulate body temperature by sweating
and/or skin blood flow, and may contribute to heat exhaustion, heat
injury, and exertional heat stroke.

To minimize the potential for thermal injury, ACSM experts recommend that
athletes attempt to replace fluid losses by consuming fluids at a rate
equal to the sweat rate. This can be accomplished by athletes weighing
themselves before and after the exercise bout. Recommendations are based
on scientific data and observation of athletes suffering from heat injury.

ACSM experts also contend that active people, not just endurance athletes,
should be mindful of the need for hydration during activity and exercise
in the heat and humidity. Those at risk for dehydration and its
consequences, such as hikers, skiers and landscapers, can safely continue
their activity following the ACSM guidelines.

ACSM's Position Stand, "Exercise and Fluid Replacement," is the fourth
issue of fluid replacement guidelines and recommendations for fluid
ingestion and the prevention of heat injury during exercise. Published in
Medicine & Science in Sports & Exercise®, it is the product of scientific
data and expert consensus on the subject.



-- 
Rebecca Forth
Colt Foundation Research Fellow
Portex Anaesthesia, Intensive Therapy & Respiratory Unit
Institute of Child Health
30 Guilford Street
London
WC1N 1EH

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