{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T01:59:39Z","timestamp":1787709579334,"version":"build-2784847793"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,4,23]],"date-time":"2017-04-23T00:00:00Z","timestamp":1492905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Exertional heat illness (EHI) is a leading cause of preventable death among student athletes. While causes and preventative measures for EHI are known, school districts may not be implementing evidence-based practices. This descriptive, exploratory study explored school policies, resources, and practices of coaches in a mid-Atlantic state in the prevention and identification of EHI; 397 responded. Ninety-three percent knew of EHI, but only 52% scheduled acclimatization. Coaches reporting a heat emergency plan (56%) were significantly more likely to follow other evidence-based recommendations: altering equipment ( p &lt; .0001, odds ratio [ OR] = 2.53), monitoring environment ( p &lt; .0001, OR = 2.56), providing acclimatization ( p &lt; .0001, OR = 2.50), having athletic trainers at practices ( p &lt; .0001, OR = 4.75), and believed that they could handle the emergency until EMS arrival ( p &lt; .001, OR = 2.48). School districts should comply with evidence-based guidelines. School nurses play a key role in education, developing emergency plans and training coaches in first aid.<\/jats:p>","DOI":"10.1177\/1059840517706104","type":"journal-article","created":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T02:46:14Z","timestamp":1493001974000},"page":"156-164","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Exertional Heat Illness Among Secondary School Athletes"],"prefix":"10.1177","volume":"34","author":[{"given":"Jill","family":"Rodgers","sequence":"first","affiliation":[{"name":"Department of Nursing, Edinboro University of Pennsylvania, Edinboro, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peggy","family":"Slota","sequence":"additional","affiliation":[{"name":"School of Nursing & Health Studies, Georgetown University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Zamboni","sequence":"additional","affiliation":[{"name":"Mathematics and Humanities Department, Carlow University, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,4,23]]},"reference":[{"key":"bibr1-1059840517706104","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e31802fa199"},{"key":"bibr2-1059840517706104","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200939070-00001"},{"key":"bibr3-1059840517706104","first-page":"e741","volume":"128","author":"Bergeron M. 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