• – The heat policy is based off of WBGT (optimal measurement)
• – The environmental conditions guidelines are based off of epidemiological data specific to that state/region (for bigger states a more comprehensive analysis may be needed)
• – The heat policy has at minimum 4 levels of modification, including the modification of practice time
• – Policy includes modification of equipment (if applicable to the sport)
• – Policy includes modification of work:rest ratios, including unrestricted access to fluids
• – Policy mentions the use of a shaded area for rest breaks

• – State requires all schools to have a heat modification policy
• – The heat policy is based off of WBGT (optimal measurement)
• – The heat policy has at minimum 4 levels of modification, including the modification of practice time
• – Policy includes modification of equipment (if applicable to the sport)
• – Policy includes modification of work:rest ratios, including unrestricted access to fluids
• – The environmental conditions guidelines are based off of epidemiological data specific to that state/region (for bigger states a more comprehensive analysis may be needed)
• – Cold Water Immersion tubs for onsite cooling for all warm weather practices
• – If exertional heat stroke is suspected, onsite cooling using cold water immersion before transport to the hospital

Sudden Cardiac Arrest

• – Institutions sponsoring athletic events/activities should have a AED on site or access to one at each athletic venue for practices, games, or other athletic events
• – Location of AED should be well marked, publicized, accessible and known among trained staff

• – Days 1–5 are the first formal practices. No more than 1 practice occurs per day
• – In days 1-5, total practice time should not exceed 3 hours in any 1 day
• – On days 1-5, 1-hour maximum walk-through is permitted, however there must be a 3 hour minimum between practice and walk-through (or vice versa)
• – During days 1–2 of first formal practices, a helmet should be the only protective equipment permitted (if applicable). During days 3–5, only helmets and shoulder pads should be worn. Beginning on day 6, all protective equipment may be worn and full contact may begin.Football only: on days 3–5, contact with blocking sleds and tackling dummies may be initiated. Full-contact sports: 100% life contact drills should begin no earlier than day 6
• – Day 6–14, double-practice days must be followed by a single-practice day. On single-practice days, 1 walk-through is permitted, separated from the practice by at least 3 hours of continuous rest. When a double-practice day is followed by a rest day, another double practice day is permitted after the rest day.
• – On a double-practice day, the 2 practices should be separated by at least 3 continuous hours in a cool environment.
• – State requires all schools to have a heat modification policy
• – The recommended heat policy is based off of WBGT
• – The environmental conditions guidelines are based off of epidemiological data specific to that state/region (for bigger states a more comprehensive analysis may be needed)
• – The heat policy has at minimum 4 levels of modification, including the modification of practice time
• – Policy includes modification of equipment (if applicable to the sport)
• – Policy includes modification of work:rest ratios, including unrestricted access to fluids
• – Policy mentions the use of a shaded area for rest breaks

Emergency Preparedness

• – The AEAP should be developed and coordinated with local EMS, school public safety officials, on site medical personnel or school medical staff, and school administrators
• – Every school should distribute the AEAP to all athletics staff members
• – The AEAP should be specific to each venue (including maps, directions, etc.)
• – On-site emergency equipment that may be needed in an emergency situation should be listed
• – The AEAP should identify personnel and their responsibilities to carry out the plan of action with a designated chain of command
• – Appropriate contact information for EMS
• – Plan should specify documentation actions that need to be taken post emergency
• – AEAP should be reviewed and rehearsed annually by all parties involved
• – Healthcare professionals who will provide medical coverage during games, practices, or other events should be included
• – Coaching education required as part of coaching certification on topics relating to preventing sudden death in sport

• – Plan should specify documentation actions that need to be taken post emergency
• – AEAP should be reviewed and rehearsed annually by all parties involved

• – The AEAP should be developed and coordinated with local EMS, school public safety officials, on site medical personnel or school medical staff, and school administrators
• – AEAP should be reviewed and rehearsed annually by all parties involved 

• – The environmental conditions guidelines are based off of epidemiological data specific to that state/region (for bigger states a more comprehensive analysis may be needed)
• – Cold Water Immersion tubs for onsite cooling for all warm weather practices
• – If exertional heat stroke is suspected, onsite cooling using cold water immersion before transport to the hospital