Presentation For Coaches YOUR NAME YOUR AFFILIATION Presentation Overview Asthma Background Asthma Medications Overview of ExerciseInduced Asthma How to Handle an Asthma Attack What to Do Before You Play ID: 775168
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Slide1
Exercise-Induced Asthma
A
Presentation
For
Coaches
YOUR NAME
YOUR AFFILIATION
Slide2Presentation Overview
Asthma Background
Asthma MedicationsOverview of Exercise-Induced AsthmaHow to Handle an Asthma AttackWhat to Do Before You PlayCommunicating About Asthma
Slide3Prevalence of Asthma
7.1%, an estimated 15,400 Montana children aged 0-17 have asthma
10.1% of Montana children age 12-17 have asthma In a typical Montana classroom of 30 students, 2-3 will likely have asthmaOn a team of 15 athletes, at least one will probably have asthma
Slide4Asthma and the Lungs
Slide5Airways in an Asthma Attack
Slide6Triggers of Asthma
Allergens: pollen, mold, furry and feathered animals, cockroaches
Irritants: perfume, paints, smoke, strong smells
Viral infectionsEmotional anxietyCold weatherEXERCISE
Slide7Medications
Slide8Two Categories of Medications
Controller Medications: Taken every day to prevent swelling in the airways
Quick-relief/Rescue Medications: Taken when needed to relieve symptomsCan also be taken before strenuous exercise to prevent exercise-induced asthma (pre-treatment)
Slide9Quick-relief/Rescue Medications
Pretreatment, by using the medication 10-15 minutes before strenuous or aerobic activity begins, can reduce the likelihood that asthma symptoms will develop
Also taken when needed to relieve symptoms
Coaching staff must be aware that an athlete is using this medication and be prepared to assist
Slide10Using a Metered-Dose Inhaler
Remove the cap and shake the inhaler
Tilt your head back and breathe out
Put the inhaler mouthpiece between the teeth, with tongue underneath it
Compress the canisterBreathe in slowly for three to five seconds Hold breath for five to ten seconds Exhale Wait at least one minute and repeat puffs as recommended by healthcare provider
Slide111. Remove the cap from the inhaler2. Shake the inhaler3. Put the inhaler in the spacer4. Put your lips around the spacer mouthpiece and exhale through your nose5. Press the inhaler and take a deep, slow breath in (for five seconds) 6. Hold breath for 10 sec 7. Exhale 8. Wait at least one minute and repeat puffs as recommended by healthcare provider
Using
the Inhaler and Spacer
Slide121. Place the mouthpiece between lips and teeth, forming a tight seal2. Take a deep breath in3. Exhale quickly and strongly through the mouthpiece
Using a Peak Flow Meter
Slide13What is Exercise-Induced Asthma?
EIA – Exercise-induced asthma is a transient narrowing of the airway during exercise in people who have a diagnosis of asthma
People without a diagnosis of asthma can also experience airway narrowing during exerciseThis is called exercise-induced bronchoconstriction (EIB)
Slide14Prevalence of EIA
Up to 90% of people with asthma experience symptoms with vigorous exercise or activity
About 10% of the general population has EIB when they exercise
Slide15Causes of EIA
Temperature and water content of inspired air
Drier, colder air is more likely to cause airway narrowingLevel of ventilation reached/sustained during exerciseThe more aerobic the sport, the more likely it is to cause airway narrowing
Slide16Responding to an Asthma Attack
Remain calm and reassure the child
Check the child's asthma action planHave student use quick-relief/rescue medications if available, according to the asthma action planSome students carry their own asthma inhalers with them
Slide17Other Useful Tips
Have the athlete sit up and breathe slowly
Inhale through the noseExhale through the mouthHave the athlete sip room temperature water/fluidContact the school nurse and parent/guardian as necessaryNever leave the athlete unattended
Slide18Call 911 if...
Lips or nail beds are bluish
Athlete has difficulty talking, walking, or drinkingQuick-relief/rescue meds (e.g. albuterol) are ineffective or not availableNeck, throat, or chest muscles are pulling in Nasal flaring occurs when inhaling Athlete is in obvious distressAltered level of consciousness/confusion Rapidly deteriorating condition
Slide19The Good News
Asthma can be controlled!
Students who have asthma can participate in sports just like any other child or teenThe key to full participation is proper control and management
Slide20Olympians with Asthma
A study in the November 1998 Journal of Allergy and Clinical Immunology found that:In the 1996 Summer Olympics, thirty percent of the asthmatic athletes on the US team took home team or individual medalsThey fared as well as athletes without asthma who took earned team or individual medals
Slide21World-Class Athletes with Asthma
Jackie Joyner-Kersee- Olympic Gold Medalist (track & field) DeAndre Jordan- NBA Amy Van Dyken- Olympic Gold Medalist (swimming) Jerome Bettis- NFLEmmitt SmithGary Roberts- NHL Jim “Catfish” Hunter- MLBDonnell Bennett- NFLDavid Beckham- MLSJustine Henin- Tennis
Slide22Before You Play
Know which athletes have asthma
Make sure you receive an asthma action plan for each student with asthmaPre-treat with quick-relief/rescue medication approximately 10-15 minutes prior to exercise, as per doctor’s instructionsDo warm-up and cool-down activitiesCheck outdoor air quality levelsAir quality in Montana can be checked at: http://svc.mt.gov/deq/todaysair/
Slide23dphhs.mt.gov/asthma
http
://svc.mt.gov/deq/todaysair/
Slide24Talking with Parents and Athletes
Form a partnership with parents, athletes, and their healthcare providers to create the norm that asthma is not an excuse to sit on the sidelines but is a disease that can be controlled
If an athlete is complaining of breathing difficulty- BELIEVE IT and take action! Inform parents/guardians of breathing difficulties and request that the athlete see a healthcare providerDo not allow other athletes to tease athletes with asthma symptoms
Slide25http://www.winningwithasthma.org
Slide26Overlap between asthma and allergySymptoms of anaphylaxisIf anaphylaxis is suspected, immediately call 911!Using an EpiPen Allergy and Anaphylaxis Traininghttp://dphhs.mt.gov/Asthma/onlineasthmatrainings
A word about anaphylaxis
Slide27Key Take Home Messages
Asthma is a common disease that is often triggered by exerciseDuring a student’s asthma attack, follow the protocol outlined in his/her asthma action planTo prevent exercise-induced asthma:Pre-treat with rescue inhaler 10-15 minutes before activityAllow warm up and cool down periods A student with asthma that is well-controlled should be able to participate in both sports and physical education classes:If a student is not able to participate because of asthma symptoms, ensure that you inform his/her parents/guardians that the athlete’s asthma is not well-controlled
Slide28Thank you for your time!Questions?Post-class assessment
Your Contact Information
Montana Asthma Control Program
William Biskupiak
wbiskupiak@mt.gov
406-444-0995
Your Name