Exertional Heat Stroke



Throughout much of the country, heat and humidity are starting to become the norm. As we inch closer to fall and especially with football practices and camps starting, those of us in sports medicine are on high alert for a potential surge in heat-related illnesses. Today on the podcast, I’m joined by a world-renowned expert in heat illness and how that relates to athletics.
Grab your cold beverage of choice, sit back, relax, and listen in, as I’m certain there will be extremely valuable information to be had for anyone who deals with young athletes. I’m Dr. Mark Halstead, your host, and you are listening to the Pediatric Sports Medicine Podcast


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Links from this Episode:

— Dr. Mark Halstead: On the WebOn X


Timestamps from this Episode:

00:00 Dr. Watson and Dr. Brenner’s credentials, previous visits to the program and more.

06:07 Personal examples of overuse injuries and their impact.

07:55 Parents unaware of kids’ sleep and health impact, leading to potential low energy availability.

11:08 Optimizing athlete performance through balanced training and stress management strategies, including early conversations with families and gradual training volume increases.

14:53 Excessive exercise can lead to negative impacts on performance, such as overtraining syndrome, characterized by unexplained decreases in performance, sleep disturbances, and mood changes.

17:55 Ensure no anemia, infection, endocrine or mood issues.

22:42 Consider child’s intrinsic motivation, health, and safe training.

26:17 Public perception views running as excessive for kids, despite being a lifelong sport.

28:38 Transitioned from soccer coach to medical school due to concerns about injury risks in youth soccer tournaments.

31:32 Youth athlete burnout is a significant concern, as they may become mentally and physically exhausted, lose enjoyment in their sport, feel no sense of accomplishment, and desire to quit. More research is needed in this area to understand and prevent burnout in young athletes.

34:21 Identifying and addressing risk factors, including undue pressure from coaches, parents, and peers, to ensure proper development and well-being of young athletes.

38:11 Doctor Mark Halstead expresses gratitude to doctors and promotes the pediatric sports medicine podcast.


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The Host of this Program:

Dr. Mark Halstead - Host of The Pediatric Sports Medicine Podcast - St. Louis, MOMark Halstead: 

Dr. Mark Halstead received his medical degree from the University of Wisconsin Medical School. He stayed at the University of Wisconsin for his pediatric residency, followed by a year as the chief resident. Following residency, he completed a pediatric and adult sports medicine fellowship at Vanderbilt University. He has been an elected member to the American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness and the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). He has served as a team physician or medical consultant to numerous high schools, Vanderbilt University, Belmont University, Washington University, St. Louis Cardinals, St. Louis Blues, St. Louis Athletica, and St. Louis Rams. He serves and has served on many local, regional and national committees as an advisor for sports medicine and concussions. Dr. Halstead is a national recognized expert in sport-related concussions and pediatric sports medicine.

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The Guest Host Featured in this Program:


Dr. Doug Case - One of the Many Guests on The Pediatric Sports Medicine Podcast

Doug Casa: 

Dr. Doug Casa is the CEO of the Korey Stringer Institute and is a professor of Kinesiology at the University of Connecticut. He is the editor of numerous books and has published almost 300 peer-reviewed articles and book chapters and has presented over 500 times around the world on the topic of heat-related illness, exertional heat stroke and maximizing performance in the heat. As an athletic trainer, Dr. Casa has also successfully treated 325 cases of exertional heat stroke, none of which resulted in death.

— Dr. Doug Casa – On the WebOn Twitter