1 Life Saved from Heat Stroke, with reasonable Emergency Service, is as if the rescuer has saved the whole world” [Sacred, Reasonable Service, Romans 12:1 KJVHB] 

American Football is categorized by most appraisers a Full Contact and Hand-to-Hand Combat Sport. Within the football Rules of the game, Athletes experience significant deliberate and incidental physical and psychological forces.  Now days, blocking utilizes ‘Blaise Winter” hand to hand combat.

The principal objectives, goals and benefits of Football are Winning with Fair Play, Sportsmanship and Non-Violence; maintaining discipline, self-control with total execution of assignment mindfulness, with mocking, foul-mouthed silence, during tough, grueling, hard knock combat football and competition.

Adversarial words of any kind during sport participation, which includes ‘Smack’, ‘Trash-talk’, and ‘Fighting Words’, are out of bounds and signify a lack of the Athlete’s Concentration, Cowardice, Inferiority and Insecurity. Compliments are acceptable.

Walter Camp, the father of American Football, said, “Talk is cheap”….”Football hardens men to greatness”….”makes gentlemen athletes”….”who pride themselves with sportsmanship.”

Camp was as much the arbiter of football as he was the arbiter of modern manhood.

Walter Camp, played and coached at Yale beginning in 1878. Camp saw football as the antidote to the degeneration of young men and held the football players up as proof that football turned men into effective and courageous humans.”

Camp said, “Play fair, but play hard and never give up. If you get whipped, Keep Your Mouth Shout and accept the issue, but be determined to change it next time.” [Walter Camp, Father of American Football: Football and the Modern Man, Oct 8, 2015 by Julie Des Jardins]

“Keep Your Mouth Shut, Play Fair and Hard” were fundamental rules when football began. So what changed that doctrine in the last 140 years? Progress? This journalist doesn’t believe so.

What has changed is a descent into mental mediocrity. A mocking, belittling, trash talking loud mouth is just that. It’s literally Trash and reflects poor parenting, instruction, guidance and/or association with the wrong people. Smack reflects an Athlete’s lack of Concentration, Cowardice, Inferiority and Insecurity. Dedicated Athletes should maintain a ‘stiff upper lip’. Outside the Rules of the Game,

Prevent Football Exertional Heat Strokes:

  • Partner up For Mnemonic + Quick Checks
  • “See Jack Jump, Spit, Squeeze, Sweat, Count, Say Brainers”
  • “If jack fails tests, Yell 911, 4 trainers”
  • during Conditioning and Practice by Partners
  • during Games by Trainer
  • Mnemonic + further signs, symptoms, precautions
  • URL link:

Conversely, American Amateur, School, Non-School Football is not intended to be

  • a Sport, Recreation, or Exercise, (SRE)
  • which is Maltreating, Endangering, Abusive and ‘Win-At-all-Costs’,
  • Outside the Rules of the Game,
  • Detrimental to Children and Youth Athletes,
  • directly or indirectly, caused or allowed to be caused
  • by the Coach, Supervisor, Teacher, Doctor
  • or any other Temporary Substitute Caretaker,
  • who has duty of care, control and supervision,
  • during the absence of the Permanent Parent or Custodial Caretaker.


For the prevention of Exertional Heat Illness and Heat Stroke, Athletes exposed to intense exertion during dangerous Heat and/or Air Quality environmental conditions:

  1. Athletes should BEAT THE HEAT, PLENTY WATER DRINK the day and night before and the day during activities
  2. Should partner-up with another teammate and execute the training drills together and examine their partner with regular evaluations and check-ups before starting drills, during drills every 15 to 30 minutes, immediately after the drills
  3. Two potential mnemonics, cues for remembering, follow. Others reader mnemonics are welcome formulated from the report that follows these suggested 2 mnemonics.
  4. With Coaches’ instruction, all teammates should practice recitation of a. b. or individual homemade mnemonics:
  5. a.  “See Jack Jump, spit, squeeze, sweat, count, say brainers.” If jack can’t with ease, Yell 911, 4 trainers”
  6. Meaning: Evaluate partner for inability to do a Jumping Jack and check equally moving upper and lower extremities; See fix and follow finger movements for level of consciousness; Spit if mouth is not to dry; Squeeze your fingers if has enough strength; check for hot dry pale skin, dry pallor is a negative; count 1-10, unable a negative; recite ID Brainers – name, age, hometown. If partner unsuccessful yell 911 for Athletic Trainers.
  7. b.  “NAT CESS Jump the DRY PALE or call 911”
  8. Meaning: recite Name Age hometown, count 1-10, Eye finger fix and follow, Spit, Squeeze Trapezius (neck to shoulder) muscle to elicit pain, do Jumping Jack and check equally moving upper and lower extremities; check for pale, dry skin. If partner unsuccessful yell 911 for Athletic Trainers.

The following report, ‘FORMING TEAMMATE PARTNERSHIPS DURING EXERCISE AND CONDITIONING AID PREVENTION OF SPORT HEAT STROKE’ describes Jack and NAT’s dangerous medical condition, if they unsuccessfully execute their prevention mnemonic.

“First aid for evolving heat illness should not be delayed.”

Every ‘big and little’ Sports, Recreation and Exercise team must have a 911 Emergency Action Plan. At this website, please review link:

‘An emergency action plan with clearly defined written protocols should be developed and in place ahead of time. Emergency medical services (EMS) communication should be activated immediately for any child or adolescent who collapses or exhibits moderate or severe central nervous system dysfunction or encephalopathy during or after practice, competition, or other physical activity in the heat.  [Policy Statement—Climatic Heat Stress and Exercising Children and Adolescents, American Academy of Pediatrics]

“Because the brain is extremely sensitive to heat stress, the first signs of heat stroke are neurological.”

There are many risk factors, including medications which can impact thermoregulation and contribute to Exertional Heat Illness Morbidity and Mortality.  At this website please review:

Exertional Heat Exhaustion is the milder form of heat-related illness. Heat Stroke is the fatal form.

“Any significant deterioration in performance with notable signs of struggling, negative changes in personality or mental status, or other concerning clinical markers of well-being, including pallor, bright-red flushing, dizziness, headache, excessive fatigue, vomiting, or complaints of feeling cold or extremely hot, should be sufficient reason to immediately stop participation and seek appropriate medical attention for those affected.

Exertional Heat Exhaustion, Early signs of Exertional Heat Illness

  • History of exposure to hot environment
  • Temp 37°C – 40°C (98.6°F – 104°F0
  • Generalized signs and symptoms
  • Nausea, fatigue, malaise headache decreased urine output excessive sweating anxiety agitation dehydration signs
  • Heat muscle cramps
  • Heat syncope loss or near loss of consciousness, tunel vision abnormal pulse

Exertional Heat Exhaustion

  • Temp 40°C (104°F)
  • CNS Anxiety, confusion, agitation, confusion, stupor unconsciousness
  • Headache, seizure, ataxia (coordination)

Athletic Trainers and/or Team Physicians should check for

other signs and symptoms: nausea, fatigue, malaise, hot dry skin, dry tongue, sunken eyes, tachycardia, decrease urine output.

Athletic trainer should Check core temperature, using a rectal thermometer and immerse in a pool of cold water immediately when temperature is dangerously high, >100°.

Athletes should partner with another teammate during exertional conditioning for intermittent partner evaluations.

  • Access the following levels prior to training begins
  • The Partners should check partner at every 15 to 30 minutes break, depending on intensity of drills for Common Signs of early Exertional Heat Illness / Stroke
  • Partner must immediately call for trainer when any of the following signs and/or symptoms are present
  • Respond to voice: Name, age, hometown NAH
  • Level of Consciousness: Ask your partner to count 1 to 10.
  • Check dehydration: Spit.
  • Coordination: check for focus / Eye Finger Follow
  • Motor symmetry: Put hands over head / jumping jack
  • Respond to pain: Squeeze trapezius muscle
  • Pale skin
  • Ask re: nausea, vomiting, muscle pain, cramps, weakness, headache

Partner should shout-out for Athletic trainer help immediately. Who should Check core temperature, using a rectal thermometer and immerse in a pool of cold water immediately.

Athletes Coaches and trainers should practice the mnemonic.

NAT CESS  Jump the Dry Pale’, which represents the following partnership drill for assessing partner for Exertional Heat Illness during conditioning:

  • state your Name. Age. homeTown
  • Count-to-10
  • Eye-finger-follow
  • Spit
  • Squeeze-trapezius-muscle-elicit-pain
  • Jumping-jack-for-arm-leg-symmetry
  • Dry-Pale-skin


  • Coyle JF. Disturbances due to heat. Conn’s Current Therapy 2016; 1193-1195 (Editors: Bope E, Kellerman R).: Elsevier, Saunders; Philadelphia, USA; 2016
  • Heat stroke, heat exhaustion, KG Gopinath, Current Medical Issues, Vol : 16, Issue, Page : 5-9
  • Dinarello CA, Porat P. Fever and hyperthermia. Harrison’s Principles of Internal Medicine, 18th Edition, New York, NY: McGraw-Hill; 2012.
  • Glazer JL. Management of heatstroke, heat exhaustion. Am Fam Physician2005;71:2133-40.
  • Lee-Chiong TL Jr., Stitt JT. Heatstroke and other heat-related illnesses. The maladies of summer. Postgrad Med 1995;98:26-8, 31-3, 36

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