Travelling w/ Teams

Question 1

Traveler’s diarrhea

Answer 1

-digestive tract disorder
-bacterial infection (E.coli)
-common in developing countries

Question 2

Symptoms and treatment of traveler’s diarrhea

Answer 2

-malaise (discomfort), vomiting, abdominal cramps, diarrhea, fever
-stay hydrated, rest, antibiotics

Question 3

Prevention of traveler’s disease

Answer 3

-prepackaged food, bottled water, don’t swim/shower in contaminated water, vaccine

Question 4

Complication of Hepatitis

Answer 4

-inflammation of liver (virus caused)

Question 5

Symptoms of hepatitis

Answer 5

-fever, fatigue, joint and abdominal pain, nausea, vomiting, dark urine, loss of appetite
-vaccines for HAV, HBV

Question 6

Deep vein thrombosis (DVT)

Answer 6

-blood clot forms in one or more deep veins
-pulmonary embolism = ends up in lung

Question 7

Symptoms of DVT

Answer 7

-swelling (limbs), pain (tenderness/cramps). red or bluish skin, warm skin, may lack symptoms

Question 8

DVT diagnosis and treatment

Answer 8

diagnosis: history, exam, ultrasound, venography, MRV, blood test (D Dimer)
treatment: blood thinners, clot busters, filters, compression socks

Question 9

pulmonary embolism

Answer 9

-complication of DVT
-sudden shortness of breath, chest pain when coughing, light headed, rapid pulse, low BP, coughing blood, sweating, fever, leg pain/swelling

Question 10

Treatment of pulmonary embolism

Answer 10

-blood thinners (3 months)
-clot busters, surgery, filters

Question 11

pulmonary embolism risk factors

Answer 11

-trauma (injury), slow blood flow, birth control, pregnancy, chronic illnesses, history, age, obesity

Question 12

pulmonary embolism prevention

Answer 12

-avoid long periods of staying still
-hydration, loose clothing when travelling, active and regular exercise

Question 13

Acute mountain sickness

Answer 13

-higher altitude, lower barometric pressure (reduced availability of O2… “thinner air”)

Question 14

V02 max and exercise performance increases/decreases w/ acute altitude exposure

Answer 14

decreases (long distance difficulty, short ease)

Question 15

Acute mountian sickness (AMS)

Answer 15

-above 2500m (24h)
-headache, dizzy, fatigue, nausea

Question 16

High altitude cerebral edema (HACE)

Answer 16

-3000m (2 days)
-headache, confusion, loss of coordination
-life threatening: immediate descent and oxygen

Question 17

High altitude pulmonary edema (HAPE)

Answer 17

-3000m (2 days)
-fatigue, coughing, shortness of breath
-life threatening: immediate descent and oxygen

Question 18

Prevention of altitude sickness

Answer 18

-avoid rapid ascent, acclimate properly, rest days, monitor
-rest before regular training
-2 weeks before comp at moderate altitude

Question 19

Jetlag

Answer 19

-physiologic changes as body shifts to new time zone
-episodic symptoms
-poor sleep, day time fatigue, trouble concentrating, poor performance

Question 20

Travel fatigue

Answer 20

-physiologic, psychologic and environment effects (accumulated over season)
-cumulative and chronic symptoms
-persistent fatigue, recurrent illness, mood changes, loss of motivation

Question 21

Direction of most jetlag

Answer 21

-west to east (one day recovery per time zone travelled)

Question 22

In flight management

Answer 22

-adjust watch to destination time (sleep, eat on schedule)
-comfortable environment
-hydrate
-minimal electronics
-short acting sedatives (melatonin)

Question 23

Post flight management

Answer 23

-reduce volume, intensity, and frequency of training at first
-fatigue countermeasures (caffeine, napping, sedatives)

Question 24

Needed prior to travel

Answer 24

-EAP, assessments, weather conditions, vaccinations, nutrition, insurance, injury/illness prevention, mitigate jetlag

Question 25

During travel

Answer 25

-medial travel bag, compression socks, ear plugs, face mask, exercise, nutrition, hydration

Question 26

Upon arrival

Answer 26

-establish medical room, specify treatment hours, contact info, local EAP