Sea Base High Adventure Medical Form printable pdf download

FLORIDA SEA BASE

BOY SCOUTS OF AMERICA

HEALTH AND MEDICAL RECORD

(Exceeds BSA Class 3 Requirements)

THE SEA BASE EXPERIENCE

Climatic conditions include temperatures from 50° to 95° F, high humidity, heat index reaching to 110°, and

frequent, sometimes severe, afternoon thunderstorms. Activities include snorkeling, scuba diving, kayaking,

canoeing, sailing, hiking, and other activities that may have potential for injury. Sea Base strives to minimize risks

to participants and advisors by emphasizing proper safety precautions. Refer to the Leader’s Guidebook for

specific information. Sea Base staff instructs participants in safety measures to be followed. Each participant and

crew is expected to follow these safety measures and to accept responsibility for the health and safety of each of

its members.

RECOMMENDATIONS REGARDING CHRONIC ILLNESSES

Sea Base requires that this information be shared with the parent(s) or guardian(s) and examining

physician of every participant. Sea Base does not have facilities for extended care or treatment, therefore,

participants who cannot meet these requirements will be sent home at their expense.

CARDIAC OR CARDIOVASCULAR DISEASE

Adults or youth having had any of the following should undergo a thorough evaluation by a physician before

considering participation at Sea Base.

1. Angina (chest pain caused by heart or coronary artery disease)

2. Myocardial infarction (heart attack)

3. Surgery or angioplasty to treat coronary artery disease; surgery to treat congenital heart disease or other

heart surgery

4. Stroke or transient ischemic attacks (TIA’s)

5. Claudication (leg pain with exercise caused by hardening of the arteries)

6. Family history of heart disease or a family member who died unexpectedly before age 50

7. Diabetes

8. Smoking and/or Excessive Weight

The physical exertion during a high adventure activity may cause a heart attack or stroke in susceptible persons.

An adult who is 40 years of age or older, or who has experienced any of the conditions above, should speak with

his or her doctor about the possible need for an exercise stress test with thallium (a metallic element that helps in

the diagnosis of stress) within three to six months before the scheduled trip to assess the adequacy of the heart

muscle’s blood supply. It is recommended that an adult who is over 40 years of age who has not experienced any

of the conditions above have an ordinary stress test without thallium. Even if the stress test is normal, the

results of testing done without the exertions of a high adventure program do not guarantee safety. If test

results are abnormal, the individual is advised not to participate.

HYPERTENSION (HIGH BLOOD PRESSURE)

The combination of stress and heat appear to cause a significant increase in blood pressure in many individuals

participating in high adventure. Occasionally, hypertension reaches such a level that it is no longer safe for an

individual to engage in strenuous activity. Persons whose blood pressures are increased mildly (greater than

135/85) may benefit from treatment before coming to a high adventure base. Individuals who are hypertensive

(having blood pressure greater than 140/90) are urged strongly to be treated and to have normal blood pressure

(less than 135/85) before arriving. Medications should be continued during the high adventure program. Those

people taking beta-blocker medication should consider a change of medication before participating in the scuba

program.

Sea Base High Adventure Medical Form

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