Athlete Parent Guardian Sudden Cardiac Arrest Symptoms Template printable pdf download

Athlete/Parent/Guardian Sudden Cardiac Arrest Symptoms and Warning Signs

Information Sheet and Acknowledgement of Receipt and Review Form

What is sudden cardiac arrest?

Sudden cardiac arrest (SCA) is when the heart stops beating, suddenly and unexpectedly.

When this happens, blood stops flowing to the brain and other vital organs. SCA doesn’t just

happen to adults; it takes the lives of students, too. However, the causes of sudden cardiac

arrest in students and adults can be different. A youth athlete’s SCA will likely result from an

inherited condition, while an adult’s SCA may be caused by either inherited or lifestyle issues.

SCA is NOT a heart attack. A heart attack may cause SCA, but they are not the same. A heart

attack is caused by a blockage that stops the flow of blood to the heart. SCA is a malfunction in

the heart’s electrical system, causing the heart to suddenly stop beating.

How common is sudden cardiac arrest in the United States?

SCA is the #1 cause of death for adults in this country. There are about 300,000 cardiac arrests

outside hospitals each year. About 2,000 patients under 25 die of SCA each year. It is the #1

cause of death for student athletes.

Are there warning signs?

Although SCA happens unexpectedly, some people may have signs or symptoms, such as:



fainting or seizures during exercise;



unexplained shortness of breath;



dizziness;



extreme fatigue;



chest pains; or



racing heart.

These symptoms can be unclear in athletes, since people often confuse these warning signs

with physical exhaustion. SCA can be prevented if the underlying causes can be diagnosed and

treated.

What are the risks of practicing or playing after experiencing these symptoms?

There are risks associated with continuing to practice or play after experiencing these

symptoms. When the heart stops, so does the blood that flows to the brain and other vital

organs. Death or permanent brain damage can occur in just a few minutes. Most people who

experience SCA die from it.

Public Chapter 325 – the Sudden Cardiac Arrest Prevention Act

The act is intended to keep youth athletes safe while practicing or playing. The requirements of

the act are:



All youth athletes and their parents or guardians must read and sign this form. It must be

returned to the school before participation in any athletic activity. A new form must be

signed and returned each school year.

Adapted from PA Department of Health: Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and

Acknowledgement of Receipt and Review Form. 7/2013

Athlete Parent Guardian Sudden Cardiac Arrest Symptoms Template

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