High School athletic trainer describes how cold tubs work in case of heat stroke symptoms
Lee County high school athletic trainer describes the use of a cold tub in case of heat stroke symptoms in athlete
Andrew West, Fort Myers News-Press
When the Trinity High School football player took a knee, he collapsed to the turf.
His position coach told him if he didn’t get back on a knee, he’d never play for the varsity team again. As the offensive lineman attempted to get back to a knee, he again fell to the ground, before being helped to the sideline, where he lost consciousness.
Those allegations are part of a lawsuit filed Friday in Jefferson Circuit Court that claim a Trinity High School football player suffered heat stroke in July and was verbally abused by his position coach and was forced to run extra while showing signs of the heat illness.
The suit alleges other team staff and athletic trainers did nothing to come to the player’s aid.
The suit names the player only by his initials, but in previous Courier Journal reporting and in a public Facebook post from his family, he was identified as Nathan Rader.
The 20-page lawsuit, filed by his mother, Jami Rader, alleges Trinity High School, the Trinity High School Foundation, the Roman Catholic Bishop of Louisville and KORT Physical Therapy were negligent when they failed to use available equipment to treat Rader’s heat stroke and failed to comply with mandatory state athletic association policies and state law.
The Courier Journal requested comment from Trinity’s president Rob Mullen, the Archdiocese of Louisville and KORT.
A KORT representative said the company does not “comment on pending litigation.” Mullen and archdiocese did not immediately respond.
More than 30 minutes after Rader’s collapse, his core temperature was still at 107.5 degrees, per the suit. It claims he was never aggressively cooled, as is required by Kentucky High School Athletic Association policy and state law.
The junior was suffering from exertional heat stroke, the same thing that took the life of former NFL player Korey Stringer in 2001. Stringer was never aggressively cooled. His temperature was 108.8 degrees when he arrived at the hospital after collapsing during practice.
Rader was rushed to Norton Children’s Hospital. He remained unconscious for several hours, but survived. He suffered kidney, heart, liver and other organ damage as a result of the heat stroke, according to the lawsuit.
Two days before Rader’s hospitalization, the suit claims another player was hospitalized for heat-related issues.
Rader was the team’s second-string center.
During a morning practice on July 31, the first-string center did not practice. Rader took reps as both the first and second-string center.
Typically, Rader would have taken about 25 practice reps, but on July 31, the suit claims he took more than double the normal allotment.
“Additionally, the team’s practice the day before involved a heavier practice load for players than normal,” the suit states.
It claims Rader was visibly struggling — “so much so that some teammates became worried about him.”
At the end of practice, the football players were required to run from sideline to sideline. Rader had “always made time,” the suit claims. But on this day, he did not make time.
The suit alleges the coaches and athletic trainers present “knew or should have known” that something was wrong with Rader.
Instead, position coach Nathan Leslie “forced” Rader and two other players to run again, as other players watched. No coach or athletic trainer stopped Leslie or stepped in to help Rader, according to the suit.
Rader was unable to run in a straight line and was “noticeably worse” in the run than the other two players. That’s when, the suit claims, the verbal berating began.
It alleges Leslie called Rader, among other things, “a fat ass,” “a lazy ass” and “a sack of sh–.”
The more Rader struggled, the suit claims, Leslie responded “by increasing his verbal assault.”
Rader’s uncle was a standout football linebacker at Trinity in the late 1980s and early ’90s.
As Rader struggled, Leslie allegedly yelled at him that his uncle would be “embarrassed” by how slow he was running and that his uncle “never pouted or cried” like Rader did on July 31.
Leslie could not be reached for comment.
The lawsuit details two meetings the Raders had with Trinity.
The first, on Aug. 15, was with President Mullen, head coach Jay Cobb and athletic director Sean Duggins regarding the “personal nature of Coach Leslie’s insults.”
On Aug. 18, the staff attempted to have a meeting with Rader without his parents. When Rader’s father found out, he showed up to the meeting, according to the lawsuit.
During that meeting, Leslie apologized to Rader for his conduct during the practice. The lawsuit says near the end of the meeting, when it was just the head coach, father and son, Cobb said, “I’ve been telling [Coach Leslie] for the last seven years that he’s got to change the way he talks to these kids.”
Leslie was suspended for three games. He was still allowed to attend those games in the press box, according to the suit.
In the six months since Rader’s collapse, the lawsuit says the teen has “had to fight for his life on two separate occasions …”
Under the Kentucky High School Athletic Association’s 2024-25 schedule for football, athletes could practice in a helmet and shoulder pads through July 31. They could move to contact and full gear on Aug. 1.
The Courier Journal requested EMS and 911 reports through Kentucky’s open records law.
The 911 call went out at 10:20 a.m. Records revealed it took St. Matthews Fire & EMS nearly nine minutes to arrive to Trinity High School’s football field.
“There’s nothing you can do?” the caller asked 911. “This kid’s out. You can’t tell these people to go faster?”
Although St. Matthews Fire & EMS Station 46 is a half mile from the Louisville Catholic high school, the medic unit, Medic 148, dispatched that day was from Station 48 in Lyndon, more than 3 1/2 miles from the field.
The reports also revealed that EMS began an EKG, or electrocardiogram, of Rader’s heart at 10:35 a.m. and provided advanced life support.
Based on EMS reports, Rader was in critical condition as a Level 1 emergency.
The Courier Journal investigated school sports safety in 2023 in its national-award winning project “Safer Sidelines.” It took an in-depth look at sudden death in youth sports and the gold standards of sports medicine.
There are four leading causes of death in high school athletes, known as the four Hs: head (trauma), heart (sudden cardiac arrest), hemoglobin (blood) and heat.
There are also four gold-standard tools for sidelines:
The Courier Journal requested information regarding Trinity’s gold standard sports medicine tools. Under Kentucky law, because it is a private school, it is not required to provide the information.
Mullen, Trinity’s president, told The Courier Journal in a January email, that Trinity’s cold tub is “located adjacent to the field in the sports training facility.” The school also has 10 AEDs, Mullen said, including one on the field at football practices and games.
Mullen provided The Courier Journal with a copy of the school’s emergency action plan (EAP) for Marshall Stadium. But, the suit claims, the school broke the state’s EAP law by not including a plan for treating an athlete whose condition “may deteriorate rapidly.”
Mullen also said an athletic trainer did take the WBGT on July 31, and it rose from 69.8 degrees at the start to 84.5 degrees at the end of practice.
The KHSAA mandates if a WBGT temperature at a sporting event is between 82.1 and 87 degrees, a cold water immersion tub or TACO “must be filled with water … and accessible for cooling within five to 10 minutes of the practice,” the suit states.
In response to whether the cold tub or AED were used that day, Mullen said in the January email: “I cannot comment on the specifics of this incident. Thanks for understanding.”
The gold standard of an overheating athlete is to get their core body temperature — through either cold-water immersion (like a 200-gallon horse trough that’s filled with water and ice) or the TACO method (a tarp with water that is sloshed back and forth to cool the body) — and continuing cooling until their internal core temperature below 102.5 degrees within 30 minutes and before allowing them to be transported by EMS. The standard is known as “cool first, transport second.”
Some of the symptoms of exertional heat stroke are lack of coordination, collapse, irritability, confusion or disorientation, according to the Korey Stringer Institute, which was created after Stringer’s wrongful death lawsuit with the NFL settled.
“Any kind of heat illness or heatstroke is 100% preventable,” Jordan Clark, a climatologist and a senior policy associate for the Heat Policy Innovation Hub at Duke University, told USA TODAY following the deaths of at least eight high school athletes in August 2024.
In August 2020, junior Grant Brace was conditioning with the wrestling team at the University of the Cumberlands in Whitley County.
At the end of conditioning, the coaches put the team through a “punishment practice,” making them run sprints up a hill outside the wrestling facility, according to a lawsuit. Brace, who suffered from narcolepsy and took medication for it was supposed to be permitted extra water breaks because the medication made his mouth dry.
That day, the 20-year-old showed typical signs of exertional heat stroke and begged for water. His coaches denied him, calling him names and telling teammates not to help him. Brace’s wrongful death lawsuit with the university settled for $14.1 million.
More than 16 years ago, a lawsuit was filed in Jefferson Circuit Court involving heat stroke after Pleasure Ridge Park 15-year-old sophomore Max Gilpin collapsed at practice on a 94-degree day while running sprints in August 2008. He died after three days in the hospital. His parents sued football coach Jason Stinson in Jefferson court. That case was later dismissed.
In July 2006, Henderson County junior Ryan Owens collapsed during a football practice from a heat stroke. He died at age 16.
Owens’ family would eventually work with then-state Rep. Joni Jenkins to pass a law that would require schools to develop a venue-specific emergency action plan, or EAP, that outlines what to do in an emergency during athletics at the baseball field versus the football field.
“In an emergency, you don’t have time to look at the plan,” Jenkins said about the law. “You don’t have time to stop and think. You need to react very quickly.”
Stephanie Kuzydym is an enterprise and investigative sports reporter, with a focus on the health and safety of athletes. She can be reached at skuzydym@courier-journal.com. Follow her for updates at @stephkuzy
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