Circulatory shock is a life-threatening condition that is associated with high mortality.1,2 The administration of fluids, which is the first-line therapeutic strategy, is often insufficient to stabilize the patient's condition, and adrenergic agents are frequently required to correct hypotension. Among these agents, dopamine and norepinephrine are used most frequently.3 Both of these agents influence alpha-adrenergic and beta-adrenergic receptors, but to different degrees. Alpha-adrenergic effects increase vascular tone but may decrease cardiac output and regional blood flow, especially in cutaneous, splanchnic, and renal beds. Beta-adrenergic effects help to maintain blood flow through inotropic and chronotropic effects and to increase splanchnic perfusion. This beta-adrenergic stimulation can have unwanted consequences as well, including increased cellular metabolism and immunosuppressive effects. Dopamine also stimulates dopaminergic receptors, resulting in a proportionately greater increase in splanchnic and renal perfusion, and it may facilitate resolution of lung edema.4 However, dopaminergic stimulation can have harmful immunologic effects by altering hypothalamo–pituitary function, resulting in a marked decrease in prolactin and growth hormone levels. 5
To get your training started, you need a way to measure your jump. If you’re testing your vertical at gym or in a professional type setting, they may have a Vertec. The Vertec is one of the most common apparatus for measuring vertical jump ability. It is the vertical jump-testing device of choice for many college and professional teams, but they also have the budget for such a thing. If you’re wanting to test your vertical in a budget-friendly way, you can easily use a measuring tape, a marked wall, or chalk for marking a wall.
The slam dunk is usually the highest percentage shot and a crowd-pleaser. Thus, the maneuver is often extracted from the basketball game and showcased in slam dunk contests such as the NBA Slam Dunk Contest held during the annual NBA All-Star Weekend. The first incarnation of the NBA Slam Dunk Contest was held during the half-time of the 1976 American Basketball Association All-Star Game.
I learned that insects are fucking awesome. There was an insect in particular that I was interested in called the froghopper, or spittlebug, that is basically one of the world’s top jumpers. It’s a survival mechanism. It can jump far, far higher than we can as a function of its weight, basically. So I learned that humans are quite modest in the jumping scheme of things.
In the 1950s, Jim Pollard and Wilt Chamberlain had both dunked from the free throw line—15 feet from the basket. Chamberlain was able to dunk from the free-throw line without a running start, beginning his forward movement from within the top half of the free-throw circle. This was the catalyst for the 1956 NCAA rule change which requires that a shooter maintain both feet behind the line during a free-throw attempt.
To start the test, you need to stand with your right side against a wall. If you have access to a chalk board or a vertex (the measuring tool used by biokineticists), it makes this easier, however, you can use an outside wall. For the first marking, stand in your training shoes with your right hip against the wall. Reach up with your right hand to touch the wall at the highest point possible (while keeping your heels flat on the ground). Mark this point with chalk, as this is your “standing height.”
I continued to follow the program for the next few weeks, and I was dunking fairly regularly. I got a friend to film me, and then bored everyone I knew by showing them the video for weeks on end, like a proud father of my own dunk. Each one was the same: I could only do it after a couple days’ rest, and only with a ball I could palm. I approached from the left, jumped off two feet, and dunked with my right hand. There would be no cocked-back, in-your-face, two-handed throw downs; no acrobatic Russell Westbrook highlight reel slams.
James Naismith, I learned, was a bit different. “I was only three when he passed away [in 1939],” said his grandson, James Naismith, 78, of Corpus Christi, Texas. “He was known as a tenderhearted man, but he also had”—the doctor’s namesake pauses—“the polite term is ‘firmness of mind.’ It’s kind of a family trait. He devoted his life to improving the lives of others through physical activity, through games. That took time.
Any athlete who wants to maximize the height of their vertical jump should look to reduce their non-functional body weight (body fat) as much as possible. Though it's generally not recommended for youth athletes to go on a calorie-restricted diet, they should look to make healthy food choices. A good starting point for this is 40% of calories from carbohydrates, 30% from protein, and 30% from fats.
The way Arthur J. Daley and the other spectators at the Y felt when Fortenberry dunked—that’s how fans at the Oakland Arena felt on Feb. 12, 2000, when Vince Carter shoved his forearm into the rim and swung there by his elbow. What only the initiated noticed about Carter’s dunk was that if you froze him during his approach, he looked like Bob Beamon. Carter long-jumped some 12 feet, right foot leading the way, before landing for a nanosecond and blasting off into his two-footed ascent.
A Tomahawk dunk can be performed with one or two hands, and when two hands are used, it is called a backscratcher. During the jump, the ball is raised above, and often behind the player's head for a wind-up before slamming the ball down into the net at the apex of the jump. Due to the undemanding body mechanics involved in execution, the tomahawk is employed by players of all sizes and jumping abilities. Because of the ball-security provided by the use of both hands, the two-handed tomahawk is a staple of game situations—frequently employed in alley-oops and in offense-rebound put-back dunks.