Preventing death from exertional heat stroke-the long road from evidence to policy

Douglas J. Casa, Yuri Hosokawa, Luke N. Belval, William M. Adams, Rebecca L. Stearns

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Exertional heat stroke (EHS) is among the leading causes of sudden death during sport and physical activity. However, previous research has shown that EHS is 100% survivable when rapidly recognized and appropriate treatment is provided. Establishing policies to address issues related to the prevention and treatment of EHS, including heat acclimatization, environment-based activity modification, body temperature assessment using rectal thermometry, and immediate, onsite treatment using cold-water immersion attenuates the risk of EHS mortality and morbidity. This article provides an overview of the current evidence regarding EHS prevention and management. The transfer of scientific knowledge to clinical practice has shown great success for saving EHS patients. Further efforts are needed to implement evidence-based policies to not only mitigate EHS fatality but also to reduce the overall incidence of EHS.

Original languageEnglish
Pages (from-to)99-109
Number of pages11
JournalKinesiology Review
Volume6
Issue number1
DOIs
Publication statusPublished - 2017 Feb 1
Externally publishedYes

Fingerprint

Heat Stroke
Thermometry
Acclimatization
Immersion
Sudden Death
Body Temperature
Sports
Cause of Death
Therapeutics
Hot Temperature
Exercise
Morbidity
Mortality
Water

Keywords

  • Cold-water immersion
  • Heat acclimatization
  • Hydration
  • Rectal thermometry
  • Tarp-assisted cooling

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Public Health, Environmental and Occupational Health

Cite this

Preventing death from exertional heat stroke-the long road from evidence to policy. / Casa, Douglas J.; Hosokawa, Yuri; Belval, Luke N.; Adams, William M.; Stearns, Rebecca L.

In: Kinesiology Review, Vol. 6, No. 1, 01.02.2017, p. 99-109.

Research output: Contribution to journalArticle

Casa, Douglas J. ; Hosokawa, Yuri ; Belval, Luke N. ; Adams, William M. ; Stearns, Rebecca L. / Preventing death from exertional heat stroke-the long road from evidence to policy. In: Kinesiology Review. 2017 ; Vol. 6, No. 1. pp. 99-109.
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