American college of sports medicine Roundtable on exertional heat stroke - Return to duty/return to play: Conference proceedings

Current Sports Medicine Reports

Volumn 9, Issue 5, 2010, Pages 314-321

  O'Connor, Francis G ^a   Casa, Douglas J ^b   Bergeron, Michael F ^c   Carter III, Robert ^d   Deuster, Patricia ^a   Heled, Yuval ^e   Kark, John ^f   Leon, Lisa ^d   McDermott, Brendon ^g   O'Brien, Karen ^h   Roberts, William O ⁱ   Sawka, Michael ^d  

^a UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES   (United States)

^b UNIVERSITY OF CONNECTICUT   (United States)

^c UNIVERSITY OF SOUTH DAKOTA   (United States)

^d U S ARMY RESEARCH INSTITUTE OF ENVIRONMENTAL MEDICINE   (United States)

^e HELLER INSTITUTE OF MEDICAL RESEARCH   (Israel)

^f THOMAS JEFFERSON UNIVERSITY   (United States)

^g UNIVERSITY OF TENNESSEE AT CHATTANOOGA   (United States)

^h US Army Training and Doctrine Command ^*  (United States)

ⁱ UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BIOLOGICAL MARKER; CYTOKINE; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR;

APPENDECTOMY; AUTONOMIC DYSFUNCTION; BLOOD VESSEL REACTIVITY; BODY MASS; BRAIN DISEASE; CARDIOVASCULAR DISEASE; CENTRAL NERVOUS SYSTEM; CONFERENCE PAPER; DEHYDRATION; ENDOTOXEMIA; GASTROINTESTINAL DISEASE; GENETIC SCREENING; HEAT STROKE; HEAT TOLERANCE; HYPERCALCEMIA; HYPERKALEMIA; HYPERTHERMIA; HYPOGLYCEMIA; HYPOTHALAMUS; KIDNEY DISEASE; KIDNEY FAILURE; LIVER DISEASE; LIVER INJURY; MORTALITY; MULTIPLE ORGAN FAILURE; RECTUM TEMPERATURE; RHABDOMYOLYSIS; SICKLE CELL TRAIT; SPORTS MEDICINE; SYSTEMIC INFLAMMATORY RESPONSE SYNDROME; TEMPERATURE MEASUREMENT; THERMAL EXPOSURE; THERMOREGULATION; WATER IMMERSION;

BODY TEMPERATURE; BODY TEMPERATURE REGULATION; HEAT STROKE; HUMANS; MARYLAND; PHYSICAL EXERTION; RISK FACTORS; SOCIETIES, MEDICAL; SPORTS MEDICINE; TIME FACTORS; UNITED STATES;

EID: 77956822005     PISSN: 1537890X     EISSN: 15378918     Source Type: Journal    
DOI: 10.1249/JSR.0b013e3181f1d183     Document Type: Conference Paper

References (69)

1. Armstrong LE, Casa DJ, Millard-Stafford M, et al. American College of Sports Medicine position stand. Exertional heat illness during training and competition. Med. Sci. Sports Exerc. 2007; 39:556-72.
2. Armstrong LE, Crago AE, Adams R, et al. Whole-body cooling of hyperthermic runners: comparison of two field therapies. Am. J. Emerg. Med. 1996; 14:355-8.
3. Armstrong LE, Maresh CM, Crago AE, et al. Interpretation of aural temperatures during exercise, hyperthermia, and cooling therapy. Med. Exerc. Nut Health. 1994; 3:9-16.
4. Bianchi L, Ohnacker H, Beck K, Zimmerli-Ning M. Liver damage in heatstroke and its regression. A biopsy study. Hum. Pathol. 1972; 3:237-48.
5. Bouchama A, al-Sedairy S, Siddiqui S, et al. Elevated pyrogenic cytokines in heatstroke. Chest. 1993; 104:1498-502.
6. Bouchama A, Dehbi M, Chaves-Carballo E. Cooling and hemodynamic management in heatstroke: practical recommendations. Crit. Care. 2007; 11:R54.
7. Bouchama A, Knochel JP. Heat stroke. N. Engl. J. Med. 2002; 346: 1978-88.
8. Bouchama A, Roberts G, Al Mohanna F, et al. Inflammatory, hemostatic, and clinical changes in a baboon experimental model for heatstroke. J. Appl. Physiol. 2005; 98:697-705.
9. Brengelman GL. The dilemma of body temperature measurement. In: Shiraki K, Yousef MK, editors. Man in Stressful Environments: Thermal and Work Physiology. Springfield: Thomas; 1987.
10. Brodeur VB, Dennett SR, Griffin LS. Exertional hyperthermia, ice baths, and emergency care at The Falmouth Road Race. J. Emerg. Nurs. 1989; 15:303-12.
11. Carter R 3rd, Cheuvront SN, Williams JO, et al. Epidemiology of hospitalizations and deaths from heat illness in soldiers. Med. Sci. Sports Exerc. 2005; 37:1338-44.
12. Casa D, Armstrong LE, Ganio ME, Yeargin SW. Exertional heat stroke in competitive athletes. Curr. Sports Med. Rep. 2005:309-17.
13. Casa DJ, McDermott BP, Lee EC, et al. Cold water immersion: the gold standard for exertional heatstroke treatment. Exerc. Sport Sci. Rev. 2007; 35:141-9.
14. Chang DM. The role of cytokines in heat stroke. Immunol. Invest. 1993; 22:553-61.
15. Costrini AM. Emergency treatment of exertional heat stroke and comparison of whole body cooling techniques. Med. Sci Sports Exerc. 1990; 22:15-8.
16. Crouse B, Beattie K. Marathon medical services: strategies to reduce runner morbidity. Med. Sci. Sports Exerc. 1996; 28:1093-6.
17. Deschamps A, Levy RD, Cosio MG, et al. Tympanic temperature should not be used to assess exercise induced hyperthermia. Clin. J. Sports Med. 1992; 2:27-32.
18. Epstein Y. Heat intolerance: predisposing factor or residual injury? Med. Sci. Sports Exerc. 1990; 22:29-35.
19. Epstein Y, Shapiro Y, Brill S. Role of surface area-to-mass ratio and work efficiency in heat intolerance. J. Appl. Physiol. 1983; 54:831Y6.
20. Gardner JW, Gutmann FD, Potter RN, Kark JA. Nontraumatic exerciserelated deaths in the U.S. military, 1996-1999. Mil. Med. 2002; 167: 964-70.
21. Gardner JW, Kark JA, Karnei K, et al. Risk factors predicting exertional heat illness in male Marine Corps recruits. Med. Sci. Sports Exerc. 1996; 28:939-44.
22. Hammami MM, Bouchama A, Al-Sedairy S, et al. Concentrations of soluble tumor necrosis factor and interleukin-6 receptors in heatstroke and heatstress. Crit. Care Med. 1997; 25:1314-9.
23. Heled Y, Rav-Acha M, Shani Y, et al. The "golden" hour for heatstroke treament. Mil. Med. 2004; 169:184-6.
24. Heled Y, Moran DS, Mendel L, et al. Human ACE I/D polymorphism is associated with individual differences in exercise heat tolerance. J. Appl. Physiol. 2004; 97:72-6.
25. Hsu YD, Lee WH, Chang MK, et al. Blood lactate threshold and type II fibre predominance in patients with exertional heatstroke. J. Neurol. Neurosurg. Psych. 1997; 62:182-7.
26. Kew MC, Tucker RB, Bersohn I, Seftel HC. The heart in heatstroke. Am. Heart J. 1969; 77:324-35.
27. Kiyatkin EA. Physiological and pathological brain hyperthermia. Prog. Brain Res. 2007; 162:219-43.
28. Kulka TJ, Kenney WL. Heat balance limits in football uniforms: how different uniform ensembles alter the equation. Phys Sportsmed. 2002; 30:29-39.
29. Lambert GP. Role of gastrointestinal permeability in exertional heatstroke. Exerc. Sport Sci. Rev. 2004; 32:185-90.
30. Leon L. Heat stroke and cytokines. Prog. Brain Res. 2007; 162:481-524.
31. Leon LR, Blaha MD, DuBose DA. Time course of cytokine, corticosterone, and tissue injury responses in mice during heat strain recovery. J. Appl. Physiol. 2006; 100:1400-9.
32. Leon LR, DuBose DA, Mason CW. Heat stress induces a biphasic thermoregulatory response in mice. Am. J. Physiol. Regul. Integr. Comp. Physiol. 2005; 288:R197-204.
33. Lew HL, Lee EH, Date ES, Melnik I. Rehabilitation of a patient with heat stroke: a case report. Am. J. Phys. Med. Rehabil. 2002; 81:629-32.
34. Malamud N, Haymaker W, Custer RP. Heat stroke: a clinico-pathologic study of 125 fatal cases. Mil. Surg. 1946; 99:397-49.
35. McDermott BP, Casa DJ, Yeargin SW, et al. Recovery and return to activity following exertional heat stroke: considerations for the sports medicine staff. J. Sport Rehabil. 2007; 16:163-81.
36. Mehta AC, Baker RN. Persistent neurological deficits in heat stroke. Neurology. 1970:336-40.
37. Montain SJ, Latzka WA, Sawka MN. Fluid replacement recommendations for training in hot weather. Mil. Med. 1999; 164:502-8.
38. Moran DS, Eli-Berchoer L, Heled Y, et al. Heat intolerance: does gene transcription contribute? J. Appl. Physiol. 2006; 100:1370-6.
39. Moran DS, Erlich T, Epstein Y. The heat tolerance test: an efficient screening tool for evaluating susceptibility to heat. J. Sport Rehabil. 2007; 16:215-21.
40. Moran DS, Heled Y, Still L, et al. Assessment of heat tolerance for post exertional heat stroke individuals. Med. Sci. Monit. 2004; 10:CR252-7.
41. MSMR. Update: Heat Injuries Among U.S. Military Members, 2007. In: Medical Surveillance Monthly Report. 2008, p. 2Y3.
42. MSMR. Update: Heat Injuries, Active Component. U.S. Armed Forces, 2009, 2010; 17:6-8.
43. O'Connor FG, Williams AD, Blivin S, et al. Guidelines for return to duty (play) after heat illness: a military perspective. J. Sport Rehabil. 2007; 16:227-37.
44. Phinney LT, Gardner JW, Kark JA, Wenger CB. Long-term follow-up after exertional heat illness during recruit training. Med. Sci. Sports Exerc. 2001; 33:1443-8.
45. Rae DE, Knobel GJ, Mann T, et al. Heatstroke during endurance exercise: is there evidence for excessive endothermy? Med. Sci. Sports Exerc. 2008; 40:1193-204.
46. Roberts WO. A twelve year profile of medical injury and illness for the Twin Cities Marathon. Med. Sci. Sports Exerc. 2000; 32:1549-55.
47. Roberts WO. Death in the heat: can football heat stroke be prevented? Curr. Sports Med Rep. 2004; 3:1-3.
48. Roberts WO. Exertional heat stroke during a cool weather marathon: a case study. Med. Sci. Sports Exerc. 2006; 38:1197-203.
49. Roberts WO. Exertional heat stroke in the marathon. Sports Med. 2007; 37:440-3.
50. Roberts WO. Managing heatstroke: on-site cooling. Phys. Sportsmed. 1992; 17-28.
51. Robinson S, Wiley SL, Myhre LG, et al. Temperature regulation of men following heatstroke. Isr. J. Med. Sci. 1976; 12:786-95.
52. Romero JJ, Clement PF, Belden C. Neuropsychological sequelae of heat stroke: report of three cases. Mil. Med. 2000; 165:500-3.
53. Ronneberg K, Roberts WO, McBean AD, Center BA. Temporal artery and rectal temperature measurements in collapsed marathon runners. Med. Sci. Sports Exerc. 2008; 40:1373-5.
54. Rousseau JM, Villevieille T, Schiano P, et al. Reversible myocardial dysfunction after exertional heat stroke. Int. Care Med. 2001; 27: 328-9.
55. Royburt M, Epstein Y, Solomon Z, Shemer J. Long term psychological and physiological effects of heat stroke. Phys. Behav. 1993:265-7.
56. Shahid MS, Hatle L, Mansour H, Mimish L. Echocardiographic and Doppler study of patients with heatstroke and heat exhaustion. Int. J. Card. Imaging. 1999; 15:279-85.
57. Shapiro Y, Magazanik A, Udassin R, et al. Heat intolerance in former heatstroke patients. Ann. Intern. Med. 1979; 90:913-6.
58. Sharma HS. Methods to produce hyperthermia-induced brain dysfunction. Prog. Brain Res. 2007; 162:173-99.
59. Shibolet S, Coll R, Gilat T, Sohar E. Heatstroke: its clinical picture and mechanism in 36 cases. Q. J. Med. 1967; 36:525-48.
60. Sonna LA, Sawka MN, Lilly CM. Exertional heat illness and human gene expression. Prog. Brain Res. 2007; 162:321-46.
61. Sonna LA, Wenger CB, Flinn S, et al. Exertional heat injury and gene expression changes: a DNA microarray analysis study. J. Appl. Physiol. 2004; 96:1943-53.
62. Stallones RA, Gauld RL, Dodge HJ, Lammers TF. An epidemiological study of heat injury in army recruits. AMA Arch. Ind. Health. 1957; 15: 455-65.
63. Tsaras G, Owusus-ansah A, Boateng FO, et al. Complications associated with sickle cell trait: a brief narrative review.Am. J.Med. 2009; 122:507-12.
64. Wallace RF, Kriebel D, Punnett L, et al. Prior heat illness hospitalization and risk of early death. Environ. Res. 2007; 104:290-5.
65. Wallace RF, Kriebel D, Punnett L, et al. The effects of continuous hot weather training on risk of exertional heat illness. Med. Sci. Sports Exerc. 2005; 37:84-90.
66. Wallace RF, Kriebel D, Punnett L, et al. Risk factors for recruit exertional heat illness by gender and training period. Aviat. Space Environ. Med. 2006; 77:415-21.
67. Wenger HA, Bell GJ. The interactions of intensity, frequency and duration of exercise training in altering cardiorespiratory fitness. Sports Med. 1986; 3:346-56.
68. Wilkinson DA, Burholt DR, Shrivastava PN. Hypothermia following whole-body heating of mice: effect of heating time and temperature. Int. J. Hyperthermia. 1988; 4:171-82.
69. Winkenwerder W, Sawka M. Disorders due to heat and cold. In: Goldman L, editor. Cecil Medicine. Philadelphia: Saunders Elsevier; 2008.