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Current Sports Medicine Reports:
doi: 10.1249/JSR.0b013e3181f1d183
Special Communication

American College of Sports Medicine Roundtable on Exertional Heat Stroke - Return to Duty/Return to Play: Conference Proceedings

O'Connor, Francis G.1; Casa, Douglas J.2; Bergeron, Michael F.3; Carter, Robert III4; Deuster, Patricia1; Heled, Yuval5; Kark, John6; Leon, Lisa4; MCDermott, Brendon7; O'Brien, Karen8; Roberts, William O.9; Sawka, Michael4

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Abstract

On October 22-23, 2008, an ACSM Roundtable was convened at the Uniformed Services University (Bethesda, MD) to discuss return-to-play or return-to-duty for people who have experienced exertional heat illness (EHI) and to develop consensus-based recommendations. The conference assembled experts from the civilian sports medicine community and the Department of Defense to discuss relevant EHI issues, such as potential long-term consequences, the concept of thermotolerance, and the role of thermal tolerance testing in return-to-play decisions. Although the group was unable to move forward with new consensus recommendations, they clearly documented critical clinical concerns and scientific questions, including the following: 1) no uniform core definitions of EHI; 2) limited validated criteria to assess recovery from exertional heat stroke (EHS); and 3) inadequate ability to predict who may be predisposed to a subsequent heat injury after EHS. Areas of potential future research are identified.

© 2010 American College of Sports Medicine

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