Skip Navigation LinksHome > March/April 2013 - Volume 12 - Issue 2 > Exertional Heat Illness: The Role of Heat Tolerance Testing
Current Sports Medicine Reports:
doi: 10.1249/JSR.0b013e3182874d27
Environmental Conditions: Case Reports

Exertional Heat Illness: The Role of Heat Tolerance Testing

Kazman, Josh Ben MS1; Heled, Yuval PhD, FACSM2; Lisman, Peter J. PhD, ATC1; Druyan, Amit MD2; Deuster, Patricia Anne PhD, MPH, FACSM1; O’Connor, Francis G. MD, MPH, FACSM1

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Abstract

Exertional heat stroke (EHS) is a common clinical problem for both athletes and warriors; however, evidence-based guidance for return-to-play/duty (RTP/RTD) decisions is limited. Heat tolerance testing (HTT) has been proposed as a potential tool that, when combined with appropriate clinical information, may assist in RTP/RTD decisions. However, currently, no standard of care is available for performing HTT. The Israeli Defense Forces (IDF) HTT protocol, which was developed over decades of careful research, has proven useful for IDF warriors and is utilized by other militaries to assist in RTD decisions. The present case studies are used to discuss the efficacy of the IDF HTT in determining RTD for two warriors who experienced EHS. Strengths and limitations of the IDF HTT, along with current and potential roles in clinical decision-making and in future thermoregulation research, are discussed.

© 2013 American College of Sports Medicine

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