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Medical Evaluation for Exposure Extremes: Heat

Pryor, Riana R. PhD, ATC*; Bennett, Brad L. PhD†,‡; O'Connor, Francis G. MD, MPH; Young, Justin M.J. MD§; Asplund, Chad A. MD, MPH, FACSM

Clinical Journal of Sport Medicine: September 2015 - Volume 25 - Issue 5 - p 437–442
doi: 10.1097/JSM.0000000000000248
Care of the Wilderness Athlete
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Abstract: Exertional heat illness can be a serious consequence of sports or exercise in hot environments. Participants can possess intrinsic or face extrinsic risk factors that may increase their risk for heat-related illness. Knowledge of the physiology and pathology of heat illness, identification of risk factors, and strategies to combat heat accumulation will aid both the practitioner and the participant in preparing for activities that occur in hot environments. Through preparation and mitigation of risk, safe and enjoyable wilderness adventure can be pursued.

*Department of Kinesiology, Korey Stringer Institute, University of Connecticut, Storrs, Connecticut;

Military & Emergency Medicine Department, F. Hébert School of Medicine, Bethesda, Maryland;

Uniformed Services University of the Health Sciences, Bethesda, Maryland;

§Department of Family Medicine and Community Health, Division of Sports Medicine, John A. Burns School of Medicine, University of Hawaii, Mililani, Hawaii; and

Department of Family Medicine, Georgia Regents University, Augusta, Georgia.

Corresponding Author: Riana R. Pryor, PhD, ATC, Department of Kinesiology, California State University, Fresno, 5275 N Campus Dr M/S SG28, Fresno, CA 93740 (RianaPryor@gmail.com).

B. L. Bennett is a board member and paid invited speaker for the Wilderness Medical Society. The remaining authors report no conflicts of interest.

This article appears in a “Care of the Wilderness and Adventure Athlete” special issue, jointly published by Clinical Journal of Sport Medicine and Wilderness & Environmental Medicine.

Received February 28, 2015

Accepted June 26, 2015

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.