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

Francis G. O'Connor, Douglas J. Casa, Michael F. Bergeron, Robert Carter, Patricia Deuster, Yuval Heled, John Kark, Lisa Leon, Brendon McDermott, Karen O'Brien, William O. Roberts, Michael Sawka

Research output: Contribution to journalArticlepeer-review

87 Scopus citations

Abstract

On October 22Y23, 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.

Original languageEnglish (US)
Pages (from-to)314-321
Number of pages8
JournalCurrent sports medicine reports
Volume9
Issue number5
DOIs
StatePublished - Sep 1 2010

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