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. 2018 May-Jun;22(3):392-397.
doi: 10.1080/10903127.2017.1392666. Epub 2018 Jan 16.

Consensus Statement- Prehospital Care of Exertional Heat Stroke

Luke N Belval, Douglas J Casa, William M Adams, George T Chiampas, Jolie C Holschen, Yuri Hosokawa, John Jardine, Shawn F Kane, Michele Labotz, Renée S Lemieux, Kyle B McClaine, Nathaniel S Nye, Francis G O'Connor, Bryan Prine, Neha P Raukar, Michael S Smith, Rebecca L Stearns

Consensus Statement- Prehospital Care of Exertional Heat Stroke

Luke N Belval et al. Prehosp Emerg Care. 2018 May-Jun.

Abstract

Exertional heat stroke (EHS) is one of the most common causes of sudden death in athletes. It also represents a unique medical challenge to the prehospital healthcare provider due to the time sensitive nature of treatment. In cases of EHS, when cooling is delayed, there is a significant increase in organ damage, morbidity, and mortality after 30 minutes, faster than the average EMS transport and ED evaluation window. The purpose of this document is to present a paradigm for prehospital healthcare systems to minimize the risk of morbidity and mortality for EHS patients. With proper planning, EHS can be managed successfully by the prehospital healthcare provider.

Keywords: exercise; heat stress disorders; heat stroke; hyperthermia; sports.

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