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Author Contributions 15. Task Group HFM 187. Management of Heat and Cold Stress
NC and DD conceived the study concept and advised on Guidance to NATO Medical Personnel. Findings of Task Group
format and methodology. KL performed a literature review, HFM-187. NATO Science and Technology Organisation; 2013.
drafted the paper, and analyzed the data. YM collected the 16. Wallace RF, Kriebel D, Punnett L, et al. Risk factors for recruit
exertional heat illness by gender and training period. Aviat Space
data. NC and DD provided substantive feedback on the paper Environ Med. 2006;77(4):415–421.
drafts. All authors read and approved the final manuscript. 17. Stacey MJ, Parsons IT, Woods DR, Taylor PN, Ross D, J Brett S.
Susceptibility to exertional heat illness and hospitalisation risk
Disclaimer in UK military personnel. BMJ Open Sport Exerc Med. 2015;1
This content is solely the responsibility of the authors and does (1):e000055. doi:10.1136/bmjsem-2015-000055
not necessarily represent the official views of Yale School of 18. Lyle DM, Lewis PR, Richards DA, et al. Heat exhaustion in The
Medicine Fellowship for Medical Student Research. The views, Sun-Herald City to Surf fun run. Med J Aust. 1994;161(6):361–
365. doi:10.5694/j.1326-5377.1994.tb127487.x
opinions, and/or findings contained in this article are those of 19. Abriat A, Brosset C, Bregigeon M, Sagui E. Report of 182 cases
the authors and should not be construed as an official United of exertional heatstroke in the French Armed Forces. Mil Med.
States Department of the Army position, or decision, unless 2014;179(3):309–314. doi:10.7205/MILMED-D-13-00315
so designated by other official documentation. Approved for 20. Gardner JW, Kark JA, Karnei K, et al. Risk factors predict-
public release, distribution unlimited. Citations of commercial ing exertional heat illness in male Marine Corps recruits. Med
organizations and trade names in this report do not constitute Sci Sports Exerc. 1996;28(8):939–944. doi:10.1097/00005768-
199608000-00001
an official Department of the Army endorsement or approval 21. Minard D. Prevention of heat casualties in Marine Corps recruits. Pe-
of the products or services of these organizations. riod of 1955–60, with comparative incidence rates and climatic heat
stresses in other training categories. Mil Med. 1961;126:261–272.
Disclosures 22. Carter R, 3rd, Cheuvront SN, Williams JO, et al. Epidemiol-
The authors have nothing to disclose. ogy of hospitalizations and deaths from heat illness in soldiers.
Med Sci Sports Exerc. 2005;37(8):1338–1344. doi:10.1249/01.
Funding mss.0000174895.19639.ed
This research was supported by the Yale School of Medicine 23. Kazman JB, O’Connor F, Nelson DA, Deuster P. Exertional heat
illness in the military: risk mitigation. In: Hosokawa Y, ed. Human
Fellowship for Medical Student Research. Health and Physical Activity During Heat Exposure. Springer;
2018:59–72.
References 24. Armed Forces Health Surveillance Division. Heat exhaustion and
1. Becker JA, Stewart LK. Heat-related illness. Am Fam Physician. heat stroke among active component members of the U.S. Armed
2011;83(11):1325–1330. Forces, 2018–2022. MSMR. 2023;30(4):3–7.
2. Epstein Y, Druyan A, Heled Y. Heat injury prevention—a mili- 25. O’Connor FG, Grunberg NE, Harp JB, Duster PA. Exertion-
tary perspective. J Strength Cond Res. 2012;26 Suppl 2:S82–86. related illness: The critical roles of leadership and follower-
doi:10.1519/JSC.0b013e31825cec4a ship. Curr Sports Med Rep. 2020;19(1):35–39. doi:10.1249/
3. Bouchama A, Abuyassin B, Lehe C, et al. Classic and exertional JSR.0000000000000673
heatstroke. Nat Rev Dis Primers. 2022;8(1):8. doi:10.1038/ 26. Belval LN, Casa DJ, Adams WM, et al. Consensus statement-
s41572-021-00334-6 prehospital care of exertional heat stroke. Prehosp Emerg Care.
4. Adams WM, Sterans RL,Casa DJ. Exertional Heat Stroke. In: 2018;22(3):392–397. doi:10.1080/10903127.2017.1392666
W. M. Adams JFJ, ed. Exertional Heat Illness. Switzerland: 27. Goforth CW, Kazman JB. Exertional heat stroke in Navy and
Springer Nature; 2020:59–79. Marine personnel: a hot topic. Crit Care Nurse. 2015;35(1):52–
5. Howe AS, Boden BP. Heat-related illness in athletes. Am J Sports 59. doi:10.4037/ccn2015257
Med. 2007;35(8):1384–1395. doi:10.1177/0363546507305013 28. Hosokawa Y, Casa DJ, Trtanj JM, et al. Activity modification
6. Garcia CK, Renteria LI, Leite-Santos G, Leon LR, Laitano O. Ex- in heat: critical assessment of guidelines across athletic, occupa-
ertional heat stroke: pathophysiology and risk factors. BMJ Med. tional, and military settings in the USA. Int J Biometeorol. 2019;
2022;1(1):e000239. 63(3):405–427. doi:10.1007/s00484-019-01673-6
7. Breslow RG, Shrestha S, Feroe AG, Katz JN, Troyanos C, Collins 29. Périard JD, DeGroot D, Jay O. Exertional heat stroke in sport and
JE. Medical tent utilization at 10-km road races: injury, illness, the military: epidemiology and mitigation. Exp Physiol. 2022;107
and influencing factors. Med Sci Sport Exer. 2019;51(12):2451– (10):1111–1121. oi:10.1113/EP090686
2457. doi:10.1249/MSS.0000000000002068 30. Flouris AD, Schlader ZJ. Human behavioral thermoregulation
8. Demartini JK, Casa DJ, Stearns R, et al. Effectiveness of cold wa- during exercise in the heat. Scand J Med Sci Sports. 2015;25
ter immersion in the treatment of exertional heat stroke at the Suppl 1:52–64. doi:10.1111/sms.12349
Falmouth Road Race. Med Sci Sport Exer. 2015;47(2):240–245. 31. Ioannou LG, Mantzios K, Tsoutsoubi L, et al. Effect of a simu-
doi:10.1249/Mss.0000000000000409 lated heat wave on physiological strain and labour productivity.
9. Alele FO, Malau-Aduli BS, Malau-Aduli AEO, M JC. Epidemi- Int J Environ Res Public Health. 2021;18(6):3011. doi:10.3390/
ology of exertional heat illness in the military: a systematic re- ijerph18063011
view of observational studies. Int J Environ Res Public Health. 32. Rav-Acha M, Hadad E, Epstein Y, Heled Y, Moran DS. Fatal exer-
2020;17(19):7037. doi:10.3390/ijerph17197037 tional heat stroke: A case series. Am J Med Sci. 2004;328(2):84–
10. Armed Forces Health Surveillance Branch. Update: Heat illness, 87. doi:10.1097/00000441-200408000-0000333.
active component, U.S. Armed Forces, 2017. MSMR. 2018;25(4): 33. Shibolet S, Lancaster MC, Danon Y. Heat stroke: a review. Aviat
6–12. Space Environ Med. 1976;47(3):280–301.
11. Armed Forces Health Surveillance Branch. Update: Heat illness, 34. Roberts WO, Armstrong LE, Sawka MN, Yeargin SW, Heled Y,
active component, U.S. Armed Forces, 2019. MSMR. 2020;27(4): O’Connor FG. ACSM expert consensus statement on exertional
4–9. heat illness: recognition, management, and return to activity.
12. Armed Forces Health Surveillance Branch. Update: Heat illness, Curr Sports Med Rep. 2023;22(4):134–149. doi:10.1249/JSR.
active component, U.S. Armed Forces, 2018. MSMR. 2019;26(4): 0000000000001058
15–20. 35. Casa DJ, DeMartini JK, Bergeron MF, et al. National Athletic Train-
13. Williams VF, Oh GT. Update: Heat illness, active component, U.S. ers’ Association position statement: exertional heat illnesses. J Athl
Armed Forces, 2021. MSMR. 2022;29(4):8–14. Train. 2015;50(9):986–1000. doi:10.4085/1062-6050-50.9.07
14. Headquarters, Department of the Army. Heat Stress Control and 36. DeGroot DW, Henderson, KN, O’Connor FG. Exertional heat
Heat Casualty Management. TB MED 507. Depatment of the illness at fort benning, GA: Unique insights from the Army Heat
Army; 2022. Center. MSMR. 2022;22:2–7.
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