Exertional Heat Stroke, the Return to Play Decision, and the Role of Heat Tolerance Testing: A Clinician´s Dilemma

Exertional heat stroke (EHS) is a leading cause of preventable morbidity and mortality among both athletes and warfighters. Since current evidence suggests that the history of a prior event is an important risk factor for an EHS event, sports medicine providers can find post-EHS return to play/duty (RTP/D) decisions challenging. Heat tolerance testing is a tool that can help with such decisions by exposing the subject to a given heat load under controlled conditions to assess the presence or absence of heat tolerance. This special communication explores the challenge of the RTP/D after an EHS event and the potential role of heat tolerance testing in making this clinical decision. 

Autor / Fonte:O'Connor, Francis G., MD, MPH, FACSM; Heled, Yuval, PhD; Deuster, Patricia A., PhD, MPH, FACSM Current Sports Medicine Reports: July 2018 - Volume 17 - Issue 7 - p 244–248
Link: https://journals.lww.com/acsm-csmr/Fulltext/2018/07000/Exertional_Heat_Stroke,_the_Return_to_Play.7.aspx