Exertional heat illness during training and competition

@article{Armstrong2007ExertionalHI,
  title={Exertional heat illness during training and competition},
  author={Lawrence E. Armstrong and Douglas J. Casa and Mindy L. Millard-Stafford and Daniel Moran and Scott W. Pyne and William O. Roberts},
  journal={Medicine and Science in Sports and Exercise},
  year={2007},
  volume={39},
  pages={556-572}
}
SUMMARY Exertional heat illness can affect athletes during high-intensity or longduration exercise and result in withdrawal from activity or collapse during or soon after activity. These maladies include exercise associated muscle cramping, heat exhaustion, or exertional heatstroke. While certain individuals are more prone to collapse from exhaustion in the heat (i.e., not acclimatized, using certain medications, dehydrated, or recently ill), exertional heatstroke (EHS) can affect seemingly… Expand
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References

SHOWING 1-10 OF 214 REFERENCES
Fluid and electrolyte disturbances in heat illness.
  • T. Noakes
  • Medicine
  • International journal of sports medicine
  • 1998
TLDR
It is shown that exercise-induced heat stroke requires powerful initiating factors, in addition to dehydration which occurs commonly during prolonged exercise, whereas heat stroke is an extremely rare event. Expand
Heat illness
TLDR
The epidemiology, pathophysiology and relevant aspects of management including prevention, acclimatisation and treatment of exertional heat illness, the predominant form affecting military personnel, are reviewed. Expand
Heat-related illnesses.
TLDR
Preventive care should include drinking plenty of fluids before, during and after activities, gradually increasing the time spent working in the heat and avoiding exertion during the hottest part of the day. Expand
The Induction and Decay of Heat Acclimatisation in Trained Athletes
TLDR
In attempting to optimise heat acclimatisation, athletes should maintain fluid-electrolyte balance, exercise at intensities greater than 50% V̇O2max for 10 to 14 days, and avoid factors which are known to reduce heat tolerance. Expand
Heat intolerance: predisposing factor or residual injury?
  • Y. Epstein
  • Medicine
  • Medicine and science in sports and exercise
  • 1990
TLDR
Cases of dehydration, overweight, low physical fitness, lack of acclimatization, febrile or infectious diseases, and skin disorders should be regarded a priori as predisposing factors for heat intolerance. Expand
The role of exercise in the etiology of exertional heatstroke.
  • R. Hubbard
  • Medicine
  • Medicine and science in sports and exercise
  • 1990
TLDR
The purposes of this symposium are to convey essential information to the members of ACSM who are involved in exercise prescription, patient care, or athletic training, and to disseminate recent scientific theories and research concerning exertional heatstroke. Expand
Cerebral Changes During Exercise in the Heat
TLDR
The observation that exercise-induced hyperthermia reduces the central activation percentage during maximal isometricmuscle contractions supports the idea that central fatigue is involved in the aetiology ofhyperthermia-induced fatigue. Expand
Exertional heat illness in Marine Corps recruit training.
TLDR
Risk for EHI in military training increases markedly as WBGT levels rise above 65 degrees F; cases occur primarily with strenuous exercise (e.g., running); and heat stress exposure on prior days may be important. Expand
Exercise-Associated Collapse in Endurance Events: A Classification System.
  • W. Roberts
  • Medicine
  • The Physician and sportsmedicine
  • 1989
TLDR
A classification system was devised for EAC that can be used by physicians who cover endurance events and three classes of EAC are hyperthermic, normothermic, and hypothermic; each class is subclassified as mild, moderate, or severe. Expand
Time course of recovery and heat acclimation ability of prior exertional heatstroke patients.
TLDR
It was concluded that sleep loss and generalized fatigue were the most common predisposing factors for PH and recovery from EH was idiosyncratic and may require up to 1 year in severe cases. Expand
...
1
2
3
4
5
...