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Cited by 975Thermoregulation and physiological responsesSports injuries and preventionExercise and Physiological Responses

National athletic trainers’ association position statement: Exertional heat illnesses

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Casa, Douglas J., DeMartini, Julie K., Bergeron, Michael F., Csillan, Dave, Eichner, E. Randy, Lopez, Rebecca M., Ferrara, Michael S., Miller, Kevin C. +3 more·2015·Journal of Athletic Training
DOI 10.4085/1062-6050-50.9.07PMC PMC164365
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Abstract

OBJECTIVE: To present best-practice recommendations for the prevention, recognition, and treatment of exertional heat illnesses (EHIs) and to describe the relevant physiology of thermoregulation. BACKGROUND: Certified athletic trainers recognize and treat athletes with EHIs, often in high-risk environments. Although the proper recognition and successful treatment strategies are well documented, EHIs continue to plague athletes, and exertional heat stroke remains one of the leading causes of sudden death during sport. The recommendations presented in this document provide athletic trainers and allied health providers with an integrated scientific and clinically applicable approach to the prevention, recognition, treatment of, and return-to-activity guidelines for EHIs. These recommendations are given so that proper recognition and treatment can be accomplished in order to maximize the safety and performance of athletes. RECOMMENDATIONS: Athletic trainers and other allied health care professionals should use these recommendations to establish onsite emergency action plans for their venues and athletes. The primary goal of athlete safety is addressed through the appropriate prevention strategies, proper recognition tactics, and effective treatment plans for EHIs. Athletic trainers and other allied health care professionals must be properly educated and prepared to respond in an expedient manner to alleviate symptoms and minimize the morbidity and mortality associated with these illnesses.

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Authors
Casa, D. J., DeMartini, J. K., Bergeron, M. F., Csillan, D., Eichner, E. R., Lopez, R. M., Ferrara, M. S., Miller, K. C., O'Connor, F., Sawka, M. N., & Yeargin, S. W.
Affiliations
  • University of Connecticut (US)
  • Sacred Heart University (US)
  • Youth Sports of the Americas, Birmingham, AL
  • Ewing High School, NJ
  • University of Oklahoma Health Sciences Center (US)
  • University of South Florida (US)
  • University of New Hampshire (US)
  • Central Michigan University (US)
  • Uniformed Services University, Bethesda, MD
  • Georgia Institute of Technology (US)
  • University of South Carolina (US)
ORCID
Venue
Journal of Athletic Training
Publisher
National Athletic Trainers' Association
Published
2015-09
Volume
50
Issue
9
Pages
986-1000
ISSN
1062-6050 (ISSN-L)
DOI
10.4085/1062-6050-50.9.07
PMC
PMC164365
OpenAlex
W1610795244
Cited by
975
References
321
Citations by year
2026: 70 · 2025: 51 · 2024: 66 · 2023: 72 · 2022: 52 · 2021: 90 · 2020: 88 · 2019: 81 · 2018: 69 · 2017: 43 · 2016: 49 · 2015: 36 · 2014: 29 · 2013: 33 · 2012: 32
FWCI
48.39
Type
journal article
Language
en
Open access
Locations
  • Journal of Athletic Training (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
  • Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
Keywords
exertional heat illness, exertional heat stroke, thermoregulation, athlete safety, prevention, recognition, treatment, return to activity, emergency action plan, athletic trainers

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