The DOI matches its Crossref record; 321 of the 321 references it cites were found in a registry or an index.
National athletic trainers’ association position statement: Exertional heat illnesses
Open accessAbstract
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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“EHS can be due to the production of metabolic heat (internal heat) and/or an overload of environmental heat (external heat), and occurs when the thermoregulatory system is disabled due to excessive heat production or inhibition of heat loss (i.e., a decreased sweating response) [45,61]”
From Nutrition-Related Adverse Outcomes in Endurance Sports Competitions: A Review of Incidence and Practical Recommendations (2020) · cites this paper as [61]
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“The diagnostic signs of EHS are collapse, aggressiveness and irritability, confusion, convulsions, and alterations of consciousness [61]”
From Nutrition-Related Adverse Outcomes in Endurance Sports Competitions: A Review of Incidence and Practical Recommendations (2020) · cites this paper as [61]
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ACSM Position Stand: Exercise and Fluid Replacement
Convertino, V. A., Armstrong, L. E., Coyle, E. F., Mack, G. W., Sawka, M. N., Senay, L. C., & Sherman, W. M. (1996) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199610000-00045 · Cited by 1,977
Self-citationBouchama, A., & Knochel, J. P. (2002) · New England Journal of Medicine · doi:10.1056/nejmra011089 · Cited by 1,898
The Effects of Climate Change on Cardiac Health
De Blois, J., Kjellstrom, T., Agewall, S., Ezekowitz, J. A., Armstrong, P. W., & Atar, D. (2015) · Cardiology · doi:10.1159/000398787 · Cited by 1,697
Ebell, M. H., Siwek, J., Weiss, B. D., Woolf, S. H., Susman, J. L., Ewigman, B., & Bowman, M. A. (2004) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.17.1.59 · Cited by 1,455
Exertional Heat Illness during Training and Competition
Armstrong, L. E., Casa, D. J., Millard-Stafford, M. L., Moran, D. S., Pyne, S. W., & Roberts, W. O. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31802fa199 · Cited by 1,024
Self-citationNational athletic trainers' association position statement: fluid replacement for athletes.
Casa, D. J., Armstrong, L. E., Hillman, S. K., Montain, S. J., Reiff, R. V., Rich, B. S. E., Roberts, W. O., & Stone, J. A. (2000) · Europe PMC (PubMed Central) · Cited by 884
Self-citationUrinary Indices of Hydration Status
Armstrong, L. E., Maresh, C. M., Castellani, J. W., Bergeron, M. F., Kenefick, R. W., LaGasse, K. E., & Riebe, D. A. (1994) · International Journal of Sport Nutrition · doi:10.1123/ijsn.4.3.265 · Cited by 768
Self-citation(1957) · PubMed · Cited by 587
Ebell, M. H., Siwek, J., Weiss, B. D., Woolf, S. H., Susman, J. L., Ewigman, B., & Bowman, M. A. (2004) · PubMed · Cited by 484
Mechanisms of aerobic performance impairment with heat stress and dehydration
Cheuvront, S. N., Kenefick, R. W., Montain, S. J., & Sawka, M. N. (2010) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00367.2010 · Cited by 477
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Research works printed but not linked: 5
- Binkley HM, Beckett J, Casa DJ, Kleiner DM, Plummer PE. National Athletic Trainers' position statement: exertional heat illnesses. J Athl Train. 2002;37(3):329–343.
- Bouchama A, Knochel JP. Heat stroke. N Engl J Med. 2002;346(25):1978–1988.
- Hubbard RW, Armstrong LE. The heat illnesses: biochemical, ultrastructural, and fluid-electrolyte considerations. In: PandolfKB, et al. Human Performance Physiology and Environmental Medicine at Terrestrial Extremes. Indianapolis, IN: Benchmark Press;1988:305.
- Swirzenski L, Latin RW, Berg K, Grandjean A. A survey of sport nutrition supplements in high school football players. J Strength Cond Res. 2000;14(4):464–469.
- Jung AP, Bishop PA, Al-Nawwas A, Dale RB. Influence of hydration and electrolyte supplementation on incidence and time to onset of exercise-associated muscle cramps. J Athl Train. 2005;40(2):71–75.
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McDermott, B. P., Anderson, S. A., Armstrong, L. E., Casa, D. J., Cheuvront, S. N., Cooper, L., Kenney, W. L., O'Connor, F. G., & Roberts, W. O. (2017) · Journal of Athletic Training · doi:10.4085/1062-6050-52.9.02 · Cited by 438
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Belval, L. N., Hosokawa, Y., Casa, D. J., Adams, W. M., Armstrong, L. E., Baker, L. B., Burke, L., Cheuvront, S., Chiampas, G., González-Alonso, J., et al. (2019) · Nutrients · doi:10.3390/nu11071550 · Cited by 132
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Drinking behaviors of elite male runners during marathon competition
Beis, L. Y., Wright-Whyte, M., Fudge, B., Noakes, T., & Pitsiladis, Y. P. (2012) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e31824a55d7 · Cited by 85
Elite Kenyan endurance runners are hydrated day-to-day with ad libitum fluid intake
FUDGE, B. W., EASTON, C., KINGSMORE, D., KIPLAMAI, F. K., ONYWERA, V. O., WESTERTERP, K. R., KAYSER, B., NOAKES, T. D., & PITSILADIS, Y. P. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318169cdda · Cited by 42
A Tale of Two Heat Strokes: A Comparative Case Study
Stearns, R. L., Casa, D. J., O’Connor, F. G., & Lopez, R. M. (2016) · Current Sports Medicine Reports · doi:10.1249/jsr.0000000000000244 · Cited by 36
Self-citationMartínez-Sanz, J. M., Fernández Nuñez, A., Sospedra, I., Martínez-Rodríguez, A., Domínguez, R., González-Jurado, J. A., & Sánchez-Oliver, A. J. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17114082 · Cited by 25
Top 10 research questions related to preventing sudden death in sport and physical activity
Katch, R. K., Scarneo, S. E., Adams, W. M., Armstrong, L. E., Belval, L. N., Stamm, J. M., & Casa, D. J. (2017) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2017.1342201 · Cited by 11
Self-citationSex difference in initial thermoregulatory response to dehydrated exercise in the heat
Giersch, G. E. W., Morrissey, M. C., Butler, C. R., Colburn, A. T., Demarais, Z. S., Kavouras, S. A., Jay, O., Charkoudian, N., & Casa, D. J. (2021) · Physiological Reports · doi:10.14814/phy2.14947 · Cited by 11
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Metadata
- 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
- Published
- 2015-09
- Volume
- 50
- Issue
- 9
- Pages
- 986-1000
- ISSN
- 1062-6050 (ISSN-L)
- 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
- FWCI
- 48.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Athletic Training (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Thermoregulation and physiological responses
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Physiology (medical) › 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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