Exertional Heat Stroke: New Concepts Regarding Cause and Care

被引：171

作者：

Casa, Douglas J. ^{[1
,2
]}

Armstrong, Lawrence E. ^{[2
]}

Kenny, Glen P. ^{[2
,3
]}

O'Connor, Francis G. ^{[2
,4
]}

Huggins, Robert A. ^{[2
]}

机构：

[1] Univ Connecticut, Korey Stringer Inst, Dept Kinesiol, Storrs, CT 06269 USA

[2] Univ Connecticut, Korey Stringer Inst, Neag Sch Educ, Storrs, CT 06269 USA

[3] Univ Ottawa, Sch Human Kinet, Ottawa, ON, Canada

[4] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA

来源：

CURRENT SPORTS MEDICINE REPORTS | 2012年 / 11卷 / 03期

关键词：

COLD-WATER IMMERSION; ASSOCIATION POSITION STATEMENT; ASSESS BODY-TEMPERATURE; REUPTAKE INHIBITION; COOLING RATES; EXERCISE; HEATSTROKE; HYPERTHERMIA; RETURN; ILLNESS;

D O I：

10.1249/JSR.0b013e31825615cc

中图分类号：

G8 [体育];

学科分类号：

04 ; 0403 ;

摘要：

When athletes, warfighters, and laborers perform intense exercise in the heat, the risk of exertional heat stroke (EHS) is ever present. The recent data regarding the fatalities due to EHS within the confines of organized American sport are not promising: during the past 35 years, the highest number of deaths in a 5-year period occurred from 2005 to 2009. This reminds us that, regardless of the advancements of knowledge in the area of EHS prevention, recognition, and treatment, knowledge has not been translated into practice. This article addresses important issues related to EHS cause and care. We focus on the predisposing factors, errors in care, physiology of cold water immersion, and return-to-play or duty considerations.

引用

页码：115 / 123

页数：9

共 53 条

[1]

Adams WB, 2006, AMAA MAR CORPS MAR M

[2]

[Anonymous], 2003, NATA NEWS, V8, P24

[3] Exertional heat illness during training and competition [J].

Armstrong, Lawrence E. ;

Casa, Douglas J. ;

Millard-Stafford, Mindy ;

Moran, Daniel S. ;

Pyne, Scott W. ;

Roberts, Wiliam O. .

MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2007, 39 (03) :556-572

[4] The American Football Uniform: Uncompensable Heat Stress and Hyperthermic Exhaustion [J].

Armstrong, Lawrence E. ;

Johnson, Evan C. ;

Casa, Douglas J. ;

Ganio, Matthew S. ;

McDermott, Brendon P. ;

Yamamoto, Linda M. ;

Lopez, Rebecca M. ;

Emmanuel, Holly .

JOURNAL OF ATHLETIC TRAINING, 2010, 45 (02) :117-127

[5] Whole-body cooling of hyperthermic runners: Comparison of two field therapies [J].

Armstrong, LE ;

Crago, AE ;

Adams, R ;

Roberts, WO ;

Maresh, CM .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1996, 14 (04) :355-358

[6]

ARMSTRONG LE, 1990, MED SCI SPORT EXER, V22, P36

[7]

Armstrong LE, 1999, ADAPTATION BIOL MED, P334

[8] Exertional Heat Illness Among Overweight US Army Recruits In Basic Training [J].

Bedno, Sheryl A. ;

Li, Yuanzhang ;

Han, Weiwei ;

Cowan, David N. ;

Scott, Christine T. ;

Cavicchia, Melinda A. ;

Niebuhr, David W. .

AVIATION SPACE AND ENVIRONMENTAL MEDICINE, 2010, 81 (02) :107-111

[9]

Binkley HM, 2002, J ATHL TRAINING, V37, P329

[10] Medical progress - Heat stroke [J].

Bouchama, A ;

Knochel, JP .

NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (25) :1978-1988

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