Consensus Statement- Prehospital Care of Exertional Heat Stroke

Prehosp Emerg Care. 2018 May-Jun;22(3):392-397. doi: 10.1080/10903127.2017.1392666. Epub 2018 Jan 16.


Exertional heat stroke (EHS) is one of the most common causes of sudden death in athletes. It also represents a unique medical challenge to the prehospital healthcare provider due to the time sensitive nature of treatment. In cases of EHS, when cooling is delayed, there is a significant increase in organ damage, morbidity, and mortality after 30 minutes, faster than the average EMS transport and ED evaluation window. The purpose of this document is to present a paradigm for prehospital healthcare systems to minimize the risk of morbidity and mortality for EHS patients. With proper planning, EHS can be managed successfully by the prehospital healthcare provider.

Keywords: exercise; heat stress disorders; heat stroke; hyperthermia; sports.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Athletes
  • Consensus
  • Emergency Medical Services*
  • Heat Stroke / diagnosis*
  • Heat Stroke / therapy*
  • Humans
  • Hypothermia, Induced