Exertional Heat Stroke: Return to PlayDuty Issues ACSMDOD Roundtable Conference

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Exertional Heat Stroke Return to Play/Duty
IssuesACSM/DOD Roundtable Conference
Exertional Heat Stroke Pathology
Michael F. Bergeron, Ph.D., FACSM Director,
National Institute for Athletic Health
Performance and Center for Youth Sports
Health Professor, Department of
Pediatrics Sanford School of Medicine of The
University of South Dakota Sanford USD Medical
CenterSioux Falls, SD 
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Exertional Heat Stroke Pathology

• Endotoxemia inflammation
• Central nervous system dysfunction
• Exercise-heat tolerance
• Previous exercise-heat exposure

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Endotoxemia Inflammation

• Time course for return to baseline
• Profile following exercise vs. expected responses
• Moderate cool
• Moderate warm
• Moderate hot
• Intense hot

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Central Nervous System Dysfunction

• Neuromuscular function
• Time to fatigue
• Cognition and executive function
• Cool and hot environments
• Perceptual vs. actual heat strain
• Performance decision making

Lambert, E V et al. Br J Sports Med 20053952-62
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Exercise-heat tolerance
Repeated bouts, to address Previous
exercise-heat exposure(s)
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Sioux Falls, SD