Exertional Heat Illnesses

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Learn how to identify, treat, and prevent exertional heat illnesses and ensure your sporting events are safe. Exertional Heat Illnesses provides practitioners with all the information they need in one practical reference.

Renowned exercise researcher Lawrence Armstrong, PhD, and a team of eight colleagues examine the heat illnesses most common in athletes, recreation enthusiasts, and laborers.

The only book to focus exclusively on heat-related illnesses, Exertional Heat Illnesses is full of practical advice for professionals in a variety of medical, academic, and commercial settings. Athletic trainers, physicians, nurses, and emergency medical technicians will find effective treatment options for all exertional heat illnesses. Coaches, athletes, industrial supervisors, and military leaders will learn the causes of heat-related illnesses and ways to prevent them. Fitness, conditioning, and training specialists will gain useful information for their clients and students. Instructors and students interested in environmental exercise physiology will also find Exertional Heat Illnesses to be a valuable textbook for courses that require advanced study.

This resource is aligned with the current accepted standards and recommendations of two prominent health and sports medicine organizations—the American College of Sports Medicine (ACSM) and the National Athletic Trainers' Association (NATA).

The reference contains the following:

-A handy breakdown of how the body reacts to different heat illnesses

-Case reports detailing how other practitioners respond in real-life situations

-Abstracts of four important position stands from the ACSM and NATA and the Web sites at which you can access them
With this reference, you'll have the tools to help athletes maintain optimal health and performance during and after exercise, and you'll have the knowledge to treat exertional heat illnesses promptly and properly should they occur.

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What People Are Saying

From the Publisher

"Information on (this) subject is relegated to small sections in sports medicine texts and short periods in formal instruction. This book masterfully achieves the editor's attempt to fill that void. Exertional Heat Illnesses is a comprehensive text that provides the reader with an indepth and through presentation of the physiology of thermoregulation and the identification and intervention of subsequent heat illnesses should those systems fail."

Journal of Orthopaedic & Sports Physical Therapy

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Product Details

  • ISBN-13: 9780736037716
  • Publisher: Human Kinetics Publishers
  • Publication date: 4/2/2003
  • Edition description: New Edition
  • Pages: 288
  • Product dimensions: 9.20 (w) x 6.00 (h) x 0.90 (d)

Meet the Author

Lawrence E. Armstrong, PhD, fellow of the American College of Sports Medicine, is a professor in the department of kinesiology, Human Performance Laboratory, at the University of Connecticut. He is author of Human Kinetics' Performing in Extreme Environments (2000).

Dr. Armstrong received the Aerospace Medical Society's Environmental Science Award (1986), and the National Strength and Conditioning Association's Presidential Award for contributions to the NSCA Journal of Environmental Physiology (1989 and 1994). Since 1982, he has authored or coauthored 85 research articles for scientific journals and nearly 50 articles for educational and consumer publications. He also has contributed chapters to numerous books and government technical reports.

Dr. Armstrong also has personal experience with extreme environments. In addition to completing 14 marathons and climbing Mt. Washington four times, he has collected research data in the medical tent at the Boston Marathon. He has contributed to ACSM and NATA position stands on fluid replacement during exercise as well as position stands on heat and cold illnesses contracted during distance running. Dr. Armstrong graduated cum laude as a scholar-athlete from the University of Toledo in 1971 with a BEd in biology and comprehensive science, and he earned an MEd from Toledo in 1976 and a PhD from Ball State University in 1983 as a student of David Costill's. He is a former president of the New England chapter of the ACSM and conducted numerous research studies as a physiologist at the Research Institute of Environmental Medicine in Natick, Massachusetts, from 1983 to 1990. Armstrong lives in Mansfield Center, Connecticut.

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Table of Contents

Chapter 1. Physiology of Heat Stress
John W. Castellani, U.S. Army Research Institute of Environmental Medicine

-Heat Balance

-Temperature Regulation and the Brain

-Modifiers of Core Temperature Regulation

-Control of Water and Ions

-Physiological Responses to Exercise–Heat Stress

-Factors That Limit Exercise Performance in Heat Environments

-Factors That Modify the Exercise–Heat Stress Response



Chapter 2. Classification, Nomenclature, and Incidence of the Exertional Heat Illnesses
Lawrence E. Armstrong, University of Connecticut





Chapter 3. Exertional Heatstroke: A Medical Emergency
Douglas J. Casa, University of Connecticut
Lawrence E. Armstrong, University of Connecticut


-Epidemiology and Prognosis

-Identification of Exertional Heatstroke

-Medical Treatment of Exertional Heatstroke

-Considerations for Return to Sport

-Preventing Exertional Heatstroke by Understanding the Most Common Scenarios


Chapter 4. Heat Exhaustion, Exercise-Associated Collapse, and Heat Syncope
Lawrence E. Armstrong, University of Connecticut
Jeffrey M. Anderson, University of Connecticut

-Heat Exhaustion

-Exercise-Associated Collapse

-Heat Syncope


Chapter 5. Exertional Heat Cramps
Michael F. Bergeron, Medical College of Georgia

-Etiology and Related Pathophysiology

-Common Scenarios

-Signs and Symptoms


-Continuation of Activity and Return to Play




Chapter 6. Exertional Hyponatremia
Lawrence E. Armstrong, University of Connecticut

-Common Scenarios and Predisposing Factors

-Clinical and Physiological Features of Exertional Hyponatremia

-Fluid–Electrolyte Status of Athletes With Exertional Hyponatremia

-What Volume of Water Is Required to Induce Exertional Hyponatremia?

-Is Rhabdomyolysis Associated With Exertional Hyponatremia?


-Preventing Exertional Hyponatremia


Chapter 7. Minor Heat Illnesses
Robert W. Kenefick, University of New Hampshire
Melissa P. Hazzard, University of New Hampshire
Lawrence E. Armstrong, University of Connecticut

-Transient Heat Fatigue

-Anhidtrotic Heat Exhaustion

-Heat Edema




Chapter 8. Predisposing Factors for Exertional Heat Illnesses
Lawrence E. Armstrong, University of Connecticut
Douglas J. Casa, University of Connecticut

-Exertional Heatstroke

-Exertional Heat Exhaustion

-Heat Syncope

-Exertional Heat Cramps

-Exertional Hyponatremia


Chapter 9. Considerations for the Medical Staff: Preventing, Identifying, and Treating Exertional Heat Illnesses
Douglas J. Casa, University of Connecticut
William O. Roberts, MinnHealth, Minnesota

-Responsibility of the Medical Staff

-Preventing Exertional Heat Illnesses

-Identifying Hyperthermia

-Defining Exertional Heat Illness and Associated Problems

-Treatment of Exertional Heat Illnesses

-Staffing, Site, Equipment, and Supply Considerations

-Recommendations for the Medical Team and Event Administration


Chapter 10. Recommendations for Athletes and Weekend Warriors
Carl M. Maresh, University of Connecticut
Jaci L. VanHeest, University of Connecticut

-Progressive Heat Acclimation

-The Hours Before Exercise in the Heat

-During Exercise

-The Hours After Exercise in the Heat


Appendix A: Position Stands From ACSM and NATA
Appendix B: The Body's Responses to Various Heat Illnesses
About the Contributors

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