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Military Settings: Considerations for the Warfighter

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Abstract

Exertional heat illness (EHI) has a significant impact on the medical readiness of the United States military and is a common cause of preventable nontraumatic death. Much of the early wealth of knowledge about EHI has come from the US military experience. The military places a strong focus on heat injury prevention through the publication of policies, regulations, doctrine, and manuals that emphasize command responsibility, risk management, education, risk factor screening, treatment protocols, and regular training. Military protocols focus on the early identification and treatment of suspected exertional heat stroke (EHS). Prior planning ensures that rapid cooling capabilities are available in the field environment. Cold water immersion is the ideal modality, but ice sheets are a field expedient option. Other field expedient options exist for the desert environment. In order to assist military providers in the management of EHI cases, the Army has standardized its medical profiling for EHI by establishing recommendations for follow-up, return-to-duty, and referral indications for medical board evaluation.

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Correspondence to Patrick J. Depenbrock MD .

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Depenbrock, P.J., Kane, S.F., O’Connor, F.G. (2018). Military Settings: Considerations for the Warfighter. In: Casa, D. (eds) Sport and Physical Activity in the Heat. Springer, Cham. https://doi.org/10.1007/978-3-319-70217-9_16

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  • DOI: https://doi.org/10.1007/978-3-319-70217-9_16

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