Exertional heat stroke, defined as a body temperature greater than 40(degrees)C (104(degrees)F) to 40.5(degrees)C (105(degrees)F) with corresponding neuropsychiatric impairment and end-organ dysfunction, is a medical emergency that can lead to long-term complications or death without prompt recognition and treatment.1,2 Implementing the standard of care for recognition and treatment of exertional heat stroke ensures 100% survival; however, clinicians must consider the clinical problems associated with long-term recovery from exertional heat stroke for a complete return to activity for the individual.