Exertional heat stroke, defined as an internal body temperature 40.5(degrees)C or greater and neuropsychiatric impairment, is caused by an overwhelming of one's thermoregulatory system during physical activity. If not promptly recognized and treated, exertional heat stroke can cause long-term morbidity or mortality.1,2 The key determinant for survival from exertional heat stroke is to reduce internal body temperature so that the time above the critical temperature threshold (40.83(degrees)C [105.5(degrees)F]) for cell damage is minimized.1,3 Athletic trainers play a vital role in developing and implementing policies and procedures for the prevention, management, and care of exertional heat stroke to optimize patient outcomes. The purpose of this article is to provide clinicians with the key aspects of an exertional heat stroke management plan specific to secondary school athletics.
