Adams et al. (1) reported that secondary school football coaches lacked a fundamental understanding of the causes and symptoms of exertional heat stroke (EHS). This lack of understanding was supported by the coaches' inability to identify prevention strategies to minimize the risk of EHS and the symptoms they would look for in an athlete suspected of having EHS (1). This evidence helps support reasons for strong educational programs for on-site personnel and for employing athletic trainers (AT) at secondary schools to oversee the health and safety of the student athletes competing in school athletics programs.