Prehospital management of exertional heat stroke at sports competitions: International Olympic Committee Adverse Weather Impact Expert Working Group for the Olympic Games Tokyo 2020
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  • Published on:
    Comprehensive Care of Race-Day Emergencies
    • Korin Hudson, Primary Care Sports Physician, Co-Director for Emergency Action Planning Georgetown University & MedStar Health
    • Other Contributors:
      • Matthew D. Sedgley, Primary Care Sports Physician, Co-Director of Emergency Action Planning
      • Clifford Marc Madsen, LCDR USN, Sports Medicine Physician, Marine Corp Officer Candidate School Senior Medical Officer,Marine Corps Marathon Medical Director

    We commend Yuri Hosokawa et al. on their recent publication in the BJSM (Prehospital management of exertional heat stroke at sports competitions: International Olympic Committee Adverse Weather Impact Expert Working Group for the Olympic Games Tokyo 2020.) Their hard work moves the race medicine community forwards in the critically important mission of recognizing and treating critical illness in the elite runner.

    In our experience it is evident that clear, concise protocols, and easy-to-read algorithms are of paramount importance for race-medicine, particularly when experienced race physicians are providing care side-by-side with clinical volunteers. A group of experts convened at the Consortium for Health and Military Performance (CHAMP) in 2019 to review race protocols for the Marine Corps Marathon and the International Institute for Race Medicine (IIRM). While reviewing and revising race protocols, we set out to create straightforward algorithms that would aid in the assessment and treatment of a wide range of acute medical conditions. The algorithms developed from this meeting were published in Current Sports Medicine Reports (Oct. 2020, Vol 19) and are available on the CHAMP website ( under "Guidelines: Management of Mass Participation Events". We are encouraged to see Dr. Hosokawa and colleagues presenting a similar algorithmic approach in their pape...

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    Conflict of Interest:
    None declared.