TY - JOUR T1 - Prehospital management of exertional heat stroke at sports competitions for Paralympic athletes JF - British Journal of Sports Medicine JO - Br J Sports Med DO - 10.1136/bjsports-2021-104786 SP - bjsports-2021-104786 AU - Yuri Hosokawa AU - Paolo Emilio Adami AU - Ben Thomas Stephenson AU - Cheri Blauwet AU - Stephane Bermon AU - Nick Webborn AU - Sebastien Racinais AU - Wayne Derman AU - Victoria L Goosey-Tolfrey Y1 - 2021/10/07 UR - http://bjsm.bmj.com/content/early/2021/10/06/bjsports-2021-104786.abstract N2 - Objectives To adapt key components of exertional heat stroke (EHS) prehospital management proposed by the Intenational Olympic Committee Adverse Weather Impact Expert Working Group for the Olympic Games Tokyo 2020 so that it is applicable for the Paralympic athletes.Methods An expert working group representing members with research, clinical and lived sports experience from a Para sports perspective reviewed and revised the IOC consensus document of current best practice regarding the prehospital management of EHS.Results Similar to Olympic competitions, Paralympic competitions are also scheduled under high environmental heat stress; thus, policies and procedures for EHS prehospital management should also be established and followed. For Olympic athletes, the basic principles of EHS prehospital care are: early recognition, early diagnosis, rapid, on-site cooling and advanced clinical care. Although these principles also apply for Paralympic athletes, slight differences related to athlete physiology (eg, autonomic dysfunction) and mechanisms for hands-on management (eg, transferring the collapsed athlete or techniques for whole-body cooling) may require adaptation for care of the Paralympic athlete.Conclusions Prehospital management of EHS in the Paralympic setting employs the same procedures as for Olympic athletes with some important alterations.Data sharing not applicable as no datasets generated and/or analysed for this study. ER -