{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T17:51:29Z","timestamp":1773424289172,"version":"3.50.1"},"reference-count":13,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2011,6,1]],"date-time":"2011-06-01T00:00:00Z","timestamp":1306886400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:p> The purpose of this case study is to examine the physiological\/behavioral factors leading up to heat exhaustion in a male wildland firefighter during wildland fire suppression. The participant (24 years old, 173 cm, 70 kg, and 3 years firefighting experience) experienced heat exhaustion following 7 hours of high ambient temperatures and arduous work on the fire line during the month of August. At the time of the heat-related incident (HRI), core temperature was 40.1\u00b0C (104.2\u00b0F) and skin temperature was 34.4\u00b0C (93.9\u00b0F). His work output averaged 1067 counts\u00b7min<jats:sup>\u22121<\/jats:sup> (arbitrary units for measuring activity) for the 7 hours prior to the HRI, a very high rate of work over an extended time period during wildfire suppression. In the 2.5 hours leading up to the heat incident, he was exposed to a mean ambient temperature of 44.6\u00b0C (112.3\u00b0F), with a maximum temperature of 59.7\u00b0C (139.5\u00b0F). He consumed an average of 840 mL \u00b7 h<jats:sup>\u22121<\/jats:sup> in the 7 hours leading up to the incident and took an average of 24 \u00b1 11 drinks \u00b7 h<jats:sup>\u22121<\/jats:sup> (total of 170 drinks). The combined effects of a high work rate and high ambient temperatures resulted in an elevated core temperature and a higher volume and frequency of drinking than typically seen in this population, ultimately ending in heat exhaustion and removal from the fire line. The data demonstrate that heat-related incidents can occur even with aggressive fluid intake during wildland fire suppression. <\/jats:p>","DOI":"10.1016\/j.wem.2011.01.008","type":"journal-article","created":{"date-parts":[[2011,6,23]],"date-time":"2011-06-23T01:05:46Z","timestamp":1308791146000},"page":"122-125","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":59,"title":["High Work Output Combined With High Ambient Temperatures Caused Heat Exhaustion in a Wildland Firefighter Despite High Fluid Intake"],"prefix":"10.1177","volume":"22","author":[{"given":"John S.","family":"Cuddy","sequence":"first","affiliation":[{"name":"Montana Center for Work Physiology and Exercise Metabolism, The University of Montana, Missoula, MT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brent C.","family":"Ruby","sequence":"additional","affiliation":[{"name":"Montana Center for Work Physiology and Exercise Metabolism, The University of Montana, Missoula, MT"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,6,1]]},"reference":[{"key":"bibr1-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20517"},{"key":"bibr2-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508325922"},{"key":"bibr3-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000174895.19639.ed"},{"key":"bibr4-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1580\/07-WEME-OR-114.1"},{"key":"bibr5-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0b013e318040b2fb"},{"key":"bibr6-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e31817f4d58"},{"key":"bibr7-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200105001-01446"},{"key":"bibr8-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200206000-00023"},{"key":"bibr9-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000089348.39312.4D"},{"key":"bibr10-jwem201101008","first-page":"12","volume-title":"U.S. Department of Agriculture Forest Service MTaDC (ed)","author":"Sharkey B.J.","year":"2005"},{"key":"bibr11-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1999.86.3.1032"},{"key":"bibr12-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.1993.sp019482"},{"key":"bibr13-jwem201101008","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00577.2009"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603211000469?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603211000469?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2011.01.008","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1016\/j.wem.2011.01.008","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2011.01.008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T13:33:42Z","timestamp":1741613622000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1016\/j.wem.2011.01.008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2011,6]]}},"alternative-id":["10.1016\/j.wem.2011.01.008"],"URL":"https:\/\/doi.org\/10.1016\/j.wem.2011.01.008","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,6]]}}}