{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:54:49Z","timestamp":1759334089463,"version":"build-2065373602"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"unspecified","delay-in-days":272,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789325102139_sec1\">\n\t    <jats:title>Objective<\/jats:title>\n\t    <jats:p>Exertional heat stroke (EHS) occurs when core body temperature exceeds 40\u00b0C (104\u00b0F) with central nervous system dysfunction and has been identified as a leading cause of morbidity and mortality among endurance athletes. With rapid identification and treatment, survival approaches 100%. This study describes the clinical presentation and course of seven patients transported by emergency medical services from a half marathon with EHS.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325102139_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>The 2022 Cambridge Half Marathon occurred during unusually warm weather, with a did not finish rate of 2%. Retrospective review was performed of seven patients transported during the race to an urban, level I trauma center with EHS.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325102139_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Seven patients transported to the study site were included for analysis. All patients treated with cold water immersion at scene were discharged from the emergency department. Three patients without treatment on scene required admission to the intensive care unit. Descriptions of all patients are provided.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325102139_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Lessons learned from this event include the importance of rapid cooling, the role of event-day communications, the varied impacts on emergency department operations, and the increasing need to anticipate such events outside of traditional warm weather seasons.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10213","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T08:35:01Z","timestamp":1759221301000},"source":"Crossref","is-referenced-by-count":0,"title":["Lessons Learned in the Response to Multiple Cases of Exertional Hyperthermia at an Urban Half Marathon"],"prefix":"10.1017","volume":"19","author":[{"given":"Lindsay V.","family":"Walsh","sequence":"first","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Brigham and Women\u2019s Hospital"},{"name":"Harvard Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gideon","family":"Loevinsohn","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Brigham and Women\u2019s Hospital"},{"name":"Harvard Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nellie","family":"Darling","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Brigham and Women\u2019s Hospital"},{"name":"Harvard Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul D.","family":"Biddinger","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1501-6956","authenticated-orcid":false,"given":"Scott A.","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital"},{"name":"Harvard Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"S1935789325102139_r8","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-49.3.26"},{"key":"S1935789325102139_r12","doi-asserted-by":"publisher","DOI":"10.3389\/fspor.2022.872475"},{"key":"S1935789325102139_r9","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-0065.23"},{"key":"S1935789325102139_r5","unstructured":"5. Weather History for Cambridge, MA. Yankee Publishing Company. June 3, 2024. Updated June 2, 2024. Accessed June 3, 2024. https:\/\/www.almanac.com\/weather\/history\/MA\/Cambridge"},{"key":"S1935789325102139_r4","doi-asserted-by":"publisher","DOI":"10.1016\/j.joclim.2022.100118"},{"key":"S1935789325102139_r14","first-page":"e19505","article-title":"Status of US Emergency Medical Service Protocols regarding pre-transfer cooling for exertional heat stroke","volume":"13","author":"Monseau","year":"2021","journal-title":"Cureus."},{"key":"S1935789325102139_r11","doi-asserted-by":"publisher","DOI":"10.1007\/s00484-018-1517-3"},{"key":"S1935789325102139_r7","first-page":"537","article-title":"Health risks and interventions in exertional heat stress","volume":"116","author":"Leyk","year":"2019","journal-title":"Dtsch Arztebl Int."},{"key":"S1935789325102139_r1","doi-asserted-by":"publisher","DOI":"10.1186\/s40560-018-0298-4"},{"key":"S1935789325102139_r16","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1305480"},{"key":"S1935789325102139_r15","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2019.00108"},{"key":"S1935789325102139_r10","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200009000-00004"},{"key":"S1935789325102139_r3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp2210623"},{"key":"S1935789325102139_r6","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-014-9240-0"},{"key":"S1935789325102139_r2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000002068"},{"key":"S1935789325102139_r13","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-44.1.84"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789325102139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T08:35:03Z","timestamp":1759221303000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325102139\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":16,"alternative-id":["S1935789325102139"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.10213","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"type":"print","value":"1935-7893"},{"type":"electronic","value":"1938-744X"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e285"}}