{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:04:14Z","timestamp":1791381854618,"version":"4.3.3"},"reference-count":27,"publisher":"National Athletic Trainers' Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"\n Context<\/jats:title>\n A high number of exertional heat stroke (EHS) cases occur during the Falmouth Road Race.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To extend previous analyses of EHS cases during the Falmouth Road Race by assessing or describing (1) EHS and heat exhaustion (HE) incidence rates, (2) EHS outcomes as they relate to survival, (3) the effect of the environment on these outcomes, and (4) how this influences medical provider planning and preparedness.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Descriptive epidemiologic study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Falmouth Road Race.<\/jats:p>\n <\/jats:sec>\n \n Patients or Other Participants<\/jats:title>\n Patients with EHS or HE admitted to the medical tent.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure(s)<\/jats:title>\n We obtained 8 years (2012 to 2019) of Falmouth Road Race anonymous EHS and HE medical records. Meteorologic data were collected and analyzed to evaluate the effect of environmental conditions on the heat illness incidence (exertional heat illness [EHI] = EHS + HE). The EHS treatment and outcomes (ie, cooling time, survival, and discharge outcome), number of HE patients, and wet bulb globe temperature (WBGT) for each race were analyzed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 180 EHS and 239 HE cases were identified. Overall incidence rates per 1000 participants were 2.07 for EHS and 2.76 for HE. The EHI incidence rate was 4.83 per 1000 participants. Of the 180 EHS cases, 100% survived, and 20% were transported to the emergency department. The WBGT was strongly correlated with the incidence of both EHS (\n r<\/jats:italic>\n 2<\/jats:sup>\n = 0.904,\n P<\/jats:italic>\n = .026) and EHI (\n r<\/jats:italic>\n 2<\/jats:sup>\n = 0.912,\n P<\/jats:italic>\n = .023).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This is the second-largest civilian database of EHS cases reported. When combined with the previous dataset of EHS survivors from this race, it amounts to 454 EHS cases resulting in 100% survival. The WBGT remained a strong predictor of EHS and EHI cases. These findings support 100% survival from EHS when patients over a wide range of ages and sexes are treated with cold-water immersion.<\/jats:p>\n <\/jats:sec>","DOI":"10.4085\/1062-6050-0065.23","type":"journal-article","created":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T08:04:59Z","timestamp":1693555499000},"page":"304-309","source":"Crossref","is-referenced-by-count":28,"title":["Exertional Heat Stroke Survival at the Falmouth Road Race: 180 New Cases With Expanded Analysis"],"prefix":"10.4085","volume":"59","author":[{"given":"Rebecca L.","family":"Stearns","sequence":"first","affiliation":[{"name":"Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri","family":"Hosokawa","sequence":"additional","affiliation":[{"name":"Waseda University, Tokorozawa, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke N.","family":"Belval","sequence":"additional","affiliation":[{"name":"Naval Submarine Medical Research Laboratory, Groton, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Martin","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Huggins","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John F.","family":"Jardine","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas J.","family":"Casa","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"5","key":"i1062-6050-59-3-304-b01","series-title":"Am J Sports Med","first-page":"1108","article-title":"Fatalities in high school and college football players","volume":"41","author":"Boden","year":"2013","unstructured":"Boden\n BP,\n \n \n Breit\n I,\n \n \n Beachler\n JA,\n \n \n Williams\n A,\n \n \n Mueller\n FO.\n \n \n Fatalities in high school and college football players. 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Exerc Sport Sci Rev. 2007;35(3):141\u2013149. doi:10.1097\/jes.0b013e3180a02bec"},{"issue":"8","key":"i1062-6050-59-3-304-b12","series-title":"J Athl Train","first-page":"792","article-title":"Cold-water immersion for hyperthermic humans wearing American football uniforms","volume":"50","author":"Miller","year":"2015","unstructured":"Miller\n KC,\n \n \n Swartz\n EE,\n \n \n Long\n BC.\n \n \n Cold-water immersion for hyperthermic humans wearing American football uniforms. J Athl Train. 2015;50(8):792\u2013799. doi:10.4085\/1062-6050-50.6.01"},{"issue":"11","key":"i1062-6050-59-3-304-b13","series-title":"Med Sci Sports Exerc","first-page":"2464","article-title":"Optimizing cold water immersion for exercise-induced hyperthermia: a meta-analysis","volume":"47","author":"Zhang","year":"2015","unstructured":"Zhang\n Y,\n \n \n Davis\n JK,\n \n \n Casa\n DJ,\n \n \n Bishop\n PA.\n \n \n Optimizing cold water immersion for exercise-induced hyperthermia: a meta-analysis. 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