Evidence map›Paper›PMID 33888465›Full record

ArticleBritish journal of sports medicine2021

Prehospital management of exertional heat stroke at sports competitions: International Olympic Committee Adverse Weather Impact Expert Working Group for the Olympic Games Tokyo 2020.

Yuri Hosokawa, Sebastien Racinais, Takao Akama, David Zideman, Richard Budgett, Douglas J Casa, Stéphane Bermon, Andrew J Grundstein, Yannis P Pitsiladis, Wolfgang Schobersberger and 1 more

Open access · hybridAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in British journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
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  11. Review
  12. Article
  13. Article
  14. Article
  15. New Advances in Human Thermophysiology.Life (Basel, Switzerland) · 2022
    Article
  16. Article
  17. Article
  18. Classic and exertional heatstroke.Nature reviews. Disease primers · 2022
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 8 countries.

Yuri HosokawaFaculty of Sport Sciences, Waseda University, Tokorozawa, Japan yurihosokawa@waseda.jp.ORCID http://orcid.org/0000-0001-9138-5361
Sebastien RacinaisResearch and Scientific Support Department, Aspetar Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.ORCID http://orcid.org/0000-0003-0348-4744
Takao AkamaFaculty of Sport Sciences, Waseda University, Tokorozawa, Japan.ORCID http://orcid.org/0000-0002-3937-2448
David ZidemanMedical and Scientific Commission Games Group, International Olympic Committee, Lausanne, Switzerland.
Richard BudgettMedical and Scientific Department, International Olympic Committee, Lausanne, Switzerland.
Douglas J CasaKorey Stringer Institiute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA.ORCID http://orcid.org/0000-0002-8858-2636
Stéphane BermonHealth and Science Department, World Athletics, Monaco.
Andrew J GrundsteinDepartment of Geography, University of Georgia, Athens, Georgia, USA.ORCID http://orcid.org/0000-0002-0574-6253
Yannis P PitsiladisCollaborating Centre of Sports Medicine, University of Brighton, Eastbourne, UK.ORCID http://orcid.org/0000-0001-6210-2449
Wolfgang SchobersbergerInsitute for Sports Medicine, Alpine Medicine and Health Tourism, University for Health Sciences, Medical Informatics and Technology (UMIT), Hall, Austria.ORCID http://orcid.org/0000-0002-5657-0307
Fumihiro YamasawaMarubeni Health Promotion Center, Marubeni Corporation, Chuo-ku, Japan.ORCID http://orcid.org/0000-0001-6315-8479
International Olympic Committee · CHWaseda University · JPInternational University of Monaco · MCMaruishi Pharmaceutical (Japan) · JPQatar Orthopaedic and Sports Medicine Hospital · QAUMIT - Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik · ATUniversity of Brighton · GBUniversity of Connecticut · USUniversity of Georgia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis document aimed to summarise the key components of exertional heat stroke (EHS) prehospital management.

methodsMembers of the International Olympic Committee Adverse Weather Impact Expert Working Group for the Olympic Games Tokyo 2020 summarised the current best practice regarding the EHS prehospital management.

resultsSports competitions that are scheduled under high environmental heat stress or those that include events with high metabolic demands should implement and adopt policy and procedures for EHS prehospital management. The basic principles of EHS prehospital care are: early recognition, early diagnosis, rapid, on-site cooling and advanced clinical care. In order to achieve these principles, medical organisers must establish an area called the heat deck within or adjacent to the main medical tent that is optimised for EHS diagnosis, treatment and monitoring. Once admitted to the heat deck, the rectal temperature of the athlete with suspected EHS is assessed to confirm an elevated core body temperature. After EHS is diagnosed, the athlete must be cooled on-site until the rectal temperature is below 39°C. While cooling the athlete, medical providers are recommended to conduct a blood analysis to rule out exercise-associated hyponatraemia or hypoglycaemia, provided that this can be safely performed without interrupting cooling. The athlete is transported to advanced care for a full medical evaluation only after the treatment has been provided on-site.

conclusionsA coordination of care among all medical stakeholders at the sports venue, during transport, and at the hospital is warranted to ensure effective management is provided to the EHS athlete.

Indexed as

Emergency Medical ServicesHeat StrokeSportsCold TemperatureHumansTokyoconsensus statementexertional heat stressheatthermoregulation

Identifiers

PMID33888465
PMCPMC8639927
OpenAlexW3153659008

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.