Return to Play Following Exertional Heat Stroke

The following is the protocol for return to play following heat stroke:

  1. When cleared for activity by a licensed physician, begin exercise in a cool environment and gradually increase the duration, intensity, and heat exposure for 2 weeks
  2. Refrain from exercise for at least 7 days following the acute event.
  3. If return to activity is difficult, consider a laboratory exercise-heat tolerance test about one month post incident.
  4. Follow up in about 1 week for physical exam by licensed physician (MD, DO) 3. When cleared for activity by a licensed physician, begin exercise in a cool environment and gradually increase the duration, intensity, and heat exposure for 2 weeks
  5. Athlete may be cleared for full competition if heat tolerance exists after 2 – 4 weeks of training.