Exertional Heat-Related Injuries Treated in Emergency Departments in the U.S., 1997–2006

Nelson, Nicolas G.; Collins, Christy L.; Comstock, R. Dawn; McKenzie, Lara B.

doi:10.1016/j.amepre.2010.09.031

Cited by 93 publications

(67 citation statements)

References 18 publications

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“…A similarly increased risk for OIs was also found for the days comprised in the > 95th exposure groups for the months of June (T max and T day , lag 0 to lag 2), August (T day lag 2) and May (T max ) whereas no differences were found between reference groups and 75-95th exposure groups. interests [48][49][50]. In our survey the rates of OIs during weekends were again decreased but not abolished, and even though HWs events should have discouraged agricultural activities, in particular by salaried AWs, we identified a significantly increased incidence of OIs for this specific time frame [3,25,28,29,35].…”

Section: Agricultural Injuries and Hot Weather O R I G I N A L P A P mentioning

confidence: 68%

“…Not coincidentally, in our survey the daily average rate of OIs was similar from June to August, being higher in the calendar months of September and June, with the significant lack of effect for the central months of July and August, otherwise characterized by higher temperatures. Actually, APT is characterized by a reduced number of diverse cultures, mainly apples and vineyards, and pesticide application is usually clustered in the calendar months of June and in the second half of August [3,4,9,27,35,47,48]. The central weeks of summer season are therefore associated with a significant contraction of both workforce, with a substantial shrinkage of its more unskilled component and workload [3,25,28,29,35].…”

Section: Discussionmentioning

confidence: 99%

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Air temperature exposure and agricultural occupational injuries in the Autonomous Province of Trento (2000–2013, North-Eastern Italy)

Riccò¹

2017

Int J Occup Med Environ Health

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Daily temperatures were then assessed in 3 time lags: for the day of the event (lag 0), and for the previous 24 h (lag 1) and 48 h (lag 2). Daily temperatures were then categorized in 3 exposure groups (< 75th, 75-95th and > 95th percentiles). The risk of OIs was assessed as odds ratio (OR) calculated through a Poisson regression model controlled for age, sex, ethnicity and time period, and assuming OI rates for days on which temperature was comprised in < 75th percentile exposure groups as the referent ones. Results: Estimated incidence of OIs during the study period was 3.4±2.3 events/day. The peak of work-related accidents occurred on days characterized by severe thermal conditions, and in particular during heat waves (incidence rate ratio = 1.09, 95% confidence interval (CI): 1.02-1.17, p = 0.0165). Days having temperatures higher than 95th percentile, assessed as daily average, both on current days (OR = 1.119, 95% CI: 1.008-1.242) and in lag 1 (OR = 1.125, 95% CI: 1.013-1.249), as well as daily maximum temperatures, were at the highest risk of work-related injuries (OR = 1.144, 95% CI: 1.029-1.272). Conclusions: In conclusion, presented findings recommend policymakers to develop appropriate warning/alert systems for agricultural workers regarding high environmental temperatures. Int J Occup Med Environ Health 2018;31(3):317 -331

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Section: Agricultural Injuries and Hot Weather O R I G I N A L P A P mentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Air temperature exposure and agricultural occupational injuries in the Autonomous Province of Trento (2000–2013, North-Eastern Italy)

Riccò¹

2017

Int J Occup Med Environ Health

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“…Heat stroke incidence has increased dramatically during the past few decades and will continue to be a health concern as global climate change, expansion of urban environments, and increased lifespan are realized (70,263). Heat stroke is clinically diagnosed as a severe elevation in body temperature that occurs in the presence of central nervous system (CNS) dysfunction and a history of environmental heat exposure or vigorous physical exertion (305,403).…”

Section: Introductionmentioning

confidence: 99%

Heat Stroke

Leon

Bouchama

2015

Comprehensive Physiology

346

356

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Heat stroke is a life-threatening condition clinically diagnosed as a severe elevation in body temperature with central nervous system dysfunction that often includes combativeness, delirium, seizures, and coma. Classic heat stroke primarily occurs in immunocompromised individuals during annual heat waves. Exertional heat stroke is observed in young fit individuals performing strenuous physical activity in hot or temperature environments. Long-term consequences of heat stroke are thought to be due to a systemic inflammatory response syndrome. This article provides a comprehensive review of recent advances in the identification of risk factors that predispose to heat stroke, the role of endotoxin and cytokines in mediation of multi-organ damage, the incidence of hypothermia and fever during heat stroke recovery, clinical biomarkers of organ damage severity, and protective cooling strategies. Risk factors include environmental factors, medications, drug use, compromised health status, and genetic conditions. The role of endotoxin and cytokines is discussed in the framework of research conducted over 30 years ago that requires reassessment to more clearly identify the role of these factors in the systemic inflammatory response syndrome. We challenge the notion that hypothalamic damage is responsible for thermoregulatory disturbances during heat stroke recovery and highlight recent advances in our understanding of the regulated nature of these responses. The need for more sensitive clinical biomarkers of organ damage is examined. Conventional and emerging cooling methods are discussed with reference to protection against peripheral organ damage and selective brain cooling.

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“…33 Moreover, heatrelated injury is the leading cause of morbidity and mortality in the United States in high school athletes, with the mortality approaching 10%. 34,35 In a disease that is preventable and reversible once identified, the societal implications of this are staggering.…”

Section: Heat Illnessmentioning

confidence: 99%

Gender- and Sex-specific Sports-related Injury Research in Emergency Medicine: A Consensus on Future Research Direction and Focused Application

et al. 2014

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Title IX, the commercialization of sports, the social change in sports participation, and the response to the obesity epidemic have contributed to the rapid proliferation of participation in both competitive organized sports and nontraditional athletic events. As a consequence, emergency physicians are regularly involved in the acute diagnosis, management, disposition, and counseling of a broad range of sports-related pathology. Three important and highly publicized mechanisms of injury in sports relevant to emergency medicine (EM) include concussion, heat illness, and sudden cardiac death. In conjunction with the 2014 Academic Emergency Medicine consensus conference "Gender-specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes," a consensus group consisting of experts in EM, emergency neurology, sports medicine, and public health convened to deliberate and develop research questions that could ultimately advance the field of sports medicine and allow for meaningful application in the emergency department (ED) clinical setting. Sex differences in injury risk, diagnosis, ED treatment, and counseling are identified in each of these themes. This article presents the consensus-based priority research agenda.

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Exertional Heat-Related Injuries Treated in Emergency Departments in the U.S., 1997–2006

Cited by 93 publications

References 18 publications

Air temperature exposure and agricultural occupational injuries in the Autonomous Province of Trento (2000–2013, North-Eastern Italy)

Air temperature exposure and agricultural occupational injuries in the Autonomous Province of Trento (2000–2013, North-Eastern Italy)

Heat Stroke

Gender- and Sex-specific Sports-related Injury Research in Emergency Medicine: A Consensus on Future Research Direction and Focused Application

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