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IOC consensus statement on recommendations and regulations for sport events in the heat
British Journal of Sports Medicine ( IF 18.4 ) Pub Date : 2023-01-01 , DOI: 10.1136/bjsports-2022-105942
Sebastien Racinais 1 , Yuri Hosokawa 2 , Takao Akama 2 , Stephane Bermon 3 , Xavier Bigard 4 , Douglas J Casa 5 , Andrew Grundstein 6 , Ollie Jay 7 , Andrew Massey 8 , Sergio Migliorini 9 , Margo Mountjoy 10 , Nebosa Nikolic 11 , Yannis P Pitsiladis 12 , Wolfgang Schobersberger 13, 14 , Juergen Michael Steinacker 15 , Fumihiro Yamasawa 16 , David Anthony Zideman 17 , Lars Engebretsen 18 , Richard Budgett 19
Affiliation  

This document presents the recommendations developed by the IOC Medical and Scientific Commission and several international federations (IF) on the protection of athletes competing in the heat. It is based on a working group, meetings, field experience and a Delphi process. The first section presents recommendations for event organisers to monitor environmental conditions before and during an event; to provide sufficient ice, shading and cooling; and to work with the IF to remove regulatory and logistical limitations. The second section summarises recommendations that are directly associated with athletes’ behaviours, which include the role and methods for heat acclimation; the management of hydration; and adaptation to the warm-up and clothing. The third section explains the specific medical management of exertional heat stroke (EHS) from the field of play triage to the prehospital management in a dedicated heat deck, complementing the usual medical services. The fourth section provides an example for developing an environmental heat risk analysis for sport competitions across all IFs. In summary, while EHS is one of the leading life-threatening conditions for athletes, it is preventable and treatable with the proper risk mitigation and medical response. The protection of athletes competing in the heat involves the close cooperation of the local organising committee, the national and international federations, the athletes and their entourages and the medical team.

中文翻译:

国际奥委会关于高温下体育赛事的建议和规定的共识声明

本文件介绍了国际奥委会医学和科学委员会和多个国际联合会 (IF) 制定的关于保护在高温下比赛的运动员的建议。它基于工作组、会议、现场经验和 Delphi 过程。第一部分为活动组织者提出了在活动前和活动期间监测环境条件的建议;提供足够的冰块、阴影和冷却;并与 IF 合作消除监管和后勤限制。第二部分总结了与运动员行为直接相关的建议,包括热适应的作用和方法;水合作用的管理;并适应热身和服装。第三部分解释了劳力性中暑 (EHS) 的具体医疗管理,从现场分流到专用热甲板的院前管理,与常规医疗服务相辅相成。第四部分提供了为所有 IF 的体育比赛开发环境热风险分析的示例。总而言之,虽然 EHS 是威胁运动员生命的主要疾病之一,但通过适当的风险缓解和医疗反应,它是可以预防和治疗的。高温下参赛运动员的防护,需要地方组委会、国家和国际单项体育联合会、运动员及随行人员和医疗团队的密切配合。第四部分提供了为所有 IF 的体育比赛开发环境热风险分析的示例。总而言之,虽然 EHS 是威胁运动员生命的主要疾病之一,但通过适当的风险缓解和医疗反应,它是可以预防和治疗的。高温下参赛运动员的防护,需要地方组委会、国家和国际单项体育联合会、运动员及随行人员和医疗团队的密切配合。第四部分提供了为所有 IF 的体育比赛开发环境热风险分析的示例。总而言之,虽然 EHS 是威胁运动员生命的主要疾病之一,但通过适当的风险缓解和医疗反应,它是可以预防和治疗的。高温下参赛运动员的防护,需要地方组委会、国家和国际单项体育联合会、运动员及随行人员和医疗团队的密切配合。
更新日期:2022-12-20
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