title: Medical risks and benefits of the sweat lodge.
abstract: BACKGROUND
  The ancient practice of the sweat lodge is increasingly common as part of healing practice in substance abuse and other programs for American Indians. It is popular outside Indian culture as well. Reported deaths of four whites in sweat-type ceremonies, however, suggest a need for medical caution.
  
  
  OBJECTIVE
  This review of the available literature summarizes psychologic, spiritual, and medical benefits and risks, using Finnish sauna as the nearest physiologic model for some aspects.
  
  
  CONCLUSIONS
  Alcohol use just before, ischemic heart disease, and sweating alone appear to be major risk factors.
authors.affiliation: University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR 72202, USA. livingstonrichard@uams.edu
authors.forename: Richard
authors.initials: R
authors.lastname: Livingston
mesh_terms: D000428:Alcohol Drinking; D005387:Finland; D006801:Humans; D007198:Indians, North American; D017202:Myocardial Ischemia; D012306:Risk; D012307:Risk Factors; D026443:Spiritual Therapies / Q000009:adverse effects; D029002:Steam Bath / Q000009:adverse effects; D013546:Sweating; D016896:Treatment Outcome; D044465:White People