title: Preventing Exertional Death in Military Trainees: Recommendations and Treatment Algorithms From a Multidisciplinary Working Group.
abstract: Despite aggressive prevention programs and strategies, nontraumatic exertional sudden death events in military training continue to prove a difficult challenge for the Department of Defense. In November 2014, the 559th Medical Group at Joint Base San Antonio-Lackland, Texas, hosted a working group on sudden exertional death in military training. Their objectives were three-fold: (1) determine best practices to prevent sudden exertional death of military trainees, (2) determine best practices to establish safe and ethical training environments for military trainees with sickle cell trait, and (3) develop field-ready algorithms for managing military trainees who collapse during exertion. This article summarizes the major findings and recommendations of the working group.
authors.affiliation: Trainee Health Squadron, 1515 Truemper Street Building 6612, Joint Base San Antonio-Lackland, TX 78236.
authors.forename: Bryant J
authors.initials: BJ
authors.lastname: Webber
authors.affiliation: Korey Stringer Institute, University of Connecticut, 2095 Hillside Road U-1110, Storrs, CT 06269.
authors.forename: Douglas J
authors.initials: DJ
authors.lastname: Casa
authors.affiliation: Consortium for Health and Military Performance, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Anthony I
authors.initials: AI
authors.lastname: Beutler
authors.affiliation: Trainee Health Squadron, 1515 Truemper Street Building 6612, Joint Base San Antonio-Lackland, TX 78236.
authors.forename: Nathaniel S
authors.initials: NS
authors.lastname: Nye
authors.affiliation: Trainee Health Squadron, 1515 Truemper Street Building 6612, Joint Base San Antonio-Lackland, TX 78236.
authors.forename: Wesley E
authors.initials: WE
authors.lastname: Trueblood
authors.affiliation: Consortium for Health and Military Performance, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Francis G
authors.initials: FG
authors.lastname: O'Connor
mesh_terms: D000222:Adaptation, Physiological; D000465:Algorithms; D002423:Cause of Death; D003645:Death, Sudden / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008887:Military Medicine; D008889:Military Personnel; D005082:Physical Exertion / Q000502:physiology*; D010809:Physical Fitness; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D012805:Sickle Cell Trait / Q000401:mortality; D014481:United States