Adapted summary of the US Army universal precautions protocol34
| Leader and individual prevention measures . |
|---|
| Identify and assess hazards |
| Check recent and anticipated environmental conditions and associated heat stress levels |
| Determine unique group and individual risk factors |
| Use the HEAT acronym: |
| Heat levels and associated risk |
| Exertion levels planned |
| Acclimation level of those present for training |
| Time factors including duration of activity and recovery time |
| Develop and implement risk controls |
| Plan training in advance and estimate risk of collapse events, taking into account: |
| Training event characteristics |
| Uniform and equipment needed |
| Location and time of day of key activities |
| Institute the following protocols according to hazard identified: |
| Adjust activity distances, duration, pace, and loads |
| Include work/rest cycles |
| Conduct high-intensity training in cooler morning hours |
| Ensure no consecutive days of high-intensity activity |
| Ensure proper resources available: |
| Equipment for checking wet-bulb globe temperatures (measure of heat stress in direct sunlight, taking into account temperature, humidity, wind speed, sun angle, and cloud cover) |
| Water, snacks, and electrolyte beverages |
| Medical resources and communication capabilities |
| Establish standard operating procedures, tested on soldiers |
| Leader and individual prevention measures . |
|---|
| Identify and assess hazards |
| Check recent and anticipated environmental conditions and associated heat stress levels |
| Determine unique group and individual risk factors |
| Use the HEAT acronym: |
| Heat levels and associated risk |
| Exertion levels planned |
| Acclimation level of those present for training |
| Time factors including duration of activity and recovery time |
| Develop and implement risk controls |
| Plan training in advance and estimate risk of collapse events, taking into account: |
| Training event characteristics |
| Uniform and equipment needed |
| Location and time of day of key activities |
| Institute the following protocols according to hazard identified: |
| Adjust activity distances, duration, pace, and loads |
| Include work/rest cycles |
| Conduct high-intensity training in cooler morning hours |
| Ensure no consecutive days of high-intensity activity |
| Ensure proper resources available: |
| Equipment for checking wet-bulb globe temperatures (measure of heat stress in direct sunlight, taking into account temperature, humidity, wind speed, sun angle, and cloud cover) |
| Water, snacks, and electrolyte beverages |
| Medical resources and communication capabilities |
| Establish standard operating procedures, tested on soldiers |
Adapted from Nelson et al.34