When Can an Athlete Return to Play Following an Exertional Heat Illness?

Return to play (RTP) is defined as the progression back to full activity following an illness or injury. The main goals of RTP are safety and timeliness. Therefore, this complex decision must be made only after proper evaluation, treatment, and rehabilitation have been performed under proper supervision. The American College of Sports Medicine has recommended guidelines on RTP1,2 with the primary goal of safe return to activity in mind. The following criteria must be considered to promote proper and effective return to activity: Status of anatomic function and healing Status of recovery from the illness and long-term effects Status of the ongoing injury or illness Level of risk posed to other participants Return of sport-specific skills Psychosocial readiness Ability to perform with equipment and/or braces Compliance with federal, state, local, school, and sport governing bodies.