U.S. Army Center for Health Promotion and Preventive Medicine

HEAT INJURY PREVENTION

Notice: Documents provided below may contain the outdated fluid replacement guidelines/table, outdated work/rest cycles, or the fluid replacement information is given in general terms. The Policy Guidance for Fluid Replacement During Training contains the current information. The maximum amount of fluid replacement should be no more than 1 1/2 quarts per hour and not more than 12 quarts per day.

Army Policy Memoranda
Major Army Guidance Documents
Army Heat Injury Prevention Products - Videos, Posters, Pocket Cards
Heat Injury Training Presentations
Heat Injury Articles
Command and Installation Level Documents

Go to USACHPPM Cold Weather Injury Prevention Page
Go to USARIEM Heat Injury Prevention Website

Army Policy Memoranda

• Memorandum on Heat Injury Prevention
  
  
• Selected Program References
  
  a. OTSG/MEDCOM Policy Memo 09-039 - Heat Illness Medical Evaluation Board and Profile Policy, 22 June 2009 (AKO)
  
  b. TB Med507/AFPAM 48-152(l) Heat Stress Control and Heat Casualty Management, Prevention, Training and Control of Heat Injury, 07 March 2003.
  
  c. "Clinical Diagnosis, Management, and Surveillance of Exertional Heat lllness," John W. Gardner and John A. Kark, in Deployment Health (Textbook of Military Medicine Series), Washington, D.C.: the Borden Institute, pp. 231-279, 2001.
  
  d. Army Regulation 190-40, Serious Incident Reporting, 30 November 1993.
  
  e. Memorandum, Headquarters, US Army Medical Command, HCHO-CL-W, subject: Triservice Reportable Events List, 17 Jun 1998.
  
  f. Memorandum, Department of the Army, DASG-HSZ, subject: OTSG Policy on Medical Screening for Dietary Supplements, 1 May 2000.
  
  g. Memorandum, Headquarters, US Army Medical Command, MCPO-NC, subject: Reporting Data on Use of Medication and Nutritional Supplements by Patients with Heat Injuries and illnesses, 12 September 2002.

Major Army Guidance Documents

• Heat Stress Control and Heat Casualty Management (TB Med 507/AFHNBK 48-152) 7 March 2003
• Commander's, Senior NCO's and Instructor's Guide to Risk Management of Heat Casualties (8.5" x 11" booklet)

Army Heat Injury Prevention Products - Videos, Posters, Pocket Cards
The Disease Prevention and Control Program of the U.S. Army Center for Health Promotion (USACHPPM) in collaboration with the U.S. Army Research Institute of Environmental Medicine (USARIEM) has developed heat injury prevention material for use at U.S. Army installations. To order the products below that are available from CHPPM, you can click here.

Note: PDF files require Adobe Acrobat Reader 4.0 or higher.

Product	Description	Order or Download
	Heat Injury Part II - Prevention & Treatment Running time: 17 min 42 sec Produced by the U.S. Army Director/Editor: Daniels/Amey 8 July 2006	Click here to watch, download or order from the DOD http://chppm-www.apgea.army.mil/heat/heatvideo.asp
	Heat Risk Management Video - Watch NOW (23 min) Produced by OTSG, Army Safety Center and LTC Karen O'Brien (2003)	Click here to watch, download or order from the DOD http://chppm-www.apgea.army.mil/heat/video.asp
	Heat Can KILL: Trainee Poster (2009) 2009 awareness poster for trainess. To be placed in highly visible area (e.g. on latrine doors, mess hall lines, etc) Size: 18"x24"	Available from CHPPM
	Heat Can KILL (2009) 2009 awareness poster for Soldiers. To be placed in highly visible area (e.g. on latrine doors, mess hall lines, etc) Size: 18"x24"	Available from CHPPM
	Work/Rest/Water Consumption Table Guidelines for Work/ Rest Times and Water Consumption. Size: 11"X17"	Available from CHPPM
	Hot Weather Casualties and Injuries Chart Chart of the Hot Weather Casualties and Injuries with Cause, Symptoms, First-Air and Prevention. Size: 18"X24"	Available from CHPPM
	Heat Injury Controls Poster designed for Drill Instructors and Cadre to keep in their office as a 'reminder check-list' of the controls to implement to minimize heat injuries. Size: 11"X17"	Available from CHPPM
	Commander's, Senior NCO's and Instructor's Guide to Risk Management of Heat Casualties Guide for Leaders and Instructors. To be placed in the Leader's Book or in a binder with other Standard Operating Procedures (SOPs) and any area visited frequently by leaders and instructors. Size: 8.5"X11" (8 pages)	Please download PDF Format
	Ranger and Airborne School Students Heat Acclimatization Guide This Guide was developed for the Ranger, Airborne and other highly motivated soldiers who need to work on acclimatization prior to formal training.	Please download PDF Format
	BCT Sticker: Heat Can KILL! Stickers to place on blank pages of the BCT handbook or on the water-monitoring card. Size: 3"X5" self-adhesive stickers	Available from CHPPM
	Heat Injury Prevention Pocket Guide Multi-folded waterproof guide for Drill Instructors, Cadre and Leaders to keep in their pocket or hat. 1. If possible, configure your local printer to print "double sided" on 8 1/2" X 11" paper. Otherwise, glue the two sheets back to back. 2. Fold the sheet into half horizontally (Warning Signs and Symptoms to the inside) 3. Then fold half again (Heat Injury Controls to the inside) 4. Fold half again (Fluid Replacement And Work/Rest Guide inside) Size: Final product will be about 3" wide and 4" tall.	Available from CHPPM
	How to Protect Yourself from the Sun Size 4"X6"	Available from CHPPM
	Sun Protection Poster (2009) Size: 18"X24"	Available from CHPPM