Research

Research

Peer-reviewed research2017–2026 update

Heat and sun related medical concerns in Australian led outdoor activities: a three-year prospective study

Fortington, L. V., Goode, N., Finch AO, C. F., Salmon, P. M.Journal of Outdoor and Environmental Education23 April 2022International

An analysis of Australian incident reports found heat and sun illness in led outdoor activities linked to participant, equipment and environmental factors that system-focused approaches could reduce.

What's new

Researchers prospectively collected cases over three years (2014–2017) from a national Australian incident reporting system for led outdoor activities, selecting them by keywords linked to heat or sun exposure. Of 2,015 incidents, 48 cases were included: 25 termed heat stroke and 23 other heat- or sun-related adverse outcomes. About a third (35%) occurred during outdoor walking or running and one in four while camping. Analysis found 146 contributory factors relating to the participant (such as competence and decision making), equipment and resources (such as food, drink and dehydration), and the environment (such as hot weather). The authors suggest system-focused approaches to mitigation and wider shared responsibility for prevention.

Why it matters in Aotearoa

Hot-weather events are an increasing consideration for EOTC in Aotearoa. The study supports looking beyond the individual participant to system-level planning for heat and sun risk.

Putting it into practice

Add heat and sun illness explicitly to your EOTC risk management plans for walking, running and camping activities, covering hydration, food, weather monitoring and recognising early signs and symptoms.

How strong is the evidence

This is a descriptive analysis of incident reports from one national system. Small case numbers and reliance on reporting and keyword selection limit the conclusions.

What to read

The breakdown of contributory factors and the recommendations for prevention.

Who it's for

EOTC coordinatorsOutdoor providersPrincipals and boardsTeachers
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