On the real-time prevention and monitoring of exertional heat illness in military personnel

Jun 21, 2021Journal of science and medicine in sport

Real-time monitoring and prevention of heat illness during exercise in military personnel

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Abstract

Real-time physiological monitoring for exertional heat illness is nearing practical application in military settings.

The integration of advanced sensor systems and algorithms is being explored to enhance monitoring of physiological status.
Current developments focus on on-body sensors that provide actionable information for military training.
There are identified knowledge gaps regarding the effective integration of this technology into military training programs.
The accuracy of algorithms and models used for physiological monitoring needs further improvement to ensure reliable data.
Individualized monitoring may enhance performance through tailored heat acclimatization programs.

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The proliferation of user-friendly low-cost wearable sensors has brought the concept of real-time physiological monitoring for exertional heat illness to the cusp of reality. This paper reviews and discusses the current state of the art in real-time physiological status monitoring for exertional heat illness mitigation within the military context. The review examines how both advanced sensor systems, models and algorithms are being combined in an international and collaborative way and how this is providing real solutions to military units to reduce the risk held by the commander. This paper provides additional detail into the process of integrating physiological status monitoring into military training, it explores the development of on-body sensors, the algorithms that can provide actionable information, the process of planning and dynamic risk assessment and describes some of the physiological monitoring systems that are currently being developed by the representative nations. It then discusses the knowledge gaps of how the technology will be integrated into military training, the importance of meaningful, accurate information that is both sensitive and specific and further developing the accuracy of the algorithms and models that are being employed. Finally, it talks about future direction and how individualizing physiological status monitoring can lead to performance enhancement in the form of individualized heat acclimatization programs. In conclusion, physiological status monitoring is at a stage of transition and integration where it can be used effectively to manage and reduce exertional heat illness to enable military personnel to train hard-train safe.

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On the real-time prevention and monitoring of exertional heat illness in military personnel

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