Correct Wilderness Medicine Definitions and Their Impact on Care

[...]exertional heat stroke (EHS) was erroneously described as a temperature threshold of 41 C, when actually it's well accepted definition is a core temperature of at least 40 C (104 F) (and, as stated in the review, with the presence of neurologic symptoms) [2]. [...]in accidental hypothermia, altered consciousness is reportedly seen at temperatures lower than 32 C (90 F), with impaired shivering at 30 C (86 F), [5] not at 33 C as stated in the review [1]. J. Joslin Department of Emergency Medicine, State University of New York Upstate Medical University, Syracuse, NY, USA M. D. Hoffman (&) Department of Physical Medicine and Rehabilitation (117), Sacramento VA Medical Center, 10535 Hospital Way, Sacramento, CA 95655-1200, USA e-mail: martin.hoffman@va.gov M. D. Hoffman Department of Veterans Affairs, Northern California Health Care System, University of California Davis Medical Center, Sacramento, CA, USA I. R. Rogers St. John of God Murdoch Hospital, University of Notre Dame, Murdoch, WA, Australia C. A. Asplund Department of Family Medicine, Georgia Regents University, Augusta, GA, USA W. O. Roberts Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA B. D. Levine Division of Cardiology, Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA