This bulletin provides guidance to military and civilian health care providers and allied medical personnel.

1. Develop an evidence-based preventive program to protect military personnel from heat stress and associated adverse health effects.
2. Understand the diagnosis and treatment of heat casualties, exertional heat injury, and exertional heat stroke.
3. Understand the physiologic responses and adaptations to heat.
4. Implement procedures on managing heat stress.
5. Understand the risk factors for heat casualties.
6. Imlement treatments for heat casualties.
7. Understand the effect of fluid and electrolyte imbalances.
8. Understand the methodology, needed equipment, use of, and correction procedures for the wet bulb glove temperature index.
9. Prevent heat casualties during deployment.
10. Implement the procedures needed to prepare a 0.1% salt water drinking solution.
11. Provide background information for reporting and data collection of epidemiological information to note trends and to identify individual, work, and environmental factors that are not adequately controlled by preventive measures and policies.