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Tactical personnel are exposed to training and work environments that are physically demanding and require high levels of physical performance to perform the job successfully. The rigorous nature of the profession exposes individuals to multiple stressors that can have a negative impact on performance characteristics that are critical to the duties they must carry out. As a result of exposure to these stressors, critical biological and cognitive functions, important for operator performance, are significantly reduced. Even the smallest performance decrement could potentially be life threatening to the individual and others around them. Therefore, the aim of this review is to capture and critically appraise research investigating physiological stressors faced by tactical personnel in an operational environment and identify key outcome measures.