Critical measures for prevention and treatment of heat illness during military training

Zhijia Ye; Tingting Liu

doi:10.16016/j.1000-5404.201609179

您当前的位置：

首页 >

文章列表页 >

Critical measures for prevention and treatment of heat illness during military training

更新时间：2026-01-09

- Critical measures for prevention and treatment of heat illness during military training
- J Third Mil Med Univ Vol. 39, Issue 4, Pages: 301-305(2017)
- 作者机构：
- 作者简介：
- 基金信息：
  
  the Military Medical Pre-research Foundation of Third Military Medical University(2014XJY03)
- DOI：10.16016/j.1000-5404.201609179
  CLC：
- Received：27 September 2016，
  
  Published：28 February 2017
- 稿件说明：
移动端阅览
Zhijia Ye, Tingting Liu. Critical measures for prevention and treatment of heat illness during military training[J]. J Third Mil Med Univ, 2017, 39(4): 301-305.
DOI：

Zhijia Ye, Tingting Liu. Critical measures for prevention and treatment of heat illness during military training[J]. J Third Mil Med Univ, 2017, 39(4): 301-305. DOI： 10.16016/j.1000-5404.201609179.

摘要

Abstract

Heat illness is a disease triggered in hot or humid environment without windy and characterized by thermoregulatory failure

adiaphoresis and water-electrolyte imbalance. With different pathogenesis and clinical manifestation

heat illness is sub-grouped into heat cramp

heat exhaustion and heat stroke

and their occurrence is sequential or overlapped. Among them

heat stroke is a life-threatening emergency with high mortality. Military personnel is known as a special population with specific and designated tasks. Soldiers have to endure extreme hot and humid environment during military operations

which makes them at high risk for heat injuries. This review mainly focused on emergency treatment

prevention strategy and critical care nursing for heat illness in order to provide a theoretical basis for prevention and treatment of the disease for our military.

关键词

Keywords

references

Murakoshi M Sekine M Measures by local government--actions to take in dealing with heat stroke for firefighters Nippon Rinsho 2012 70 6 1052 1056 http://www.researchgate.net/publication/225299514_Measures_by_local_government--actions_to_take_in_dealing_with_heat_stroke_for_firefighters Murakoshi M, Sekine M. Measures by local government--actions to take in dealing with heat stroke for firefighters[J]. Nippon Rinsho, 2012, 70(6): 1052-1056.

Armstrong L E Johnson E C Casa D J The American football uniform: uncompensable heat stress and hyperthermic exhaustion J Athl Train 2010 45 2 117 127 10.4085/1062-6050-45.2.117 Armstrong L E, Johnson E C, Casa D J, et al. The American football uniform: uncompensable heat stress and hyperthermic exhaustion[J]. J Athl Train, 2010, 45(2): 117-127. DOI:10.4085/1062-6050-45.2.117

Update: heat injuries, active component, U.S. Armed Forces, 2011 MSMR 2012 19 3 14 16 Update: heat injuries, active component, U.S. Armed Forces, 2011[J]. MSMR, 2012, 19(3): 14-16.

Casa D J Armstrong L E Kenny G P Exertional heat stroke: new concepts regarding cause and care Curr Sports Med Rep 2012 11 3 115 123 10.1249/JSR.0b013e31825615cc Casa D J, Armstrong L E, Kenny G P, et al. Exertional heat stroke: new concepts regarding cause and care[J]. Curr Sports Med Rep, 2012, 11(3): 115-123. DOI:10.1249/ JSR. 0b013e31825615cc

Epstein Y Moran D S Thermal comfort and the heat stress indices Ind Health 2006 44 3 388 398 10.2486/indhealth.44.388 Epstein Y, Moran D S. Thermal comfort and the heat stress indices[J]. Ind Health, 2006, 44(3): 388-398. DOI:10.2486/indhealth.44.388

Haller C A Benowitz N L Adverse cardiovascular and central nervous system events associated with dietary supplements containing ephedra alkaloids N Engl J Med 2000 343 25 1833 1838 10.1056/NEJM200012213432502 Haller C A, Benowitz N L. Adverse cardiovascular and central nervous system events associated with dietary supplements containing ephedra alkaloids[J]. N Engl J Med, 2000, 343(25): 1833-1838. DOI:10.1056/NEJM 200012213432502

Goforth C W Kazman J B Exertional heat stroke in navy and marine personnel: a hot topic Crit Care Nurse 2015 35 1 52 59 10.4037/ccn2015257 Goforth C W, Kazman J B. Exertional heat stroke in navy and marine personnel: a hot topic[J]. Crit Care Nurse, 2015, 35(1): 52-59. DOI:10.4037/ccn2015257

Howe A S Boden B P Heat-related illness in athletes Am J Sports Med 2007 35 8 1384 1395 10.1177/0363546507305013 Howe A S, Boden B P. Heat-related illness in athletes[J]. Am J Sports Med, 2007, 35(8): 1384-1395. DOI:10.1177/ 0363546507305013

ACOS Medicine Armstrong L E Casa D J American College of Sports Medicine position standstand. Exertional heat illness during training and competition Med Sci Sports Exerc 2007 39 3 556 572 10.1249/MSS.0b013e31802fa199 ACOS Medicine, Armstrong L E, Casa D J, et al. American College of Sports Medicine position stand. Exertional heat illness during training and competition[J]. Med Sci Sports Exerc, 2007, 39(3): 556-572. DOI:10.1249/MSS.0b013e31802fa199

Bedno S A Li Y Han W Exertional heat illness among overweight U.S. Army recruits in basic training Aviat Space Environ Med 2010 81 2 107 111 10.3357/asem.2623.2010 Bedno S A, Li Y, Han W, et al. Exertional heat illness among overweight U.S. Army recruits in basic training[J]. Aviat Space Environ Med, 2010, 81(2): 107-111. DOI:10.3357/asem.2623.2010

Gardner J W Kark J A Karnei K Risk factors predicting exertional heat illness in male Marine Corps recruits Med Sci Sports Exerc 1996 28 8 939 944 10.1097/00005768-199608000-00001 Gardner J W, Kark J A, Karnei K, et al. Risk factors predicting exertional heat illness in male Marine Corps recruits[J]. Med Sci Sports Exerc, 1996, 28(8): 939-944. DOI:10.1097/00005768-199608000-00001

Seto C K Way D O’Connor N Environmental illness in athletes Clin Sports Med 2005 24 3 695 718 10.1016/j.csm.2005.03.002 Seto C K, Way D, O’Connor N. Environmental illness in athletes[J]. Clin Sports Med, 2005, 24(3): 695-718, x. DOI:10.1016/j.csm.2005.03.002

Kao T C Deuster P A Burnett D Health behaviors associated with use of body building, weight loss, and performance enhancing supplements Ann Epidemiol 2012 22 5 331 339 10.1016/j.annepidem.2012.02.013 Kao T C, Deuster P A, Burnett D, et al. Health behaviors associated with use of body building, weight loss, and performance enhancing supplements[J]. Ann Epidemiol, 2012, 22(5): 331-339. DOI:10.1016/j.annepidem. 2012.02.013

Lopez R M Casa D J The influence of nutritional ergogenic aids on exercise heat tolerance and hydration status Curr Sports Med Rep 2009 8 4 192 199 10.1249/JSR.0b013e3181ae4f66 Lopez R M, Casa D J. The influence of nutritional ergogenic aids on exercise heat tolerance and hydration status[J]. Curr Sports Med Rep, 2009, 8(4): 192-199. DOI:10. 1249/JSR.0b013e3181ae4f66

Fink E Brandom B W Torp K D Heatstroke in the super-sized athlete Pediatr Emerg Care 2006 22 7 510 513 10.1097/01.pec.0000227388.91885.4b Fink E, Brandom B W, Torp K D. Heatstroke in the super-sized athlete[J]. Pediatr Emerg Care, 2006, 22(7): 510-513. DOI:10.1097/01.pec.0000227388.91885.4b

Oh R C Henning J S Exertional heatstroke in an infantry soldier taking ephedra-containing dietary supplements Mil Med 2003 168 6 429 430 http://www.researchgate.net/profile/Robert_Oh/publication/10684544_Exertional_heatstroke_in_an_infantry_soldier_taking_ephedra-containing_dietary_supplements/links/5473db360cf29afed60f5c1a.pdf Oh R C, Henning J S. Exertional heatstroke in an infantry soldier taking ephedra-containing dietary supplements[J]. Mil Med, 2003, 168(6): 429-430

Eliason M J Eichner A Cancio A Case reports: Death of active duty soldiers following ingestion of dietary supplements containing 1,3-dimethylamylamine (DMAA) Mil Med 2012 177 12 1455 1459 10.7205/milmed-d-12-00265 Eliason M J, Eichner A, Cancio A, et al. Case reports: Death of active duty soldiers following ingestion of dietary supplements containing 1,3-dimethylamylamine (DMAA)[J]. Mil Med, 2012, 177(12): 1455-1459. DOI:10. 7205/milmed-d-12-00265

Ha S Talbott E O Kan H The effects of heat stress and its effect modifiers on stroke hospitalizations in Allegheny County, Pennsylvania Int Arch Occup Environ Health 2014 87 5 557 565 10.1007/s00420-013-0897-2 Ha S, Talbott E O, Kan H, et al. The effects of heat stress and its effect modifiers on stroke hospitalizations in Allegheny County, Pennsylvania[J]. Int Arch Occup Environ Health, 2014, 87(5): 557-565. DOI:10.1007 /s00420-013-0897-2

Epstein Y Druyan A Heled Y Heat injury prevention--a military perspective J Strength Cond Res 2012 26 Suppl 2 S82 S86 10.1519/JSC.0b013e31825cec4a Epstein Y, Druyan A, Heled Y. Heat injury prevention--a military perspective[J]. J Strength Cond Res, 2012, 26(Suppl 2): S82-S86. DOI:10.1519/JSC. 0b013e 31825cec4a

Epstein Y Roberts W O The pathopysiology of heat stroke: an integrative view of the final common pathway Scand J Med Sci Sports 2011 21 6 742 748 10.1111/j.1600-0838.2011.01333.x Epstein Y, Roberts W O. The pathopysiology of heat stroke: an integrative view of the final common pathway[J]. Scand J Med Sci Sports, 2011, 21(6): 742-748. DOI:10. 1111/j.1600-0838.2011.01333.x

Sherwood S C Huber M An adaptability limit to climate change due to heat stress Proc Natl Acad Sci USA 2010 107 21 9552 9555 10.1073/pnas.0913352107 Sherwood S C, Huber M. An adaptability limit to climate change due to heat stress[J]. Proc Natl Acad Sci USA, 2010, 107(21): 9552-9555. DOI:10.1073/pnas.0913352107

Bouchama A Knochel J P Heat stroke N Engl J Med 2002 346 25 1978 1988 10.1056/NEJMra011089 Bouchama A, Knochel J P. Heat stroke[J]. N Engl J Med, 2002, 346(25): 1978-1988. DOI:10.1056/NEJMra011089

Leon L R Helwig B G Heat stroke: role of the systemic inflammatory response J Appl Physiol 2010 109 6 1980 1988 10.1152/japplphysiol.00301.2010 Leon L R, Helwig B G. Heat stroke: role of the systemic inflammatory response[J]. J Appl Physiol, 2010, 109(6): 1980-1988. DOI:10.1152/japplphysiol.00301.2010

Casa D J Guskiewicz K M Anderson S A National athletic trainers’ association position statement: preventing sudden death in sports J Athl Train 2012 47 1 96 118 http://www.researchgate.net/publication/7219932_National_athletic_trainers'_association_position_statement_fluid_replacement_for_athletes?ev=auth_pub Casa D J, Guskiewicz K M, Anderson S A, et al. National athletic trainers’ association position statement: preventing sudden death in sports[J]. J Athl Train, 2012, 47(1): 96-118

Jones C Glasgow coma scale Am J Nurs 1979 79 9 1551 1553 10.2307/3424679 Jones C. Glasgow coma scale[J]. Am J Nurs, 1979, 79(9): 1551-1553. DOI:10.2307/3424679.

Badjatia N Hyperthermia and fever control in brain injury Crit Care Med 2009 37 7 Suppl S250 S257 10.1097/CCM.0b013e3181aa5e8d Badjatia N. Hyperthermia and fever control in brain injury[J]. Crit Care Med, 2009, 37(7 Suppl): S250-S257. DOI:10.1097/ CCM.0b013e3181aa5e8d

Glahn K P Ellis F R Halsall P J Recognizing and managing a malignant hyperthermia crisis: guidelines from the European Malignant Hyperthermia Group Br J Anaesth 2010 105 4 417 420 10.1093/bja/aeq243 Glahn K P, Ellis F R, Halsall P J, et al. Recognizing and managing a malignant hyperthermia crisis: guidelines from the European Malignant Hyperthermia Group[J]. Br J Anaesth, 2010, 105(4): 417-420. DOI:10.1093/bja/aeq243

Casa D J Becker S M Ganio M S Validity of devices that assess body temperature during outdoor exercise in the heat J Athl Train 2007 42 3 333 342 10.1016/s0162-0908(08)79198-0 Casa D J, Becker S M, Ganio M S, et al. Validity of devices that assess body temperature during outdoor exercise in the heat[J]. J Athl Train, 2007, 42(3): 333-342. DOI:10.1016/ s0162-0908(08)79198-0

Ganio M S Brown C M Casa D J Validity and reliability of devices that assess body temperature during indoor exercise in the heat J Athl Train 2009 44 2 124 135 10.4085/1062-6050-44.2.124 Ganio M S, Brown C M, Casa D J, et al. Validity and reliability of devices that assess body temperature during indoor exercise in the heat[J]. J Athl Train, 2009, 44(2): 124-135. DOI:10.4085/1062-6050-44.2.124

McDermott B P Casa D J Ganio M S Acute whole-body cooling for exercise-induced hyperthermia: a systematic review J Athl Train 2009 44 1 84 93 10.4085/1062-6050-44.1.84 McDermott B P, Casa D J, Ganio M S, et al. Acute whole-body cooling for exercise-induced hyperthermia: a systematic review[J]. J Athl Train, 2009, 44(1): 84-93. DOI:10.4085/1062-6050-44.1.84

Rav-Acha M Hadad E Epstein Y Fatal exertional heat stroke: a case series Am J Med Sci 2004 328 2 84 87 10.1097/00000441-200408000-00003 Rav-Acha M, Hadad E, Epstein Y, et al. Fatal exertional heat stroke: a case series[J]. Am J Med Sci, 2004, 328(2): 84-87. DOI:10.1097/00000441-200408000-00003

Update: heat injuries, active component, U.S. Armed Forces, 2011 MSMR 2012 19 3 14 16 Update: heat injuries, active component, U.S. Armed Forces, 2011[J]. MSMR, 2012, 19(3): 14-16.

Wallace R F Kriebel D Punnett L Prior heat illness hospitalization and risk of early death Environ Res 2007 104 2 290 295 10.1016/j.envres.2007.01.003 Wallace R F, Kriebel D, Punnett L, et al. Prior heat illness hospitalization and risk of early death[J]. Environ Res, 2007, 104(2): 290-295. DOI:10.1016/j.envres.2007.01.003

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Achievements and challenges: Key priorities for prevention and control in the elderly amid the declining disease burden of benign prostatic hyperplasia in China

Analysis of re-positive nucleic acid conversion in patients recovered from COVID-19 in Tianjin

Clinical characteristics and outcomes of children with injuries resulting from high falls: analysis of 138 cases

Epidemiological survey and risk factor analysis of extensively drug-resistant Klebsiella pneumoniae infections

Drug resistance and epidemiological characteristics of Acinetobacter baumannii isolated from respiratory department of our hospital, Chongqing

Related Author

ZHANG Bowen

LIU Yunlong

DING Mengdi

ZHAO Ying

ZHAO Yu

LIU Xiaomei

FANG Kai

LI Meng

Related Institution

Department of Urology， the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine

Department of Urology， Xiyuan Hospital， China Academy of Chinese Medical Sciences

Department of Andrology， the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine， National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion

Center for Clinical Pharmacology

Epidemiology Working Group for COVID-19, Tianjin Center for Disease Control and Prevention

⁰