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Acute care for exercise-induced hyperthermia to avoid adverse outcome from exertional heat stroke


, : Acute care for exercise-induced hyperthermia to avoid adverse outcome from exertional heat stroke. Journal of Sport Rehabilitation 20(2): 219-227

Exertional heat stroke (EHS) is a major concern in military trainees performing intense physical exercise, with substantial morbidity rates. Prehospital diagnosis of EHS is essentially clinical. Thus, soldiers, command personnel, and medical staff are taught to recognize this injury and immediately begin aggressive treatment to prevent further deterioration. During 2007, 5 otherwise healthy Israeli Defense Forces (IDF) soldiers were diagnosed with EHS while performing strenuous exercise. They were treated vigorously according to the IDF EHS-treatment protocol and were referred to the emergency department. On arrival at the emergency department, physical examination including rectal temperature was unremarkable in all soldiers. Blood and urine workup showed near-normal values. No other medical conditions that could have explained the clinical presentation were found. All soldiers were discharged shortly afterward, with no further consequences. A heat-tolerance test was performed several weeks after the event and was interpreted as normal. All soldiers returned to active service. Because the initial clinical findings were very suggestive of EHS and because no other condition could have explained the prehospital transient hyperthermia, we suggest that these soldiers were correctly diagnosed with EHS, and we propose that rapid vigorous cooling prevented further deterioration and complications. We suggest calling this condition aborted heat stroke.

US$29.90

PMID: 21576713


Other references

Nelmes, B.J.; Preston, R.D., 1968: Wall development in apple fruits: a study of the life history of a parenchyma cell. The development of the walls of the parenchyma cells of apple fruit cortex was followed throughout 2 seasons from the time of pollination to the end of storage. Unexpectedly rapid wall synthesis occurred during cell extension, but was followed, be...

Kucinskas, V., 1993: The perspective of energetics of Lithuanian agriculture. The reasons for over-consumption of expensive imported fuels in Lithuanian agriculture are outlined and it is proposed that renewable energy sources be used more widely to solve this problem. The applicability of various sources (solar and wind en...

Keller, W.F., 1989: A new prescription for the delivery of veterinary education. Journal of the American Veterinary Medical Association 195(5): 572-573

Stamenović, D.; Lutchen, K.R.; Barnas, G.M., 1993: Alternative model of respiratory tissue viscoplasticity. Respiratory tissue impedance exhibits both tidal volume and frequency dependences in the ranges of normal breathing. Hildebrandt argued that these indicate tissue viscoplasticity and offered a model in support of his argument consisting of viscoel...

Boos, W.; Ferenci, T.; Shuman, H.A., 1981: Formation and excretion of acetylmaltose after accumulation of maltose in Escherichia coli. malB(+)malQ strains accumulate maltose via the maltose-binding-protein-dependent transport system but are unable to metabolize it. Nevertheless, some of the maltose is modified after entering the cell. This newly formed compound exhibited a higher...

Chen, Y.; Xu, Y.; Zhu, Y.; Li, X., 2013: Anti-cancer effects of ginsenoside compound k on pediatric acute myeloid leukemia cells. Pediatric acute myeloid leukemia (AML) is a heterogeneous disease and remains clinically challenging. Currently chemotherapies are frequently associated with treatment-related death and long-term side effects. Therefore, alternative approaches wit...

Polednak, A.P., 2014: Trend in rates for deaths with mention of schizophrenia on death certificates of US residents, 1999-2010. Trends in mortality rates for schizophrenia using multiple causes of death (including contributory causes) coded on death certificates in the US resident population apparently have not been reported. Age-standardized rates for deaths per 100,000 i...

Powers, K.A.; Rehrig, S.T.; Jones, D.B., 2007: Financial impact of obesity and bariatric surgery. Obesity constitutes a major health problem with serious social and economic consequences worldwide. In North America, nearly one third of the population is obese, and this figure includes children and adolescents who are likely to become obese adu...

Kelsey, D.K.; Overall, J.C.J. ; Glasgow, L.A., 1978: Correlation of the suppression of mitogen responsiveness and the mixed lymphocyte reaction with the proliferative response to viral antigen of splenic lymphocytes from cytomegalovirus infected mice. Lymphocyte function was suppressed during cytomegalovirus infections of humans and mice. Nonspecific and specific lympyocyte reactions of splenic lymphocytes from murine cytomegalovirus (MCMV)-infected C3H adult mice were compared during the acute...

Tingey, S.V.; Coruzzi, G.M., 1987: Glutamine Synthetase of Nicotiana plumbaginifolia: Cloning and in Vivo Expression. We have characterized the distinct forms of glutamine synthetase (GS) which are present in leaves and roots of Nicotiana plumbaginifolia. Mature leaves contain a single GS polypeptide (44 kilodaltons in size) which is localized to the stroma of in...