Exertional heat stroke in a young military trainee: is it preventable?
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Exertional heat stroke in a young military trainee: is it preventable?
Exertional heat stroke in a young military trainee: is it preventable?
MMR2016年3卷第2期 页码:110-113
Affiliations:
1.Department of Forensic Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
2.Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
Author bio:
*: buddhikatbw@gmail.com
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DOI:
中图分类号:
纸质出版:2016-06
Accepted:
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Exertional heat stroke in a young military trainee: is it preventable?[J]. MMR, 2016,3(2):110-113.
Buddhika T. B. Wijerathne, Senaka D. Pilapitiya, Vadivel Vijitharan, et al. Exertional heat stroke in a young military trainee: is it preventable?[J]. Military Medical Research, 2016, 3(2): 110-113.
Exertional heat stroke in a young military trainee: is it preventable?[J]. MMR, 2016,3(2):110-113.DOI:
Buddhika T. B. Wijerathne, Senaka D. Pilapitiya, Vadivel Vijitharan, et al. Exertional heat stroke in a young military trainee: is it preventable?[J]. Military Medical Research, 2016, 3(2): 110-113.DOI:
Exertional heat stroke in a young military trainee: is it preventable?
Heat stroke is a life-threatening condition with exertional heat stroke occurring frequently among soldiers and athletes. Because of its common occurrence
many military trainees practice preventive measures prior to any activity requiring severe exertion. Although it is said to be common in practice
different presentations of heat stroke are scarcely described in literature.
Case Presentation:
2
We describe a case of an exertional heat stroke in a 23-year-old male Sinhalese soldier who developed early changes of renal failure
liver failure and rhabdomyolysis. The patient initially presented with convulsions
delirium and loss of consciousness to an outside health care facility before being transferred to our institution.
Conclusion:
2
It is clear that heat stroke does occur in military trainees while preventive strategies are being practiced. It is important for those who provide healthcare to soldiers to provide proper advice on how to identify impending heat stroke prior to any exercises resulting in severe physical exertion. Further
treating physicians should educate all military trainees about preventive strategies.
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references
Bouchama A , Knochel JP . Heat Stroke . N Engl J Med . 2002 ; 346 : 1978 - 88 .
Glazer JL . Management of heatstroke and heat exhaustion . Am Fam Physician . 2005 ; 71 : 2133 - 40 .
People’s Liberation Army Professional Committee of Critical Care Medicine . Expert consensus on standardized diagnosis and treatment for heat stroke . Mil Med Res . 2016 ; 3 : 1 .
Hart GR , Anderson RJ , Crumpler CP , Shulkin A , Reed G , Knochel JP . Epidemic classical heat stroke: clinical characteristics and course of 28 patients . Medicine (Baltimore) . 1982 ; 61 : 189 - 97 .
Carter 3rd R , Cheuvront SN , Sawka MN . A case report of idiosyncratic hyperthermia and review of U.S. army heat stroke hospitalizations . J Sport Rehabil . 2007 ; 16 : 238 - 43 .
Casa DJ , Armstrong LE , Ganio MS , Yeargin SW . Exertional heat stroke in competitive athletes . Curr Sports Med Rep . 2005 ; 4 : 309 - 17 .
Seth P , Juliana P . Exertional heat stroke in a marathon runner with extensive healed deep burns: a case report . Int J Emerg Med . 2011 ; 4 : 12 .
Howe AS , Boden BP . Heat-related illness in athletes . Am J Sports Med . 2007 ; 35 : 1384 - 95 .
Bouchama A , Al-Sedairy S , Siddiqui S , Shail E , Rezeig M . Elevated pyrogenic cytokines in heatstroke . Chest . 1993 ; 104 : 1498 - 502 .
Sonna LA , Wenger CB , Flinn S , Sheldon HK , Sawka MN , Lilly CM . Exertional heat injury and gene expression changes: a DNA microarray analysis study . J Appl Physiol . 2004 ; 96 : 1943 - 53 .
Roberts WO . Exertional heat stroke during a cool weather marathon: a case study . Med Sci Sports Exerc . 2006 ; 38 : 1197 - 203 .
Sonkar SK , Soni D , Sonkar GK . Heat stroke presented with disseminated intravascular coagulation and bilateral intracerebral bleed . BMJ Case Rep . 2012 ; 19 : 2012 .
Yo CH , Hsieh PS , Lee SH , Wu JY , Chang SS , Tasi KC , et al . Comparison of the test characteristics of procalcitonin to C-reactive protein and leukocytosis for the detection of serious bacterial infections in children presenting with fever without source: a systematic review and meta-analysis . Ann Emerg Med . 2012 ; 60 : 591 - 600 .
Sevinc F , Prins JM , Koopmans RP , Langendijk PNJ , Bossuyt PM , Dankert J , et al . Early switch from intravenous to oral antibiotics: guidelines and implementation in a large teaching hospital . J Antimicrob Chemother . 1999 ; 43 : 601 - 6 .
Cyriac J , James E . Switch over from intravenous to oral therapy: A concise overview . J Pharmacol Pharmacother . 2014 ; 5 : 83 .
Wakino S , Hori S , Mimura T , Fujishima S , Hayashi K , Inamoto H . Heat stroke with multiple organ failure treated with cold hemodialysis and cold continuous hemodiafiltration: A case report . Ther Apher Dial . 2005 ; 9 : 423 - 8 .
Gómez Ramos MJ , Miguel González Valverde F , Sánchez Álvarez C , Ortin Katnich L , Pastor Quirante F . Fatal heat stroke in a schizophrenic patient . Case Reports Crit Care . 2012 ; 2012 : 1 - 5 .
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