Medical Branch, Ground Forces Command, Israel Defense Forces, Israel.
J Sport Rehabil. 2011 May;20(2):219-27. doi: 10.1123/jsr.20.2.219.
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.
在进行高强度体能训练的军事受训人员中，运动性热射病（EHS）是一个严重的问题，发病率很高。EHS 的院前诊断主要基于临床症状。因此，士兵、指挥人员和医务人员都接受过识别这种伤害并立即开始积极治疗以防止病情恶化的培训。
2007 年，5 名身体状况良好的以色列国防军（IDF）士兵在进行剧烈运动时被诊断出患有 EHS。他们按照 IDF EHS 治疗方案进行了积极治疗，并被转至急诊部。
到达急诊部时，所有士兵的体检（包括直肠温度）均无明显异常。血液和尿液检查显示接近正常值。未发现其他可能导致临床表现的医疗状况。所有士兵随后不久出院，没有进一步的后果。几周后进行了耐热试验，结果正常。所有士兵都重返现役。
由于最初的临床发现非常提示 EHS，并且没有其他条件可以解释院前短暂性体温过高，我们建议这些士兵被正确诊断为 EHS，我们提出快速剧烈冷却可防止病情恶化和并发症。我们建议将这种情况称为中止性热射病。
