Kazman Josh Ben, Heled Yuval, Lisman Peter J, Druyan Amit, Deuster Patricia Anne, O'Connor Francis G
Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD 20814, USA.
Curr Sports Med Rep. 2013 Mar-Apr;12(2):101-5. doi: 10.1249/JSR.0b013e3182874d27.
Exertional heat stroke (EHS) is a common clinical problem for both athletes and warriors; however, evidence-based guidance for return-to-play/duty (RTP/RTD) decisions is limited. Heat tolerance testing (HTT) has been proposed as a potential tool that, when combined with appropriate clinical information, may assist in RTP/RTD decisions. However, currently, no standard of care is available for performing HTT. The Israeli Defense Forces (IDF) HTT protocol, which was developed over decades of careful research, has proven useful for IDF warriors and is utilized by other militaries to assist in RTD decisions. The present case studies are used to discuss the efficacy of the IDF HTT in determining RTD for two warriors who experienced EHS. Strengths and limitations of the IDF HTT, along with current and potential roles in clinical decision-making and in future thermoregulation research, are discussed.
劳力性热射病（EHS）是运动员和战士都面临的常见临床问题；然而，关于恢复训练/执勤（RTP/RTD）决策的循证指南有限。热耐受测试（HTT）已被提议作为一种潜在工具，当与适当的临床信息相结合时，可能有助于RTP/RTD决策。然而，目前尚无进行HTT的标准护理方法。以色列国防军（IDF）的HTT方案是经过数十年精心研究制定的，已被证明对IDF战士有用，并被其他军队用于协助RTD决策。本案例研究用于讨论IDF HTT在确定两名经历EHS的战士的RTD方面的有效性。讨论了IDF HTT的优势和局限性，以及其在临床决策和未来体温调节研究中的当前和潜在作用。
