AH Health Policy, SHA(A), MOD, Andover, Hampshire, UK.
Academic Department of Military General Practice, Royal Centre for Defence Medicine, Birmingham, UK
BMJ Mil Health. 2020 Oct;166(5):366-372. doi: 10.1136/bmjmilitary-2020-001473. Epub 2020 May 13.
Exertional heat illness (EHI) is recognised as a significant problem for fit young individuals taking part in strenuous activity in temperate climates. The aim of this research was to relate episodes of reported EHI against known risk factors for heat illness and determine whether modification of the training programme had an effect on the number of cases reported. Publication was not possible when the work was originally conducted in 2000 because of barriers within Royal Military Academy Sandhurst (RMAS) at the time.
A retrospective study examined the medical data for Officer Cadets in training at the RMAS for a 2-year period ending April 2000.
60 cases were initially reported as EHI, in 58 individuals. Using the following criteria; dizziness, collapse, reduced conscious level, headache, nausea, vomiting, elevated core (rectal) temperature and the results of urine and blood tests, 35 cases were diagnosed as EHI and 25 cases had other diagnoses recorded after investigation. Minority of cases (n=12) had an identifiable risk factor but the majority appeared to be fit young individuals who were susceptible to EHI in conditions where the rest of the population was unaffected.
Further work is planned to study individuals during strenuous activity events in the hope of accurately identifying those at risk and further reducing the incidence of EHI. EHI is common, case definition is poor, risk factors are not present in all individuals but modification of training programmes is effective.
剧烈运动导致的热病（EHI）是在温带气候下进行剧烈活动的健康年轻个体中出现的一个严重问题。本研究旨在将报告的 EHI 病例与已知的热病风险因素联系起来，并确定训练计划的修改是否对报告的病例数量有影响。由于 2000 年皇家军事学院桑德赫斯特（RMAS）内部存在障碍，该研究在当时无法发表。
回顾性研究检查了 2000 年 4 月结束的 RMAS 培训军官学员的医疗数据。
最初报告了 60 例 EHI 病例，涉及 58 人。根据以下标准：头晕、晕倒、意识水平降低、头痛、恶心、呕吐、核心（直肠）温度升高以及尿液和血液检查结果，35 例被诊断为 EHI，25 例在调查后有其他诊断记录。少数病例（n=12）有可识别的风险因素，但大多数似乎是健康的年轻人，在其他人不受影响的情况下，他们容易患上 EHI。
计划进一步研究剧烈活动期间的个体，希望准确识别出有风险的个体，并进一步降低 EHI 的发病率。EHI 很常见，病例定义较差，并非所有个体都存在风险因素，但训练计划的修改是有效的。
