Hosokawa Yuri, Akama Takao
Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan.
BMJ Open Sport Exerc Med. 2024 Feb 26;10(1):e001861. doi: 10.1136/bmjsem-2023-001861. eCollection 2024.
To assess the shift in medical volunteers' perception and practice surrounding exertional heat stroke (EHS) prehospital management after the Tokyo 2020 Olympic Games.
An online survey was sent to medical volunteers assigned to work at high EHS risk events during the Tokyo 2020 Olympic Games. Surveys were sent at the time of initial training, immediately after the Games, and one year after the Games. The survey investigated medical volunteers' perceptions and practices regarding the assessment of rectal temperature and the use of whole-body cold water immersion (CWI) as prehospital management of EHS. In addition, an open-ended question was prepared to examine barriers and facilitators of their chosen perception and/or behaviour.
The lack of knowledge about rectal temperature assessment improved over time, but the actual implementation did not. Meanwhile, increased utilisation of CWI was observed 1 year after the Games. The lack of equipment, apprehension towards rectal temperature assessment, the perception of difficulty getting patient consent, concerns for hypothermic overshoot and the number of required medical providers were raised as barriers to implementation.
Some improvements were observed in perception and practice; however, further organisational and financial support is warranted for a broader skill transfer and implementation.
评估2020年东京奥运会后医学志愿者对运动性中暑（EHS）院前管理的认知和实践变化。
向被分配到2020年东京奥运会期间EHS高风险赛事工作的医学志愿者发送在线调查问卷。在初始培训时、奥运会结束后立即以及奥运会结束后一年发送调查问卷。该调查研究了医学志愿者对直肠温度评估以及使用全身冷水浸泡（CWI）作为EHS院前管理方法的认知和实践。此外，还准备了一个开放式问题，以探究其选定认知和/或行为的障碍和促进因素。
随着时间的推移，对直肠温度评估的知识缺乏有所改善，但实际实施情况并未改善。与此同时，在奥运会结束一年后，观察到CWI的使用有所增加。缺乏设备、对直肠温度评估的担忧、获取患者同意的困难认知、对体温过低过冲的担忧以及所需医疗人员数量被列为实施的障碍。
在认知和实践方面观察到了一些改善；然而，为了更广泛的技能传授和实施，需要进一步的组织和财政支持。
