Document Detail

Iraq: the environmental challenge to HM land forces.
MedLine Citation:
PMID:  18724607     Owner:  NLM     Status:  MEDLINE    
In 2003, occasional military patients with hyponatraemia, hypokalaemia and alkalosis were encountered in Iraq. Development of central pontine myelinolysis in one patient indicated treatment should be cautious. Two years later, heat illness continued to occur during the very hot summer months and 23 cases were admitted to a British military field hospital near Basra, Iraq. Incidence was < 0.15% of deployed personnel per summer month. Serum sodium and potassium concentrations were directly (r = 0.66, p = 0.0002) and serum sodium and bicarbonate concentrations inversely (r= -0.64, p = 0.002) correlated. The magnitude of these changes was unrelated to the glomerular filtered load of sodium. While blood pressure was undiminished, estimated glomerular filtration rate was reduced. These electrolyte changes were compatible with secondary hyperaldosteronism but field conditions constrained further investigation. Hyponatraemia was probably due to salt deficiency rather than overhydration. In some military personnel summer salt supplementation could be essential during operations in hot countries.
Michael J World; Thomas C Booth
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical medicine (London, England)     Volume:  8     ISSN:  1470-2118     ISO Abbreviation:  Clin Med     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-26     Completed Date:  2008-12-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101092853     Medline TA:  Clin Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  399-403     Citation Subset:  IM    
Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham.
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MeSH Terms
Alkalosis / epidemiology
Great Britain
Heat Stress Disorders / epidemiology
Hypokalemia / epidemiology
Hyponatremia / epidemiology
Iraq War, 2003 -*
Metabolic Diseases / epidemiology*
Military Personnel*
Potassium / blood
Sodium / blood
Sodium, Dietary / administration & dosage
Reg. No./Substance:
0/Sodium, Dietary; 7440-09-7/Potassium; 7440-23-5/Sodium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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