Document Detail


Preventing heat injury: military versus civilian perspective.
MedLine Citation:
PMID:  9002705     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Guidelines for preventing heat injury (HI) among military personnel are not directly applicable to civilian personnel. Military guidelines call for relatively large volumes of prophylactic water consumption and physical activity limitations depending on the wet bulb globe temperature. However, in civilian populations, there is an increased prevalence of HI risk factors: older age, medication use, especially anticholinergic and psychotropic medications, obesity, previous HI, and skin disorders. Although dehydration is a major contributor to HI in military situations, it is unlikely in classical heat stroke among civilians. Civilian guidelines are based on the heat index. Activity levels must be restricted more for civilians, and prophylactic water consumption (beyond replacing loss from sweat) is not necessary. This review discusses the pathophysiology of heat injury, contrasts the military and civilian approach to prevention of HI, and describes appropriate field intervention for HI.
Authors:
J K Cooper
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Military medicine     Volume:  162     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  1997 Jan 
Date Detail:
Created Date:  1997-03-14     Completed Date:  1997-03-14     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  55-8     Citation Subset:  IM    
Affiliation:
Center for Primary Care Research, Agency for Health Care Policy and Research, U.S. Public Health Service, Rockville, MD 20852, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Drinking
Heat Stress Disorders / physiopathology,  prevention & control*,  therapy
Humans
Military Medicine / standards*
Military Personnel
Physical Exertion
Risk Factors
United States

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


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