Preventing heat injury : Military versus civilian perspective.
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 Hl risk factors : older age, medication use, especially anticholinergic and psychotropic medications, obesity, previous Hl, and skin disorders.
Although dehydration is a major contributor to Hl 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 pathophys-iology of heat injury, contrasts the military and civilian approach to prevention of Hl, and describes appropriate field intervention for Hl.
Mots-clés Pascal : Blessure, Chaleur, Prévention, Physiopathologie, Facteur risque, Forme clinique, Etude comparative, Installation militaire, Administration publique, Chimioprophylaxie, Homme, Organisation santé, Politique sanitaire
Mots-clés Pascal anglais : Injury, Heat, Prevention, Pathophysiology, Risk factor, Clinical form, Comparative study, Military installation, Civil service, Chemoprophylaxis, Human, Public health organization, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0136535
Code Inist : 002B30A02A. Création : 21/05/1997.