Report of 182 cases of exertional heatstroke in the French Armed Forces

Military Medicine

Volumn 179, Issue 3, 2015, Pages 309-314

  Abriat, Amandine ^a   Brosset, Christian ^b   Bregigeon, Michel ^b   Sagui, Emmanuel ^b,c  

^a Fire Brigade of Paris   (France)

^b LAVERAN MILITARY TEACHING HOSPITAL   (France)

^c Hôpital Inter Armées du Val de Grâce   (France)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; FEMALE; FOLLOW UP; FRANCE; HEAT STROKE; HUMAN; INCIDENCE; MALE; RETROSPECTIVE STUDY; RISK FACTOR; SOLDIER; STATISTICS AND NUMERICAL DATA; YOUNG ADULT;

ADULT; FEMALE; FOLLOW-UP STUDIES; FRANCE; HEAT STROKE; HUMANS; INCIDENCE; MALE; MILITARY PERSONNEL; RETROSPECTIVE STUDIES; RISK FACTORS; YOUNG ADULT;

EID: 84924673891     PISSN: 00264075     EISSN: 1930613X     Source Type: Journal    
DOI: 10.7205/MILMED-D-13-00315     Document Type: Article

References (36)

1. O’Connor FG, Casa DJ, Bergeron MF, et al: American College of Sports Medicine Roundtable on exertional heatstroke—return to duty/ return to play: conference proceedings. Curr Sports Med Rep 2010; 9(5): 314–21.
2. Bouchama A, Knochel JP: Heatstroke. N Engl J Med 2002; 346(25): 1978–88.
3. Carter R III, Cheuvront SN, Williams JO, et al: Epidemiology of hos-pitalizations and deaths from heat illness in soldiers. Med Sci Sports Exerc 2005; 37(8): 1338–44.
4. Duron-Martinaud S, Verret C, Haus-Cheymol R, et al: Exertional heatstroke in the French Armed Forces. Results from health surveillance: years 2005–2011. Paris, Ministry of Defense, 2012.
5. Rav-Acha M, Hadad E, Epstein Y, Heled Y, Moran DS: Fatal exertional heatstroke: a case series. Am J Med Sci 2004; 328(2): 84–7.
6. Epstein Y, Moran DS, Shapiro Y, Sohar E, Shemer J: Exertional heatstroke: a case series. Med Sci Sports Exerc 1999; 31(2): 224–8.
7. Gardner JW, Kark JA, Karnei K, et al: Risk factors predicting exertional heat illness in male Marine Corps recruits. Med Sci Sports Exerc 1996; 28(8): 939–44.
8. Kark JA, Burr PQ, Wenger CB, Gastaldo E, Gardner JW: Exertional heat illness in Marine Corps recruit training. Aviat Space Environ Med 1996; 67:354–60.
9. Berger F, Verret C, Haus R, et al: Exertional heatstroke in the French Armed Forces. Results of health surveillance in 2004. Paris, Val de grace military school, EVDG/DESPN, 2005.
10. Zeller L, Novack V, Barski L, Jotkowitz A, Almog Y: Exertional heatstroke: clinical characteristics, diagnostic and therapeutic considerations. Eur J Intern Med 2011; 22(3): 296–9.
11. Aubert M, Petrognani R, Deslangles O: Heatstroke. In: Malignant Hyperthermia, pp 5–14. Edited by Aubert M, Borsarelli G, Kozak-Ribbens G. Bad Homburg, Normed Verlag, 1993.
12. Epstein Y: Heat intolerance: predisposing factor or residual injury? Med Sci Sports Exerc 1990; 22(1): 29–35.
13. Kraemer WJ, Armstrong LE, Watson G: The effects of exertional heatstroke and exercise-heat acclimation on plasma b-endorphin concentrations. Aviat Space Environ Med 2003; 74(7): 758–62.
14. Hakre S, Gardner JW, Kark JA, Wenger CB: Predictors of hospitaliza-tion in male Marine Corps recruits with exertional heat illness. Mil Med 2004; 169(3): 169–75.
15. Sauvet F, Leftheriotis G, Gomez-Merino D, et al: Effect of acute sleep deprivation on vascular function in healthy subjects. J Appl Physiol 2010; 108(1): 68–75.
16. Tikuisis P, McLellan TM, Selkirk G: Perceptual versus physiological heat strain during exercice-heatstroke. Med Sci Sports Exerc 2002; 34(9): 1454–61.
17. Selkirk GA, McLellan TM, Wright HE, Rhind SG: Mild endotoxemia, NF-kB translocation, and cytokine increase during exertional heat stress in trained and untrained individuals. Am J Physiol Regul Integr Comp Physiol 2008; 295(2): R611–23.
18. Casa DJ, Armstrong LE, Ganio MS, Yeargin SW: Exertional heatstroke in competitive athletes. Curr Sports Med Rep 2005; 4(6): 309–17.
19. Minard D: Prevention of heat casualties in Marine Corps recruits. Period of 1955–60, with comparative incidence rates and climatic heat stresses in other training categories. Mil Med 1961; 126: 261–72.
20. American College of Sports Medicine, Armstrong LE, Casa DJ, et al: American College of Sports Medicine position stand. Exertional heat illness during training and competition. Med Sci Sports Exerc 2007; 39(3): 556–72.
21. Roberts WO: Exertional heatstroke in the marathon. Sports Med 2007; 37(4–5): 440–3.
22. Tham MK, Cheng J, Fock KM: Heatstroke: a clinical review of 27 cases. Singapore Med J 1989; 30(2): 137–40.
23. Nielsen B, Nybo L: Cerebral changes during exercise in the heat. Sports Med 2003; 33(1): 1–11.
24. Nybo L, Møller K, Volianitis S, Nielsen B, Secher NH: Effects of hyperthermia on cerebral blood flow and metabolism during prolonged exercise in humans. J Appl Physiol 2002; 93: 58–64.
25. Kratz A, Lewandrowski KB, Siegel AJ, et al: Effect of marathon running on hematologic and biochemical laboratory parameters, including cardiac markers. Am J Clin Pathol 2002; 118(6): 856–63.
26. Liang MT, Allen TW, McKeigue ME, Kotis A, Gierke LW: Effect of cooling on muscular health prior to running a marathon. J Am Osteopath Assoc 2001; 101(4): 219–25.
27. Peake JM, Suzuki K, Wilson G, et al: Exercise-induced muscle damage, plasma cytokines, and markers of neutrophil activation. Med Sci Sports Exerc 2005; 37(5): 737–45.
28. Pizza FX, Mitchell JB, Davis BH, Starling RD, Holtz RW, Bigelow N: Exercise-induced muscle damage: effect on circulating leukocyte and lymphocyte subsets. Med Sci Sports Exerc 1995; 27(3): 363–70.
29. Clarkson PM, Eichner ER: Exertional rhabdomyolysis: does elevated blood creatine kinase foretell renal failure? Curr Sports Med Rep 2006; 5(2): 57–60.
30. Hassanein T, Razack A, Gavaler JS, Van Thiel DH: Heatstroke: its clinical and pathological presentation, with particular attention to the liver. Am J Gastroenterol 1992; 87(10): 1382–9.
31. Clarkson PM, Kearns AK, Rouzier P, Rubin R, Thompson PD: Serum creatine kinase levels and renal function measures in exertional muscle damage. Med Sci Sports Exerc 2006; 38(4): 623–7.
32. Skenderi KP, Kavouras SA, Anastasiou CA, Yiannakouris N, Matalas AL: Exertional Rhabdomyolysis during a 246-km continuous running race. Med Sci Sports Exerc 2006; 38(6): 1054–7.
33. Smith JE, Garbutt G, Lopes P, Pedoe DT: Effects of prolonged strenuous exercise (marathon running) on biochemical and haematological markers used in the investigation of patients in the emergency department. Br J Sports Med 2004; 38(3): 292–4.
34. Azzopardi N, Chetcuti S, Sant J, Pocock J: Acute liver impairment in a young, healthy athlete: hypoxic hepatitis and rhabdomyolysis following heatstroke. Case Rep Gastroenterol 2012; 6(2): 563–8.
35. Garcin JM, Bronstein JA, Cremades S, Courbin P, Cointet F: Acute liver failure is frequent during heatstroke. World J Gastroenterol 2008; 14(1): 158–9.
36. Weigand K, Riediger C, Stremmel W, Flechtenmacher C, Encke J: Are heatstroke and physical exhaustion underestimated causes of acute hepatic failure? World J Gastroenterol 2007; 13(2): 306–9.