Asunto(s)
Prueba de COVID-19 , SARS-CoV-2 , Servicio de Urgencia en Hospital , Humanos , Manejo de EspecímenesRESUMEN
Despite aggressive prevention programs and strategies, nontraumatic exertional sudden death events in military training continue to prove a difficult challenge for the Department of Defense. In November 2014, the 559th Medical Group at Joint Base San Antonio-Lackland, Texas, hosted a working group on sudden exertional death in military training. Their objectives were three-fold: (1) determine best practices to prevent sudden exertional death of military trainees, (2) determine best practices to establish safe and ethical training environments for military trainees with sickle cell trait, and (3) develop field-ready algorithms for managing military trainees who collapse during exertion. This article summarizes the major findings and recommendations of the working group.
Asunto(s)
Muerte Súbita/prevención & control , Personal Militar , Esfuerzo Físico/fisiología , Adaptación Fisiológica , Algoritmos , Causas de Muerte , Femenino , Humanos , Masculino , Medicina Militar , Aptitud Física , Guías de Práctica Clínica como Asunto , Factores de Riesgo , Rasgo Drepanocítico/mortalidad , Estados UnidosRESUMEN
BACKGROUND: Stress fractures are overuse injuries that historically afflict a large number of military recruits, likely because of the sudden increase of high-intensity activity, such as running and marching. CASE: A 23-year-old male U.S. Air Force recruit presented with hip pain during his second week of basic training and was diagnosed with bilateral femoral neck stress fractures, grade 4 on the right and grade 3 on the left. This is the first known case of concurrent bilateral femoral neck stress fractures in a U.S. military recruit reported in the medical literature. CONCLUSION: This report describes a severe case of stress fracture in an individual with no readily identifiable risk factors.