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crpf samachar may_ june-2012 - Central Reserve Police Force

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48<br />

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Medical Morbidity<br />

Medical preventive aspects in training<br />

Here are some potential Medical problems<br />

and preventive aspects to prevent morbidity and<br />

mortality during Training-<br />

1-Heat related injuries- Diseases-Serious type-<br />

Heat Stroke/ Heat Exhaustion with dehydration.<br />

(Most potential threat) -Less serious type-Heat<br />

Syncope/Heat Cramp/Heat rashes.<br />

Importance-Heat Injuries are frequent and<br />

most lethal during training<br />

Prevention-1-Acclimatization- At least 3-5<br />

days should be given to trainees to acclimatize<br />

with weather conditions before starting of training<br />

programme.During this period only light exercise<br />

shall be allowed.<br />

2-Hydration-(Most important preventive<br />

step) Adequate water and ORS(or Nimbu-Pani<br />

with Salt) intake during outdoor exercise which<br />

will replenish water and Electrolyte loss during<br />

Outdoor Exercises. -Water with ORS intake must<br />

be started before starting the outdoor exercise/<br />

run. -¼-½ glass water with ORS must be taken<br />

regularly by trainees during long run. -Water<br />

hydration must be continued after conclusion of<br />

long run/exercise for 1-2 hours.<br />

3-Outdoor exercises to be conducted only<br />

during cooler hours of the day (Morning/<br />

Evening).<br />

4-Lecture delivery to trainees elaborating<br />

Causes/ Sign/Symptoms and prevention from<br />

Heat Illness.<br />

2-Physical injuries- Diseases-Injuries to<br />

Ankle/Knee Joints. Other injuries due to fall on<br />

ground/fall from height<br />

Importance-These injuries <strong>may</strong> cause long<br />

lasting/ permanent damage to body parts.<br />

Prevention-Regular Muscle /Ligament<br />

strengthening specific exercises for Ankle and<br />

Knee joint.<br />

Early diagnosis and complete Treatment of<br />

injuries(this will prevent long term complications).<br />

3-Communicable diseases and Malaria-<br />

Diseases-Upper Respiratory Infection<br />

(like Common Cold) Gastro-Intestinal<br />

Diseases(Diarrhoea and Vomiting)<br />

Importance-These Health problems are very<br />

frequent and can affect mass population causing<br />

greater per person per day loss of training.<br />

Prevention-Simple Hygienic habits adaption<br />

like keeping cloth in front of mouth before<br />

Coughing and Sneezing.<br />

Frequent hand washing (Specially after<br />

returning back from outdoor)<br />

Drinking safe and purified water by adequate<br />

Boiling/Chlorine treatment/RO filtered water.<br />

Use of Impregnated Mosquito Nets,Mosquito<br />

repellent cream/coil to prevent Mosquito Bite.<br />

4-Any old Disease- Diseases-Diabetes<br />

Mellitus/Hypertension/Cardiac diseases<br />

Importance-These Diseases <strong>may</strong> aggravate<br />

during training.<br />

Prevention-Pre Training Medical examination<br />

including Blood test/ECG etc must be done to<br />

rule out unmanifested/asymptomatic Health<br />

problems.<br />

These Medical problem were frequently<br />

encountered during Training,preventing them,we<br />

<strong>may</strong> prevent precious life and per person per day<br />

loss of training.<br />

Compiled by-<br />

Dr. Shekhar Kansara<br />

SMO,CIAT Silchar

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