Israel’s Meticulous Plan to Safely Rehabilitate Released Hostages
As the hostages return to Israel,the focus has shifted to their physical and nutritional recovery. prolonged starvation poses important health risks, including life-threatening complications like salt imbalances and refeeding syndrome. To address these challenges, Israel has implemented a carefully designed nutrition protocol, overseen by clinical specialists, to ensure a safe and gradual recovery.
Upon arrival at an IDF base, the hostages were provided with a carefully measured initial meal: tea with a teaspoon of sugar, three biscuits, and applesauce. They also received 100 mg of thiamine, a critical vitamin (B1) essential for metabolic processes. Thiamine deficiency can lead to severe neurological conditions like Wernicke-Korsakoff syndrome, characterized by confusion, eye movement disturbances, and even permanent brain damage.
Refeeding syndrome, a life-threatening condition triggered by rapid reintroduction to food, is a primary concern.It involves severe metabolic imbalances, including drops in potassium, phosphorus, and magnesium levels, alongside a sharp increase in thiamine demand. Early administration of thiamine is crucial to prevent cardiac and neurological complications.
health Ministry Guidelines for Recovery
The nutrition protocol includes rigorous monitoring and gradual dietary adjustments. Each hostage will have vital signs—heart rate,blood pressure,and oxygen saturation—checked every four hours during the first 24 hours of feeding. Comprehensive blood tests will identify deficiencies, which will be corrected based on BMI and nutritional status.
Multivitamin supplements, including vitamin D (due to prolonged darkness) and vitamin B12, will be administered daily for at least 30 days. Hostages at moderate to high risk will receive fluid supplementation and,in certain specific cases,glucose infusions. caloric intake will increase by 33% of the target daily or every two days, with the goal of meeting full nutritional needs within 5 to 10 days.
Information for Hostages
Each hostage will receive an information sheet emphasizing the importance of gradual eating:
“After a long period of limited eating, it is indeed very critically important to return to regular eating gradually and moderately to prevent perhaps life-threatening complications that may result from rapid exposure to food and drink following a prolonged period of substantially reduced food intake.”
Dietitians will guide the hostages in selecting and adjusting food and drink daily, based on medical assessments. this support will continue even after discharge until nutritional rehabilitation is complete.
Key Steps in the Recovery Process
| Step | details |
|——————————-|—————————————————————————–|
| Initial Meal | Tea with sugar, biscuits, applesauce, and 100 mg thiamine |
| Vital Sign Monitoring | Every 4 hours for the first 24 hours |
| Blood Tests | Comprehensive tests to identify and correct deficiencies |
| Multivitamin Supplements | Daily for 30 days, including vitamin D and B12 |
| Caloric Increase | 33% of target daily or every two days |
| Full Nutritional Recovery | Expected within 5 to 10 days |
Israel’s meticulous approach underscores the importance of addressing both immediate and long-term health needs of the hostages. By prioritizing gradual nutrition and medical care, the country aims to ensure a safe and healthy recovery for all individuals affected by this ordeal.
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