After a Tense Night Israel Prepares for the Arrival of Hostages and Remains
In anticipation of a critical medical situation, Israeli hospitals, Sheba, Beilinson, and Ichilov, are preparing to receive hostages recently freed. Health officials estimate that these individuals suffer from severe malnutrition and deficiencies in essential salts and vitamins, increasing the risk of “refeeding syndrome.”
Understanding Refeeding Syndrome
Refeeding syndrome is a metabolic condition that may cause disruptions in vital systems, including the heart and brain. It emerges when food, particularly carbs, is reintroduced following prolonged starvation. This can lead to severe complications if not managed properly.
Physiological Impact of Starvation
During extended food deprivation, the body enters a survival mode. Blood sugar levels decrease, insulin secretion diminishes, and the body breaks down fat and protein for energy. As a result, there’s a decline in metabolism, muscle mass, and energy consumption, with decreased levels of phosphorus, potassium, and magnesium in the blood.
Treatment Protocols for Returning Hostages
- Initial assessment includes comprehensive tests for blood counts, liver and kidney function, salt levels, vitamins, and infectious diseases.
- Immediate treatment addresses critical mineral and salt deficiencies. Medical staff will administer small amounts of nutrient-rich liquid food low in carbohydrates.
- Phosphorus, potassium, and magnesium supplements will be given through intravenous or oral means, with continuous monitoring of vital indicators.
This cautious approach will continue for days, adjusting based on each individual’s condition. Only once electrolyte balance stabilizes can the diet expand to include solid foods.
Monitoring and Emotional Care
A doctor, dietitian, and social worker will closely oversee the process to ensure both physical and emotional responses are addressed. The transition to regular eating can trigger emotional responses and trauma from captivity.
Importance of Early Detection
A significant sign of refeeding syndrome is a sharp drop in phosphorus levels. In such cases, feeding must be paused to restore mineral balance before gradually resuming.
Holistic Recovery Approach
The Ministry of Health emphasizes comprehensive training for staff in internal medicine, intensive care, and nutrition units to identify and respond to early signs of refeeding syndrome according to updated protocols.
Clinical dietitians will create personalized nutrition plans tailored to each returning hostage’s age, weight, and malnutrition severity. Besides physical restoration, prolonged psychological care will be integrated. Returning to eating and a safe environment might evoke captivity and hunger memories, necessitating patience, time, and multidisciplinary support.
