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Article

Adherence of Healthcare Workers to Saudi Management Guidelines of Heat-Related Illnesses during Hajj Pilgrimage

1
Global Center for Mass Gatherings Medicine, Ministry of Health, Riyadh 12341, Saudi Arabia
2
Department of Emergency Medicine, College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(3), 1156; https://doi.org/10.3390/ijerph18031156
Received: 1 December 2020 / Revised: 17 January 2021 / Accepted: 19 January 2021 / Published: 28 January 2021
(This article belongs to the Section Environmental Health)
Heat-related illnesses (HRIs), such as heatstroke (HS) and heat exhaustion (HE), are common complications during Hajj pilgrims. The Saudi Ministry of Health (MoH) developed guidelines on the management of HRIs to ensure the safety of all pilgrims. This study aimed to assess healthcare workers’ (HCWs) adherence to the updated national guidelines regarding pre-hospital and in-hospital management of HRIs. This was a cross-sectional study using a questionnaire based on the updated HRI management interim guidelines for the Hajj season. Overall, compliance with HE guidelines scored 5.5 out of 10 for basic management and 4.7 out of 10 for advanced management. Medical staff showed an average to above average adherence to pre-hospital HS management, including pre-hospital considerations (7.2), recognition of HS (8.1), case assessment (7.7), stabilizing airway, breathing, and circulation (8.7), and cooling (5). The overall compliance to in-hospital guidelines for HS management were all above average, except for special conditions (4.3). In conclusion, this survey may facilitate the evaluation of the adherence to Saudi HRIs guidelines by comparing annual levels of compliance. These survey results may serve as a tool for the Saudi MoH to develop further recommendations and actions. View Full-Text
Keywords: national guideline; adherence; healthcare workers; heat-related illness; Saudi Arabia national guideline; adherence; healthcare workers; heat-related illness; Saudi Arabia
MDPI and ACS Style

Almuzaini, Y.; Abdulmalek, N.; Ghallab, S.; Mushi, A.; Yassin, Y.; Yezli, S.; Khan, A.A. Adherence of Healthcare Workers to Saudi Management Guidelines of Heat-Related Illnesses during Hajj Pilgrimage. Int. J. Environ. Res. Public Health 2021, 18, 1156. https://doi.org/10.3390/ijerph18031156

AMA Style

Almuzaini Y, Abdulmalek N, Ghallab S, Mushi A, Yassin Y, Yezli S, Khan AA. Adherence of Healthcare Workers to Saudi Management Guidelines of Heat-Related Illnesses during Hajj Pilgrimage. International Journal of Environmental Research and Public Health. 2021; 18(3):1156. https://doi.org/10.3390/ijerph18031156

Chicago/Turabian Style

Almuzaini, Yasir, Nour Abdulmalek, Sujoud Ghallab, Abdulaziz Mushi, Yara Yassin, Saber Yezli, and Anas A. Khan. 2021. "Adherence of Healthcare Workers to Saudi Management Guidelines of Heat-Related Illnesses during Hajj Pilgrimage" International Journal of Environmental Research and Public Health 18, no. 3: 1156. https://doi.org/10.3390/ijerph18031156

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