Following the release of hostages held captive, ensuring their safe reintegration into society has become a top priority. Among the key concerns is preventing life-threatening complications such as salt imbalances and refeeding syndrome.
The Israeli government has implemented a gradual nutrition protocol to address potential deficiencies in the released hostages. Clinical nutrition specialists will oversee their dietary treatment, focusing on addressing prolonged starvation-induced conditions. Upon arrival at an IDF base, they received a mild introduction to food, including tea with sugar, biscuits, and applesauce, along with 100mg of thiamine.
Thiamine is crucial for metabolic processes and preventing neurological symptoms such as Wernicke-Korsakoff syndrome. Early administration can prevent refeeding syndrome, a condition marked by severe metabolic imbalances that can lead to cardiac and neurological complications.
To ensure safe recovery, the Health Ministry’s guidelines include vital sign monitoring, comprehensive blood tests, and gradual correction of deficiencies based on results and BMI. Hostages at moderate to high risk will receive fluid supplementation, multivitamin supplements, and possibly glucose infusions. Progress will be closely monitored, aiming to increase caloric intake by 33% within five to ten days.
Reintegration also includes receiving an information sheet outlining the importance of gradual eating to prevent complications. The dietitian will accompany the hostages through their dietary process, providing guidance on food and drink selection until discharge from the medical center.
Source: https://www.jpost.com/arab-israeli-conflict/article-838268