Heat stroke treatment

  1. Emergency Management of Heat


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Emergency Management of Heat

The best treatment for heat-related illnesses is public education and prevention. How can you help from your ED? Heat-related illness is classically taught to represent a spectrum of hyperthermic disease rangingfrom heat cramps, heat syncope, heat exhaustion, and – in extreme cases – heat stroke. Symptoms present when the body is exposed to heat with inability to properly cool core body temperature. Normal core temperature ranges between 36-38° Celsius. Below 35° C, radiation represents 60% of heat dissipation with an additional 30% from evaporation; above 35° C, this native process becomes overwhelmed and insufficient to maintain adequately cooled core body temperature. Subsequently, thermoregulatory failure occurs and the body is unable to release heat quickly, leading to elevated core temperatures. Incidence and Risk Factors Between 1999 and 2010, 8081 heat-related deaths were reported in the United States, with 94% of deaths occurring between May in September. 1 Because reporting of heat-related illness is not mandatory, the incidence is likely underestimated. A heat waveis defined as >3 consecutive days ofsustained temperatures > 32.2° C or 90°Fahrenheit. Non-environmental risk factors include heavy clothing or equipment, children younger than 4 years of age, adults older than age 65, obesity, and underlying medical conditions such as diabetes, heart, and pulmonary disease. Young individuals participating in strenuous activity during warm weather increases th...

Exercise

Heat-related illness can affect you as heat cramps, heat exhaustion, or heat stroke. This article is about heat exhaustion caused by hard exercise or work in a hot environment. What is exercise-related heat exhaustion? Exercise-related heat exhaustion is an illness caused by getting too hot when you exercise. During heat exhaustion, your body temperature rises above normal. Your brain usually keeps your body temperature within a degree or two of 98.6°F (37°C). This temperature control is important because many processes in your body only work well within a certain range of temperatures. Your body has several ways to lower your body temperature when it gets too high. Your body can cool itself by sweating. When sweat evaporates, it lowers your temperature. Your body can also lower the temperature by sending more blood to your skin and to your arms, legs, and head. This lets more heat can escape. If your body cannot get rid of the extra heat, your body temperature will rise. In heat exhaustion, your body temperature may rise to 101°F (38.3°C) to 104°F (40°C). This can make you feel weak and dizzy. Your heart may not be able to pump enough blood. This can make you collapse. Heat exhaustion is less serious than heat stroke, another heat-related illness. But heat exhaustion can lead to heat stroke if it is not treated. In heat stroke, your body temperature rises even higher. This stops basic processes in your body. This can cause serious problems, including death. Unfortunately,...