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Heat Stroke (cont.)

Heat Stroke Treatment

Patient Comments

Immediate treatment of heat stroke is body cooling; currently the preferred method of cooling is evaporation cooling by spraying the patient with cold water or covering them with cold water soaked sheets, and using fans to augment evaporative cooling. Others recommend additional cooling by placing ice packs on the head, neck, armpits, and groin.

In addition, benzodiazepines can be administered to prevent shivering. Often the patient is dehydrated so IV fluids are given. The goal is to reach a core temperature (rectal probe reading with a constant readout) of below 102.2 F or 39 C. The ideal time frame for reaching this temperature is controversial but this should in general be achieved in the fastest possible time frame, ideally over the first 60 minutes. In addition, other supportive measures for breathing, hypotension, and seizures may be required.

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