TY  - CHAP
M1  - Book, Section
TI  - Hyperthermic Patient Management
A1  - Mann, Jessica
A1  - Neuman, J. Elizabeth
A2  - Reichman, Eric F.
Y1  - 2018
N1  - 
T2  - Reichman's Emergency Medicine Procedures, 3e
AB  - The  evaluation  and  management  of  hyperthermia  and  heat  stroke  can  be  difficult  and  challenging  in  the  Emergency  Department  (ED).  Heat  stroke  is  defined  as  a  core  body  temperature  equal  to  or  greater  than  40°C  with  associated  central  nervous  system  dysfunction.1  Heat  stroke  is  a  multisystem  insult.  There  are  two  types  of  heat  stroke,  the  classic  nonexertional  heat  stroke  and  the  exertional  heat  stroke.  Classic  heat  stroke  affects  individuals  most  often  over  70  years  of  age  with  underlying  chronic  medical  conditions  that  impair  thermoregulation,  prevent  removal  from  a  hot  environment,  interfere  with  access  to  hydration,  or  interfere  with  attempts  at  cooling.2  Exertional  heat  stroke  generally  occurs  in  young  healthy  individuals  who  engage  in  heavy  exercise  during  periods  of  high  ambient  temperature  and  humidity.  Typical  patients  are  athletes  and  military  recruits  in  basic  training.3  More  than  300  people  die  of  heat-related  illness  in  the  United  States  each  year.4,5  This  can  more  than  double  in  years  with  prolonged  heat  waves.6  Exertional  heat  illness  is  one  of  the  leading  causes  of  death  in  young  athletes  each  year.5,7  Heat  stroke  is  an  uncommon  medical  emergency.  It  is  considered  one  of  the  most  important  of  all  the  environmental  illnesses  because  of  its  potential  for  high  morbidity  and  mortality  in  large  numbers.8  Major  complications  of  heat  stroke  include  seizures,  adult  respiratory  distress  syndrome  (ARDS),  acute  renal  failure,  liver  disease,  rhabdomyolysis,  disseminated  intravascular  coagulation,  and  death.9  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159811085
ER  -