TY - CHAP M1 - Book, Section TI - Hyperthermic Patient Management A1 - Mann, Jessica A1 - Neuman, J. Elizabeth A2 - Reichman, Eric F. PY - 2018 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 - 2024/10/04 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159811085 ER -