RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57719772
T1 Chapter 190. Hyperthermic Patient Management
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57719772
RD 2024/04/24
AB The  heatstroke  victim  can  be  difficult  and  challenging,  even  after  a  successful  resuscitation  and  stabilization  in  the  Emergency  Department.  Heatstroke  is  a  multisystem  insult.  More  than  300  people  die  of  heat-related  illness  in  the  United  States  each  year.1  This  number  was  surpassed  in  a  single  week  in  1995  during  a  heat  wave  in  Chicago.2–6  This  heat  wave  resulted  in  more  than  400  deaths  and  3300  Emergency  Department  visits.  Although  heatstroke  is  an  uncommon  medical  emergency,  it  is  considered  one  of  the  most  important  of  all  the  environmental  heat  illnesses  because  of  its  potential  for  high  morbidity  and  mortality  in  large  numbers.7  Major  complications  of  heatstroke  include  seizures,  adult  respiratory  distress  syndrome  (ARDS),  acute  renal  failure,  liver  disease,  rhabdomyolysis,  disseminated  intravascular  coagulation,  and  death.8  Survival  is  possible  for  the  great  majority  of  patients  with  rapid  recognition  and  aggressive  management.