Treatment For Heat Illness In The ED

<< Heat Illness In The Emergency Department: Keeping Your Cool

Treatment For Heat Illness In The ED

The urgency and level of treatment in heat illness depends on the severity of the disease. It is therefore crucial to determine how impaired the hyperthermic patient is so proper therapy can be initiated. Most important is the neurologic examination, as patients who are altered or have neurologic findings or deficits likely have heat stroke. This section will discuss:

  • Exertional heat stroke treatment, including:
    • Rehydration
    • Preventing end-organ damage
    • Active cooling techniques
      • Water immersion therapy
      • The mist-and-fan technique
      • Ice packs and internal cooling
  • Classic heat stroke treatment, including:
    • Rehydration
    • Classic heat stroke-associated sodium abnormalities
    • Preventing end-organ damage
    • Cooling techniques
    • Other cooling modalities
  • Risks of cooling
  • Treatment of other heat-related condisions, including:
    • Prickly heat (milaria)
    • Heat edema
    • Heat tetany and cramps

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