Case Presentations and Conclusions | Pediatric Heat-Related Illness

<< Pediatric Heat-Related Illness: Recommendations for Prevention and Management

Case Presentations and Conclusions

Case Presentations

On a hot summer day, an obese 15-year-old adolescent boy presents to the ED after a week of two-a-day football practices. He has completed 10 practices to date. He presents with headache, muscle aches, nausea, and 2 episodes of vomiting. The patient denies any trauma or injury. His past medical history includes ADHD, and his home medications include methylphenidate. His physical examination is remarkable for a fatigued-appearing obese boy with flushed, sweaty skin. The patient’s vital signs are: heart rate, 120 beats/min; respiratory rate, 24 breaths/min; blood pressure, 128/76 mm Hg; rectal temperature, 39°C (102.2°F); and oxygen saturation, 98% on room air. You begin to wonder how severe his heat-related illness is and whether diagnostic studies need to be ordered. What treatment needs to be initiated immediately, or can treatment wait while you see another patient?

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