Feeling Hot Hot Hot
What method of temperature do you need to take to confirm heat illness?
Oral or rectal if unable
Which heat illness usually presents with painful muscle cramps but normal mental status
Heat cramps
What is the first step for nearly every heat emergency?
Move the Pt to a cooler environment.
What IV fluid does our protocol specify for treatment?
Lactated ringers
Which thermometer is the rectal?
The red one (it taste different)
Where do we place ice packs to help cool down a Pt experiencing heat cramps or heat exhaustion?
Forehead, Neck, Extremities (arm pits), Groin
A Pt is dizzy, sweating heavily, weak, and nauseated but alert. What heat emergency is this?
Heat exhaustion
What needs to be removed from all Pts during any heat emergency?
Excess clothing
How much Fluid is given initially for heat stroke?
One liter bolus
What is considered a normal adult body temperature?
98.6-99.0 F
37-37.2C
A Pt with heat exhaustion is alert and not vomiting. What is the preferred way to hydrate?
Oral fluids as tolerated
This Pt is confused, hot, and has a temp of 105, what illness is this?
Heat stroke
what is the skin sign change for a Pt going from heat exhaustion to heat stroke?
sweaty and pale/cool to red and dry/hot
When should fluid bolus be repeated?
As needed for maintaining minimum desired MAP and systolic pressure while monitoring for pulmonary edema
At what core body temperature do you become highly suspicious of heat stroke?
104 or higher
Heat stroke is defined by severe hyperthermia plus what major clinical finding?
Altered mental status
A football player is dizzy , pale, sweating, BP 92/60, vomiting. What illness does he have and what is your treatment?
Heat exhaustion
Cooling, remove excess clothing, IV and LR if unable to tolerate PO, ALS to treat nausea and hypotension
Why is shivering bad during cooling?
It generates heat and makes cooling less effective
A heat stroke Pt begins shivering during cooling measures, what should you do?
Administer Midazolam per protocol 0.05-0.1mg/kg IV/IM
What environmental factor can make sweating much less effective at cooling the body?
High Humidity
Name three aggressive cooling methods for heat stroke?
Wet sheets, cool packs, evaporative airflow (fan)
A hiker is confused with a temperature of 104.8. What illness does he have and how will you treat it?
heat stroke
Aggressive cooling, cool LR, rapid transport
Name the three signs that distinguish heat stroke from heat exhaustion.
Dry red skin
AMS
temp above 104
Name two types of medications that increase heat illness risk?
Diuretics
Anticholinergics
Beta blockers
Antihistamines
Antipsychotics
Stimulants
Which cooling method removes heat the fastest?
Wet sheets with airflow - evaporative cooling