Initial Assessment
Heat Cramps
Heat Exhaustion
Heat Stroke
Differential Diagnosis/PEARLS
100

What is the first step in evaluating any patient with a heat-related illness?

What is a general adult assessment.

100

What is a hallmark symptom of heat cramps?

What is muscle cramping.

100

What temperature finding is expected with heat exhaustion?

What is an elevated body temp.

100

What temperature defines heat stroke in this protocol?

What is a temp greater than 104 F.

100

What infectious process should be considered in these patients?

What is a fever.

200

What should be done immediately after the initial assessment?

What is remove the patient from the hot environment.

200

What body temperature is typically seen with heat cramps?

What is a normal to elevated temperature.

200

What skin finding helps distinguish heat exhaustion from heat stroke?

What is cool, moist skin. (Sweating)

200

What skin finding is classically associated with heat stroke?

What is hot, dry skin.

200

What endocrine disorder belongs on the differential?

What is hyperthyroidism.

300

What assessment helps determine the severity of a heat illness?

What is a temperature measurment.

300

Besides cramping, what common symptom is seen with heat cramps?

What is weakness.

300

What common complaint is associated with heat exhaustion?

What is weakness.

300

What neurological finding strongly suggests heat stroke?

What is AMS or Coma.

300

What substances can elevate someones bosy temperature?

What is cocaine and amphetamines.

400

What should be done to improve cooling immediately?

What is remove tight clothing.

400

What is the primary treatment for heat cramps?

What is oral fluids as tolerated.

400

What respiratory finding is common with heat exhaustion?

What is tachypnea.

400

What BP finding is commonly associated with heat stroke?

What is Hypotension.

400

What IV fluid should not be generally used specifically for hyperthermia treatment unless directed?

What is cold saline. 

500

What treatment should begin before determining symptom severity?

What is passive cooling measures.

500

What should continue after oral hydration?

What is monitoring and reassessing the patient.

500

What cooling method is initiated for heat exhaustion?

What is active cooling.

500

What should be addressed immediately in a patient with heat stroke?

What is Airway management as indicated. 

500

What is considered the preferred active cooling method?

What is cold water immersion.