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Clearance of serum solutes by hemofiltration in dogs with severe heat stroke
Background: We have previously reported that hemofiltration (HF) may be an effective additional means of treating heat stroke when rapid cooling is not effective. Methods: Dogs were assigned to a heat stroke (control) or heat stroke?+?hemofiltration (HF) group (n?=?8 each group). After heat stroke induction, dogs in the HF group received HF for 3?h. Serum concentrations of interleukin (IL)-10, tumor necrosis factor (TNF)-?, IL-6, blood urea nitrogen (BUN) and creatinine were measured at baseline and 1, 2, and 3?h after heat stroke. Clearance rates of solutes were determined 1, 2, and 3?h after the start of HF. Results: Ser...
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - August 22, 2014 Category: Emergency Medicine Authors: Guang-Ming ChenYu-Ying LanCheng-Feng WangHai-Xia ZhanWen-Rui WangJin-Hua ChenJian Chen Source Type: research

Successful management of heat stroke associated with multiple-organ dysfunction by active intravascular cooling
We report successful cooling with initial intravascular cooling use that rapidly achieved the target temperature with continued normothermia thereafter.
Source: The American Journal of Emergency Medicine - June 12, 2014 Category: Emergency Medicine Authors: Hideyuki Hamaya, Toru Hifumi, Kenya Kawakita, Tomoya Okazaki, Kazutaka Kiridume, Natsuyo Shinohara, Yuko Abe, Koshiro Takano, Masanobu Hagiike, Yasuhiro Kuroda Tags: Case Report Source Type: research

Successful management of heat stroke associated with multiple organ dysfunction by active intravascular cooling
Source: The American Journal of Emergency Medicine - June 12, 2014 Category: Emergency Medicine Authors: Hideyuki Hamaya, Toru Hifumi, Kenya Kawakita, Tomoya Okazaki, Kazutaka Kiridume, Natsuyo Shinohara, Yuko Abe, Koshiro Takano, Masanobu Hagiike, Yasuhiro Kuroda Source Type: research

Successful management of heat stroke associated with multiple-organ dysfunction by active intravascular cooling
We report successful cooling with initial intravascular cooling use that rapidly achieved the target temperature with continued normothermia thereafter.
Source: The American Journal of Emergency Medicine - June 12, 2014 Category: Emergency Medicine Authors: Hideyuki Hamaya, Toru Hifumi, Kenya Kawakita, Tomoya Okazaki, Kazutaka Kiridume, Natsuyo Shinohara, Yuko Abe, Koshiro Takano, Masanobu Hagiike, Yasuhiro Kuroda Source Type: research

Exertional Heat Stroke: Strategies for Prevention and Treatment From the Sports Field to the Emergency Department
Exertional heat illness is a category of conditions commonly seen during sports participation in the hot summer months. Exertional heat stroke, in particular, is a dangerous condition involving hyperthermia and central nervous system dysfunction, which, if not properly treated, is potentially deadly. All on-site medical personnel, emergency physicians, and coaches involved in sports participation need to be aware of the recognition and treatment of heat illnesses. Emergency physicians must be equally aware of recognition, treatment, and return-to-play decisions to ensure athletes are quickly and effectively treated and ret...
Source: Clinical Pediatric Emergency Medicine - December 1, 2013 Category: Emergency Medicine Authors: Riana R. Pryor, Douglas J. Casa, Jolie C. Holschen, Francis G. O'Connor, Lesley W. Vandermark Source Type: research

Fatal heat stroke associated with topiramate therapy
A 40-year-old man with diabetes and seizure disorder was found at home unresponsive and “very hot to touch” by his father 40 minutes before emergency medical services arrival. His usual medications included topiramate, divalproex sodium, and rosiglitazone/metformin. Paramedics administered oxygen, intravenous fluids, and naloxone. They did not witness or report seizure activity. Upon emergency department arrival, the patient was unresponsive (Glasgow Coma Scale 3), hypotensive (94/50 mm Hg), and tachypneic (32 breaths per minute), with a heart rate of 60 beats per minute and elevated rectal temperature peaking at 43.2�...
Source: The American Journal of Emergency Medicine - September 3, 2013 Category: Emergency Medicine Authors: Stephen W Borron, Robert Woolard, Susan Watts Tags: Case Reports Source Type: research

Heat-Related Illness
Environmental exposure to high temperatures can result in abnormalities ranging from mild heat exhaustion to heat stroke with multiorgan system failure. An understanding of the mechanisms of thermoregulation and how those mechanisms fail with extreme heat stress is critical for management of the patient with elevated body temperature in the emergency department.
Source: Emergency Medicine Clinics of North America - August 28, 2013 Category: Emergency Medicine Authors: Walter F. Atha Source Type: research

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