Exertional heatstroke: Early recognition and outcome with aggressive combined cooling - A 12-year experience

Military Medicine

Volumn 174, Issue 5, 2009, Pages 496-502

  Sithinamsuwan, Pasiri ^a   Piyavechviratana, Kunchit ^a   Kitthaweesin, Thitisak ^a   Chusri, Watcharapong ^a   Orrawanhanothai, Patima ^a   Wongsa, Adisorn ^a   Wattanathum, Anan ^a   Chinvarun, Yotin ^a   Nidhinandana, Samart ^a   Satirapoj, Bancha ^a   Supasyndh, Ouppatham ^a   Sriswasdi, Chantrapa ^a   Prayoonwiwat, Wichai ^a  

^a Phramongkutklao Army Hospital and Medical College   (Thailand)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BODY TEMPERATURE; CHI SQUARE DISTRIBUTION; COLD; DISSEMINATED INTRAVASCULAR CLOTTING; EXERCISE; HEAT STROKE; HUMAN; MALE; METHODOLOGY; MILITARY MEDICINE; MORTALITY; NONPARAMETRIC TEST; PUBLIC HOSPITAL; THAILAND; TREATMENT OUTCOME;

ADULT; BODY TEMPERATURE; CHI-SQUARE DISTRIBUTION; COLD TEMPERATURE; DISSEMINATED INTRAVASCULAR COAGULATION; HEAT STROKE; HOSPITAL MORTALITY; HOSPITALS, MILITARY; HUMANS; MALE; MILITARY MEDICINE; PHYSICAL EXERTION; STATISTICS, NONPARAMETRIC; THAILAND; TREATMENT OUTCOME;

EID: 77949379536     PISSN: 00264075     EISSN: None     Source Type: Journal    
DOI: 10.7205/MILMED-D-02-5908     Document Type: Article

References (26)

1. Knochel JP, Reed G: Disorders of heat regulation. In: Maxwell and Kleernan's Clinical Disorders of Fluid and Electrolyte Metabolism, pp 1549-1590. Edited by Narins RG. New York, McGraw-Hill, 1994.
2. Khogali M, Weiner JS: Heat stroke: report on 18 cases. Lancet 1980; 2: 276-8.
3. Shapiro Y, Seidman DS: Field and clinical observations of exertional heat stroke patients. Med Sci Sports Exerc 1990; 22: 6-14.
4. Smith JE: Cooling methods used in the treatment of exertional heat illness. Br J Sports Med 2005; 39: 503-7.
5. Varghese GM, John G, Thomas K, Abraham OC, Mathai D: Predictors of multi-organ dysfunction in heatstroke. Emerg Med J 2005; 22: 185-7.
6. Slovis CM: Features and outcomes of classic heat stroke. Ann Intern Med 1999; 130:614-5.
7. Srichaikul T, Prayoonwiwat W, Sangnanwong S, Eawsrikoon S, Pholvicha P: Clinical manifestations and therapy of heat stroke: consumptive coagulopathy successfully treated by exchange transfusion and heparin. Southeast Asian J Trap Med Public Health 1989; 20: 479-91.
8. Meikle AW, Graybill JR: Fibrinolysis and hemorrhages in fatal heat stroke. N Engl J Med 1967; 276: 911-3.
9. American Psychiatric Association: Diagnostic and Statistic Manual of Mental Disorders. Washington, DC, DSM-IV, 1994.
10. Tibbetts J: Driven to extremes health effects of climate change. Environ Health Perspect 2007; 115: A196-203.
11. Easterling DR, Meehl GA, Parmesan C, Changnon SA, Karl TR, Mearns LO: Climate extremes: observations, modelling, and impacts. Science 2000; 298: 2068-74.
12. Rooney C, McMichael A. I, Kovats RS, Coleman MP: Excess mortality in England and Wales, and in Greater London, during the 1995 heatwave. J Epidemiol Community Health 1998; 52: 482-6.
13. O'Donnell TF Jr, Clowes GH Jr: The circulatory abnormalities of heat stroke. N Engl J Med 1972; 287: 734-7.
14. Raju SE, Robinson GH, Bower JD: The pathogenesis of acute renal failure in heat stroke. South Med J 1973; 66: 330-3.
15. Kew MC, Abrahams C, Levin NW, Seftel HC, Rubenstein AH, Bersohn I; The effects of heatstroke on the function and structure of the kidney. Q J Med 1967; 36: 277-300.
16. Sohal RS, Sun SC, Colcolough HE, Burch GE: Heat stroke. An electron microscopic study of endothelial cell damage and disseminated intravascular coagulation. Arch Intern Med 1968; 122: 43-7.
17. Chao TC, Sinniah R, Pakiarn JE: Acute heat stroke deaths. Pathology 1981; 13: 145-56.
18. Hassanein T, Razack A, Gavaler JS, Van Thiel DH: Heatstroke: its clinical and pathological presentation, with particular attention to the liver. Am J Gastroenterol 1992; 87: 1382-9.
19. Kew M, Bersohn I, Seftel H, Kent G: Liver damage in heatstroke. Am J Med 1970; 49: 192-202.
20. Rowell LB, Detry JR, Profant GR, Wyss C: Splanchnic vasoconstriction in hyperthermic man-role of falling blood pressure. J Appl Physiol 1971; 31:864-9.
21. Dematte JE, O'Mara K, Buescher J, et al: Near-fatal heat stroke during the 1995 heat wave in Chicago. Ann Intern Med 1998; 129: 173-81.
22. Bouchama A, Knochel JP: Heat stroke. N Engl J Med 2002; 346: 1978-88.
23. Hubbard RW, Gaffin SL, Squire DL: Heat related illnesses. In: Wilderness Medicine: Management of Wilderness and Environmental Emergencies, pp 167-212. Edited by Auerbach PS. St. Louis, Mosby, 1995.
24. Vicario SJ, Okabajue R, Haltom T: Rapid cooling in classic heatstroke: effect on mortality rales. Am J Emerg Med 1986; 4: 394-8.
25. Ghaznawi HI, Ibrahim MA: Heat stroke and heat exhaustion in pilgrims performing the Haj (annual pilgrimage) in Saudi Arabia. Ann Saudi Med 1987; 7: 323-6.
26. Misset B, De Jonghe B, Bastuji-Garin S, et al: Mortality of patients with heatstroke admitted to intensive care units during the 2003 heat wave in France: a national multiple-center risk factor study. Crit Care Med 2006; 34: 1087-92.