Consensus Statement- Prehospital Care of Exertional Heat Stroke

被引:105
|
作者
Belval, Luke N. [1 ]
Casa, Douglas J. [1 ]
Adams, William M. [2 ]
Chiampas, George T. [3 ,4 ]
Holschen, Jolie C. [5 ]
Hosokawa, Yuri [1 ]
Jardine, John [1 ]
Kane, Shawn F. [6 ]
Labotz, Michele [7 ]
Lemieux, Renee S. [10 ]
McClaine, Kyle B. [8 ]
Nye, Nathaniel S. [9 ]
O'Connor, Francis G. [10 ]
Prine, Bryan [11 ]
Raukar, Neha P. [12 ]
Smith, Michael S. [11 ]
Stearns, Rebecca L. [1 ]
机构
[1] Univ Connecticut, Korey Stringer Inst, Dept Kinesiol, 2095 Hillside Rd,U-1110, Storrs, CT 06269 USA
[2] Univ N Carolina, Dept Kinesiol, Greensboro, NC 27412 USA
[3] Northwestern Univ, Dept Emergency Med, Feinberg Sch Med, Chicago, IL 60611 USA
[4] Northwestern Univ, Dept Orthoped Surg, Feinberg Sch Med, Chicago, IL 60611 USA
[5] Loyola Univ Chicago, Chicago, IL USA
[6] Special Warfare Med Grp Airborne, Ft Bragg, NC USA
[7] InterMed, South Portland, ME USA
[8] Hartford Healthcare, William W Backus Hosp, Dept Emergency Serv, Norwich, CT USA
[9] US Air Force, Med Grp 59, Washington, DC USA
[10] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA
[11] Univ Florida, Gainesville, FL USA
[12] Brown Univ, Providence, RI 02912 USA
关键词
heat stroke; heat stress disorders; hyperthermia; sports; exercise; COLD-WATER IMMERSION; BODY-TEMPERATURE; CORE TEMPERATURE; COOLING METHODS; EXERCISE; HYPERTHERMIA; HEATSTROKE; RESPONSES; MARATHON; VALIDITY;
D O I
10.1080/10903127.2017.1392666
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Exertional heat stroke (EHS) is one of the most common causes of sudden death in athletes. It also represents a unique medical challenge to the prehospital healthcare provider due to the time sensitive nature of treatment. In cases of EHS, when cooling is delayed, there is a significant increase in organ damage, morbidity, and mortality after 30 minutes, faster than the average EMS transport and ED evaluation window. The purpose of this document is to present a paradigm for prehospital healthcare systems to minimize the risk of morbidity and mortality for EHS patients. With proper planning, EHS can be managed successfully by the prehospital healthcare provider.
引用
收藏
页码:392 / 397
页数:6
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