Evaluation and Treatment of Heat-Related Illnesses

摘要: The body's ability to regulate core temperature depends on both host (internal) and environmental (external) factors. Although athletes are commonly thought be most at risk for heat illnesses, children the elderly particularly vulnerable. Heat cramps, which caused by fluid electrolyte imbalances, treated with massage, replacement. exhaustion occurs as water- sodium-depleted types, associated symptoms such malaise, vomiting, confusion. Treatment involves taking affected person a cool environment replacing fluids electrolytes if needed. In more serious cases, intravenous hydration may necessary, although monitoring of serum sodium levels is important prevent cerebral edema. If not promptly, evolve into heatstroke, deadly form illness. Heatstroke in classic exertional forms present when body exceeds 40 degrees C (104 F). patient experience cardiac arrhythmias, rhabdomyolysis, chemistry abnormalities, disseminated intravascular coagulation, death. medical emergency that should immediately temperature-lowering techniques immersion an ice bath or evaporative cooling. Fluid resuscitation but closely monitored, renal function need protected mannitol diuretics. It vigilant illnesses because they occur insidiously progress rapidly.