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Features and Outcomes of Classic Heat Stroke

1999; American College of Physicians; Volume: 130; Issue: 7 Linguagem: Inglês

10.7326/0003-4819-130-7-199904060-00025

1539-3704

Barney S. Graham,

Climate Change and Health Impacts

Letters6 April 1999Features and Outcomes of Classic Heat StrokeBarney S. Graham, MD, PhDBarney S. Graham, MD, PhDVanderbilt University; Nashville, TN 37232-2582 (Graham)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-7-199904060-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I read with interest Dematte and colleagues' article on nonexertional heat stroke (1). As noted, this condition causes significant morbidity and mortality unless rapidly recognized and treated. The characteristics of susceptible persons and the environmental conditions associated with nonexertional heat stroke are well documented (2). As pointed out by the authors, this documentation makes public health interventions feasible. In this letter I address methods of treatment based on the physical properties of heat transfer.The authors suggest that immersion in cold water and use of a body cooling unit were the only acceptable methods of cooling. Although ...References1. Dematte JE, O'Mara K, Buescher J, Whitney CG, Forsythe S, McNamee T, et al . Near-fatal heat stroke during the 1995 heat wave in Chicago. Ann Intern Med. 1998;129:173-81. LinkGoogle Scholar2. Kilbourne EM, Choi K, Jones TS, Thacker SB. Risk factors for heatstroke: a case–control study. JAMA. 1982;247:3332-6. CrossrefMedlineGoogle Scholar3. Wyndham CH, Stryden NB, Cooke HM, Maritz JS, Morrison JF, Fleming PW, et al . Methods of cooling subjects with hyperpyrexia. J Appl Physiol. 1959;14:771-6. CrossrefMedlineGoogle Scholar4. Graham BS, Lichtenstein MJ, Hinson JM, Theil GB. Nonexertional heatstroke: physiologic management and cooling in 14 patients. Arch Intern Med. 1986;146:87-90. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Vanderbilt University; Nashville, TN 37232-2582 (Graham) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoNear-Fatal Heat Stroke during the 1995 Heat Wave in Chicago Jane E. Dematte , Karen O'Mara , Jennifer Buescher , Cynthia G. Whitney , Sean Forsythe , Turi McNamee , Raghavendra B. Adiga , and I. Maurice Ndukwu Metrics Cited byAcute liver failure and hepatic encephalopathy in exertional heat strokeHistorical Perspectives on Medical Care for Heat Stroke, Part 2: 1850 Through the PresentClinical Management of Heat-Related IllnessesDehydration, Rehydration, and HyperhydrationHeat stroke: implications for critical care and anaesthesiaCooling Methods for Heatstroke VictimsStephen L. Gaffin, PhD, John W. Gardner, MD, DrPH, and Scott D. Flinn, MD 6 April 1999Volume 130, Issue 7Page: 613-614KeywordsMorbidityMortalityPrevention, policy, and public healthResuscitationStrokeTemperatureVasoconstriction ePublished: 15 August 2000 Issue Published: 6 April 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...