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Heat stroke : a review of cooling methods.
Sports Med. 2004; 34(8):501-11.SM

Abstract

The prognosis of heat stroke in patients is directly related to the degree of hyperthermia and its duration. Therefore, the most important feature in the treatment of heat stroke is rapid cooling. Several cooling methods have been presented in the literature including immersion in water at different temperatures, evaporative cooling, ice pack application, pharmacological treatment and invasive techniques. This article describes the various cooling techniques in terms of efficacy, availability, adverse effects and mortality rate. Data suggest that cooling should be initiated immediately at time of collapse and should be based on feasible field measures including ice or tepid water (1-16 degrees C), which are readily available. In the emergency department, management should be matched to the patient's age and medical background and include immersion in ice water (1-5 degrees C) or evaporative cooling.

Authors+Show Affiliations

Sheba Medical Center, Heller Institute of Medical Research, Tel Hashomer, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15248787

Citation

Hadad, Eran, et al. "Heat Stroke : a Review of Cooling Methods." Sports Medicine (Auckland, N.Z.), vol. 34, no. 8, 2004, pp. 501-11.
Hadad E, Rav-Acha M, Heled Y, et al. Heat stroke : a review of cooling methods. Sports Med. 2004;34(8):501-11.
Hadad, E., Rav-Acha, M., Heled, Y., Epstein, Y., & Moran, D. S. (2004). Heat stroke : a review of cooling methods. Sports Medicine (Auckland, N.Z.), 34(8), 501-11.
Hadad E, et al. Heat Stroke : a Review of Cooling Methods. Sports Med. 2004;34(8):501-11. PubMed PMID: 15248787.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Heat stroke : a review of cooling methods. AU - Hadad,Eran, AU - Rav-Acha,Moshe, AU - Heled,Yuval, AU - Epstein,Yoram, AU - Moran,Daniel S, PY - 2004/7/14/pubmed PY - 2004/10/7/medline PY - 2004/7/14/entrez SP - 501 EP - 11 JF - Sports medicine (Auckland, N.Z.) JO - Sports Med VL - 34 IS - 8 N2 - The prognosis of heat stroke in patients is directly related to the degree of hyperthermia and its duration. Therefore, the most important feature in the treatment of heat stroke is rapid cooling. Several cooling methods have been presented in the literature including immersion in water at different temperatures, evaporative cooling, ice pack application, pharmacological treatment and invasive techniques. This article describes the various cooling techniques in terms of efficacy, availability, adverse effects and mortality rate. Data suggest that cooling should be initiated immediately at time of collapse and should be based on feasible field measures including ice or tepid water (1-16 degrees C), which are readily available. In the emergency department, management should be matched to the patient's age and medical background and include immersion in ice water (1-5 degrees C) or evaporative cooling. SN - 0112-1642 UR - https://www.unboundmedicine.com/medline/citation/15248787/full_citation L2 - https://dx.doi.org/10.2165/00007256-200434080-00002 DB - PRIME DP - Unbound Medicine ER -