Document Detail


Rapid cooling in classic heatstroke: effect on mortality rates.
MedLine Citation:
PMID:  3741557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The case records of 39 patients with classic (non-exertional) heatstroke presenting to an urban emergency department were reviewed. Eight of 39 patients died. Rapid cooling, defined as a rectal temperature of less than or equal to 38.9 degrees C (102 degrees F) within an hour of presentation, was achieved in 27 of 39 patients. Twelve patients had a temperature greater than or equal to 38.9 degrees C (102 degrees F) after one hour of treatment in the emergency department. The rate of mortality in the rapid cooling group was four of 27 (15%), while in the delayed cooling group, the mortality rate was four of 12 (33%) (P = 0.18). Factors such as advanced age, hypotension, altered coagulation status, and the necessity for endotracheal intubation on presentation dictated a poor outcome despite successful cooling measures.
Authors:
S J Vicario; R Okabajue; T Haltom
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  4     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  1986 Sep 
Date Detail:
Created Date:  1986-10-20     Completed Date:  1986-10-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  394-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Body Temperature
Cryotherapy*
Emergency Service, Hospital
Female
Heat Exhaustion / mortality*,  physiopathology,  therapy
Humans
Male
Middle Aged
Retrospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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