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Nonexertional HeatstrokePhysiologic Management and Cooling in 14 Patients
Barney S. Graham, MD;
Michael J. Lichtenstein, MD;
James M. Hinson, MD;
George B. Theil, MD
Arch Intern Med. 1986;146(1):87-90.
Abstract
Fourteen patients with nonexertional heatstroke were evaluated in a general hospital during the summer of 1980. They were managed according to a prospectively devised protocol designed to effect heat dissipation primarily via convection and evaporation rather than by conduction. The time from entry into the emergency room to the first recorded rectal temperature of less than 103 °F (39.4 °C) ranged from 34 to 89 minutes (median, 60 minutes). Only one patient died; none had residual neurologic deficits. The use of these methods can result in a low incidence of permanent neurologic impairment and a low fatality rate.
(Arch Intern Med 1986;146:87-90)
Author Affiliations
From the Department of Medicine, Metropolitan Nashville (Tenn) General Hospital and Vanderbilt University School of Medicine, Nashville, Tenn. Dr Graham is an American College of Physicians' teaching and research scholar; Dr Lichtenstein is a Milbank Memorial Fund scholar.
Footnotes
Accepted for publication April 30, 1985.
Reprint requests to Department of Medicine, Vanderbilt University Hospital, Nashville, TN 37232 (Dr Graham).
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