Heat Emergencies

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Section 5 -MEDICAL

5.07 HEAT EMERGENCIES

HEAT CRAMPS: INITIAL MEDICAL CARE (2.01).

  • Move patient to a cool environment and evaluate the need for transport.


HEAT EXHAUSTION:

  • INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist ventilations as appropriate for patient condition.
  • If systolic BP less than 90 mm Hg Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg.
  • Move patient to cool environment.
  • Place in supine position with feet elevated.
  • Remove as much clothing as possible to facilitate cooling.
  • Sponge with cool water or cover with wet sheet and fan body.


HEAT STROKE:

  • INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist ventilations as appropriate for patient condition.
  • Administer cooled normal saline if available.
  • Move patient to cool environment.
  • Semi-reclining position with head elevated 15 - 30 degrees if systolic BP greater than 90 mm Hg. Evaluate and take precautions for increased intracranial pressure.
  • Initiate rapid cooling: Remove as much clothing as possible to facilitate cooling. Cold-packs to lateral chest wall, groin, axillae, carotid arteries, temples and / or behind knees. Sponge with cool water or cover with wet sheet and fan body.